I'm a relatively new nurse in the ER, got off orientation about two months ago. So far, I'm loving it. However, there's been one experience that's soured the whole thing...
This guy comes in with 222/137 blood pressure. Doc orders a drug I've never given before, and the dose seems frightening high (of course, anything over 4mg of ANYTHING is scary to an orientee! :trout
. Of course, I check at least two drug guides and call pharmacy, in case there's protocols I don't know about. Everything confirms that this is safe. I basically make this patient my world for an hour and a half, vitalizing q5min, doing everything by the book.
Flash forward a couple weeks. Supervisor calls me in saying, "I heard you were giving a lot of (this class of drugs) a bit ago". She heard it second-hand from an older nurse. I said yes. She starts yelling that it was a huge dose and forbids me from giving any vasoactive drugs until orientation is over, and "why didn't you check any guides before you did that? He could've died!" I'm so shocked and on the verge of crying I didn't say that I did. My manager seems to believe that all drugs in this class are created equally, which explains why she went off the handle. :uhoh21:
Two months later: I'm sure what I did was within nursing practice, but now I'm utterly frightened of my supervisor. I've been completely avoiding her. At the same time, I'm angry that she jumped to conclusions and screamed without double-checking the facts. I want to show her a drug guide and educate that what I did was right, to prevent this sort of thing from happening again with anyone
(let alone a new grad who is already believing that nurses eat their young, heh), and to prove I'm not "completely incompetent and a wild-child, renegade nurse who will kill somebody" if I don't shape up. My questions are these: should I bring it up with her? And if the answer is yes, how do I do it tactfully without attacking her? Email? Face to face? Is it even too late to bring this up?
I feel like I should say something, but have no idea how to go about doing it. This is really tearing me apart. Any suggestions from anyone? What would you do?