Quote from Runman1914
I have been working in a cath unit for 8 months now. I received little to no training before i was put in procedures alone.
Now doctors are expecting me to preform like a seasoned veteran. Furthermore the cath lab i work in does alot of procedures on pts in there 90s. We have a pt code almost everyday. Then of course the doctors blame the nurse.
I really think i made a huge mistake transfering to cath lab. Are all cath labs like this or just the one i work at?
I hope you can elaborate on your situation. I am new to the cath lab staff myself but I can already tell you that "all cath labs" are not the same. This is true for almost every situation in health care though - different hospitals, different units, different parts of the country - all with different "culture", different patient population, and different patient focus. You may not have made a mistake is transferring to the Cath Lab but it may have been a mistake transferring to the Cath Lab at your hospital.
I do wonder what you mean by "I was put in procedures alone". Do you mean alone in the room to circulate...alone in the room to scrub...alone to do both monitoring and circulating...Eight months does seem like enough time for you to start to feel comfortable in almost every aspect of the job, unless they staged your training. What experience did you have before you started in the Cath Lab? If you didn't have much related experience before you started the job that could explain your initial uncertainty but I would expect you to start feeling comfortable with most aspects of the job by now.
There are so many aspects to the job:
1. The Critical Care Nursing aspect (to deal effectively with meds and emergencies)
2. The procedure set-up aspect (to prepare the room for the specific procedures)
3. The patient preparation aspect (to prepare the patient mentally and physically)
4. The ability to "read" the angiogram (so you can see exactly where the physician is in the anatomy and anticipate what will happen next)
5. The scrub function (so you can effectively set-up all aspects of the sterile field and assist the physician with the procedure itself)
6. The managerial aspects of running your cath lab (making sure you have all the functional equipment, up-to-date medications, supplies and devices you will need. The ability to manage patient flow effectively.)
I will say that "having a patient code every day" sounds most unusual. Perhaps you mean that you are at a busy MI center with Primary PCIs every day and that is what you mean by "a patient code" is the natural emergency conditions caused by emergency admissions?
It does seem that after 8 months on this job with your level of anxiety you are right to consider that a change of jobs might be a wise choice. That's not to say where the problem is coming from...just that there does seem to be a problem.