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Joined Jan 28, '12 - from 'Somewhere'. uRNmyway is a Registered Nurse. She has 'Roughly 5 years.' year(s) of experience and specializes in 'Med-surg, mother-baby'. Posts: 1,163 (59% Liked) Likes: 2,280

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  • Aug 28

    Ok, well to start, yes, mistakes happen to everyone. Including experienced nurses. Feel free to browse the site, search 'med errors' and you will see you are far from being alone in this.
    The fact that nurses now work too many hours, don't sleep enough, have too many patients at one time, can't take breaks, etc, these are all reasons why we make mistakes. Unfortunately, without support from management, these things can't go away to reduce risks.

    If this was your one and only mistake, why would you think it makes you a bad nurse? Does being a nurse mean you lose all rights to be human and make mistakes? I think that after all this time, the fact that you are still obsessing over it and questioning yourself means that you genuinely care about your patients and their safety and well being.

    I also got fired from my first nursing job straight out of school. It was in the best mother-baby department in the city, and I was ecstatic to have gotten the job. I had excellent recommendations from all my nursing teachers. When I didn't manage to fit in with the cliques, the other nurses started nit-picking everything, right down to going behind me to ask my patients how I had done. Although I had had MANY patients tell me they loved me, once they started looking for problems they seized on one negative review (I was busy with a baby not doing well, and 'neglected' a new mommy who thought i should be in her room more often). Since I was still in my probation stage, they fired me.
    I was devastated and like you, questioned my career choice. I worked as a waitress for a while to make ends meet. To top it off, my former nurse manager was giving me bad references for jobs I was applying for.

    I kept at it, and ended up in a job that I loved. I had a difficult time initially getting over the previous criticisms, and it showed in my performance at first. But with help from colleagues, it got better.

    Now, will it be hard to put it behind you? Most likely. But hey, use it as a learning experience. When you do end up working in nursing again, you will pay that much more attention to what you do. You will make darn sure not to let yourself get distracted when you need to focus on a task.

    You'll be fine. Just don't give up!

  • Jul 28

    Forget working a shift with the foley...sometimes I just wish I could take it home with me. That way I can get sleep uninterrupted with bathroom breaks!

  • Jul 28

    Quote from nervousnurse
    OMG!!!! ROFLMAO over "free-balling" annnnnnd, the Foley, Peg tube, and colostomy bag!!!

    The other day I had been so busy, I finally crammed a banana down my throat. I was still chewing when my boss walked up----I was sooo tired ,hungry, and not thinking---so I accidentally spoke to her with mouth full of banana....embarrrarassssssing!
    Wow, the things that popped into my head at that line...and I'm not even male lol. Great way to start the day with my mind in the gutter...

  • Jul 10

    Ok, seriously, how many of these most embarrassing stories involve patient genitals lol?!

    My most embarrassing I described in another thread recently (gel disinfectant, in my eye, first day of my first nursing job).
    To follow with others and their genital stories, and describe my most RECENT embarrassing story, I recently was doing a skin check on a new patient. Pt was a young male. You guessed it, under his underwear, clear as day, you could make out his very obvious erection. He just has this look on his face that begged not to pull away his underwear. Normally I couldn't care less about that kind of thing, but his embarrassment made me embarrassed. I checked everything except what was under his underwear, asked if his skin was intact there too, and walked out. I don't know who was more relieved not to continue that awkward encounter.

    ETA. To clarify, I don't care about pts having weird physical um, reactions. Doesn't phase me. I do care about patients feeling bad or embarrassed about something.

  • Jun 16

    Had a patient come in for abdominal pain. Our on-call GI doc wrote after a very detailed assessment note: "I have NO CLUE what is going on!"

  • May 11

    I held onto this thought until I had browsed through all other posts, and am shocked no one else brought this up.

    As a med-surg nurse, night shift, typically 8-9 patient per shift (and I will um, witch-slap the next who tries to tell me patients just sleep all night, I swear I will! :P), with no PCTs and CNAs who could do little more than empty foleys, assist patients to the BR, and provide hygiene care, you do have tons of things to do. You might not have time to get down to the nitty gritty, certainly not every shift. But how about this: Instead of feeling sorry for yourself and getting upset at the mean old critical care nurses who are abrupt with you because you don't know everything, how about you use it as a learning opportunity? CC nurses are trained to see the bigger picture while we barely keep our heads above water with the general details at times. But that doesn't mean that it wouldn't be a GOOD thing to be able to see the bigger picture. As others have asked, if the CC nurse asks these details, they must think it is pertinent, that it might be related to the patient being transferred to their unit. Take a second and think about their rationale. Maybe one day you will end up picking up on something because you noticed a similar trend in those 'useless details' some CC nurse was harassing you for. Try to expand your mind as well as your nursing practice and critical thinking skills instead of feeling sorry for yourself and engaging in all this inter-unit hatred.

    Many CC nurses would be useless in med-surg, unless they worked their way up to their CC department. Just like many med-surg nurses would be curled up in a corner, fetal position and all, if they had to deal with the psychological, intellectual, and physical duress of CC. And put either of these nurses in LTC, stand back, and watch the utter chaos! :P

    Instead of complaining about each other, lets try empathy and appreciation for the HARD WORK that we ALL DO!

  • May 2

    Quote from JenniferG rN
    Sadly I'm sure she will. I have had many seekers come through but never have anyone take such an extreme measure. Being that she was in for left upper lobe pneumonia I felt it was in her best interest to not get the meds iv so I could try to get her moving and better- not have her snowed and just laying around in bed all day. When I shared this with a co worker her advice was "your not going to fix her, you should just give her what she wants, she'll probate be discharged in a couple days anyway" out of curiosity what would other opinions be?
    My opinion? You can't control other people's practice, only your own. If there is a valid reason to hold meds, I do it. If the BP is tanking, or they can't coherently ask for their meds, or as you say, you don't want them snowed because you want them moving and all, then don't give the meds. Just make sure to document. And document alternative methods offered (and probably refused) so the patient doesn't come back against you saying you didn't try to relieve their pain.

  • May 2

    Quote from manusko

    Absolutely what I was taught and what I believe in. It's your job to help the pt. We are not the watchdogs of the pain pill abusers in the world. Be their nurse, treat their pain and don't judge them.
    I'll agree to a certain extent. Not my place to judge, but if you claim to have 20/10 pain, your BP is tanking, or sats, or you are trying to grab those non-existent bugs in front of your face, I'm definitely not going to give you that 3mg IV Dilaudid. And I don't give a hoot what 'that other nurse' did. I'm not pushing it fast, I'm going to dilute it to 10ml, and I'm going to give it distal. Hearing that whole 'other nurse' line is almost as much of a red flag to me as the other nonsense.
    And seriously, if you are really in 20/10 pain, and I CAN'T give you that IV narc without immediately calling RRT, but I offer you tramadol, which you pretty much throw at my head...well, let me tell you, I'm not likely to go hunting down the MD to get authorisation to kill you with opioids. Because believe me, they don't want to do all that extra paperwork either.
    And you can threaten all you want my friend, I am a pretty awesome, detailed documenter(is that a word? Lol). It has saved my butt and other butts before, it will do so again with you.

  • Apr 6

    I used to have issues with one person in particular at my previous job. I tried talking to her, management, director, you name it. Finally one day she did pretty much what you describe, came in late, socialized, etc.
    I handed her a written report on the patients and special events of the night/what was to come for her shift. She got to the nurse's station, I handed her my papers, and walked away.
    She was shocked. 'Wait, I don't know these patients!' 'Well, I was ready to give you a verbal report when my shift ended half an hour ago. Everything you need to know is on there, the rest you will find when you do your chart check. Have a great day!' And I left. She didn't really stop her bad habits, but it seems like she wasn't AS late after that lol.

  • Jan 9

    Quote from kathynurse46
    I had pt with g-tube who somnvitedo iut whe how got off unit glad i wasnt working that day !!!!! but invited some of the other residence to bar when staff showed up they were all drunk pt on bar waving her depends

    Um, can I buy a vowel?

  • Dec 15 '16

    I think there is nothing wrong with shedding a few tears with our patients. It shows we are human, and it shows we care. Now, there is a different from a complete breakdown where the family/patient has to hold YOU up or a few tears and a hug in support. I dread the day that I no longer get emotional and cry a bit at work. Some cases just affect us more than others. Whether it is because we relate to a patient and/or their family for whatever reason, or because we got to know them and particularly care about them and are genuinely feeling a loss.

    On another note, in my L/D clinicals, when I witnessed my first spontaneous vaginal delivery, I cried a little at the sheer beauty of the moment, and felt no shame at all. (unfortunately the little one ended up needing much help afterwards because of problems with dystocia, but she ended up fine. Her parents' expressions of utter fear were awful to see though.)

  • Nov 14 '16

    Had a patient come in for abdominal pain. Our on-call GI doc wrote after a very detailed assessment note: "I have NO CLUE what is going on!"

  • Oct 27 '16

    I think that people think those with autism could not be nurses because of how little we know about it. Most people just think of social awkwardness, lack of empathy, both things that make it very hard to complete many nursing tasks. If you are autistic and are wanting to be a nurse, or you ARE a nurse, then why not educate those around you? Let us know how you can perform the same things others can. Let us understand the adjustments you make.
    As far as being treated poorly by your preceptor...sweetheart, let me tell you, that happens everywhere, with everyone, regardless of disability. If you happened to be placed with a group like this, they would probably find any reason they can to pick on you and make your life hell. Just find another non-toxic work environment, and try again.

  • Oct 26 '16

    Quote from caregiver1977
    And I don't want to be seen as someone who brings race into everything, but at some hospitals, especially in the South, black patients who want to ask intelligent questions about their healthcare and medical treatment are treated very, very badly. I'm not talking about patients who only want to argue, threaten, or curse. There are patients who merely want information and are treated badly for not just shutting up and taking whatever the hospital dishes out.
    Hate to tell you, but as a Caucasian woman and nurse who ended up with a very unpleasant AA OB, when I asked intelligent questions about my care or *gasp* refused certain treatments I knew were unnecessary at the time, I was treated like an idiot and given attitude too. So I don't know how much of it has to do with skin color and how much of it is just docs with God complexes.



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