I am fresh out of nursing school
and working in an ICU residency program.
The only experience I have in critical care is the 1 month that I had during my senior practicum. I fell in love with the unit and the things these nurses were doing. I felt like truly, this is what being a nurse is all about. I loved how autonomous the nurses were and how much the nurses made a difference in the treatment/outcome of the patients on the unit.
Anyways, one thing that has been concerning to me and something that has bothered/caught my attention since starting is how they treat DNR patients and patients who are on their death bed.
A 70+ year old male was prescribed morphine 4 mg. He had received a dose 1 hour prior and this was prescribed every 15 minutes PRN (which to me is a ridiculous and unnecessary amount). The patient did not look like he was in any discomfort but my preceptor said he looked uncomfortable and needed a dose. I administered the medicine and the patient passed within 40 minutes.
Basically, I feel like I killed the patient and I feel like my preceptor knew this would happen. The way she and other providers talked sounded like it was "about time he went". Has this happened to anyone?
I really don't know how to feel about this.