Desparate, freaking out

Nurses General Nursing

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Yesterday I triaged from 7-3 dayshift in our 17 bed ER. It was extremely busy, as usual lately. We kept a full ER and a waiting to come back list of 10-20 patients all day. Today my supervisor called me to let me know that apparently someone that I triaged for low back pain and nausea and vomiting for 2 weeks , a middle aged gentleman, and marked non-urgent coded in the waiting area after I left.

Ever since that phone call this am I have been a nervous wreck. I trust my triage skills, although I triaged so many people yesterday that I honestly cannot remember this particular patient at all. I know if I had seen or heard something on exam and interview I would have brought him straight back, even if I would have had to placed him in the hallway, which already had patients in it. A little bit ago the hospital left a message on my machine to meet with hospital lawyers on Thursday.

I am completely freaking out. What if I missed something,

will I ever be able to triage again without being scared of missing something? I realize we can't have a crystal ball to look in to see who has death lurking over their shoulder, but I still feel awful. Has this ever happened to anyone else? How do you go on without constantly second guessing yourself? Any respones will greatly be appreciated, as I am currently breaking out in one giant zit and getting a giant migraine from the stress. :stone :o :o

All I can say and add is my own personal story. My grandfather has had 2 double by passes. The first when he was about 60, the second a few years after that. Not really surprising though since he has been an air traffic controller his whole life.

After the first heart attack all the men in family became vigilant about preventing heart disease and monitoring their health. Most of my uncles are relatively healthy and active people and no one would have ever expected that my 45 year old uncle who runs 5 miles every single day and is the coach of the local HS track team would have a heart attack, but he did last year. Even his cardiologist whom he sees on a regular basis was not able to predict that it would happen. In fact, he said that had my uncle not been so healthy he never would have survived the MI.

So, if this gentleman did suffer from an MI, sometimes these things just happen and unless you have a crystal ball, you just can't know when it is going to happen.

I am so sorry you have to go through this.

As a student stories like this scare me to death yet motivate me at the same time.

FWIW my thoughts are with you ...

Defib queen.... you didnt miss anything !!! From the way you described the situation you followed your protocol as a triage nurse. Apparently one of two things happen... either the patient wasnt truly describing the symptoms he had (which to me by the way sounded like the flu or kidney type infection) or the patient became increasingly worse without telling anyone.

The reason people come to the ER are to get advanced mecical treatment, you are simply a tool to get them into the system... unless you have some extrodinary talents like a CT SCAN, lab tech monitor system at your finger tips you arent going to catch anything.....pssssssst.... if you do have these talents please tell me where you can buy one !!! If you say Walmart ... I will be devestated !!!! hahha

Hang in there and just stick to your beliefs... dont allow anyone to make you out to be a bad nurse... you do your job, do it well, and guess what you are human...... and yes people die .....with or without help......... :)

((((((((((((((defib queen))))))))))))))))))))

Love

Dennie

I haven't checked this site in a few days and my post is late but I had a very bad experience with the first patient I ever extubated in Neuro ICU. A 33 year old male with astrocytoma 'debulking' on day #3 post-op, perfectly normal recovery (so far). I was brand new to ICU and had been an RN for less than a year. Anyway, I did what the protocol called for and I did it with an experienced RN and former RT. The poor guy never took a breath after I removed the ET tube--laryngospasm. We coded him for what seemed like an eternity but with no luck. The neurosurgeon called me at 4am the next day (I worked dayshift) and asked me what happened, asked ALOT of questions. His widow never attempted a lawsuit, much to my surprise. It was such a horrible thing and I'll never forget it.

Please don't beat up on yourself. I have never worked triage, but with 5 boys i've seen my share of ER. The triage nurse always takes vitals. I assume his was within normal ranges or flags would have come up. Perhaps he had a K defience from vomitting,etc. Only lab work would catch this. We are always told while waiting and sometimes it has been up to 4 hours, if we feel worse, or our condition changes to ring the nurse and be reassessed. Perhaps it was just his time. Have a good soak in the tub pamper yourself go back to work and have a nice day. I'm sure you did nothing wrong

defibqueen....any up dates yet?

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