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dergs has 2 years experience.

dergs's Latest Activity

  1. I’m a ICU nurse with almost 2 years of experience in a few months. When I was a nursing aide and a new grad, I’ve made many errors due to lack of knowledge. It’s been a while now and I feel confident in my ability as a nurse, especially on my unit. However, these past few weeks I’ve been having intrusive, panic evoking thoughts about the past when I wasn’t as knowledgeable and competent. For example - when I was in nursing school, I worked prn as a nurse aide on a med surg floor. One night, I got my routine vital signs and one patient was O2 satting in the 70s. I asked her if she felt like she had difficulty breathing and she responded that she always felt like that. Due to my lack of knowledge I charted the vitals and went on with my night without letting my RN know verbally. It wasn’t until the am when the RN reviewed their MAR and we urgently sent the patient to the ICU. There wasn’t really any follow up to the mistake I made except for another RN telling me a week later what happened (the patient ended up OK after all was and done). It wasn’t really until after I progressed further in my nursing career until I realized how much of a mistake I made. This error, as well as others that I’ve made, even after much time has past and I’ve admitted to them, learned from them, I can’t seem to move on. I am anxious, unable to sleep at night often because of errors I’ve made months and years ago. How do you all cope/forgive yourself for the past? Thanks for reading.
  2. dergs

    Leaving tasks for the next shift

    I work in a medical intensive care unit. My first patient actually had continuous hemodialysis central line going so he technically did have another site, but it's really only meant to be used as access if theres an absolute emergency.
  3. dergs

    Leaving tasks for the next shift

    On my unit it's policy that we need to have at least 2 peripheral IVs. During my shift last night, I had a pt with a dialysis fistula thus only 1 arm. He originally had 2 IVs at the beginning of my shift but during my initial assessment, one of them was leaking when I tried to flush it so I took it out and tried to put in another one. I wasn't confident in my ability to put another in because his veins looked really beat up so I brought another nurse in. We both tried with no success. The doctor came in to attempt to put an IV in with an ultrasound and the pt responded by yelling at the doctor and refusing any more sticks. The pt was not receiving anything IV so the doctor verbally informed me he was ok with only 1 IV. Later during my shift, I get an admission who also had a left arm fistula. The ED only was able to put one IV in. Once again, I had another nurse look with me and we both tried and didn't succeed. This patient also started yelling at us for our failed attempts. I told the doctor about the access issues and she said as long as we don't need to give anything IV she was ok with it as well. When day shift arrived, I let the oncoming nurse know that I wasn't able to get a second IV in both my pt's but there were no plans for infusions and the doctors were okay with only one. Despite these tasks, all my labs were drawn, electrolytes repleted, baths done, and all that other good stuff. I normally never leave these kinds of tasks for other people, but both patients were to the point of verbally abusing out staff and refusing our care. I felt bad and kind of a push over for not continuing to attempt to put in an IV despite the patient's complaints. How do you overcome patients like this? Is it okay to leave things for the next shift?
  4. dergs

    New Grad Anxiety

    I'm a new grad nurse with 3 months of ICU experience, 2 weeks off orientation. I know it isn't a lot of time, but I find myself making mistakes that I beat myself up over all the time. These mistakes may just be tiny charting errors to two med errors that I've made (both of which caused no harm, but still shook me to the core). Even when I have days where nothing went wrong, the bad days overshadow those positive experiences. I've been told by coworkers on my floors, as well as, my manager and assistant managers that mistakes are all part of the learning process and you're doing more good than bad and to embrace those mistakes as learning experiences. But I can't help to still have the "I will hurt my patient/get fired/lose my license" mentality over every little thing I do. Is this a normal to feel this way? Do these feelings start to wean over time? Thanks!
  5. dergs

    Calling the unit? Mistake?

    Hi I'm a new grad nurse who has been working on a busy ICU for 3 months. This is my 2nd week off orientation and I constantly get the feeling that I forgot not necessarily to do something, but to chart it. We use electronic medical record, but sometimes it's easy to overlook something small. Anyway, I had a 3 patient assignment today due to understaffing, but left with my head held high knowing the amount I accomplished in my 12 hour shift. Throughout my 12 hour shift, our charge nurse was charting small things for me, which is common with a heavy patient load. When I got home, I got really worried that I forgot to chart one of my restraint checks. I was really panicked and thinking of going back in to check myself. I ended up calling my unit in which the night charge picked up and let me know that I didn't forget to chart it. Was it silly of me to do this?

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