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Discussion

Mistake!

I've been working on a postpartum/newborn nursery unit for 7 months now. MOST of the time I'm feeling pretty good about how I'm doing, but of course I do make mistakes from time to time. Usually just stupid things like forgetting to sign something on the chart. Yesterday, however, was one of the bigger ones I've made. I called a doctor with lab results on a baby and received an order to stop phototherapy - or so I thought. I heard later that the doctor denied giving that order. I can only assume the dr. said CONTINUE photo and I heard DIS-continue. What I'm afraid of is that I must not have read back the order like we're supposed to. The baby had to go back under the lights and the mom was upset that she had to be discharged and leave the baby. The worst part is that when I got the lab results I wasn't expecting the phototherapy to be stopped, and I told the mom that too. So I don't know why I heard it wrong.

Anyway - it's just hard to go back to work today after making that mistake and even having to see that baby or the mom, or the doctor . . . and I don't know whether I've been written up for it or not. The nurse who told me about it (my former preceptor) was very nice about it, told me not to worry, etc. but I can't help but worry & be upset. And I know I won't feel better until that baby is discharged. I know making mistakes can be the best way to learn but I HATE it, sometimes I wish I were at a desk job where mistakes didn't matter so much.

Well, mostly venting & thanks for reading.

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I have to agree with Jolie, again from personal experience. My son was permanently and significantly injured as the result of medical misadventure. (I use that term deliberately, because I genuinely believe there was no intent to harm, and the practice that led to his injury has changed.) If the doctor involved had even just once said he was sorry for what happened, we could have accepted that and moved on. But he never, not once, said he was sorry. Not for the three additional months of hospitalisation, not for the lost future, not for the profound changes his inattention brought all of us. I don't for a second think that any of us in health care is infallible... we are all human after all. Then why is it so hard for us to say, "I made a mistake. I'm very sorry. I won't do it again"?

I've been a nurse since 1995 and I've come to the realization that if nobody died or was permenantly harmed by a mistake than not to obsess about it. Everyone feels bad after they make a mistake--playing it over and over in your head, feeling guilty, upset, whatever. Try not to. There are worse scenarios and in the scheme of your nursing life. So although it's kind of a bummer, it's certainly not something you should let haunt you. Like I said, if no one was hurt or died, just try to figure out how to avoid doing it or something similiar in the future and MOVE ON. We do one million things a day, once in a while we are going to misstep. Be glad it's something fixable (some things aren't).

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