ChristyRN2009 2,493 Views
Joined: Jun 16, '09;
Posts: 150 (45% Liked)
; Likes: 211
I feel the same kind of fear. But I try to get through it by thinking of ways that show me I'm a good enough nurse. Like the fact that my patients usually are very pleased with me. And the fact that my supervisors are always complimentary or at least don't say negative things to me directly (even if I know my coworkers are saying negative things). I also, and this is probably going to seem petty but I compare myself to the unit idiot. We all have one. The one where you constantly go "they did WHAT????" And they still have their license and their job.
And when I get really fearful and anxious about the idea that my license could just be taken from me, I stop looking on here for a few days. Seriously, this website while addictive can be scary in terms of hearing about people being fired and losing their license. Sometimes it gets to me.
Why is it so hard to accept that some people are just evil? Oddly enough that wasn't all that clear to me until I became a nurse and realized that some people are just that way. Does that mean I treat them differently or that they don't deserve treatment? No, but I'm human and I recognize that there are some of my (human) race who are fundamentally bad and that is just a fact of life. As a nurse I strive to give equality of care and I think I succeed, and that's what counts.
OP, you will encounter many situations like this in your career and its always sad and always makes you a little more cynical. The trick is to not let it make you permanently cynical, treat every patient with care and vent about the ones who are bad when you need to.
Yeah, I love how in nursing school and on boards its drilled into our heads that nurses can only witness consent signature, not inform the patient. Yet when I bring the consent into my real patient for a cardiac cath, they don't know what it means and the doc just said "we're going to look at your heart." ???? No risks, benefits, nothing. But oh goodness, if that is not signed by the time they get to the cath lab, whose fault is it?
Your loved one has assitis. They were born with it. Its incurable and terminal. They will die a victim of assitis. See the way you get yelled at when you try to help them? And they know you and supposedly love you? Well, its worse when I "Nurse Rachett" do something so horrible as to offer them their medication while they are watching t.v. So don't come complaining to me that your loved one isn't getting better, I've done the best I can, but as far as I know the only treatment for assitis is prohibited by law.
I know a nurse on our unit who spends so much time on the phone making booty calls I cannot for the life of me understand how he ever sees his patients. Seriously. What sucks is we and mgmt all know it, but no one does anything about it. But let me try to get away with that for one shift and I'd be fired so fast I'd have skid marks on my butt.
Sure there are. But here in the U.S. it is illegal to prescribe (which is essentially what she did giving the patient vicodin) and dispense medicine without a license. If I come up on a car crash and I happen to have a bottle of percocet on me, doesn't mean I can give the car crash victim a couple of pills to tide them over, even if I'm reasonably certain that I would not cause the patient harm. Matter of fact, as a nurse I can't even give a friend a tylenol of mine. If I were a regular joe, its no problem. But since I have a license to take away, I can't do it.
So that's what pp are referring to. I sincerely hope no one decides to make this nurse's life hell for what she did in that situation, I would've done the same. I just probably wouldn't have mentioned the vicodin.
Oh my, so sorry this happened and I can't imagine how I'd feel if one of my coworkers died, especially in this manner. Can you take a mental health day? I dont know what else to say. I doubt you are burned out, sheesh, someone you knew in a personal way is no longer here and I think its totally normal/expected to feel numb.
Don't report it because you don't know if its true or not. It could actually backfire on you- i.e. she says something about you that's untrue and while its false, it may delay or prevent your progress. What you need to do is keep your head down, your eyes focused on the prize and ignore others. Unless its obviously provable and unethical, reporting every infraction you think you see or think you hear about will only bring YOU trouble in nursing school. JMHO.
Whew. Thats a bigun. Well my highest was 98. So what was the outcome of the patient, was it a stemi or nstemi, or what was the course of their treatment. That kind of troponin would freak me out thinking the patient might blow a ventricle. Sheesh.
In the South here too, and its rare I don't get thanked verbally in my shift. We also get a fair amount of cards, flowers, donuts (thank goodness). But I also work on a unit with high patient satisfaction scores, so maybe that's it too?
ETA: I should add that I always say please and thanks to my patients.
I think you missed the point. Someone may have given her a banana at some point in her life, but it wasn't that morning. Plus, seriously, just give her some bicitra wait a bit and its fine (not ideal, but hey, what happens when someone has emergency surgery s/p a steak dinner, same damn thing).
I've worked both shifts, and at least at my place both shifts complain about each other. The big difference seems to be that while day shift might moan and groan during report, that's the last time they are doing so because you run your tail off the rest of the day. Whereas night shift, if something is missed, tells everyone on the shift about it, tells the head nurse, its a big ordeal. Until the day nurse comes in again the next day, is told about it, groans about it, but has no other time to really think about it the rest of the day, like pp said, lather, rinse, repeat.
Each shift doesn't understand the other. Night shift is expected to take care of all of the paperwork, the little loose ends like core measures, etc etc, in addition to taking care of patients who do get more confused, etc. Day shift is much more task oriented, everybody has to get up for the day, get a bath, get fed, get meds several times during the day, you deal with more visitors, and then there's the doctors and the administration, going for tests, etc. See what I mean, both parts suck but I'll be honest, I MISS the paperwork. For me, night shift work was easier, but the toll it took on my family and body was harder than day shift.
Guess what? Its all nursing and it all sucks! Sorry OP, wish things were better, perhaps next time someone rides in like that, say "well nursing is 24 hours, if you really feel its an issue I will be back on such and such a day, and if you can't handle doing it I'll be glad to then."
I had a somewhat similar situation as you just recently, and I am doing the same thing. Ultimately, as I replay in my mind I could've done things slightly differently but the outcome would've been the same. Ive been a nurse for two years and it seems like the issue of constant death has only caught up to me now which is weird. But I'm trying to deal with it just the same as others have told you to, talk about it, replay it a little to try and learn but do not obsess over it because that doesn't change the outcome of the patient. Say a little prayer for the patient and know you did what you could (or if you don't pray just a well wish and positive thought for the family, sort of has helped me say goodbye to the patient).
Any updates, OP?
I'm really sorry to hear about you mom's passing. I can't imagine (and neither can another single person) completely understand your issues and how you feel about this situation. My only concern with what you've posted is that you seem to have this idea that you cannot grieve and you won't allow yourself to grieve. That I think is a real tragedy, and one that usually ends badly for people. I, as a single mom, know a little bit of what its like to feel like you cannot fail and have no time to sit around and feel sorry yourself, however this is once instance where that doesn't apply. Your world is not going to end if you take a day or two to deal with this, no one is going to blame you if you are a little extra stressed. Its not healthy to stuff it all inside.
That's all I'm going to say, and I hope that you find peace however you need to.
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