As a newly graduated nurse, I am still in the midst of trying to grow in self confidence and improve my critical thinking skills. I have only been working as a nurse for four months now and there is this horrible doctor that works on my floor. This is not the first time this same particular doctor has chewed me out but this time, this was by far the worst.
Early in my shift, I received a critical potassium level of 2.8 and reported it to this doctor. She ordered me to start an IV 60meQ of potassium and to draw a potassium level stat after the IV was completed. To start off complications, the patient's IV site was infiltrated and I wasn't able to take the time to start a new IV until three hours later. She complained that the site was burning too much so I started it off at 50ml/hr instead of the prescribed 88ml/hr.
Later in the day, this doctor comes up to the floor and demands why the potassium level hadn't been drawn yet. I explained to her the situation and it was just horrible. This doctor raises her voice at me in front of the whole nursing station and says, "Then you should have called me and I could have easily written an order for KCl po! That her potassium was this low and that it's taking this long to get her potassium is ridiculous. This is just unacceptable!!" Silence fell from the whole audience and I just nodded my head and walked away. It took all the strength I had to not burst into tears.
Quite a few of my coworkers came up to me to hug me afterwards and it's well known that this doctor has a tendency to be this rude. I understand my mistake and it was a learning experience. If she had a problem that needed to be addressed, she could have easily taken me aside and I would never make the same mistake twice.
My day just went downhill from there. I had a new admit and a million new orders for my other patients. As soon as I clocked out for the night, I burst into tears. I dread going back into work tomorrow.
If it was that crucial the patient would be dead. Don't beat yourself up about it. Why didn't the doctor order PO from the beginning as well as an IV infusion just to be on the safe side?
If the patient is not harmed, say to yourself "these !"@&;# can kiss my ;($.... Overtime you will learn what to allow to stay on your mind. If you let many things get to you, it will harm your well being psychologically, emotionally, spiritually and physically. Do not let nursing steal your joy in life bc it has the potential to do so no matter how much of a calling you assume it to be.
Last edit by Esme12 on Apr 18, '13
Apr 18, '13
Addressed to gcupi:
Your statement of "If it was that crucial the patient would be dead." is unacceptable and ignorant.
My little boy died due to a seemingly non-crucial mistake a nurse made. It worries me a nurse would make a statement like this. I would fire you had I heard you make this comment in my hospital. It is calloused.
Last edit by claireswish on Apr 18, '13
: Reason: forgot to address to particular person