thomask 620 Views
Joined: Mar 12, '07;
Posts: 17 (12% Liked)
; Likes: 23
does anyone else on night feel like days thinks we do nothing? Often when I give report I end up feeling like I've done nothing all night when I didn't even have time to eat my lunch. No I don't know what time the pt is going down to IR. IR isn't here at night. umm. No I didn't get the admission questionaire done. The pt looked pretty tired after that 10 hour surgery. UHh.. I have no idea if the docs want such and such. they don't like to be woken up unless its an emergency and i don't think such and such would be considered an emergency. and so on and so forth. I realize that these things are all important. I get that. But I just can't call a doc or a dept that isn't here whenever I want. I have to figure out if it can wait. and if they are breathing okay rhythm looks good and they aren't about to code. it can probably wait.
Nevermind the fact that i have had 3 transfers in and out, I had to call the pharmacy 3 time to get a med. i had to enter orders for all those new pts(no secretary) and check the chart and call pharmacy a fourth time because they sent the med I called about earlier to the floor the pt used to be on.( only one pharmacist on noc vs 4 on days) then I have to call that floor and ask them to send it to me. I had to call for the IV pumps.i had to draw 30 ml of blood from a pt that only wanted to give me 2. the pt down the hall won't stop pooping and thought itd be a good idea to pull out the ng tube and I am pretty sure thats not chocolate on my shoe. I had to get all your paperwork ready and make sure all my ducks were in a row before the drs come in 30 mins mins before the end of my shift and write another ten orders that I have to get done before I leave, and I will probably have to call pharmacy again becaus the nurse on the other floor where they sent the med sent it to a dept that wont open til 8. so yeah, I couldn't get to that. sorry. Oh and i did it all in the dark!
I always feel horrible when this happens. I am doing the best I can. But does anyone else feel like day shift thinks we can do everything they can at night??? these people they use all day long are not there at night. No one puts in my orders for me no one lifts pts for me and dr don't just stroll by all the time so I can ask them things.
why do I leave without feeling like I have done nothing when I haven't had time to pee in 7 hours??? I have more pts at nite too!! geez!! I guess you don;t know til you work nights
I always give pain meds when asked to, as long as I have an order, if the pt isn't in distress. I encourage my pts to ask for their meds before the pain get bad because it is harder to control if we don't stay on top of it. even if my pt is in deep sleep when I walk back in with the med, i will still give it (as long as they wake up easily) If I have someone with chronic pain, I give what is ordered, I advocate what is needed to control the pain. an acute care facility is not a rehab, it is not the place to get drug addicts off of drugs, that can wait til after they are no longer acute. pain is whatever they say it is. It is not my place to try to get someone off of drugs they may have been taking a lifetime. I could care less if they are a drug seeker or not. if its ordered I'll give it so long as it won't kill em!
there was a supporting diagnoses on the med, guillien barre was the indication on the med. I didn't recieve this info in report but i didn't look it up. the pt had a history a mile long and it is not uncommon for things to slip through the cracks. I have learned quite a few valuable lessons from this incident. I forgot one of the basic questions. why is the pt getting this med? had I looked into this issue further I would have caught it. I keep going over and over this in my mind. the order was written on the previous nurses shift and she should have checked it off. normal procedure at my hospital is to do a 12hr chart check with the oncoming nurse and check it off the computer. the nurse before me showed me the chart and just told me what she had done and that she had checked them off. I signed off with her. First mistake.lesson: never sign off on anything you didn't do yourself. i knew this but did it anyway, there were calllights going off and i had a hundred other things on my mind. second mistake: med had to be requested from pharmacy, I had never given it and I didn't know what it was for. asked pharmacy how to give it they told me and told me what to watch for... I didn't look it up my self. third mistake: I didn't verify original order... biggest one of all I think. There was actualy more than one error on my part as I see it. I had all of these opportunities to discover the error and I didn't. this scares me to death. I don't believe I will ever make this or a similar mistake again. But it happened so easily the first time, it could happen again. I don't want to kill anyone, my god, I came into nursing to help people not hurt them. does anyone know if this lady could die from this later? is she out of the woods? they sent her to a less acute floor because she was more stable but could this affect her later? the docs wouldn't have sent her to med surg if she could still have ill effects from it would they???
so I am obviously having a hard time with this, I apologize for harping on it. people keep telling me that i have learned a valuable lesson and I have. I pray to God that it stays with me. Nursing is terrifying!!! no one ever told me how scary it really is. they tell you you are responsible for people lives. but i don't think it really hits home til you nearly take one. it is weighing really heavily on me. How have others dealt with this kind of thing? if you have n=made an error how did you get over it?
the stupid part of the whole thing is that I had a little nagging voice in my head that said 'hey wait a minute'... I was so busy and overwhelmed with my tasks that had to be done that i didn't listen. I have learned alot from thiswhole experience. I know that I will never enter a shift without doing a thourough chart check. I will never trust other peoples checks and I will remember that the dr's would much prefer that a med be given three hours late than for me to give the wrong one. my manager said I didn't have to go to this meeting but that it would look good if I did. I don't think I can get through it without bawling my eyes out. he said I could write something that says what happened. luckily my hospital is very supportive of their staff. we had a few very infamous errors within our hospital system that resulted in a few pt deaths. again it was pharmacy that started the error. they were extremely supportive of the nurses and they did not get fired. they were offered other positions if they wanted them or they could keep the same ones. the meeting i think is just to find out why it happened and how they can stop it from happening a again. they need to know how it got through the checks. How do you say your an idiot without making yourself look bad?
I am a new nurse, and I made my first med error. I gave a pt IGg who wasn't supposed to get it. I did my five rights. I checked the med against my mar. I confirmed right dose right pt right route right time. It was all good. I even called pharmacy!!! I had no idea how to give or titrate this med. I watched my pt carefully. I made sure her pressures etc were all wnl. The problem was that pharmacy had put the med in the wrong patients MAR!!!! the reason I made the error was because I did not look for the original order in the chart. Had I done my chart check like I was supposed to I would have caught it. I didn't. I came in the next day and was told what I had done. fortunately the patient is fine, and she had no ill effects from the drug. But it could have killed her. I could have walked into work and found out that someone was dead because of me. how do you cope with that? how can I go in and not have a panic attack? I am not getting fired although i can't say i would blame them. I am absolutely devastated( i cried nearly all shift) and now I have to go to a root cause multidisciplinary review thing and explain why I am an idiot. how do I explain that?!!! well thanks for listening!!
I tested positive too!!!!!
I didn't complete the INH therapy though.... I couldn't take it anymore. I was exhausted and drained and on top of my allergy medicine I didn't want to move and I became very depressed.... Once I stopped taking the INH I felt fine... Oh yeah and I lost over 35 pounds for the 5 months I was on it...
This apparently doesn't happen to very many people... So on top of my ever so crappy allergic to everything status, now drugs make me sick.. guess I'm just lucky
These are a few I have heard recently,
"Nursing isn't hard"
"healthcare costs are so high because nurses make too much money"
"There isn't a nursing shortage"
I just hired in as a new grad at a large hospital in Indianapolis, base pay 21/hr I will be on nights so from 7p-11p 3.60/hr and 4.00/hr from 11-7a differential. time and a half for overtime. 5000 sign on bonus for 18mth contract and an additional 2700 for housing or student loans for 2 yr contract. The nurses at this hospital get like a dollar or more an hour every year. My house cost 60,000. 3 bedrooom 1 bath full basement and a little 1 bed 1 bath guest house on the property that brings in 350 a month in rent and my house is only an hour from my job. I hate indiana but it seems I am living pretty darn cheap!!!! I always wanted to move away from here but now I think I might stay. There are a ton of nursing jobs in the Indianapolis area check us out!! I can't believe how much higher the cost of living is in some of these other areas. Thanks for this thread I'm loving it!
I have a couple I like alot>
"No one ever had a rainbow without a little rain."
"Dumber than a box of rocks"
"what have you been smokin?" (when someone acts goofy)
"thats about as useful as a poopy flavored lollypop" -dodgeball
The reason Im am worried about it already is that throughout nursing school I have heard stories about mean doctors. I dont believe all doctors are mean, I just want to be more than prepared for the first time it happens, and it seems that no matter where you work, it will happen from time to time. I want to learn the best and most effective ways to deal with them. The don't teach it in nursing school.
[quote=goats'r'us;2144578]don't be scared. their poo smells no better than yours.
My poo happens to smell like roses...
I am so glad I found This site!!! Everyone is so helpful to the new people. how did nurses ever get the rep for eating their young?
A few years ago I had a nasty infection in my leg, requiring a surgery and A brief stay in the hospital for antibiotics. I was feeling rough! My surgery site required packing with wet to dry dressing. My day shift nurse was especially brutal when unpacking and packing the wound. I was very vocal about how mean she was being to me and screaming ow ow ow ow ow the entire dressing change, and she would tell me I was a sissy. (I knew she wasn't really being mean and I am a sissy) Every time she walked in the room I would groan and say "Oh NO! not you again!" or "help me she is here to kill me this time!!!!"And she would say something funny "like too much paperwork to kill you "back to me. We would go back and forth like this the whole shift. after 3-4 days I was being discharged and as I walked out of my room I saw about twenty people from the staff lining either side of the hall applauding my departure! I thought this was the funniest thing I had ever seen! I know I didn't hit the call light that much! Now that I am nearly a nurse, I can appreciate all the effort it took her to get all of those people together and lined up for the moment of my departure. I really did like her. She kept me on my toes!! Please tell any funny or different stories about things you have done or said to patients at discharge. (side note: Do nurses do this kind of thing regularly?)
In teaching hospital are there constantly new doctors around?
I have noticed that when I start off by saying "I'm sorry for calling you at this time but... blah blah blah" I don't get yelled at so much. You will get yelled at, though. But they aren't your boss. I've been yelled at for calling at midnight about a patient with a blood pressure over 200. I mean... some of the doctors are crazy. I had a lady in restraints and the order ran out at 3am. I waited until 7am to call the doctor to get an order to continue the restraints and she yelled at me. Another time I had a patient who's blood sugar orders were like every 4 hours. So one of the checks fell at 3 or 4am and her BS turned out to be over 400. Her sliding scale didn't cover over 400. I called about that and got yelled at. All of these reasons are good reasons to call the doctors and I still got yelled at. And I've made a few mistakes, too. Once I called about a blood pressure when there was a PRN order to cover the high BP and I didn't notice that. That doctor didn't yell at me, though. You have to use some discretion, though. I've never called a doctor for a sleeping pill at night. I always call for antiemetics if they've thrown up. If not, I ask them if it can wait... there's a difference between feeling really sick and just a little nausous. Same for pain... I tell the patient they don't have anything ordered. I say we usually only call the doctors at night for emergencies. I ask the patient how bad is it... is it an emergency or can it wait until morning. If they say no then I call. I don't work at a teaching hospital though, so I am not dealing with residents. You'll still be yelled at sometimes but they aren't hurting you, they're only hurting the patient. You're not asking a favor for yourself, you're asking for the patient. You could also ask other nurses if they would call about XYZ now at 3am or would they wait until 7am or so.
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