Mario, I was once at a break and another nurse was supposed to be watching my vented pedi pat. I came back and the nurse said the pt was pulling on her arterial line, in her foot, it was exTREMEly hard to put in from what I was told, and pt was very sick, and really needed the line. I look up as she says she reinforced the drsg, and the waveform disappeared, before I was even back at her bedside.
I got blamed when I wasn't even there. The surgeon came out of the OR, with his lights on, the speacial goggles they use for open heart surgery, just to yell at me and make me feel like shyt! It didn't take much. Then the anesthesiologist who put the line in came out to dish out some more and to try to put a new line in. They refused to sedate the little girl while they poked and prodded to try to put a new line in. She was crying silent tears, and finally I couldn't take it, I started sobbing. Right at her bedside. Fortunately, another nurse, my peds preceptor, saw what was going on, came over and said, I've got it, please go take a break. I hesitated, and she said quietly, Linda, this kid doesn't need to see you cry too! I knew she was right, so I went to the lounge and sobbed.
I was just off peds orientation, pregnant with hormones raging and ultra sensitive ( those at&t ads would make me cry on TV, killing a bug would make me cry when I was pregnant!) I am eternally grateful to her for relieveing me. I came back in the unit, they had started a new line, given some sedation, and everything was OK with the child.
About 15 minutes later, a surgical fellow came in and said, OMG, you should see how PI$$ED Dr. M is that this line came out, I don't think I've ever seen him so PI$$ED!!!! That was it, I started bawling again, and Sarah, my preceptor, talked to the charge nurse and they ended up sending me home. It was a good move!!
A few weeks later, I went to see the child up on peds, she took one look at me and burst into tears, running away from me, clinging to the peds nurse. Talk about feeling like whaleshyt on the bottom of the ocean!
I guess the moral of my story is, no matter how hard you try, no matter how consciencious you are, shyt will happen. You will be blamed, sometimes appropriately, sometimes not. The important thing is what you learn from it and how you handle it, b/c no amount of wishing or crying over it, will change the fact that the pt pulled out a line.
Ask your manager how they would have handled the situation if they had been in your shoes. You had to make a decision in a split second. You could have pressed the call bell for someone else to help the pt, but what if he got super anxious and started to jump the siderail?? What is he broke a hip? Then again, what is the worst thing that could happen if you didn't get someone else in there to help him asap? He would be laying in pee for a few minutes, no harm done. Think about all the possible ways you could have handled the situation, and the possible outcomes, then decide which is the lesser of two evils, and remember it for the next time.