feel like an idiot

Nurses General Nursing

Published

Im a new grad working on a med surg unit, Im at about 4 wks in to orientation and just got put up to 4 pts. One pt got percocet prn and I gave it to him earlier in the shift..well me being so smart decided to just peel them out of the packages and into his hand..well one went flying onto the floor..just on there for a couple seconds and he insists he'll take it while I was saying Ill get another one..it all happened fast and he ended up taking it...feel like punching myself in the face afterwards and thinking he's going to get some hideous infection..will NEVER again happen...well later on he was due for it again...same thing when one fell on the floor (Im so graceful) this time I insisted and said NO I am getting you another one..put that one in the sharps and got another but it didnt even occur to me to waste it with another nurse! I was so focused on getting the replacement it just didnt enter my brain. only when I got home and realized "crap! itll show I pulled three!" I informed my manager this morning via email as I have the day off today and wont be in..she said to let my preceptor know and to read up on the policy and said what to do next time...she is very nice and has never been the intimidating scary manager so I appreciate her understanding..she wants to talk with me tomorrow (but had a smiley face next to this statement in her email so I think it's just to see how Im doing)...bottom line I just feel like an idiot! a. about the pill on the floor and then b. not wasting the other one when it happened again...It's just hard for me right now to think of each thing on a busy med surg floor when Im trying to adapt to handling 4 pts...Im worried about the dropped pill and I feel bad about the mistake with the waste...I just want feedback and ...not going to lie...some comfort if possible...I really beat myself up over things like this and I know neither thing will happen AGAIN...I know I have to look at it as learning...but I still feel crappy about it. learning and remembering everything in a fast pace environment like this is challenging for me..but I know those two things wont happen again.

Specializes in Private Duty/Geriatric/Home Care/MedSurg.

Mistakes happen. Learn from your mistakes! Just slow down MENTALLY and think about EVERYTHING you do before you do ANYTHING. Just stop and think, just for a second. Its fast pace but it wont take but just a second to STOP, SHUT YOUR EYES, THINK ABOUT IT WHILE TAKING A DEEP BREATH, then continue on.

HAhahha. I just reread this and I sound like a Goof BUT hey, It works for me!

: )

Specializes in Med/Surg, Neuro, ICU, travel RN, Psych.

I've been a nurse for 6 years and still drop pills sometimes. Don't beat yourself up over it. Mistakes do happen. It's good that you notified them of your mistake. Countless people do not go back to correct their problems.

Like the previous poster said, just try to slow down mentally. Just work on finding organizational skills that will work for you. I was always big on making lists when I was on M/S. If it was something I could do later, so that I could get the more important things done first, I always wrote it down, so I wouldn't forget. Then made sure my checklist was done before I left for the day.

You've never dropped a piece of something, say an M&M, on the floor and then picked it up and ate it anyway??? Kids do it all the time! Yeah, not the most sanitary thing to do, but not worth worrying about.

The harder issue is the unwitnessed waste. We've all been in situations like this, and you will probably be writing an incident report about this. Also, I hope you learned about popping those pills into cups.....!

You've never dropped a piece of something, say an M&M, on the floor and then picked it up and ate it anyway??? Kids do it all the time! Yeah, not the most sanitary thing to do, but not worth worrying about.

The harder issue is the unwitnessed waste. We've all been in situations like this, and you will probably be writing an incident report about this. Also, I hope you learned about popping those pills into cups.....!

normally i wouldn't worry about dropping a pill on the floor...at home.

in the hospital, i do worry since i believe it's filled with all types of bacteria.

but yes, definitely, pop pills into med cups.

if you kept on accidentally dropping pills, your mgr won't continue to be so nice.

leslie

Specializes in Oncology; medical specialty website.

"Five seconds rule" applies to any pills dropped on the floor.

Specializes in NICU.
"Five seconds rule" applies to any pills dropped on the floor.

:eek:

It's sometimes hard to believe the things that upset new grads; may this be the worst you ever do; but do get the handling of narcs correct, not doing it right could be your downfall;

If you were in a place where there were no extras, you would need to wipe the pill off and give it and be done with it and the pt need not even know, necessarily, and he'd be grateful and he'd not care about any dirt that didn't even get on it; different if a pill fell into urine, blood, stool, some other mess, of course, but just onto dry ground?

Hey, good luck to you and it's nice that you're conscientious but don't overdo it.

Specializes in onc, M/S, hospice, nursing informatics.
"Five seconds rule" applies to any pills dropped on the floor.

ARE YOU KIDDING ME??? :eek:

Specializes in Trauma Surgery, Nursing Management.

I don't do the "5 second rule" for various reasons. I understand that the floor might APPEAR clean and dry, but consider this: surgeons and residents round after they are in the OR. Almost NONE of them wear shoe covers. They don't usually change back into street clothes before they round. We do surgery on pts with some pretty dirty blood. If we are doing any kind of bone reaming (like reaming the femur for a Gamma Nail), it gets bloody. Bits of bone and marrow tend to meet the ground where the surgeons, residents and staff are standing. (This is exactly why the staff are expected to keep their OR shoes in the OR locker room, and not wear them home.)

That being said, the surgeons and residents WALK into your pts room to round, yes? All that gunk is in the tread of their shoes. Ewww, right? I think you did the right thing by getting another pill, but now you know that you should have wasted it with a witness. You won't make that mistake again!

I feel (and correct me if I am wrong) that you were rushing to get the pt a new pill because a. you felt like an idiot and b. you wanted to correct the problem as quickly as possible without the pt having to wait too long. I get this. We were taught at an early age to correct our mistakes quickly. The 'hurry up' mode that your brain immediately went into overshadowed your 'hang on a minute, let me take my time and make sure I am thinking this through' mode. I promise, this gets better!

Sweetheart, we have ALL done really dumb stuff when we first started out. On my first week by myself as a med/surg nurse, I gave a Benadryl PO to a woman with an NG tube. Dumb, huh? She was taking sips, and it didn't occur to me that she wouldn't be able to swallow this little pill. I was SO embarrassed and felt like a total idiot-especially because she kept calling me one! Thankfully, my charge nurse was a wonderfully caring, patient, and experienced nurse that mentored all of the new staff. She came into the room after I pushed the pts call bell and I told her what I had done. She calmly told the pt that I wasn't an idiot, and that we would crush all of her meds in the future. I still felt like Nurse Gump.

Don't worry about your meeting with the NM. She will likely just give you the low-down on the policy and make sure that you understand it. It is her job to make sure that you 'get it'. At this point, I have no doubt that you do!

Specializes in Oncology; medical specialty website.

I really can't believe that people took my "five seconds" post seriously. I guess I should have put a sarcasm flag on it to be safe.

Specializes in Trauma Surgery, Nursing Management.
ARE YOU KIDDING ME??? :eek:

I'm pretty sure she was kidding. ;)

+ Add a Comment