I can NOT pass Surgical Asepsis!! I have one more chance [next Tuesday]. If I fail to pass I am out of the nursing program until NEXT Spring!!!
I went to the lab on Friday and practiced in front of a senior nursing student and PASSED with flying colors. Fast forward to today. In front of the instructor I SCREWED up!
This is what I did wrong:
1.] No wash cloth to clean the wound. She got it for me. I started the clean techique removing the dressing, washing the incision, using iodine. She stopped me there because there wasn't a drain in the pt. Of course, that threw mw off. Continued to iodine the drain.
2.] Here is where I really screwed up. I put on my sterile gloves and then opened the packages!!! :uhoh21:
THEN I proceeded to put the sterile bandage on the incision and on the drain. BIG oops. Should have advanced the drain BEFORE putting on the sterile drain bandage. I advanced the drain then I grabbed the cover dressing and explained that I could only touch the outside of the dressing. I FORGOT to take off my gloves!!! So the dressing had junk from the drain on it because I didn't take off the D*%$# gloves!!
Then at clinical, I was once again TEAM LEADER and had NOTHING to do. I was standing behind my student watching her look at the chart. The instructor asked me what I was doing and I told her I was watching my student. She accused me of being SARCASTIC!!! :imbar
I told her I wasn't being sarcastic that I LITERALLY did NOT know what to do!! She must have believed me because she kindly explained that I could read the chart with my student or own my own.
In lab today, I got a note from her and my papers were sealed in a plastic bag!! I'm thinking WTH? Turns out She is allergic to the SMELL of smoke and she doesn't want me to smoke and do the paperwork or smoke before clinical or in uniform. After I read the note, I explained that I was quitting on April 1. She asked me why I was telling her that, and that she didn't ask me to quit smoking!! I am taking wellbuteral and WILL quit, but d*&$ I hear crap like this all the time.
We also took our first test in M/S 1 today. I got a C!!! I studied my butt off. I know A/B balance. I studied the numbers what I didn't study was the senarios. I missed 12 out of 63. That is the WORST grade I have gotten so far in nursing!!
Sorry this is so long but I really needed to VENT!!
Mar 31, '04
Quote from orrnlori
I work in the OR. Working with sterile scenarios can make you crazy but you can do it. Visualize what it is you need to do in your head first. What are the steps? Be sure you understand each step and why you are doing it. Do you need to open packages, bottles, do you need to arrange things first? Think. See each step in your head first.
This is what I tell my students. You need to think about what you are doing and plan ahead. After a while it will become second nature, and remember "Dirty to dirty, clean to clean." And if you touch anything outside of the sterile field, you are considered contaminated, and must change your gloves.
I have had students use the "F" word, as well as other descriptive phrases when they are frustrated. I understand how things can slip out, and I don't mind. But don't ever say it in front of a patient.
Last edit by Teacher Sue on Mar 31, '04