advice ..I'm freaking out

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So as a nurse with little experience I feel I am always learning I graduated in may of 2013 and started my first job in sept . Friday my director called me in stating she was concerned on how I was practicing nursing ...i for one I did not stay with my patient the whole fifteen mins after staring the blood transfusion and in hind sight I relieze that was a safety issue ..another issue is that I didn't give my full insulin coverage because my patient's blood glucose drops in the morning I hadn't realized this was wrong until she brought it to my attention and stated I was practicing medicine ...now I can't sleep I feel sock and just out of energy because I am being investigated by the chief nursing officer and honestly I'm scared will I lose my license ? I honestly didn't mean no harm just doing was I thought was right for my patients ...any advice???

Specializes in Anesthesia.

Both of these issues are silly and other than a verbal warning for not following policy that should be it.

The 15 minute rule has little basis in research. It is just rule of thumb that is the de facto standard at most places. I generally give blood in the OR or PACU through a blood warmer and generally have the unit in within 5 minutes.

The cutting the insulin dose is more of a problem IMO, because if you are cutting the dose and the provider doesn't know about it then how is the provider going to know if they need to adjust the overall prescribed dose. There are variety of things to look at when adjusting the dose of insulin too, and not just a blood sugar a couple of hours later.

We need to mentor our junior nurses through EBP not beat the crap out of them every time they make a slight lapse in judgement.

What the OP described is are very minor lapses, and I doubt a state BON would even seriously review this case.

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Specializes in Psych, Corrections, Med-Surg, Ambulatory.

I'm curious to know what kind of an orientation you received. Did you have any mentoring, or did you just get thrown to the wolves? Is there anyone among your coworkers who could take you under their wing? The first thing I do in any new job is scout about for a go-to person, or a few of them.

I always hope I'm not being too annoying by asking a lot of questions, but most people appreciate when you bother to ask and not just muddle through. Good luck!

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