Got to use my neuro skills in real life!

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My husband plays hockey, and last night I was at his game when one of his teammates had a hard fall onto the ice. There were only a few of us in the stands watching, and I heard one of the players going to the opposing team's side asking if anyone was an EMT or a doctor. No one seemed to have any idea what to do and no one had medical training, so I jumped up and walked toward the ice.

My husband saw me walk up, and motioned for me to come on the ice. The ref wouldn't let me on the ice, but the player was able to get up by himself and come sit on the bench. I took his helmet off and did a neuro check on him and asked him what hurt. He never loss consciousness and his neuro check was fine, but was feeling dizzy, so I told his girlfriend to take him to the hospital down the street to get checked out.

It was kind of amazing how calm I was and how my learning in class became instinctive when the player sat down. It really felt good to be an asset and know what to do in those types of situations. Though, I keep replaying the situation again in my mind and wondering if I should have asked more questions or done things a little differently, but I know I did the priority items correctly.

I'm now re-considering this whole trauma nursing thing. :)

Specializes in CEN, CFRN, PHRN, RCIS, EMT-P.
Alright I'm done defending myself. I feel good about what I did. None of you were there and didn't see what happened and what I did. I'm going to happy despite all of your comments.[/quote']

You show an unwillingness to take constructive criticism, that is not good. I fear you will not do well in your professional career. We can not help those who don't want to be helped.

Specializes in Emergency Department.
Alright, I'm done defending myself. I feel good about what I did. None of you were there and didn't see what happened and what I did. I'm going to happy despite all of your comments.

I think the real point of the latter part of this discussion is that you have to be aware of your limitations and know when and what you can do to keep yourself out of trouble. The point I tried to drive home when I posted earlier was that there's a lot more to evaluating closed head injury and doing physical neuro checks than what you're likely ever going to be taught in school. I'm not criticizing what you did. Given your knowledge, and the likely circumstance you were in at the time, you probably came up with a reasonable answer. There's no need to defend yourself, at least from me!

I'm just more amazed that an athletic trainer wasn't on site than anything else! In that arena, those folks are the "go-to" experts.

You show an unwillingness to take constructive criticism, that is not good. I fear you will not do well in your professional career. We can not help those who don't want to be helped.

Let me get this straight. You guys hijacked my post to rain on my parade and now you're telling me I cannot take constructive criticism and I won't do well in my professional career. You guys have no idea what happened. I didn't even give you the entire story of my assessment because it was too long to read. Half of you didn't even read my original post correctly to see that the player wasn't unconscious.

This isn't about criticism or me not listening. I've had a really really hard week and hard quarter. I needed to feel good about myself and my skills and very few of you were willing to give me a thumbs up for trying. All I got was a list of things I did wrong and how I could of somehow killed the guy... who by the way, has NOTHING wrong with him after visiting the hospital.

Maybe instead of jumping on the "picking out what she did wrong" bandwagon, you can stop and see that I'm a person who has feelings. Just because you're online and can't see my face doesn't mean you can talk over me and pick me apart. If I wanted insight into what to do differently, I would have asked.

I'm done with this thread, and I think this forum. I came here to be lifted up and share with others in the same boat as me. So far, all you guys have done is made me feel bad for doing what I know was right. Who needs enemies, when your have fellow nurses like this.

Specializes in Forensic Psych.
I apologize not trying to offend you, just pointing out possible liability. I'll shup up now.[/quote']

Changed you mind, eh? Probably should have stuck to your original decision.

You show an unwillingness to take constructive criticism, that is not good. I fear you will not do well in your professional career. We can not help those who don't want to be helped.

To quote Ron Burgundy, that escalated quickly.

I think it's awesome, you're not on duty but any little thing you can do I'm sure makes a big difference. good job on stepping up and doing your best when technically you didn't have to.

Let me get this straight. You guys hijacked my post to rain on my parade and now you're telling me I cannot take constructive criticism and I won't do well in my professional career. You guys have no idea what happened. I didn't even give you the entire story of my assessment because it was too long to read. Half of you didn't even read my original post correctly to see that the player wasn't unconscious. This isn't about criticism or me not listening. I've had a really really hard week and hard quarter. I needed to feel good about myself and my skills and very few of you were willing to give me a thumbs up for trying. All I got was a list of things I did wrong and how I could of somehow killed the guy... who by the way has NOTHING wrong with him after visiting the hospital. Maybe instead of jumping on the "picking out what she did wrong" bandwagon, you can stop and see that I'm a person who has feelings. Just because you're online and can't see my face doesn't mean you can talk over me and pick me apart. If I wanted insight into what to do differently, I would have asked. I'm done with this thread, and I think this forum. I came here to be lifted up and share with others in the same boat as me. So far, all you guys have done is made me feel bad for doing what I know was right. Who needs enemies, when your have fellow nurses like this.[/quote']

You're right. You can't take constructive criticism. People here were just trying to help you. No one is saying you shouldn't have tried to help. They are saying that YOU ARENT A NURSE. When you are a nurse, you'll probably understand much better why we err on the side of extreme caution. You don't have the education or experience to perform a true assessment. Im glad you had positive feelings about helping, it does feel good when you can make things better for someone else.

Specializes in Acute Care - Adult, Med Surg, Neuro.

Even if the OP didn't learn anything from this thread, I did. I am a medical-surgical nurse and would have had no idea what to do in this situation. I would have know NOT to move the person. But wouldn't have known about not removing the helmet (although with critical thinking skills I probably would have hesitated due to risk of c-spine injury). THANKS for all of the fabulous ER and pre-hospital providers out there and their knowledge, which I find fascinating!

Specializes in CVICU, CRNA.

see below

Specializes in ER.

I wouldn't have advertised myself as any type of healthcare provider because you are not licensed. The main issue is you are presenting yourself as someone with knowledge and if you accidentally gave the wrong advice, it could have been ugly for you since you have had some training. In fact, the good samaritan law probably does not apply because you should have had some training to realize you do not have enough training to offer advice on the specific situation and should have called 911.

I personally do not give advice when I am not on a department run or on the clock. It is a liability. Overall, in America we do too much testing because we are scared of being sued. We have a physician from Canada who was warned constantly during his residency he needs to order more testing otherwise he'll get sued one day.

I told my clinical group one time that I do not think it is right for RNs to stop on the side of the road to try and offer help at an accident scene. My reasoning was mostly for their own safety. With a fire truck, we try to park it in such a way to limit the risk of a car coming too close to the scene. We have had a volunteer die in a nearby city because they stopped in their personal vehicle on the side of the highway and was hit (some have red emergency lights on their cars, I do not know if she had lights on her personal vehicle). Not to mention they do not have the training in that skillset. My group and the instructor flipped out over my advice, but I am still serious that it is better to not put another body onto the accident count.

We're in a sad state in the world where the biggest concern is will we get sued. Unfortunately, that's the type of world we live in.

Specializes in CVICU, CRNA.
Let me get this straight. You guys hijacked my post to rain on my parade and now you're telling me I cannot take constructive criticism and I won't do well in my professional career. You guys have no idea what happened. I didn't even give you the entire story of my assessment because it was too long to read. Half of you didn't even read my original post correctly to see that the player wasn't unconscious.

This isn't about criticism or me not listening. I've had a really really hard week and hard quarter. I needed to feel good about myself and my skills and very few of you were willing to give me a thumbs up for trying. All I got was a list of things I did wrong and how I could of somehow killed the guy... who by the way, has NOTHING wrong with him after visiting the hospital.

Maybe instead of jumping on the "picking out what she did wrong" bandwagon, you can stop and see that I'm a person who has feelings. Just because you're online and can't see my face doesn't mean you can talk over me and pick me apart. If I wanted insight into what to do differently, I would have asked.

I'm done with this thread, and I think this forum. I came here to be lifted up and share with others in the same boat as me. So far, all you guys have done is made me feel bad for doing what I know was right. Who needs enemies, when your have fellow nurses like this.

Throughout my short span as a MedSurg nurse since graduating, I've learned that taking "constructive criticism" is a very very important thing to do. The advice these posters gave you was very good and you should not feel it is a personal attack on what you did wrong. One of the worst qualities a nursing student or a new graduate nurse could have is not being willing to listen and appreciate advice and shared knowledge from nurses like Esme who have YEARS of experience. The fact that you call them enemies (or reference them as such) scares me. I'm glad the outcome of the hockey player was positive but it could be the exact opposite next time.

Specializes in CEN, CFRN, PHRN, RCIS, EMT-P.
Changed you mind eh? Probably should have stuck to your original decision.[/quote']

Not my fault people are so self absorbed to the point at getting hurt by constructive criticism designed at keep them safe from liability. At the end of the day that is all I intended. Some people like to play the victim.

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