I had a BAD day... very bad. - page 2

Today was our last day in clinicals. I made my first med error! Before giving ferrous sulfate, lovenex and effexor I failed to take vitals. I was bordering on giving them late for several other... Read More

  1. by   PennyLane
    Geez, Val, I'm sorry that happened. Just speak up for yourself if the issue is ever brought up again. Like Brenda, I can't speak from personal experience yet, but I'm sure you're well on your way to being a great nurse.
  2. by   LasVegasRN
    Can't offer more than the advice already given.

    Val, you rock. You're going to make an awesome nurse - of that I have no doubt. Personally, I feel you'd do great in Peds and you know why!! :chuckle

    CYA is the order of the day, it is a nursing mantra. We're human, we are not robots and last I checked none of us can walk on water.
  3. by   Vsummer1
    We had conferences today, and it was only mentioned that I have "too much empathy" for my patients. My instructor said she thinks I will make a great nurse, if I can get in there and be the nurse, then have empathy later.

    In other words, I should have woken the patient up earlier. Which, by the way, is what I put under my "how I could improve".

    And so, I passed clinical's and now all that is left is the final exam!

    LVRN -- I am scared to death to do peds, because basically -- I have too much empathy! I would be in tears over the sick kids! I gotta get "mean", I gotta "toughen up". At least peds comes after chronic and OB so I have some time to deal with this empathy problem.

    THANKS EVERYONE for your support!
  4. by   Love-A-Nurse
    "...and so, i passed clinical's..."

    val, way to go!
  5. by   l.rae
    school is NOTHING like the real world, can't think of anything you could have done differently that would have made any worth while difference. Really it is sad that students are not prepared for the real world of nursing, but that's just the way it is. Really craps me out that they use valuable cirriculum time to espouse culture, and socio/psycho factors then tell ppl they are too empathetic...give me a ******* break!.....Then on top of that ding you for alledged mis-prioritizing, (critical thinking).....hey if they would back down on all the touchy feely ciricculum and teach the real world skills....you know?...oh well, you will survive. Good luck on the rest of your journey...........LR
  6. by   2banurse
    Originally posted by Furball
    A med given more than 30 minutes late? Excuse me...



    BAWHAHAHAHAHAHA!

    Welcome to the REAL world of nursing.

    Imagine having, say, 7 pts. They ALL have 5-12 meds due at 9am. Most have BP meds and IV abx ect. It is PHYSICALLY IMPOSSIBLE to give meds EXACTLY on time. I would try to start giving 9 o'clocks at 8:30 and feel like I did a darn good job if finished by 9:30., considering CONSTANT interruption, "I need ice water, I have to use the BR NOW, I need to speak to DR Whoozywhzzit NOW, the doc in room 8 needs assist at bedside NOW, critical lab on the phone NOW, relatives on the phone NOW.... missing meds?(I would run to the pharmacy, which is 9 floors down and through a LONG winding hallway, instead of waiting the usual 3 hrs for the med to arrive) USUALLY I would finish up meds at around 10:00-10:30.


    Are you sweating yet?
    Furball brings up a very good argument. How would an experienced nurse handle this situation? It is so different than when you are a student and working with only one or two patients.

    Kris
  7. by   ShandyLynnRN
    Needing a consent for effexor? Never done that myself. And as far as the vitals??? I never was taught in school to check vitals before giving those meds. Only for BP meds and heart meds. Boy, my school must have really sucked!!!!
  8. by   hoolahan
    Val, it sounds like she thinks you should have done your am assessments which includes vitals first, that is all, not that these particular meds would require VS prior to giving. I would never have done that for those meds.

    No you couldn't leave the pee, b/c one time you do, and you can be SURE the pt would get OOB and slip and break a hip, so safety is a priority.

    I the real world, in my own home, I do not take meds q 12 hrs, I take it twice a day. So a med was 15 min late? What is the big deal? You have to jump thru these hoops in nursing school, but in the real world, you do the best you can!
  9. by   Stargazer
    Originally posted by Vsummer1
    We had conferences today, and it was only mentioned that I have "too much empathy" for my patients. My instructor said she thinks I will make a great nurse, if I can get in there and be the nurse, then have empathy later.

    In other words, I should have woken the patient up earlier. Which, by the way, is what I put under my "how I could improve".
    Val, I'm glad you got through clinicals. I thought you did just fine with what you had to work with. Some days all you do is put out fires, that's all, and as long as you can triage tasks appropriately, everybody comes out okay.

    I had to laugh about the "waking the pt up" thing though. That is the main reason I hated working nights--I never got over feeling guilty about having to wake up ICU pts to do hourly neuro checks, vitals, etc.
  10. by   sunnygirl272
    consent for effexor? *****
  11. by   Vsummer1
    Originally posted by sunnygirl272
    consent for effexor? *****
    Yep. At the facility I was at, it is required. I think all anti-d's require consent there for that matter. I didn't ask questions, I just got the consent ready.
  12. by   rachdd
    UGH!! I have no advice to give but CONGRATS on passing Clinicals!!

    And sorry you had such a bad day!
  13. by   canoehead
    Well, I have to echo the other posters, 15min late? Big fat hairy deal. Don't obsess over it, it's one of those things that only gets dinged in nursing school.

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