Past two days, I have been taking an ACLS class, today took the certification exam and can now start adding the proverbial alphabet soup after my name.
The new way for BLS CPR is completely different. No longer the 2:15 ratio, but now the 2:30 ratio. Getting past confusion, and learning how to run a code, made what I refered to as organized chaos a little bit more organized, and I now see the method to the madness. I also gave me a heads up as to what meds are going to be pushed during a code.
Work has been keeping me busy. My manager has contantly been giving me positive feedback, and it has been noted by many of my co-workers, that now with 11 months of experience under my belt, that I am now calm, cool and collected when a situation arises.
I have really kept my sense of humor and don't let things get to me. When the nutty (whether they are an almond, cashew, or peanut) family member approaches me, I just take it in stride and keep my cool. No use getting myself angry, or upset. I just take what they say with a grain of salt.
I am also not afraid to question a MD's order without hesitation. If I feel something is not right, I will question it.
Two weeks ago, I had a patient in for alcoholic pancreatitis. They had been NPO for 5 days. New resident who was in their 3rd day of practice comes up to me and promptly tells me that they are going to D/C the patient. I looked at the resident as if they were crazy. (I did not know the attending was standing behind me.)
I told them that the pt has been NPO, we don't know if they can tolerate a diet. And their lipase levels on the lab went up. Resident then says to me it only went up a little bit. I then said it went up 50 points from a normal number. We don't know if it is trending upward.
His responce was "I'm the doctor and your the nurse, (saying it as if I am lowly and uneducated.) and I am going to d/c the patient." I simply responded with, "and how long have you been out of schoo?" 1.5 months, "And how many days have you been practicing?" 3 day. "Do you know what the purpose of an RN is?" To carry out what the MD orders. "Wrong, it is to cover your gluteous Maximus."
At this point the attending stepped in, and just said to the resident, follow me, went into the stair well where they were chewed out. Resident came out with a dejected look, said sorry followed by lets keep the patient atleast 24 more hours. Fortunately the pt tolerated their meal and the numbers were just an abnomally.
And the resident last time I saw them was trying to get on my good side now on the last pt that I had. They asked me what did I think was the best course of action. I guess they learned their lesson, never insult the nurse.
The latest class is going to be so much fun. Got to head to sleep for tomorrows shift. Can't wait!!!
Adam, RN, ACLS