Can't get it out of my head

[miragal]

Hi ,

I just recently started a new job at children's clinic, I worked brfore that in med- surg for 6 years, i just got tired of the shift work. Amyway , I feel so horrible I hate it when i make mistakes. Today ten mins brfore closing the dr, asked to check the blood sugar level of a little girl because she urinates a lot. It was 142, I asked the mom when the girl had last eaten she said an hour an a quarter before. ( i personaly thought that it wasn't that high brcause she had eaten). I messaged the dr and he didn't get back to me. In the mean time I was with other patients, and the other nurse I was working with ( who is also new), strted talking to the mom of the girl with the sugar level, I saw her giving her a urination bag to stick on when she got home and i guess I forgot about the drs answer about what to do with the sugar level. The mom left and I didn;t even think to tell her to go back to the doc. I guess I was really tired or just not focused.When I was l was leaving the dr asked me where the girl was and i said she left, he was very upset said that the sugar was high and that he wanted t see her. Also that the meds he prescibed her would bring up the sugar level. Luckily I immediatley called her cell, and she came bak , He was furious at me. I feel terrible. I made a huge mistake,I have no idea why i never waited for his answer.

Sometimes I feel like because the work isn't so intense like at the hospital I get distracted more. I just want to make a good impression of myself and feel like i messed things up. the doc is not really gonna trust me anymore.

Any words of advice????? Tomorrow there is a staff meeting and I just know he is gonna mention it- I guess I should be prepared to be humiliated

[PediMommy]

It happens! Pedi levels are a little different that adults. As is learning the ins & outs of pediatrics. I would ask the doctor if next time you can knock on the door & interrupt him with results or when results are questionable. In time you will learn your doctors and know what to interrupt them with etc. If the result was 400 you probably would of got him right away but while the result was slightly elevated it wasn't that high especially if the child ate an hour ago.

It is easy to get distracted because there is a lot going on & so many things to focus on & with EMR's (i'm assuming that's what you have) it' harder because you can't just hold a medical record in your hand until the doctor comes out. I write it on a sticky and tape it to my pen or something to remind me to ask my doctors...because I too get pulled & distracted and forget.

Please don't be hard on yourself, you will get it & feel confident soon. It takes time because it is a big switch. Remember we are here for our patients and even if doctors close communication if you know it needs to be addressed just get them out of the room. Please don't let one doctor getting upset get you down. It's one mistake we all make them, he will learn to trust you as you gain pediatric knowledge & confidence.