Extremely BAD night... - page 3

So, someone please tell me how to get past this last night shift, because I'm not sure how it's possible right now... 1st patient of the night- codes and dies.. Normally would make for a rough... Read More

  1. Visit  twinmommy+2 profile page
    1
    To the OP,

    I think its nights like that when we look at our next patients and will make us specifically look for the good in our patients to hold on to, which is a precious gift to have and be able to do.
    Esme12 likes this.
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  3. Visit  Esme12 profile page
    1
    Quote from SweetMelissaRN
    A full mL of undiluted Epi was given and then flushed with NS. The reaction was not nearly severe enough for it. The doc wanted it SUBQ.

    To everyone who offered their support, I really REALLY appreciate it. My point was not to get a lesson on how to administer Epi and at what dilution ratio, etc. so for those of you who offered words of advice, thank you so much. It means more to me than words can say. I'm taking a week off to get my head straight, we will be debriefing in 2 days. I hope this hasn't killed my love for the ER..
    Take this time to realize that the bad shift isn't your fault, that there was really nothing you could have done about it, and that being a nurse sometimes is really hard.

    I think that the discussion about Epi is important for maybe someone going to work tonight will be in that position and will think...you know I read that on AN this afternoon I think I need to double check that dosage. I wish more often that we used situations to learn and not punish someone so severely.

    ((HUGS))
    turnforthenurseRN likes this.
  4. Visit  Sassy5d profile page
    0
    Quote from Esme12
    Take this time to realize that the bad shift isn't your fault, that there was really nothing you could have done about it, and that being a nurse sometimes is really hard.

    I think that the discussion about Epi is important for maybe someone going to work tonight will be in that position and will think...you know I read that on AN this afternoon I think I need to double check that dosage. I wish more often that we used situations to learn and not punish someone so severely.

    ((HUGS))
    Completely agree! Thank you for sharing your story. I will say, what you've shared will stay with me. It can get confusing the different dosages and concentrations of epi. I will always be mindful of this.
  5. Visit  SweetMelissaRN profile page
    0
    I was looking back at what I posted last, realized how rude it sounded.. Sorry about that.. Thanks everyone who did any research and looked into the Epi scenario. Definitely a good learning opportunity.
  6. Visit  SweetMelissaRN profile page
    0
    Quote from netglow
    Here's one Allergist's spin on the epi/contrast shock scenario:

    Epinephrine in the treatment of anaphylaxis
    This was very helpful, thank you so much for looking into this topic. I really appreciate it
  7. Visit  whichone'spink profile page
    0
    Holy crap, and I thought I've had bad nights. I hope things are okay with you, and in your ER. And I've never had to give epi in the case of anaphylaxis, so it's good to learn the correct way of giving it.
  8. Visit  sallyrnrrt profile page
    0
    luv you sista, it happens some times, not often, you have received some good advice :
  9. Visit  Medic2RN profile page
    0
    I'm guessing you had your debriefing already. Did it help you out some?
    I'm sorry to read about your terrible night. I hope that the time off gave you time to find some coping strategies to deal with all of it.
    A while back, my shift experienced 2 back to back pedi codes - one was horrifically tragic dealing with abuse. We were seriously traumatized although no debriefing was offered to us. A few nurses left afterwards and went into other nursing areas.
    I'm glad that CISM was there for you and that you guys took advantage of the resource.
    I'll keep you in my prayers.
    Best wishes and hope your way.
  10. Visit  SweetMelissaRN profile page
    0
    Quote from Medic2RN
    I'm guessing you had your debriefing already. Did it help you out some?
    I'm sorry to read about your terrible night. I hope that the time off gave you time to find some coping strategies to deal with all of it.
    A while back, my shift experienced 2 back to back pedi codes - one was horrifically tragic dealing with abuse. We were seriously traumatized although no debriefing was offered to us. A few nurses left afterwards and went into other nursing areas.
    I'm glad that CISM was there for you and that you guys took advantage of the resource.
    I'll keep you in my prayers.
    Best wishes and hope your way.
    I did, and yes it did... Very much so... Gave all of us the opportunity go over everything, cry together, and appreciate that we did everything we could...

    I can't imagine having 2 pedi codes in one month let alone one night, my heart goes out to you.. I'm sorry your facility did not offer any type of crisis help for your staff, I would definitely discuss that with your nurse manager or CNO, it's not right that you and your co workers can go through something so devastating and the higher ups think you're just supposed to go about your job, unaffected. Makes me livid. We are human. We have huma
  11. Visit  SweetMelissaRN profile page
    1
    We human feelings*** that wall can't stay up forever... No wonder some of the ER nurses I have met have become so callous..

    Thanks for the words of encouragement, means so much to me
    Medic2RN likes this.
  12. Visit  Rhi007 profile page
    0
    I can empathise with you. On way to work man in full cardiac arrest is taken to my ED and dies, 20yr old hit by a car makes it to icy dies 2hrs later, girl was shot by step parent who is a known drug dependant to the ED she also died........this was all within 5 hrs of my shift


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