I also suggest finding a med surg floor for your next position before going to the ER. Find that person on the unit that is good at starting IV's (not all places have an IV team), and go with then and watcht them start IV's and even have them watch you the first few times you try. Always try, this is the only way you will get good at IV starts.
If your new facility doesn't have an IV team ask to spend the day in pre op and do all the IV starts. It will give you a lot of practice.
nrsang97 replied to NRSKarenRN's topic in Disasters
DMC is run by Tenet which is for profit. Siani Grace has been a mess for a long time. I have never heard any good about working there or any other DMC facility except for Children's Hospital.
Those nurses were not really wanting to leave, but wanted to get extra help. Where were the nurse managers and assistant managers? Why weren't they working the ER with them?
I work for a different health system in the area. Our managers get out there and help.
How management has treated their staff at DMC and especially Siani Grace is awful.
I have had an attending in the neuro ICU request that I call him by his first name. If I called him Dr.Smith, he would say no, call me John. Most residents we also called by first name too. I don't have any issue with being called by my first name.
I have taken an ultrasound guided IV course. I have never had to opprotunity to use this skill on a patient. So when a patient asks me to go get the ultrasound, I respectfully decline. I explain that I have no experience outside of the lab doing so. I work nights so I let the patient know that we can have anesthesia try for an IV, but if they have nothing due overnight that we will call PICC team in the morning for an ultrasound guided IV.
Saying that you do not have the skill or do not know how to do something is not completely wrong. Not following up and getting someone that knows how is the problem.
Women especially use baby talk like that. It makes me mad LOL.
I happened to pick up a different shift once and I went to a floor for a rapid response or IV call (can't remember which), and one of the nurses asked if I was the "new rapid response nursey?" WOW!? I am not a nursey. I just looked at this other nurse like she was crazy and told her no that I was the rapid response nurse from nights picking up another shift.
O2 Stat makes me cringe.
Definitely the patient who has a sudden personality change when someone else shows up.
People who do NOT ever try to start their own IV. They just call the rapid team or IV team (if your facility has one). Then claim to "suck at IV starts", but will never try themselves. You will not improve if you don't try!
Jeeze when I was induced having my son, I helped the nurse program my IV. She was new to the unit, but not a new nurse. I usually don't tell people that I am a nurse, but I inadvertently give it away.
She sounds like a nightmare to deal with.
I have banged my head on the shelf by the bed in our neuro ICU that we put our tube feed pumps on.
I have hit my head on those tv that are on swing arms.
I have tripped over IV tubing and foley tubing, thankfully not pulling either of them out.
I have sprayed myself with tylenol giving meds down an NGT.
I taught my 9 year old to swallow pills with a tic tac. He takes concerta for ADD and it is about the same size as a tic tac, so it worked perfectly. He now swallows them without water.
I was his age and couldn't swallow a pill at all. My grandma would smash them and put them in chocolate sauce. I was at least 12 or 13 when I learned to finally swallow pills. I still have trouble with especailly large ones.
You are being way too hard on yourself. You made a minor mistake. Yes the ativan was at the wrong time, but you owned up to it. If any nurse ever tells you that they never made a medication error they're lying.
You have only been a nurse for 6 months. No one is perfect. You sound like you are doing just fine to me. Try not to be so hard on yourself. I have been a nurse for 18 years. I have definitely made mistakes. It doesn't mean you stink as a nurse, it means you're human.
You do not suck as a nurse.