Been having a string of really bad patients.... - page 2
I'm a new graduate that just got off orientation, so now I'm on my own, and I've been having a run of really bad patients. They start out fine at the beginning of my shift, but towards the end, they... Read More
May 25, '03I think you handled EVERYTHING just fine. Our facility does not allow profofol to be given in the un-intubated patient, and the manufacturer states that is a contraindication. But if your facility practices this way... then OK, hell, it sounds like the patient needed to be intubated AND paralyzted prior to CT. i'm not sold that is was the diprovan. If these smart alec ED people were so sure of it, WHY didn't they just bag the patient for 15 minutes until it wore off????
My unit goes through stretches like this where 4 of 10 patients are near coding. It lasts for a week, sometimes two and gets back to status quo.
I tell EVERY new orietee, that they will inherit "THE BLACK CLOUD"
This means every stable patient will crump, the sick ones will get better and begin to use the call light every 15 minutes, and EVERY doc. will be a butt to them.
One thing is for sure, the acuity will settle and the cloud will pass.
holdin' the umbrella for ya menwhile.
May 25, '03hey there!!
We have all been there...keep in mind that the black cloud over your head will move onto someone else!
Like someone else posted..you work ICU..any pt at any time can go drown the crapper! Sounds like you did what you should've and did a great job especially for just being off orientation.
Don't let it get you down...it will get better!! Nice to see someone else uses the "BLACK CLOUD" saying!!!!
The NA's...take that bull by the horn girl!!! It will only get worse if you don't set it straight. Talk with the manager other staff, etc...They are there to do a job, if they aren't doing it the manager needs to do something!!
Keep your chin up
May 25, '03Ghetto - just remember that the "black cloud" will pass onto someone else, hopefully, soon. Don't let the nicknames and teasing get you down. Most people that stay in the hospital setting get a really messed up sense of humor. I think we do it to survive the bad stuff. Hang in there. It sounds like you are on your way to being a truly great nurse.
May 26, '03You are doing a great job....Now-if the oncoming nurse was routinely finding your pts half dead at the start of her shift while you skipped blithely out the door then you would have a problem... Sounds like you have good assessment skills and a solid knowledge base....But somedays you are the big dog and other days you are the fire hydrant...Just a run of bad luck-someone else will get their turn soon...The aides-don't back down-don't let them get away with this behavior...Good lUck