Anna Flaxis, ASN 23,836 Views
Joined Oct 15, '10.
Posts: 2,858 (67% Liked)
The way I see it, each of us falls somewhere on a continuum. On one end is a very low threshold for distress, and on the other end is the opposite. Most of us don't fall on one end of the continuum or the other, but rather, somewhere in-between. Where we fit in the continuum is not static- it shifts during different stages in our lives, when we're undergoing personal stressors such as divorce or the death of a loved one, or when we ourselves fall ill or aren't feeling well, to name a few circumstances. Additionally, each of us has a different set of tools that we are equipped with to help us cope with distress, and new tools can be learned.
For me, when things aren't going as planned and I feel like I'm hanging on by the skin of my teeth, this is "eustress". I find it exhilarating and it brings out my better qualities. For others, variance from the predictable routine is a cause of "distress" (google "eustress vs distress").
Congratulations on being someone who is able to adapt and cope with the stressors involved in nursing more fluidly than many of your peers. You probably fall closer to the end of the continuum with a high stress threshold, and you probably have some great tools in your coping toolbox.
Unfortunately, as the above poster points out, your post does come across as condescending. Experience will remedy that in time, as experience has a way of humbling us.
Don't get me wrong- I'm glad that you seem to be doing so well in your first year out of nursing school. It's a tough time for most of us- and thank you for the tips you've shared.
But just....maybe tone down the air of superiority just a little bit?
Well I guess since I have had the throat/ear pain for awhile & was prescribed an antibiotic, the doctor felt differently.
A headache certainly can be an emergency, although I do agree that most of the time, it is not. But this is what the triage process is for - to use the tools at our disposal to determine whether we suspect an emergency condition exists and get that patient in front of a doctor sooner, or if it is less likely that an emergency condition exists and the patient can wait.
I went to the ER last night & was diagnosed with an ear infection. Are you telling me that I should've waited until Monday to see my PCP? I think we both know that, that's a bad idea.
Migraine sufferers need help right away. It's not a life threatening emergency, but their suffering is profound.
Pimple on forehead.
I'll never forget the day I walked out of an unsuccessful resuscitation, the widow's cries of anguish echoing down the hall, to check in on my stable, not sick patient only to be berated about how long it was taking for the lab results to come back before I could even open my mouth.
Or the time the doctors were in the next hallway over trying to resuscitate a two month old baby, while my dental pain patient kept coming out of the room to loudly complain about the wait.
Next time you're in the ER and you're tempted to judge your nurse for not smiling enough or being quick enough with the warm blankets and turkey sandwich, try to be thankful that you are not the widow of that dead man or the mother of that baby, and remember that if the nurses and doctors are not hovering over you, that's a good thing.
If you come to the ER with a minor complaint, you are not going to be on the top of the priority list and you are going to wait.
In the ER, we are here to save your ass, not kiss it.
I've never forgotten a lesson I learned as a new nurse: You should be able to take your own assessment to the bank. Period.
I don't care what the ED told you.
I don't care what Cath Prep & Recovery told you. I don't care what the ICU told you.
I don't care what the previous nurse told you.
What did you observe with your own eyes/ears/touch? THAT's what counts. PERIOD.
This should be an incident report. Don't let doc get away with it. He is supposed to know more than you do.
I don't understand. If they're not on a hold, they have the right to leave.
Per NIH "no compelling evidence for routine cultures or empiric treatment with antibiotics. Further research is required." This is my kid we are talking about. Use sterile procedure, culture that green and yellow stuff, determine if and what antibiotics are necessary. I would expect the same for my patients.
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