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| No. 20 | 
Jan 23, 2006, 11:46 AM
 Re: Haunted by incidents at work/Part II UPDATE Originally Posted by SFCardiacRN Case studies and root cause analysis are how facilities improve patient care. Don't feel singled out. Take pride that your facility is "dissecting" a case that was bothering you in the first place.
This is a great point!
 | | Advertisement Sponsored Links | | | | No. 21 |
Jan 23, 2006, 01:00 PM
Re: Haunted by incidents at work/Part II UPDATE Originally Posted by TypicalFish 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
Wow, I think that is a really crappy response and uncalled for. From what she has told us I think she handled the situation the best she could have, and probably better than alot of nurses would have. The fact that she is upset about it obviously shows what a compassionate person she is! I think at no point in the story did she say she was outraged about the situation but felt like she was being singled out in the situation!
| | No. 22 |
Jan 23, 2006, 02:59 PM
Re: Haunted by incidents at work/Part II UPDATE Originally Posted by TypicalFish 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
I don't really think that the poster was in any way trying to say that she didn't shoulder ANY blame. Quite the opposite; she said that she felt like she could have been more aggressive and INSISTED that the patient be transferred immediately. One other poster actually did agree with this, that yes she could have been more insistent, but "hindsight is 20/20".
I think that the poster is just really bothered by the whole situation and was just coming here to vent about it and yes, maybe get some reassurance that she handled the situation OK... but what's wrong with that?? All of us as nurses need a little reassurance now and then; more than what most of us get on a daily basis.
Then when the OP got the email about the situation being used as a case study.. again, I don't see where she felt like she shouldn't have had any blame in the situation. Again, quite the opposite.. sounds like the OP has a rather skewed view of things and thinks that everything went bad because of HER.
| | No. 23 |
Jan 23, 2006, 04:13 PM
Re: Haunted by incidents at work/Part II UPDATE Originally Posted by TypicalFish 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
This is kind of funny actually....apparently you must be cranky..lol. Anyways....thanks for your "humble" opinion....but everything you said is sooooooooooooooo far from the way I feel...it's almost laughable!! If you'd read my original post...you would know that I was upset about the case study because it failed to show the whole story...which yes...does make me upset. It showed the ladies vital signs basically, her LOC, and the fact that she was shipped out. It failed to show ANY interventions at all....therefore it makes it look like I sat on it and did absolutely nothing all night....yes..that does peeve me because it fails to show what I did do.
As far as "her status as best nurse"....that is absolutely the funniest thing I've ever heard.......you must be completely off your rocker..i have no idea where that's coming from. I have been mulling this case over and over in my head from the beginning because 'yes'....'I feel like I could have done something more and didn't'.....oh yeah....that's a true sign of being self-righteous...don't you all think? I am not solely blaming the ED or doc....did I ever say that??? No...I don't agree with that fact that they ever should have let her roll down to med/surg...BUT....what did I do about it to get her transferred out of there..not as much as I should have...and that's partly what I"m upset about.
I'm just glad that the true veteran nurses here understand this whole situation and have helped me to feel better about this all. Yes...I do think I did an ok job....yes..I do think I could have done better....no...I'm not trying to push all the blame away from myself....no ...I am by no means "best nurse"...quite the opposite...I've been struggling for so long with self esteem/anxiety issues...I think I am a good nurse...but believe me...it's taken years to finally get to that point....yes..I am upset about the case study because it failed to show the WHOLE story and yes I was upset about the cause and effect analysis because they failed to include me....but now they are including me and I realize it is to improve patient care and I'm happy about that....and yes..I do feel bad about the whole thing in general..not because I'm "best nurse' and looking for a pity party on snoop and tell snoop how wonderful she is....BUT...because it makes me question myself and wonder about what I did and didn't do.... I came here looking for support because I know many veteran nurses have been thru similar event and feelings. Oh yeah.....I DO think I am "best nurse" when it comes to being compassionate,caring, and understanding of others feelings....that is something Typical Fish....you apparently know nothing about...if you did....you wouldn't have posted such a mean and uncalled for response...although..it was good for a laugh because it was "so out there"...thanks for that.
Snoop  | | No. 24 |
Jan 23, 2006, 04:29 PM
Re: Haunted by incidents at work/Part II UPDATE
Oh....perhaps I get it now...if you look way back to my "original post"...I did mention that house sup. refer to me as "the best nurse on med/surg"...maybe that's what you are getting at. That's not what I'm saying about myself though.....I just mentioned that because for some reason....that's how skewed things are for me.....if I"m the best nurse on med/surg, self-righteous, and coy....why do I feel this way about things constantly...why do I think about and threaten to leave nursing all together because I don't think I'm cut out for it. I can see where you are getting that from...but believe me...that was in no way my intention!!
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