[QUOTE]Originally posted by Brenna's Dad
[B]So, here is a question for all you CRNAs/SRNAs/MDAs out there.
Now, I am pretty decent with IVs. Obtaining about a 90-95% proficiency in dealing with old, septic, shutdown ICU types.
But, I can't help wondering what will happen after I start my clinincals. I mean, as a nurse perhaps the, "wow, I can't believe I misssed!" comment might be accepted. But as a CRNA/SRNA/Anesthesiologist, how does the patient react when you miss. Their confidence level in you must hit rock bottom.
So, how do you all deal with this. Do they teach you some magic method in school for obtaining 100% accuracy? Do you simply get so proficient that you never miss or maybe 1/1000? Are your patients just so generally healthy that you can't help but hit? In difficult pts do you just forget it and go for the jugular? What excuse do you use when you do miss" "Sorry Miss Jones, it looks like the needle is defective"?
Why would a "l can't believe l missed" comment be more acceptable as a nurse?....are you not STILL a nurse?....in fact, being a "nurse" and in an area of practice that hones IV skills (l work ER) is what makes us the pros...In fact, the residents come to the ER to be taught by the lowely nurses how to start IV's...(and they quite frankly suck at it). Regardless of the initials behind your name, you will have days you are in the zone and days when you feel like you aren't even on the right planet.....ask any "nurse" who has been at it for a while. I understand that you might think you will be held to a higher standard as a CRNA, but your choice of phrasing the question is a little disturbing....not trying to be spiteful, just a little honesty that you requested....Excuses?...l don't make any, l say, "l'm sorry, l didn't get it. l am going to look for a better site and try again."....just be honest......medicine/nursing is not an exact science.....hope this helps...............LR
....ps...l just love it when the pt or family member requests that a Dr. start the IV......if l don't like them, l say "ok fine!"