First time in my clinical "advocating" for my patient

Nurses General Nursing

Published

I'm in my second semester of my BSN program and in my third week of clinical. I had a patient that had come in with epistaxis. He was on some trial drug for hypertension and he ended up needing 4 or 5 pints of blood. They couldn't say it was the drug that caused it but it was their best guess.

I got the discharge papers later on after we came in and he was prescribed 325 mg aspirin daily (prophylactic for MI) along with some other stuff, but the aspirin order caught my attention. I was like :uhoh3:. He's in here because he was bleeding you idiots, plus his nose was still bleeding when he was discharged, just not much. I found the doctor down the hall and said I think the dose is too high and could cause him to bleed more. He actually politely said I was correct and they put him on 81mg daily instead.

My instructor was all like "Yay go Dan!" It felt kinda cool. I had no problem walking up to the doctor and stating my case, it just made me feel all warm and fuzzy inside when the doctor actually agreed. It's the first time in my clinical where I feel I did more for my patient beyond basic care needs.

Specializes in Hemodialysis, Home Health.

Nurse to the rescue.............. again. :D

Good job! :balloons:

Specializes in Developmental Disabilities, LTC.

As a student & someone who's about to be a new nurse, I am inspired.

I remember it being drilled into our heads the first couple clinicals that we should question why the pt is receiving each med we give, but I must admit, lately I've just been "pushing pills" without giving much thought into why the pt's receiving them.

Back to more taking initiative & using critical thinking skills!

Specializes in ICU/CCU, CVICU, Trauma.

Good job!! Sometimes, as Laura Gasparis would say, you need a nurse to save your life! I have a "strong personality" but have found it's all in the attitude of how you approach the doc. It sounds like you did great!

Specializes in Photolab technician.
"I was like :uhoh3:. He's in here because he was bleeding you idiots"

Best quote ever. I love it. This is exactly what I would say, since I am a very much a loud mouth assertive nurse. If you were my student I would LMAO then give you a big shiny gold star.

Excellent work.

I didn't really say that! :lol2: If he was prescribed something he was allergic to and his record clearly stated the allergy, I wouldn't have a problem calling the doctor an idiot because that's just...well being an idiot. I approached him nicely about it, I would expect the same in return. Not to sure that's the way it goes though, this is the only time I've had to communicate about a patient thus far with a doctor.

Specializes in cardiac med-surg.

kewl

good one

Specializes in Day Surgery/Infusion/ED.
I didn't really say that! :lol2: If he was prescribed something he was allergic to and his record clearly stated the allergy, I wouldn't have a problem calling the doctor an idiot because that's just...well being an idiot. I approached him nicely about it, I would expect the same in return. Not to sure that's the way it goes though, this is the only time I've had to communicate about a patient thus far with a doctor.

Please realize that everyone makes mistakes, including docs and nurses. I've seen some very good doctors and nurses make what seemed like basic errors no one should make. Once you are practicing with an actual license and are responsible for a full load of pts. with no one to fall back on, you will understand how this can happen. You will make a mistake one day too. I hope for your sake you don't get called an "idiot."

Nice catch, but the "idiot" comment really took away from it.

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