My best orientation mistakes - page 2

I am week 4 in a 6 week orientation as a new RN in LTC/Rehab. I have done some really stupid stuff so far :lol2: Highlights: 10)__ Tried to hook up an IV antibiotic with kangaroo (g-tube)... Read More

  1. Visit  Lurksalot profile page
    3
    Keep laughing and you will be fine.
    I started in ER, and had a 6 month orientation. First ICU patient I had all by myself, I was so excited, thought I did a great job, had all my tubes and lines nice and neat and orderly, all my meds given, patient was packed for ICU. I was nervous to take the patient to the unit since they never seem as darn pretty in the ER as they do when ICU nurses have 'em squared away--and I was sure the ICU RN would be impressed with the pretty package I was bringing up. He was on bipap and we had successfully kept him from being intubated, and was improving. Unfortunately, the patient was >400 lbs, and he had rocked back and forth for me so I could change the sheets under him and sneak a look at his backside skin, which is something us ER nurses sometimes are not great at. So I got him up there, gave bedside report, nurses were like "wow, you even have your lines labeled," and "wow, you have 2 x 16g IVs in him," and "all his meds are given," haha so I was very proud. I go back to the ED and a few minutes later get a call.
    "Hey, by the way, did his sacrum skin look okay?" asked the nurse. "Oh, yeah, sure, he rolled over for me & it looked great." "Oh, okay, just asking, cause I just pulled his wallet and glasses out of his buttcrack."
    Uhhhmm.....yeah. So now my patients don't get of the ER without a clear visual of their butt cracks.
    SBarn, mizfradd, and dbscandy like this.
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  3. Visit  clinergirl profile page
    4
    Actually you did one less stupid thing than you thought . Number 6 is what you would want to do in order to assess strength in the affected arm of your patient with R hemiparesis.
    Sparrowhawk, AmandaTheNurse, Deb123j, and 1 other like this.
  4. Visit  krimicrat profile page
    4
    When I was orienting as a tech, my preceptor told me to 'pass ice' to all the patients. So, I dutifully filled the ice bags with ice and gave the bags to the patients. A nurse saw me do this, and, laughing, said, "And, just what do you think the patient will do with a bag of ice?" *Lightbulb* Oh....she means put it in their cup and fill the cup with water! Obviously, this is what she meant!

    Just showing how green I was....
    JHU2016, SBarn, ky_grl82, and 1 other like this.
  5. Visit  bradleau profile page
    2
    Sure hope that most of what you wrote is "being funny". Where were you during clinicals when the insulin syringe was hopefully learned. I would be very afraid to have someone like you caring for anyone in my hospital. I can understand the IV machine issues....but when I came off vacation and found that I could NOT remove an IV line from the pump...I found someone who showed me that we NOW had the new safety clamp. Also I knew enough to follow a line from pt to pump, etc. Yes, I did get peed upon....by an adult that was baby like. Kind of forgot about that issue as I did not work in peds or nursery.
    I guess my most strange thing that happened, while in school, I went into a male patients room. First thing noted was female breasts. I continued to assess and found the appropiate penis. I excused myself, found my instructer, and gave her a good laugh. This man was being treated with female hormones for his cancer...there for explaining the breasts.
    I have also tripped over family sleeping on the floor,tripped over a standing wheelchair scale...receiving a score for least graceful of 9.5 from my two patients.
    I would hope that you can get supervised practice with the equiptment you will be using, and practice on your own with supplies that are not needed for patients. Right now you are DANGEROUS!
    Sparrowhawk and pedspnp like this.
  6. Visit  pcurn2008 profile page
    0
    It gets easier...hang in there!

    And #6 is not a mistake...you should always assess your patient and see for yourself what they are capable of. There have been many times I have received report on a patient that can not do xyz and when I ask them to do it, they can do xyz. Also some movement/dexterity can come back.

    It is alright to laugh at yourself as long as noone gets hurt and you catch the error before passing it on to the patient. I am hoping that when you made some of the "best" mistakes you reevaluated where you went wrong and have learned from them.

    Best wishes!
  7. Visit  badphish profile page
    9
    I can see why Us New Nurses love our first year of nursing. Such a supportive. Veteran crowd to mentor us. Lighten up. This is funny stuff.

    The joint commission didn't just yesterday start regulating "everything". It due to patterns of errors. And bad processes that brings this.

    You wanna see some real comedy of errors. Watch a code blue on any non critical care floor. Or the ER try to deliver a baby

    I thought this was a humor thread
    Bawss, Balsadragon, DarkBluePhoenix, and 6 others like this.
  8. Visit  badphish profile page
    8
    I pushed air into a carpoject vial before drawing out the med. The lil rubber stopper sailed across the ED. Oops. (disclaimer-- no patients visitors staff or small animals were harmed)
    silverbat, RunnerRN2015, diva rn, and 5 others like this.
  9. Visit  dbscandy profile page
    0
    Ruby Vee. that is a priceless story!!!!!!!!!
  10. Visit  dbscandy profile page
    12
    Quote from bradleau
    Sure hope that most of what you wrote is "being funny". Where were you during clinicals when the insulin syringe was hopefully learned. I would be very afraid to have someone like you caring for anyone in my hospital. I can understand the IV machine issues....but when I came off vacation and found that I could NOT remove an IV line from the pump...I found someone who showed me that we NOW had the new safety clamp. Also I knew enough to follow a line from pt to pump, etc. Yes, I did get peed upon....by an adult that was baby like. Kind of forgot about that issue as I did not work in peds or nursery.
    I guess my most strange thing that happened, while in school, I went into a male patients room. First thing noted was female breasts. I continued to assess and found the appropiate penis. I excused myself, found my instructer, and gave her a good laugh. This man was being treated with female hormones for his cancer...there for explaining the breasts.
    I have also tripped over family sleeping on the floor,tripped over a standing wheelchair scale...receiving a score for least graceful of 9.5 from my two patients.
    I would hope that you can get supervised practice with the equiptment you will be using, and practice on your own with supplies that are not needed for patients. Right now you are DANGEROUS!
    Aren't you being a little harsh??? She was on orientation, nervous, and did NOT administer a lethal anything! And if her preceptor was appropriately orienting her, these IV pumps, doses, syringes, etc, should have already been covered. Perhaps she was not being trained well? And no, I don't think calling her DANGEROUS is helpful, either.

    And how is it 'a good laugh' that your cancer patient had 'breasts' from hormone treatment? Would it have been just as funny if he had been having female hormone treatment for a sex change operation?
    JHU2016, LaughingRN, grownuprosie, and 9 others like this.
  11. Visit  surferbettycrocker profile page
    0
    i agree with dbs candy i very much fail to see the humor in laughing at a patient undergoing hormone tx for cancer.

    but i disagree with 'being a little harsh' i dont understand why there would be any reason to draw up insulin ina 60 cc syringe. does anyone else think that is insane?
    not to mention it is a high alert medication.
    hey at leas the OP is open and honest about these things.
  12. Visit  badphish profile page
    3
    How much hormone therapy does it take to get breasts. Anyway. Got my eye on a really cute sundress for thus spring.
    whichone'spink, Sparrowhawk, and SBarn like this.
  13. Visit  tiredstudentmom profile page
    0
    Oh my! What I have to look forward to in a few months when I start clinicals in my LVN program! So glad that there are topics like this out there so I know how much "fun" we'll all be having!
  14. Visit  skicoachrn profile page
    17
    Well, this is a humor thread after all. Goodness, such expertise here....that is the thing about nursing that is hard, all the EXPERTS who never make a mistake....ever. Obviously the insulin thing did not get me very far. After I opened the syringe and looked at the bottle I went DUH and laughed a little bit. It was funny how stupid it was. Sorry I freaked you all out a little bit. Same with the kangaroo tube. I opened the package, looked at the ends of the tube and banged myself on the forehead for wasting a whole tube feeding set...funny, no? My preceptor laughed with me too. Should I have cried and quit? Should she have reported me as unsafe? If that is the general consensus, than my humanness makes me unfit to be a nurse. I'll leave it to all you superpowers out there. :bowingpur
    JHU2016, diva rn, CameoRN, and 14 others like this.

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