ok. I am a new nurse. Been on my own for about two weeks now. I am so unsure of myself that I am constantly worrying about my decisions when I am not at work. I am definitely stressed and feel so inadequate. I have been physically sick. For instance, I had a pt with asymptomatic bradycardia that had been bradycardic all day. I didnt call the dr because they werent have any symptoms. Now, I am constantly worried on my days off that if I made the right decision. Will my confidence ever get any better?
Aug 30, '10
I have been an RN now for a little over a year. I know what you're feeling! I still feel that way sometimes. You will soon learn that when you walk out the door from work, your shift is over. I'm not saying you shouldn't care...I'm saying that you cannot let what happens at work rule your entire life. Bad things and good things will happen. When in doubt, ASK someone. I still have to ask my co-workers for help sometimes, and at times they ask for my opinion. That's what great co-workers do for each other. Things will get better...
Aug 31, '10
Take a deep breath.
Don't second guess yourself. "Asymptomatic" arrhythmias are seldom treated unless they are an acute change that indicates something worse is coming along.... increasing PVCs, new brady, etc.
But - always make sure you do a complete assessment to make sure that the patient is truly asymptomatic.. did you check for postural hypotension? BP in both arms? Apical rate only? Check the HX to make sure this is not an acute change? Rule out brady as a reaction to meds? No change in mentation? Document all your findings? Then you're golden because your documentation shows that you were exercising professional nursing judgement based on critical thinking, not just heresay and assumptions.