cjp1994

Yes she didn't feel like giving it so it was easier for the "students to give them". I clearly wasn't looking carefully enough because I made the error and the instructor was with me at the time of the error.

I fully accept that the error was mine but I don't feel as if my instructors actions were appropriate, I think she also missed the error.

Hello, I'm having a rough go in clincal at the moment, my current instructor is not open or upfront with me and I will share the entire story. The issue with her started 2 weeks ago when, I had made a minor med error and it was to a patient that I was not assigned. The situation felt like I was rushed and not given adequate time to read the MAR as we were finishing up and the patient got 100mg of Gabapentin instead of 300mg as I only had 100 in the WOW and the order was changed that morning and I didn't know as it was not my assigned patient and I didn't have the patients info. The Nurse to whom the patient was assigned didn't "feel like giving the meds". The clincal teacher instead of saying anything at the time decided to "fix the error herself" and notify me after not in person but through email. This situation allowed me to learn and since then I have not made an error (it was my only error ever, I'm second year PN). I think this teacher is judging me as, I feel like she has made a predetermined judgment about me and I feel really outcomfortable around her as she gives me a bad vibe. Instead of telling me her critiques constructively and pulling me aside and telling me how I can approve she's passive aggressive and is critical of me in the Formative Evaluations but says nothing to me in person. The teacher keeps saying that I'm clicking on the MAR when giving my assigned patient meds without scanning which isn't the case and it doesn't help my anxiety when she's constantly over my shoulder watching me give meds. I haven't had these issues with my previous instructors they all had good things to say about me and said that did a good job reading the MAR and administering meds and the previous instructors trusted me and the nurses and staff on those floors had nothing but positive things to say. This teacher also said that I don't understand the difference between PRN hydromorphone and CR hydromorphone which is nonsense, she called it breakthrough however I didn't hear hydromorphone PRN being called that in previous placements. I have heard it been called Dilauded but not breakthrough and I know what CR means it had been 6 months since I had given meds or looked at a MAR we lost out on two clincal placements because of the pandemic. The abbreviation CR refers to controlled release and the release of the hydromorph into the blood stream is delayed but the duration lasts longer. I have also been treated like an idiot by other nurses on the floor one told me that I didn't understand what the normal range of 02 is in a patient with COPD and its 88-92%, I have had another nurse keep asking me if I researched my patients meds even though I told her the class of each and the reason for their use and this nurse also asked me my patients diet as if I didn't know what it was. I have been looking after the same Patient for three weeks and I worked as a nurses aide before nursing school so, I'm well aware of what food or fluids patients should be getting I'm not a moron. I'm so frustrated and upset this whole experience makes me not want to return to this hospital for my consolidation in February. This teacher seems to believe that I'm not cut out to be a Nurse however that wasn't what I have been told by other Nurses I have worked with, previous instructors, my patients or my mother who is a Nurse.

Not that I noticed at the time but I've learned from the experience.

I made my first and hopefully last med error it didn't harm the patient but I still feel awful and stupid. While I was giving the meds I wa supposed to administer 975mg of Tylenol and 300mg of Gabapentin (for neuropathic pain), I gave the correct dose of Tylenol however while I was checking the med strip there was only 100mg of Gabapentin and the order was changed that morning, I didn't realize until after I screwed up. My clinical teacher gave the extra 200mg even though there might have been an error from Pharmacy it was my fault and I'm an idiot im in my last year of PN. This has never happened to me before I feel terrible, I feel ashamed, bad for the patient and like I'm a complete moron.

Thanks I actually ended up doing okay I'm just really hard on myself

I'm pretty sure I failed it despite studying the past week for it, I'm so stupid for a postop laxative to reduce straining I chose an oxyomotic rather than stool softener and for dilantin side effect I didn't choose insomnia. Why cant I think logically? I'm a failure might as well drop out at this point ?

Thanks I really appreciate the help and advice! I need to find another job at a better facility or just leave longterm care all together, it's not worth putting my health or career at risk because management sets you up to fail. I do admit to making a mistake however based on managements rule for honour guard I was left on the floor by myself. I have been a nervous wreck lately and need to treat my anxiety so that I can start building self confidence and bettering myself as a person.

I was having a really rough night at work, I work as a psw/cna and we aren't allowed to use soaker pads at the longterm care home I work at anymore because they are "a risk for residents developing skin tears" I had to strip multiple residents beds 3 times and we often don't have enough linen to do out job because they got rid of 24 hour laundry in a longterm care home. I had finished changing the residents bed when I noticed his shirt was soaking wet so, I went to his closet to find a shirt as we didnt have any hospital gowns and I forgot to put the bed down and he sat himself up in bed and fell on his backside as I was coming back to the bed with his shirt. I'm probably going to get fired and charged now and kicked out of nursing school, I'm so useless and stupid ?.

I live in Ontario and its a RPN/LPN program

That makes sense! Is there a chance you could get a rewrite if you were unsuccessful?

What school do you go to? In our program anything above a 60 is a pass

I feel awful right now, I cant believe I forgot to check respiratory sounds when performing an abdominal assessment post bowel resection and forgot to ask the patient (actor) if they voided or had a BM. I feel like such a moron, I also forgot to explain to the patient (actor) everything I was doing. The instructor didnt even want to pass me she said someone else would tally up the marks and grade me. I mean clearly my lab or clinical teacher took pity on me and passed me, I feel like such a failure and feel totally incompetent and like I know absolutely nothing.

I'm really nervous for tomorrow it's my final redemo for lab, I know I'm going to forget something, make a mistake or say something stupid! I was awkward when practicing with my classmates and kept forgetting steps even though, I was confident while going through each assessment in clinical.

I always thought, I was stupid, I really dont know why the college I'm in accepted me into nursing school, I may have an 82% average currently but that means nothing. I'm slow at work as a CNA and, I said something incredibly stupid, I always say stupid things it's why, I dont answer questions in class anymore lll know lll be wrong. I feel like I know absolutely nothing, tonight a resident fell at work no visible pain had full range of motion in upper and lower extremities no visible injuries or bruising and was oriented and alert. I was able to get her into a sitting position with the help of a coworker and, I thought we could've stood her up even though work policy is no lift, but the nurse suggested we use the lift to get her up, I stubbornly thought she could've stood up when, I asked my mom about it after work she said the resident could've had a hairline fracture. I'm such an idiot for not thinking of that ?. I'm a pain in the rear to work with a burden and a thick headed moron ?.