Remind me again why I wanted to go to NS?

  1. So, I had clinical this morning and WOW, I ROYALLY screwed up! I was checked for giving meds to my client this morning, he was on some anti-hypertensives, so I got his vitals right after pre-conf, although he was at the breakfast table. Took him to room to do vitals, then put call light in reach and went to get meds with instructor so I could give them to him before breakfast. NO ONE Explained that he was supposed to get them after breakfast and not before, when instructor said"oh, i'll be right there to do them with you." So, when I was getting meds together, instructor goes "Um, why hasn't he had breakfast yet?" I tried to explain myself, but she goes "that's the most important, period! Why is this taking so long to sink in?"
    I bit my tongue HARD!!! Explained that I was sorry I misunderstood, would ensure he had breakfast right away, then give him checked meds after he was done eating. Ok, that's fine. Then I assessed him throughout morning, got him to activity at 10, did a glucoscan at 11(after I learned, as I never did it before! At least that's one thing that went well!!) first blood sugar of 60, could tell that was wrong, redid, got 205. So, that's more like it. (BTW, what's the range of normal blood sugar for a person with diabetes? or just in general?)
    Then, I FINALLY made it down to the conf room for postclinical, no instructor, we're all sitting there, writing in our feedback forms, I looked at mine and I FAILED patient priority of care and giving meds. I understand why and really only blame myself as I should have known better!
    I KNOW I'm never making that same mistake again! Priorty of care b/c of breakfast issue, meds due to giving more than 30 mins late and the fact that the nurse had me ensure he took a solution w/o having me check it with CI.
    Ok, next week HAS to be better than this!
    I guess I'm just feeling like I could have killed the guy and I'm just overwhelmed!!!
    Talking with other students, it's clear nobody got any instructions about HOW to care for our clients, just we're expected to do things like we were already told. Our CI is apparently known for saying one thing, then going back on what she's said in front of others...Lord, help me please!
    Then I had to come home and go to work, just made it back an hour ago. Haven't even had time to sit down and process it out.
    Ok, this is my decompress, and I'm going to KICK BUTT next week! Thanks for letting me vent!
    •  
  2. 11 Comments

  3. by   Jules A
    It sounds like you have a good mindset and will be fine, this is all part of it, I'm afraid. As to why you wanted to go to NS? Well I can only say that about 1/2 way through my first semester it got to be more about how much crap I had gotten through and not wanting it to be for nothing so I was determined to graduate. I forgot why I wanted to be a nurse at that point, lol, but it will come back to you. Hang in there.
  4. by   S.N. Visit
    Congratulations biting your tongue! I don't think I would have had enough strength as you! At this point,in my schooling I'd be furious at an incesitive comment such as " why is this taking so long to sink in?". When I think about how much time and my money I'm putting towards their salary .... I'd would question why such rudeness . Hang in there! Hope you get to change CI's soon Do you get to evaluate your instructor at the end of the term? We do so I think our instructors carefully watch what they say & do.
  5. by   locolorenzo22
    Jules, I hear ya! My friend and I agreed the other day after clinical that we were making a pact that we were BOTH going to graduate and go on a 24 hr. pub crawl to celebrate the weekend after graduation! It is about all the crap we've gone through, though. I just want to pass and then we'll go from there. I've had a chance to reflect on yesterday, and I know it can only go up from here!

    Tanza, the only thing stopping me was the fact it was our FIRST patient care day. By say, middle of next semester, I would be happy to jump in and start jawing with CI(doesn't mean I'm going to). Don't get to change CI's until next semester, though. We spend the entire semester in LTC home. Then I think Adult and Child II means hospital clinicals for 8 hour shifts. I would like to hope that we are allowed to evaluate instructors, because I have a few choice phrases I'd like to use! It's just there's almost no instruction, she's done this a while and there's NO organization. Just have heard horror stories from 3rd semesters, and now I know they're true. On the plus side, she's taught me what NOT to do when caring for a patient.
  6. by   Lisa CCU RN
    I'm a little confused here. Where does it say that you have to give antihypertensives after eating? Which meds did he have? Maybe he had a diabetic med that was supposed to be taken with his meal? Precose is like that. You only mentioned bp meds though and you took the VS before, which is exactly what you should have done.

    What exactly were you supposed to have done wrong here?
    Last edit by Lisa CCU RN on Oct 22, '06
  7. by   locolorenzo22
    crna, I guess that because I didn't get him his breakfast after taking VS, even though instructor made it sound that "I'll be right there for you to give him meds", I was supposed to get him his meds quicker or his breakfast before meds, I dunno. See, that's what gets me. I'm supposed to have done something wrong, but it's kinda vague. I dunno, I have the same patient next week, so we'll see how it goes.
  8. by   Lisa CCU RN
    Quote from locolorenzo22
    crna, I guess that because I didn't get him his breakfast after taking VS, even though instructor made it sound that "I'll be right there for you to give him meds", I was supposed to get him his meds quicker or his breakfast before meds, I dunno. See, that's what gets me. I'm supposed to have done something wrong, but it's kinda vague. I dunno, I have the same patient next week, so we'll see how it goes.

    I would be asking, very humbly mind you, what exactly is was that you were supposed to have done wrong because I'm not seeing it.

    You said he was at the breakfast table and you took him back to his room to get his vitals. Was he not finished eating or something? Were you supposed to take him back? I still don't get it.

    Good Luck next week.
    Last edit by Lisa CCU RN on Oct 22, '06
  9. by   Jules A
    Quote from locolorenzo22
    crna, I guess that because I didn't get him his breakfast after taking VS, even though instructor made it sound that "I'll be right there for you to give him meds", I was supposed to get him his meds quicker or his breakfast before meds, I dunno. See, that's what gets me. I'm supposed to have done something wrong, but it's kinda vague. I dunno, I have the same patient next week, so we'll see how it goes.
    I'd just kind of play it by ear. I only had 1 very difficult CI and she would change her mind from day to day. There was no predicting what she would focus on and start ranting about. FWIW although the most stressful it was also my most productive clinical experience because I was so terrified of her wrath that I worked like a dog to have all my t's crossed and i's dotted. Not that I would ever work with a boss like that but I ended up being a better nurse because of her.
  10. by   firstyearstudent
    It sounds like some kind of miscommunication more than an error in judgement. As far as which is more important, meds or breakfast, I don't want to be cynical but at every rotation so far the nurses have considered meds more important since they have to sign off on a MAR that meds were given within a certain time and they are held directly accountable. (Which are you more likely to get written up for: giving meds outside the scheduled time or serving a patient a late, cold breakfast?)

    Listen to what your instructor is telling you but don't take it personally. She's giving you feedback (although perhaps not in the best way she could). Cut yourself some slack, you need it: your CI obviously isn't going to give it to you.
    Last edit by firstyearstudent on Oct 22, '06
  11. by   BQueenGirl
    Here is how you handle it, "im so sorry, you are so right, I have learned from this mistake, smile".

    repeat as necessary.
  12. by   locolorenzo22
    Thanks bqueen...however, this situation occured in oct of 2006...note the date/time stamp in the upper left corner of the posts. I've made an error here and there but nothing that bad again...thank goodness. Thanks anyways!
  13. by   sg2629
    Quote from BQueenGirl
    Here is how you handle it, "im so sorry, you are so right, I have learned from this mistake, smile".

    repeat as necessary.
    Too funny, but good advice!!

close