Haunted by incidents at work/Part II UPDATE

Thanks Cardiac....
I know deep down that yeah....they are just trying to improve patient care...and that's a good thing...but man...I'm just the type of person that automatically thinks it's all me...u know? I suppose if they thought I was being incompetant or something...they would have let me know about it right away. I don't know why it all bothers me so much....but it does. I am questioning myself as a nurse..and I feeling like that.

It sounds like you did everything right, but need some help leaving work at work. Playing the "what if " game, and seconding guessing ourselves leads quickly down the road to burn out.
I have had to learn not to bring "work" home, sometimes something sneaks in, but I need to have a home life and a seperate work life.

have also noticed myself losing interest in things, sleeping all the time,etc. I am also battling some other problems like trying to work with chronic pain from endometriosis and we're dealing with infertility as well. Oh yeah..then I passed out at work the other week and hit my head and needed nine stitches to sew my ear back together..lol. Overall...I'm just feeling sad and worn out...

If the OP really felt bad about how she handled the situation, she would not of been so outraged and indignant over the case being used for a rapid response scenario (or would of felt the need to re-post, and lay the "blame" on the ED and the Doc)-if anything she should of been relieved to see that EVERYONE involved in the case was a part of the problem, that it wasn't entirely her burden-it was obvious that she felt that with her status of "Best nurse" she should of been immune to any constructive criticism that everyone involved in this patient's care was given-that makes her original post a bit disingenuous, a bit coy-I think the response that she was looking for, and got was all the "you did great" posts as above. Kind of like asking your someone if you look fat, when you know that you do, because you know that they'll tell you that you look great. It would be crummy to see a case that you were involved in used as a "what not to do"-but if you really and truly felt bad about how you handled it, there would be no self-righteous indignation over it; it would be like "gee, I had a feeling that there was more that I should of done-so my gut feeling was right, next time I'll Know to follow it"-the fact that she was upset enough to complain proves that she didn't really feel that she did anything wrong-or at least not "wrong" enough that she should of been included in the case study-in which I am sure her name was not mentioned....Just my cranky two cents. We all have cases that, for whatever reason, we could of done a better job. No excuses, no qualifying; Just, "Darn, I could of done better"-and learn from it

Oh yeah...I failed to tell y'all about that in the initial "story".....the lady had been on 10 liters of o2 via simple mask for hours.....they put it on in the ER..or maybe even in the ambulance. Anyways.....that's what ended up as her main problem. She was a COPDer and that was never mentioned or thought of by the ER doc, ER staff,etc. Orders read "o2 by mask to maintain sats greater than 93% or something like that. This lady was basically unresponsive...anyways....toward morning..I got a quick chance to peek at her charts..(you know how that goes...especially when you are one on one with someone and have other patients too). Anyways..I find somewhere that she's a COPDer and then thought oh my gosh.....what if she's a retainer?That's when I called her usual doc and told him the story and I mentioned the possible retaining thing...right away he's like "oh yeah...she's a retainer"....after all...he sees her all the time..he just knows this. Anyways...once they got her on bi-pap,etc and were able to blow off some of that CO2....she came around. Ok..I just wanted to add that to clarify my above post.
snoop