Worst night ever - Page 3Register Today!
- Jun 16, '12 by bratmobileLISTEN TO THE SUPERVISOR.. block everyone else out..
- Jun 16, '12 by sweet~revengeI completely agree with what everyone else has said. Your charge nurse was out of line, if she thought she could handle it than let her take the patient and let it be on her license. You should write her up.
There's a lot of important things I learned from my first preceptor when I started in med surg, and one of the most crucial things was: at the first sign that something is going wrong with a patient, get them off the floor! They can deal with that patient much better in ICU or IMC. If it's a new admission and the patient sounds like a lot more than you can handle, contact the supervisor before the patient comes up and ask if this patient is really appropriate for your floor's acuity.
Also, if you feel the need to call a code or rapid response, do it! Don't worry that you might be doing the wrong thing, the worst thing that can happen is the RR or code team gets up there and your patient turns out not to need them. You know the old saying: it's better to have it and not need it than to need it and not have it.
You did a good job!
- Jun 17, '12 by PeepnBiscuitsRNWell first of all, I second what the previous post said: sc**w the charge nurse, your supervisor told you you did fine. The day charge told you that you were in the right. Next time remember "it won't kill the patient if you call an RR and it wasn't really needed...it COULD kill the patient if you don't and they do need it."
As for the laughs- do you know it was directly at you? If so, it could maybe be a nice rewind to junior high: laugh because the queen bee is laughing, and you don't want to anger the queen bee.
Anyhoo, you have job security- your supervisor said you were doing fine. If it's really bothering you, you can have a chat with her- the supervisor. Don't tattle, just say that the particular shift really shook your confidence, and you would like to know if there might have been a better way to handle it. Know what I mean?
Some people are just jerks. Is this charge nurse usually jerky? Next time she's charge, don't ask her for help, as someone else who has been around on your unit for awhile. Maybe, hopefully she was just having a cruddy night already.
- Jun 17, '12 by BringonthenightVirtual hug!
I feel so sorry for you that you had such a horrible shift. I always hate it when charge nurses and superiors make us feel bad instead of educating and supporting us through tough shifts.
There is a silver lining to your story- your instincts were right in wanting to call Rapid Response- the fact that the patient needed to be transferred to CCU immediately confirms that you didn't have an "easy load". Don't take to heart the mean things your charge said to you. It's her job to support you, not tare you down in front of your colleagues. (very unprofessional of her).
Remember, you may be a new nurse, but you have skills in assessing a deteriorating patient and have the right and responsibility to call a rapid response if you FEEL the patient needs a review.
Oh and your brand new- don't stop asking questions! Your not supposed to know everything right out the gate! I'm sure your charge was asking plenty of questions in her grad year!
And finally- I'm sorry to tell you that this won't be the last tough shift you have. We work in a profession with strong personalities and stressful work environments, everyone cries occasionally. The important lesson to wipe away the tears and remember that tomorrow is a new day and that you will become more confident and calm with experience.
Don't give up you have come this far and worked so hard!
- Jun 17, '12 by GitanoRNhonestly, you need to realize that you didn't do anything wrong under the circumstances, on the contrary you tried to get the proper help for your patient and for that i applaud you. on the other hand, your cn should be rethinking if her actions were in any kind supported of you, and the patient in question. needless to say, as upper management i would have a serious meeting with all who were involved, once all of the facts are gathered and evaluated. unquestionably, we all have experience nights like the one you have posted, in one time or another trust me when i say it will get better, and it will give you the tools you'll need when this type of event arises in the future. furthermore, don't see it as a failure on your part, see it as a challenge that you overcame and learn from the experience. moreover, regarding those you heard laughing take it as a compliment, as we all know they also laughed at florence nightingale, when she tried to place into practice her revolutionary patient care. having said that, i wish you the very best always in all of your future endeavors, as i send you a hug from across the miles...aloha~
- Jun 17, '12 by danaroooWow. I had a similar instance at the tail end of nursing school. I had a patient that was way over my head and a horrible unsupportive clinical instructor, the nurses on the floor I was on weren't any better. Very unsupportive and unprofessional atmosphere. It is hard when you aren't totally confident yet and something like that happens. You were done a disservice by your supervisor, and the other nurses laughing was just rude. I had to adopt the attitude that I didn't care if other nurses thought I was stupid for making a mistake, asking a million questions or whatever because my job is to provide safe patient care period. Ask the questions you need to ask, ask them as much as you need to. It's your license and your career and your patients well-being on the line so if others are crappy about it then they must not care or don't remember being new.
You are new, you need to feel like the nurses on your floor and your supervisor(s) have your back. You need a secure net under you which is what they are supposed to be. What I did to get over what happened to me (which stayed with me for a while), was to talk to someone about it, to get those emotions out and that allowed me to realize I had been screwed over and "they" weren't good nurses in any respect after what had happened to me. Learn what you can from this sitation and know you do have support in the way of the nurses who helped you. The most important thing is for you to begin to process this and deal with the emotions left over, and learn the lessons from it.
- Jun 18, '12 by DeLanaHarvickWannabeI'd like to add something.
Just because a person is designated as a charge nurse, does not mean that he or she is the go-to person concerning assessments, unfortunately. A lot of people are put in charge because they have a good relationship with management, are good with staffing, excellent attendance, etc.
You will find that some nurses in your department are not in charge because, well, they don't want to be! Or maybe they have a lateness problem, or refuse to further their degrees. That doesn't mean they aren't helpful and experienced clinicians.
Also, a lot of times the charge nurse has a lot of extra work to do and even if he or she tries, may not be as available as some other nurses with less responsibility.
What I mean by this is, let's say Nurse Susan has completed her night assessments, given her midnight meds, and is well on her way through her charting. She isn't in charge, but she's been a nurse for quite some time, is friendly, and is available to help. On the other hand, Charge Nurse Helen has a staffing crisis, needs to cover lunches, and may have her own patients, etc. Obviously this may not be the case in your situation. But I think you understand what I mean.Last edit by DeLanaHarvickWannabe on Aug 19, '12
- Jun 18, '12 by rnlatelyI'm sorry this happened to you. I've met a couple of charge nurses such as you describe; even worked alongside a few with the same mentality. Charge nurses receive that title and are paid more for a reason and part of the reason is to be a resource person for the floor nurses especially new ones. If she was toooo busy she should have went ahead and called RAT team for you; would have only taken a few minutes. Were there other seasoned nurses on the floor that might have had a few minutes to assist you? I ask this because whenever I see my CN getting aggravated with a newer or overwhelmed nurse I generally try to step in and offer my assistance. Hey, I've been new and timid before. Best of wishes to you and don't beat yourself up. You are still learning and will be a strong nurse.
- Jun 18, '12 by Good Morning, GilWe've all been there. Hugs. Odds are, it will be better the next night you go in (it usually is), and after a night like that, it's super nice when you have an easier night to follow. Whenever you think you've had the worst night, there will be one in the future that tops it lol.
- Jun 18, '12 by Good Morning, GilOh, and your job will get better with time as you gain confidence and competence. Don't let your charge nurse get to you. She shouldn't have spoken to you in the way that she did, and was she a free charge? Meaning, did she not have any patients? If this is so, then she has nothing to complain about. However, listen to her. If she gave you tips, even in a not so nice way, you can learn from her.