Heartache...absolute heartache. I won't go into the details due to patient privacy, but yesterday I had the most horrible experience. My patient was being grossly misdiagnosed and being discharged despite my frequent but respectful objections. The doctor involved was having a terrible situation at home, and my charge nurse and I believed her to be emotionally incapacitated. Our DON was contacted, and the dispute eventually was presented to our CEO. The doctor was replaced and we flew the patient to a specialist. I don't know how she is currently doing, but it was a 12 hour long process to get her there. I fear irreparable damage for her due to the misdiagnosis and delay of treatment. I'm personally a mess from the experience. I can't sleep tonight, and was assured by everyone involved that idid the right thing from the start of the shift by being an aggressive patient advocate. I fear for her. The thought that so much hinges on our actions is paralyzing me. I don't want to be a nurse anymore. I don't want to watch people succum to illness, lose their children, or have their lives shattered any more. Kudos to all who can deal with this better than I. May you all find the peace that eludes me.
Quote from JeneraterRN
Thank you. The family said they were fortunate to have me. I can't help but feel like there is something else I could have done.
That's the voice of wishful thinking whispering in your ear. It really is difficult to be faced with our own limitations.
Now, flip this around and think about the patient's likely outcome had you not gone to bat for her. A less aggressive nurse might not have stood up to the doc or involved the charge nurse or the DON. Another nurse might have stuck a toe in the water but worried more about getting in trouble than advocating for a patient who was failing.
You are not all-powerful (hate to break it to you, but none of us is), but you did what you could under the circumstances. If you throw up your hands in frustration and despair and quit your job, who will be there to insist on a certain standard of care? Who will set an example for the timid nurses who are afraid (or don't know how) to be a squeaky wheel for someone who really needs one?
Yes, this is a big responsibility, but you handled it well.
Please, give your emotions a couple of days to settle down. They must be a little raw right now.
Whatever chance your patient has came from your courage and your refusal to be backed off. You did well!
Last edit by rn/writer on Jan 8, '12