My worst mistake is something that almost made me quit. I was new to tele. I had gotten an admission during the night. He came to the floor with a pt of >110 INR >10 and ptt >140!!!!!!! All the ER doc wrote was No coumadin and he said he had called the attending prior to admitting. Any way the pt was in SR with a BBB. After I had asseessed with I left the room to do something I came back about 20 minutes later and the stopcock on his IV had came loose and he was lying in a pool of blood. I mean a pool it was so much we had to get a new bed. His blood was running out of the IV so fast . Welll anyway he started have frequent PVC.s while we were cleaning him up. He what I thought was a 27 beat run of V-Tac, then went back to SR with BBB. However, it wasn't Vtac it was a junction rhythm was a bbb. I called the house dr and he ordered a Lido drip and vit K. I gave both.
I felt so bad later. That's when I decided you have the be assertive when things don't feel right. I should have demanded the ER doc treat before sending the pt to the floor. I should have called the attending myself after the pt arrived, I should have made the house dr come to the floor. And I should have made a more experienced RN look at the strip. I learned alot from that experience. Thankfully no harm came to the pt.