I'm an RN on orientation. I don't care to give away too many details but it was nerve wracking since this nurse works on my unit and I see her every shift that I work. She has been a nurse for more than a few years and I'm still the incompetent newbie on orientation. At the end of the shift she told me I did a great job handling the resident and she hardly felt the IV I started on the first try. It all started about 3pm. long story short, she required many interventions (2nd IV start, multiple EKG's, SL Nitro, NS IV bolus, Natrecore slowed and then DC'd. Morphine IVP, etc, etc, etc.) and multiple communications with a reluctant cross cover resident. With some prodding by me and more than a few interventions she is stable at shift's end and I gave report with a good feeling. I finally have begun connecting the dots for at least this one patient!!
I'm sure that on my next shift I will feel like a complete dumb arse like usual, but I feel I was a patient advocate today and got the resident to act when he probably was willing to just wait it out. I sorta feel like a real nurse!!