I just had to vent a little here, hope you don't mind.
I had a pt Monday night (7p-7a) that came to me from OR. He had a fem bypass and was on a cont. epidural. I was never given report from his prev. nurse ( he had been on another floor pre-op). He had an order to start a heprin gtt when he got to me. The epidural orders plainly state in bold type...not to give any hep, lovenox, etc. for 24hrs after the insertion of an epidural. The nurse giving me report from PACU said we were to hold the hep that night. I was so busy with the 3 fresh post-ops, and one addmission that I didn't get to do the 24 hr chart checks until 0500, when I found the order for the hep gtt was there to begin that night. I called the Dr. on call and she told me to write myself up for not starting the gtt. I had already called the Anest. that had inserted the line and he said, "Good thinking, I'm glad you didn't start it." He also told me it had been discused in OR that the pt. would not be started on the hep that night. When I went back to work last night I found the Doc had written me up herself. My NM was very supportive and pretty much said not to worry about it, but I do! I ended up crying last night for the second time since becoming a nurse 2 years ago. Not only because of this, but I had 2 getting blood, and one fresh gastric bypass, which if you have had any of these you know they can take a lot of your time. I really try to do everything a good nurse would do, but I sometimes wonder if I was cut out for this??? I love my job and where I am, but I guess the stress finally hit me last night and I lost it!! I'm much better now, thank you for listening.
Aug 22, '03
Thanks for the support ainz;and I agree 100%. Nurses need to realize, especially new grads that the more you are willing to accept [work load tht is] the more the heirarchy will expect; learn to set your limits, we will ALL benefit, especially the pts!! Nurses need to band together. What is anyone else opinion?
Last edit by Furst on Aug 22, '03