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Nursing student mistake

jersey244 jersey244 (New) New

I would like some feedback. I am in clinical and I did a procedure that I thought i was allowed but it ended up that I wasn't. I am a first year student studying to be an lpn in Canada and I was wondering would it effect my permanent nursing record in the future or just on my student file. I don't know how it works for nursing in the real world when they make mistaks and if any one whom as a student made a mistake. I didn't hurt the patient or anything just was helping them get dressed before being discharged and undid the cord for the Iv so they could put their shirt on and get it right back asap. I wanted some feedback and advice on this topic and what your experiences have been. I'm pretty upset over this situation and I know we all make mistakes just worried about my record as a future nurse. Thanks for everything.

Help student nurse need some advice.

Edited by sirI

celtchick68

Specializes in Emergent pre-hospital care as a medic.

Call me crazy but I don't see what you did as being a "procedure". The rule for me when I was in clinical was to ask my preceptor if there was any doubt--if I encountered something I hadn't done before I would ask. I can't imagine anything coming from what you describe here and to my knowledge anything you've done during clinical time through your program stays within the program.

I DIDN'T discontinue the IV but put it on hold and undo the cord so I could put her shirt on.Once the shirt was on, I put it back and ran the iv saline again. I thought iwas allowed but told the teacher what I did and she said I may have to redo the clinical because I put the patient's safety in danger and did something that I wasn't trained on yet.

celtchick68

Specializes in Emergent pre-hospital care as a medic.

I don't see how you put the patient in danger (I'm assuming that there was some sort of extension set attached to the IV catheter and that you didn't disconnect the IV tubing from the IV hub and allow the patient to bleed everywhere). I get what you're saying you did and I think it's ridiculous that you would have to redo the clinical. If only my opinion mattered......

Yes, there was an extension set attached to the iv catheter. I did disconnect the iv tub from the iv hub and that started to bleed.

I thought it was the right area and the patient bleed like 2 drops of blood and then connected it right away. I disconnected the wrong part. That's why i let the teacher know what happened and know I'm like afaid of what will happen. The patient was discharged and was happy that I helpedthem out. Hope this makes sense.

Edited by jersey244

celtchick68

Specializes in Emergent pre-hospital care as a medic.

It does make sense. I still don't see it as a big deal. Better to take and make it a teachable moment. Those things are where we learn the best. You'll never disconnect it in that manner again I bet. In the future I would attempt to get very clear and up front guidelines from your instructor/preceptor so these "errors" aren't made again. In my school new skills were to be observed by our instructor and after that was done successfully we were able to repeat that task again unassisted. They just wanted to be sure we knew what we were doing.

I have to meet with the teacher and head department of my college to determine a course of action.

I will learn from this experience for sure.

Yah, they observe procedures 1st when we do them and then assign us off to do on my own latta on but now I lost their trust because I did something I wasn't suppose too. It's hard because I want to be a nurse more than anything. I truly feel bad for this but i'm happy the patient is okay. Are u a nursing student or currently working as a nurse? Thanks alot for your advice. I feel a bit better but i'm still in shock.

Edited by NotReady4PrimeTime
boosting post count

loriangel14, RN

Specializes in Acute Care, Rehab, Palliative.

I am glad that there was no harm done and I hope that you learn from this experience.Never touch any equipment without supervision unless you have been cleared to do so.

I would think having to redo any clinicals would be harsh punishment. When i was in school they made one of my classmates write an essay on patient safety after she did something she wasn't supposed to.

Yeah! I was sick for two days already and it's a 4 week period. We can't miss more than 3 days if we do we have to redo it. So the teacher sent me home so imissed half a day and tomorrow which is 12 hours so i'm sure i'll have too. It totally sucks. I will never touch anything ever again.

Fiona59

Has 18 years experience.

Did you at least swab the port before you reattached it?

You've increased the patients risk of infection by doing this and so indirectly did create a safety risk for the patient.

celtchick68

Specializes in Emergent pre-hospital care as a medic.

Are u a nursing student or currently working as a nurse? Thanks alot for your advice. I feel a bit better but i'm still in shock.

I've just graduated and passed the NCLEX but I've been a paramedic for 15 years.

Fiona59

Has 18 years experience.

I've just graduated and passed the NCLEX but I've been a paramedic for 15 years.

Ah, so you are an American. Nursing school up here can be quite different.

Bubbles_RN

Has 12 years experience. Specializes in Med-surg ICU, Adult psych.

Ok, yeah you made a mistake. I would go to my instructor with a plan around remedial action. For example, you could tell her you plan on reviewing allowed procedures, and perhaps a reflective journal entry on the situation. Be proactive in admitting your mistake and taking action to help prevent further errors.

Oh, and as far as I know, unless there is a complaint filed to your local college of nurses, there wouldn't be a permanent record.

petethecanuck

Has 3 years experience. Specializes in Cardiology.

Did you at least swab the port before you reattached it?

You've increased the patients risk of infection by doing this and so indirectly did create a safety risk for the patient.

\

Yeah I hope you at least swabed the port prior to reattaching. In that situation I probably would have changed the cap too.

Fiona59

Has 18 years experience.

I'm kinda thinking theres more to it than we were told. I mean "a few drops of blood". Seeing as it sounds like a day spent doing ADLs I doubt the OP would have a cap in their pocket and I'm doubting the alcohol swab.

The main thing is has the OP realized that they did in fact endanger their patient?

Also they stated "in Canada". Where have they worked before that this would even be a remotely acceptable practice?

The problem with this whole situation is you performed a "skill" to which you weren't trained to do so. It seems trivial, but if you think of it in terms of pt safety and you disconnected the iv tubing without placing a sterile cap over the female end of the tubing you open the patient to every bacteria that is in a hospital and directly into the blood stream. Plus the hub of the extension, assuming it is a needleless port, needs to be cleaned with an alcohol prep or what is part of the hospital protocol.

With that said keep in mind that if you didn't sign off on the "skill" you can't do it. I don't know if you had the same requirement as I did but I had to have my nurse aid certification prior to nursing school. Through that month of "intro to nursing" you get the beat down of "scope of practice" and learn very quickly what you can and cannot do.

The expection of professionalism and integrity of the nurse starts with the nursing student. I would go into your meeting head forward and write a list of where you went wrong. Define what you plan to do in the future to prevent future mistakes, that would include asking the nurse assigned or having the instructor with you. Admit you made the mistake. But don't defend how it was something simple or compare it to leaving them unattended while confused or anything like that. Tell them why you know it was wrong and the risks you put the pt, you and the instructor in.

I don't think this would follow you into the workforce. When you encounter nurses in the workforce you don't know who was a C nurse or an A nurse. However, this may be a deciding factor in your future in this program. So before you get expelled see if you are eligible to reaply for a second chance or if you can get letters of recommendation to another program. You got in on your merits and grades, you should be able to get into another program.

Hope this helps.

PS you would have been better off to not have connected the IV back at all.

loriangel14, RN

Specializes in Acute Care, Rehab, Palliative.

I doubt the OP would get expelled for one incident.

I would like some feedback. I am in clinical and I did a procedure that I thought i was allowed but it ended up that I wasn't. I am a first year student studying to be an lpn in Canada and I was wondering would it effect my permanent nursing record in the future or just on my student file. I don't know how it works for nursing in the real world when they make mistaks and if any one whom as a student made a mistake. I didn't hurt the patient or anything just was helping them get dressed before being discharged and undid the cord for the Iv so they could put their shirt on and get it right back asap. I wanted some feedback and advice on this topic and what your experiences have been. I'm pretty upset over this situation and I know we all make mistakes just worried about my record as a future nurse. Thanks for everything. Help student nurse need some advice.
Jersey...Got to the post from allnurses.com and read my comments. You should not have to repeat the whole clinical...just read my comments. You can get me on Facebook if you like if you need an ear to bend...there are many helpful comments there under that post, one in particular is not but you will see what I mean when you go through them...when in doubt always ask,.but in my honest opinion the only thing you did wrong was not check...your instructor needs to woo dab or do some yoga...just learn from.it.. ;)

I would like some feedback. I am in clinical and I did a procedure that I thought i was allowed but it ended up that I wasn't. I am a first year student studying to be an lpn in Canada and I was wondering would it effect my permanent nursing record in the future or just on my student file. I don't know how it works for nursing in the real world when they make mistaks and if any one whom as a student made a mistake. I didn't hurt the patient or anything just was helping them get dressed before being discharged and undid the cord for the Iv so they could put their shirt on and get it right back asap. I wanted some feedback and advice on this topic and what your experiences have been. I'm pretty upset over this situation and I know we all make mistakes just worried about my record as a future nurse. Thanks for everything. Help student nurse need some advice.
P.S. The post from allnurses.com on Facebook LOL left that part out friend me if you want
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