I feel like a real DIRTBAG! - page 2

Ok I have to confess; I may be an experienced nurse but nearly missed something HUGE last night. It was a busier-than H@ll night last night; you know the kind. When you feel badly cause NONE of your... Read More

  1. by   Sleepyeyes
    Oh gawd!

    The point of my post was to let you know that stuff happens--it was fixed and that was the point.

    Please stop beating yourself up already. It's over a year later, and my daughter, who had chronic UTI's since she was a teenager, has not had a single UTI since her hospitalization. We don't know why; we've speculated about a lot of things.

    But like I said, Deb, honey, this coulda happened to anyone. And you get help from the strangest places--but I didn't get all mad at that nurse, and I'm still not mad about it--I just showed her how to do it.
    My point was:
    It's ok now; the patient is fine. It's over. Let it go. OK?

    PS I only became a Foley expert in LTC, where contractures get in the way, and things shrink so bad you can't find them...I told my daughter that that was my first Foley on someone < 82 years old.
    :chuckle
    Last edit by Sleepyeyes on Mar 31, '03
  2. by   Anagray
    I know you are feeling horrible, but really, do not beat yourself up. She is doing fine, noone is hurt. IMO it is better to make a mistake like that than something more serious, and it is impossible to be perfect all the time, as much as we all try, - mistakes will happen.
    I'm not a nurse yet, but i also made a mistake that upset me for days (stuck the wrong patient). It certaily eats at you for a while.
    Foregive yourself and go do something pleasant for you.
  3. by   researchrabbit
    Originally posted by SmilingBluEyes
    I just can't let myself off the hook that easily.
    No one died. The patient feels better. And if you were perfect, all the rest of us would feel inadequate.

    Stop beating yourself up! You can be my nurse anytime (although, not if it involves having babies, been there, done that)
  4. by   OBNURSEHEATHER
    Originally posted by researchrabbit
    Stop beating yourself up! You can be my nurse anytime
    Ditto.

    When the patient began voicing discomfort, you didn't ignore that, and that's what matters.

    Hang in there.
  5. by   emily_mom
    Will you be my nurse?
  6. by   Diana in Sweden
    I really don't get what you did that you think was so horrible? you reduced her fluid intake, examined her, got a second opinion (who agreed with you really) and got a cath in there ... what do you feel you should have done?
    as I see it we make the best call we can with the information we have, what can we do more than that.
    I am new around here and you may not wanna be my nurse but I would certainly trust you ..
    Last edit by Diana in Sweden on Apr 1, '03
  7. by   SmilingBluEyes
    What can I say? You guys rock and have bolstered my opinion of the mistake I made. I have indeed learned from it and will move on. Thank you for your supportive words; they mean more than you ever will know!
  8. by   mark_LD_RN
    glad to see you getting over it DEB
  9. by   ?burntout
    (((((DEB)))))):kiss .....

    It has been said...we are human...we all make mistakes...
    You helped your patient feel better...she is fine....:kiss

    I'll fly you down to 'Bama anyday to take care of me

    Ginger
  10. by   mother/babyRN
    I hate it when they let us humans take care of each other...If you were perfect you wouldn't be good nurse material, but you would believe you were management material..Seriously....You did what any of us would do and now you have a baseline for future reference. Give yourself a break and hang in there. I can tell from your posts that you are a wonderul and caring nurse.....Otherwise, this wouldn't bother you so much!
  11. by   SmilingBluEyes
    thank you for that, mother/baby. you guys are the best.
  12. by   KnitRN
    I wish I'd had you as my post-partum nurse! I've needed to be catheterized post-partum on two out of my four births. My very first job as a graduate nurse was on the urology floor and we used to get called to do the difficult post-partum caths. I wonder what karmic debt was paid by my catheterizations?

    The first time my nurse was like you and caught it after a couple hours. The second time I was in a small community hospital and had an old-school L&D nurse. I told her that I had experienced urinary retention after my last birth and asked her to help me void during the labor and after the birth. She completely blew me off although at one hour post-partum I hadn't voiced, my fundus wasn't firm and was still above midline, and I was passing small clots. She told me she couldn't cath me in the L&D room and that I'd have to wait until I got to post-partum.

    It was another two hours before I got that catheter and by then I could palpate my bladder and see the fundus displaced. I was passing golf-ball sized clots. It was a scary, helpless feeling because I knew what was happening to me but I couldn't seem to get what I needed. Anyway, after catheterizing me and pulling off 1900 cc's of urine, I felt a lot better and the bleeding gradually stopped. My blood pressure was down to 84/40 by then so I ended up spending the night in the hospital instead of the same-day discharge I had hoped for.

    Ah, well. It's water over the damn right now. This was way back when in '94 & '96 and I trust that the situation has improved since then. Painful as it was, there was no harm done. I had another baby at the same community hospital and had a graduate nurse with me - she had just passed her boards. I was impressed that she had taken the time to read my prior birth report - it must have been a slow night when I came in. Anyway, she was a real sweetie and a welcome change after the one in '96.
  13. by   mother/babyRN
    All we do is the best we can.....Can do any better and could certainly do much worse.....The patient was fortunate that you took the time and compassion to lessen her discomfort, whatever the etiology...THATS the difference....And, You are welcome.......

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