Hello All, I need you all to lend your help. I am a new grad RN in a very busy ER, I just came off of a 9 week orientation in which I spent one of my 3 shifts each week in an Emergency Nursing course. I felt that I didn't get the best or most out of my orientation because my preceptor simply would NOT relinquish duties and let me do it alone. I would tell her that I can do it, will do it, and need to do it alone but only on my 2nd to last day did it happen. So I asked for an extension and was only granted 1 week more, hence the 9 wks instead of 8.
I had my first shift on my own yesterday and all was going well, I would ask the other nurses a question here and there, until I got the worst pt ever, who came with barely any info from the paramedics because they picked her up from a hostile environment. The pt was combative and clearly either on something or had a psych issue, refused to talk to us, was screaming, hollering, and lying on the hallway floors. Not to mention she was having vaginal bleeding and just nothing could be done until we sedated her. (She painted the rm & bathroom in blood-literally, climbed over siderails, etc) To make a long story short, the hostile people from whence she came called, then showed up, then her mom called 911 saying we had her dead in the ER and wouldn't allow her to see her.
The mom turned out to be crazier than the pt, the md there was of no help as he refused to talk to the mom until I got my charge involved. I had every senior nurse that was working in my area helping me. I still somehow managed to try and care for my other 3 pts. After all was said and done, I stayed after my shift and made sure that I had charted graphically to "cya". As I was leaving my preceptor who was one of the nurses helping me said " this is why you needed more time, how are you supposed to ever work alone if you need help from everybody all day long".
I feel that NO ONE could have handled that pt alone! (Did I mention that everyone stays there long enough to get experience then leave, the hospital has a constant revolving door, only the senior nurses on the old contract stay).
I have tried to be positive even when crying my way home after many grueling days. I study on my own time the things I don't know. I'm not completely new to nursing in general as I was an LVN for 13 yrs, but this is a different ball game. I never wanted ER, but have tried to make the best and do my best because frankly this is the only job offer I received. I REALLY want out, but who hires an RN with 9.5 wks experience
Jul 23, '12
Well welcome to ER, listen you worry to much that lady screaming and jumping let her do it. One question? was her baker act signed if not does she need it to be? let the dr now and document that you told him. next time don't worry just have her sign AMA and bye. i mean she seemed pretty strong to me on your story so how sick can she be besides been totally cucu. The ER is something you pick up with time is either for you or is not you'll find out ER is not only nursing but war and toughness but is OK to feel overwhelmed. whenever you work again just go chin up and give it all.
Last edit by Esme12 on Jul 24, '12
: Reason: TOS/txt speak.
Jul 24, '12
Honestly ,as I was reading your post I was thinking you were doing a good job with that crazy patient. I had one of those ladies today on neuro..long hx of bipolar and meth use..she was angry...cursing..then remorseful. She was quite the beast at first but with some TLC she was much better. She scared her primay nurse half to death and she was terrified she was going to slug her. So of course, I tell the nurses lets go in together as I often find patients like this tend to respond better with 2 on 1. So I think calling for help was super and it it is what a prudent nurse would do to keep yourself safe and your patient safe.
Your coworker (x-preceptor) sounds downright mean and has forgoten what it is like to be new at something. You have a right to be there..you earned it..you have a right to keep learning..you have a right to ask for help when needed. So believe in yourself..you will get through it. As for the IV start in the baby..that takes some skill..took me a while to learn that..as a matter of fact we have one IV nurse that will not even touch a child..I get called for all the pedi starts. You also need a good holder for the sart so you needed some help either way. You probably are going to stand up for yourself with this nurse so she will get off your back.
Last edit by iluvivt on Jul 24, '12