Just wanted to introduce myself. I am a lpn, will graduate with associates degree in nursing this december. Is there any advice anyone has to offer me about my new role as an RN graduate?
Oct 28, '05
Yes, Ask questions always. You do not know everything. No one expect you to. If you fail to ask you will look the bigger fool than if you asked.
Case in point.
I receive report the other a.m. A nurse new to our hosp. (not a new grad) received a pt in leather restraints around midnight.
She did not rember to document ever 2 hours and did not have the restraint documentation sheet on the chart. Ok she forgot. We are human.
When I asked where the key to the learthers was she did not have it. She said he came up with the leathers on and did not know how to get the key. She offered to call security to get it. Why now? Because I was oviously out raged at this point. It appearently did not bother her.
She did not know so this excused her. This excused her from the fact the patient who was now alert and oriented (he was not when he came up) and she even said the restraints could probably come off this excused her leaving him in urine soaked trousers and uring soaked bed.
She did not know where the key was and supposed she had to call security to get it. Not knowing excused her from doing proper care, excused her from a severe safty voilation of having a pt in leathers with no way to release them in an emergency. When I pointed out that she could not do her care without it that it was a sever safety violation she agreed and stated but I do not know how they do things here. So how was she suposed to find out if she did not ask?
She had a charge nurse but she never asked her. she had co workers who knew but she never asked them. I guess she did not know that she could askand maybe find out the protochols and where the key was kept on the floor. Because she did not know, she was excused from anything adverse that might happen.
I have had nurse ignore the fact that a patient had not voided for 15 hours. Stating he was not uncomfortable. She aparently did not know this was not ok and never asked. Better to ask. Even when you know the answer sometimes it helps to ask. I ask all the time. Sometimes I forget somthing common/basic and I ask.
I can not begin to tell you the horrors that have resulted because a nuse did not ask questions.
Last edit by Agnus on Oct 28, '05