New Nurse In TEARS...

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Specializes in Medical.

so i just got home this morning from the worst shift thus far...im a new nurse since july 08...been on my own now for a little over 2 months...i thought i was doing fabulous...i felt confident...well that all came crashing down this morning...my patients last night were all ok...had them the night before so it wasn't bad at all...early this morning when the doctors came pouring in is when it all happened....one of my patients with a low Na level was on 1000 mL fluid restrictions...orders had been written to take the water pitcher out of the patient's room...well this little old lady...confused as can be...still had the water pitcher in the room when the doctor walked in this morning...i kept track of her i and o all night....she was a fall risk...so the bed alarm was on and all 4 side rails were up...she didn't get up or stir not once all night...so i know that she didnt get to her water pitcher halfway across the room on a table...it was my fault that i should have noticed it and took it out...but i didnt...the doctor totally freaked out this morning and screamed at me at the top of his lungs in front of everyone...her sodium level had dropped 2 points from 128 to 126...i wanted to crawl in a hole and die...i missed something so simple and it kills me...i know i will make mistakes but it is totally embarrasing when you get called out and yelled at like a child in front of all your coworkers...so i took that like a man...kept my composure and finished up my shift...my manager called and asked me to wait for her this morning...so reluctantly i did...and she proceeds to tell me that she got a complaint from a tele monitor tech and a patients daughter....this man several weeks ago was on tele...his leads would not stay on after numerous interventions...and i mean numerous...i changed the patches more times than i care to count....got a new monitor...shaved the man's chest and washed and completely dried him off...but to no avail those dang leads wouldn't stay on....so i did all i could do...well the day shift nurse failed to report to me that this patient was staying the night specifically for tele monitoring...all other medical issues had been resolved...no where in the patient's chart did it state this...not nursing notes...not physician's progress notes...not physician's orders...nowhere...so i pretty much would go in the patients room every time the tele tech called and reinforce this guy's leads...charge nurse even agreed all efforts exhausted...well i find out this morning that this guy ended up having to stay an extra night because of it...the daughter was livid...filed a complaint and threatened suit againt the hospital and me...and on a side note this daughter was a tech on another floor in this same hospital...so needless to say this morning i am freaking out about being sued...my manager told me not to worry about it but i can't help not to...i feel like the worst nurse ever...i feel like i try hard and i know the first couple of years are the hardest but im seriously doubting my career choice...i really feel like i don't like my profession at all...i absolutely dread going to work every night....i was in tears the whole way home...and i guess the 2nd thing on my agenda this morning is to get some set up...just had to vent...would appreciate any thoughts/suggestions...i dont want to give up but its sad to say that i really hate being a nurse

Specializes in ICU/ER.

My adivice as simple as it is ---go to bed and get some sleep and I swear you will feel better once your fully rested.

The Dr should not have yelled at you for the Na drop. She didnt drink her water and you know that---I have had pts with a lot lower Na than 126!!

The daughter was mad in general and you were her target, you did what was right.

As long as you do your best every night and do what is right for your patients--let them yell, soon it will not get to you as bad as it is getting to you now.

Go get some rest!!!

The daughter cannot sue you nor can the man. There was no damage done to the man and that is a requirement of malpractice.

also next time a doc starts to yell at you either tell him or her to stop it, that you will not be talked to like a child or just walk away from them. Do not tolerate that. You do not work for the doc.

Specializes in Hospital Education Coordinator.

Sorry you got the brunt of this. I bet the family has aggravated the MD so much that he finally took it out on you. Take a deep breath, and just continue to do a good job. Remember, accepting verbal abuse is NOT in your job description.

Specializes in ICU/Critical Care.

Yeah, they can't sue over having to stay another night in the hospital. It's their choice. They either stay or they go AMA and have to deal with the insurance company possibly not paying for the entire stay. You are new. You will learn in a short time to stand up for yourself. Next time, a doc yells at you for something as stupid as a pitcher in a patient's room say "You have no right to raise your voice to me like that." and walk away.

Now go to bed and get some sleep.

Specializes in LTC, Med-SURG,STICU.
The daughter cannot sue you nor can the man. There was no damage done to the man and that is a requirement of malpractice.

also next time a doc starts to yell at you either tell him or her to stop it, that you will not be talked to like a child or just walk away from them. Do not tolerate that. You do not work for the doc.

I totally agree with this post. The doctor felt like being a jerk at that moment and you was the target.

There are just days that you have to tell yourself nobody died or was hurt by what I did or did not do, so that is good enough. You will forget things because you are human. It does not sound like your patient was hurt, so try not to let it happen again.

I agree with the above posts. Getting some rest should help alot. When other people freak out like the patient's daughter and the doctor did, it usually has very little to do with you and alot to do with something else the person cannot deal with. When yelled at like that by a doctor stay calm and tell them that when they can handle themselves in a professional manner you would be more than willing to discuss the patient's care, and then leave the area if the bad behavior doesn't stop. You are not there to be abused by doctors.

Get yourself some insurance regardless of what happened today... it is fairly cheap and covers YOUR butt. Not having it is NOT WORTH IT!! You also need to have it before anything bad happens as it will not cover what happened before you had the insurance. (you cannot wreck your car, go get insurance a few days later, and then expect the insurance to fix your wrecked car... ).

Hope you feel better soon, and that things improve for you. Make sure that you document problems like you were having with the leads staying on, and everything that you did to fix the problem. If it means that you write a little blurp in the nursing notes every 1/2 hour because the leads will not stay on, then do it because it shows that the problem was being addressed and what steps you took to try to fix it. Anyone can pull the file and see that you were addressing the problems with the leads, and not ignoring them. They can accuse you of what ever they want, but you have documented that you were providing adequate care and trying to resolve the problem.

~BlueBug

Specializes in Medical.

thanks for all the responses...i feel better knowing that i cannot be sued since no harm was done...that is a total load lifted

Specializes in Med-Surg., Agency Nursing, LTC., MDS..

I absolutely agree that you need some good sleep. Then you can gain a better perspective on the events that have upset you. Stay open to learning and you'll feel better about yourself.

Specializes in geriatrics.

Document everything! If you are unsure than write your nurses note. If it were me, I would write a brief blurb each time I went in his room and had to mess with the leads. In LTC, at my facility, we are told to CYA in all circumstances. Sure it is additional work but it may well be worth it in the long run! ? I got mine befoe I even went on a job search! Hope I never have to use it but I feel a lot better knowing it is there!

Ignore the physician. After a while you will feel confident enough to call the physician out on their yelling. There is ZERO reason to yell at another human for this kind of stuff. I have physicians get ugly and raise their voice with me....I simply turn around and walk away or I hang up the phone.

There will always be that patient that complains about you or the family member who requests not to have you or complains about you. Most often that not it occurs secondary to loss of control. They feel that this is something they can control. Nothing unusual for the charge nurse or manager to let you know that so and so's father doesn't want you back because of xxxxx. It's generally nothing to even worry about.

Specializes in school nursing, ortho, trauma.

You'll get used to bratty patients - and even brattier families - threatening to sue you over things that you actually have no control over. I was once threated by a patient who had been discharged, but was upset that I couldn't get in there right away to give them their discharge instructions because another one of my patients was coding.

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