nomad_2888

Better safe than sorry with that EKG prep. Now, about that nitro situation – if 2 doses were administered, why not a 3rd? Did the nitro relieve the chest pain? Did you update the doc on the chest pain relief along with the supplemental oxygen? A 12 lead EKG is typically initiated for any change in rhythm...Also if the patient is SOB, giving oxygen to be safe is...no bueno. Too much oxygen can cause just as much damage, especially for early ARDs. When unsure, call RRT! Keep the charge nurse in the loop if the doc's MIA. Don't feel discouraged for advocating for the patient. Soft heart, and a steel spine ❤️

I could only imagine the heartbreak you're facing right now. Keep in mind the ED is a specialized area, even experienced nurses spend months of training before hopping the bandwagon. I've noticed that hospitals are hiring new grads in these high acuity areas without regards to quality patient care. We wonder why the preceptors are drained, why the staff turnover rate is high, and why thousands of new nurses like yourself feel discouraged. I'm not sure if it's just a part of the hospital's rat experiment in hiring these new nurses in these areas to see their level of competence, or if the hospital just really doesn't take the patient in account. Your job is to monitor, to care for and advocate for the patient. The management's job is to advocate and care for you. This sounds like a management problem. Take care and best of luck to you!