Instructor reamed me even though nurse said I did right thing..what do you think?

Nurses General Nursing

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blondesareeasy

61 Posts

Beta blockers can make you wheeze.

Anxiety feeds anxiety.

Visitors feed on attention.

You did fine.

This was nothing.

Wait til' you get an emergency.

Consider:

RT's have it made.

PT's have it even better.

Nurses get all the blame for the mistakes made by the above.

All bleeding stops eventually.

It is the rare nursing instructor that is constructive in an urgent setting. You'll meet the good ones along the way.

Screw the breath sounds...you heard the audible wheezes.

A heparinized GI bleeder...were they warding off a pulm embolism or treating an active one?

And Obama wants the fed government to run the hospitals...just think of how well they handle the post office.

cali2007

11 Posts

Specializes in medsurg/tele, mbu, LTC.

i think you did a great job...you did reposition the pt., checked the o2 tubing to make sure it was not kinked, and you checked the o2 sat. and, yes you should not have left the pt. to get help...but, you acted quickly to get the help she needed. and, you could have been getting the rr and listen to her lungs quickly after notifying her nurse. but, it is not your fault she went back to ccu. i agree with the others, you need to stay out of the instructor's way for the rest of the semester. you have what it takes to be a great nurse...good luck to you.:yeah:

fungez

364 Posts

Your instructor is an idiot and a lunatic. Treat her as you would a patient with severe dementia or extreme intoxication and just agree with everything she says. "Oh, listening to lung sounds and counting resps would have been an essential bit of information that I would need before determing that this patient was circling the drain? You mean I couldn't tell the patient was going downhill just by the critically low sat and the look of death on her face? Oh, thank you, Herr Instructor, for educating me. I am so lucky to be your student. Every day I wake up and thank the good Lord for giving me a teacher as wonderful as you."

You did everything right. Don't worry about it. It was actually a good learning experience to see how fast a patient can go bad. Though next time I would suggest you stay with the patient until handoff to ICU. You'll pass meds every day of your clinicals. You need exposure to critical situations like this one before you're on your own with one.

RNRapunzel1029

54 Posts

I did not read every single post and I am not sure if someone mentioned this or not but: Can't you still call rapid response for situations like this? I thought the team was for any patient that was in any sort of distress or deterioration (even if they are still breathing/heart beating). I am still a student but I believe that I would have called the nurse or pressed the rapid response button from the room?

yvtsmps6

35 Posts

Specializes in psychiatric nursing.

Hey you!

Let it go! I am already a nurse almost a year, and take it from me, it's not worth it. Remember your instructor is a nurse as well. You said even though the nurse said I did the right thing. Your instructor is the educator. Listen to her meekly and learn from what she tells you.

At the end of the day she decides whether you pass/fail, not the nurse. Make sense?:idea:

Mulan

2,228 Posts

I agree with calling the rapid response team.

It sounds like this happened on day shift with the doctor there which

was fortuitous.

In the middle of the night, definitely a rapid response call.

Ms.RN

917 Posts

She drank her aceytalcystine, took her oral meds, and the whole time kept complaing of SOB. her wheezing started back up again.

I'm just curious, can aceytalcystine be given orally? I always gave this medicine via neublizer. It must be really terrible tasting. :barf01:

aubreysmommy

34 Posts

As far as I know, you only give it orally for Acetaminophine overdose and via neb for thinning bronchial secretions....but I could be wrong.

Specializes in CVICU.
she drank her aceytalcystine, took her oral meds, and the whole time kept complaing of sob. her wheezing started back up again.

i'm just curious, can aceytalcystine be given orally? i always gave this medicine via neublizer. it must be really terrible tasting. :barf01:

this drug may also be taken by mouth to prevent kidney damage due to dyes from certain x-ray procedures.

my patient also had renal insufficiency, so the dr prescribed this to get the contrats out of her body faster. they get it fot three days after their procedure. :)

netglow, ASN, RN

4,412 Posts

Yup per Davis Drug guide on my itouch:

Unlabeled Uses:

-prevention of radiocontrast-induced renal dysfunction (oral).

Specializes in LTC, Acute care.
She drank her aceytalcystine, took her oral meds, and the whole time kept complaing of SOB. her wheezing started back up again.

I'm just curious, can aceytalcystine be given orally? I always gave this medicine via neublizer. It must be really terrible tasting. :barf01:

It isn't just terrible tasting, it smells horrible too! :barf01:

Specializes in LTC, Acute care.

OP, I think you did good. As a fellow student nurse, I totally saw everything through your eyes. Your instructor should have chosen a better time to correct what she perceived as your mistake, say maybe during post-conference. If this happened to me I know I would be somewhat panicky in my heart and the last thing I would need at the time is someone trying to criticize me without pointing out the good that I did. Then again, maybe she too was panicky in her heart and just didn't want to show it. The good thing that came out of this is that you learned something new and I did too just by reading your post and all the replies from nurses already practicing.

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