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JessaAustralia's Latest Activity

  1. JessaAustralia

    I made a medication error.

    I'll give you some background. I'm a new graduate nurse, LPN for Americans. Enrolled nurse for Australians. I work at a aged care facility all high care. I've been out of school about 3months. I got to work this morning and I'm told one of the residents has had a heart attack . I'm shocked, was nothing about it in handover. This came from a AIN. So another AIN gets the notes and reads them and says no, she went to hospital for a appointment. Ok, that was cleared up, so I thought. Later the DON calls me into his office and says I need you to look at this incident report. I didn't give the resident mentioned above 2 of her tablets on the morning of the 22nd. One of which was a BP tablet. My heart sank, it was just the worst feeling, thinking I could have really hurt someone. I had signed the medication profile saying that yes I gave her two packets of medications when I only gave one. Don said to me, just make sure you don't sign for something you haven't given. That was it. I in a panic went back to my wing and went through the notes, the RN documented that the meds weren't given previous morning and the resident was sick , upset stomach and feeling nauseous. BP was 86/53, RN sent her to hospital. Hospital notes say this resident was normal when arriving at hospital, obs were all normal, though she did have a UTI and sent her back with antibiotics and antimetics. Which I'm very thankful for. (Obviously AIN didn't read notes very well) I was really upset because I thought I had hurt someone, but I'm really angry that the RN told the AINs that were on shift that she had a heart attack. This is what came down through the grapevine. I will absolutely take that as a huge learning experience but I feel that this RN should have kept that kind of information back until they knew what was really going on. I was working that day on another wing, I spoke to this RN on the phone several times that morning, why didn't he say something to me about it? but could tell the AINs? Maybe I'm just still shaken by the whole thing, I feel like I can't get what I should have done, didn't do, might have done out of my head. That is an everyday thing. So afraid of losing my nursing license/registration or hurting someone. I always double check my medications after each round. I still missed those. Jessa
  2. JessaAustralia

    CNA's on your floor?

    Though a lot of acutely unwell people can still walk and shower themselves. When you have 2 people to 12 residents that aren't self caring at anything. It becomes a much harder job. I say give credit where credit is due, these men and women that are carers/CNAs are working damn hard and not getting very well paid. If it wasn't for them, a lot of these places wouldn't run. I know I've been told by my own friend that I should be a nurse that helps the carers and that nurses sit around and talk and have it easy. Well sometimes I wish I had the extra time to help! I wish my job wasn't all paper work and making phone calls to doctors. It isn't always what it seems from the outside looking in. Not all my carers are lazy all the time, and I'm sure is the same for your CNAs. Maybe they need to be thanked as well sometimes and feel important as they are not just CNAs, they should be treated as a important part of the team. A CNA that has brought you information about a patient weather it is trivial or not should be listened to. That is your JOB! They should be telling you when something is noticed but not emergency, so it does not get to that stage. RNs and LPNs should be educating their CNAs as a role of a nurse is always to be a educator. Take the step up and ask them to do something if it isn't getting done instead of running to the DON. You will get a lot more respect and help from them treating them as team members instead of dirt under your shoe. I'm also wondering why you don't always know if your patients have gotten showers today? You should know what's going on being the RN and since uneducated staff are being used to make sure obs and showers are done. I wouldn't want to be working under most of you, you should never treat someone on your team like they are under you. Treat them as your equal, it shouldn't matter how much education you have. Seriously disappointing that nurses behave that way.
  3. JessaAustralia

    CNA's on your floor?

    I have to say, if you work in hospital and you have someone to do the showers and linen change for you that's great!. That just doesn't happen here in Australia, though CNAs are starting to come in slowly. I do feel your anger though, I work in a nursing home and my carers (not quite a cna) are sometimes very lazy. In the mornings they start out great. I do get complaints from residents that they wanted to get up an hour ago, but when they have 12 residents between two it's damn hard work. It's when I go into a residents room and they say I've been waiting for someone to answer my bell for ages and now I'm soaked, my chair is soaked, etc etc. NOT HAPPY. The carers are no where to be found and I can not hoist this lady on my own. I don't get to carry a pager for call bells, so if I'm busy doing wounds or notes I have no idea these people need anything. It's very frustrating, and where I work it's basically if the carers didn't do it oh well. They can't really afford to fire staff as they just can't get enough carers.
  4. JessaAustralia


    Reading your post just reminded me of myself! What your going through is normal and infact I had a wonderful lecturer say to me once that I know your going to make a wonderful nurse because your scared to death of hurting someone. She said the most dangerous and unsafe nurses are the ones that go in and think they know it all and don't worry or think about what they are doing. On my first clinical placement on a medical ward my preceptor kept on and on about how slow I was and had no confidence. She was right, I had many times I left the room and went to the toilet and cried my eyes out. I felt like I had no idea what I was doing. Please trust me it does get better. I have just graduated in July. I still don't know everything and have so much still to learn as I would expect from all nurses, but as you learn and you spend more time on the wards it will all just click and you'll be amazing yourself.