Latest Comments by takrn

takrn 570 Views

Joined: Mar 11, '04; Posts: 4 (0% Liked)

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    i work in the er and we have one doctor who screams and yells - and i mean screams from halfway across the er at nurses, patients, visitors whoever - the next minute he acts like nothing happened - i don't know why the hospital puts up with it - i have personally complained but no change.

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    i jsut want to thank everyone for their support - it was hard to even get myself to read any replies. i've spoken to so many people regarding this and basically say the same thing - you learn and move on - sometimes that helps me and other times it does not. as far as anything happening to me - i felt it was just brushed under the rug - i probably would have felt better if i was punished somehow but i wasn't. anyway i continue to be a nurse and i try to be the best that i can - although this is definetely a hard job. thanks again to everyone - i will try to post more positive subjects in the future - by the way i have been looking at this site for years.

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    Quote from PamUK
    If you were in orientation, was there no-one checking everything you did?


    You are not entirley to blame here. You were new, rushed, overwhelmed. Your supervisor is also responsible for not ensuring that you were adequately supported.

    Read the link below. The way I undertand it is, that air entering the venoous system in the way you describe, do not cause cerebral embolisms

    http://www.emedicine.com/EMERG/topic787.htm

    After reading this article, for an adult weighing 65kg (143.3lbs) you would have to introduce at least 200ml of air into the venous system. What is the volume of IV tubing? 5ml? 10ml? The maths dont add up.

    And neither does the clinical picture. Air embolisms cause "acute right ventricular outflow obstruction and result in cardiogenic shock and circulatory arrest. Intermediate amounts of air collect in the pulmonary circulation and produce a pulmonary vascular injury manifested by pre- and postcapillary pulmonary vasoconstriction, pulmonary hypertension, endothelial injury, and permeability pulmonary edema. "

    Are you absolutely sure that you actions, and only your actions, caused a cerebral embolism? Scapegoat comes to my mind

    Be kind to yourself & work this one out. Rationally

    I was on orientation but basically told after 5 weeks i should be able to handle my 8 or 9 patient by myself and that i am too slow - the patient had a central line - so i really feel like it was my fault. the sad part is that nobody seemed to think it was a big deal at all - meanwhile i was devastated. although looking back i do think i should not have been left alone with 8 or p patients - somedays it was 12 patients for one nurse - i was completely in over my head which i still feel is no excuse - i'd also heard before that it takes a lot of air to cause a problem so i really didn't think i would cause harm. i guess i feel like i should have been punished and never was - since then i have been a good nurse - very cautious - and never let myself be rushed to the point of carelessness.

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    i'll try to be as brief as possible but here goes - i have been a nurse for about 9 years - when i was new on orientation i was overwhelmed, rushed, panicked and made a mistake by not priming an iv line properly - the patient got a cerebral embolism and died a week later. since then i continued nursing but have never been able to get over this and have suffered extreme depression. i have never been able to forgive myself for being so stupid - i was a straight A student - the kindest person you could know - since then i have been to therapy - but nothing seemed to help. please try not to be too brutal with your replies.



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