newgrad1988

Yes that was my main concern. Child was calm and content immediately after. I tend to stew on things when I get home from my shift and it stresses me out. Thank you for the response!

I work in a Peds office only PRN so I don't do injections all to often. Today while working I had to give a Rocephin injection. While injecting the med into the child's leg, he started moving his leg around a lot that I hit bone. I've been a little uneasy thinking about the incident. Is there any harm that could occur, other than some pain and brushing at injection site, that I should worry about? I feel like the needle was moving around in his leg scraping his bone a little bit while I and the other nurse with me were trying to stabilize the patient better. Could I have possibly hit a vein during this incident even though I aspirated at the beginning and no blood? Thank you for your thoughts.

Title: Going Back to Chart I would just like a few opinions on this. I work at a pediatric office and mainly do triaging. Sometimes when I get home I remember pertinent information that should've been charted at the time of the visit. I usually work one day a week so I can't just add it the next time I am there, it would be too long after. I have called another nurse the next morning to add a note for me but I really don't like doing that cause it's not their work, it's mine. I have also gone back after my shift to add in the additional information, but I feel weird going back there when no one else is there. What are some of your thoughts on how I should handle this. Thanks for the input!

How do we overcome this self doubt? That's the biggest thing that's eating me up inside. Any suggestions of things you've done that helps?

What do you do if you are realizing nursing is not for you? My dad has always encouraged me to become a nurse and for a long time I wanted to too. I did internships in high school that I loved so I thought that doing the nursing route in college would be the way to go. I struggled with feelings of uncertainty all throughout nursing school thinking " once I'm working I'll enjoy nursing". Well now here I am, a nurse and I'm not so sure I love it. I WANT to love it, but every time I come home from my shift I start thinking about all the things that could go wrong with the patient and what if I did something or didn't say something to them that could now cause them harm? I guess I'm just looking for some thoughts on what others have done in this situation. A part of me would feel like a failure for giving up on nursing when I've only been working for not quite a year, but a part of me just wants to be done a do something that makes me happy.

So if you have looked through all my past threads you may notice that I get really concerned about small things and it causes me a great deal of anxiety, like feeling sick to my stomach. For instance, last night. I work at a pediatric clinic where I triage the after hours calls. A 3 week old patient was having cold symptoms so I asked the parents to get a rectal temperature. (In our office protocol to get a rectal temp on babies if less than 1 month). The mom had the father do it while I continued to ask questions to the mom on the phone. The temp came back within a normal range and I gave them some suggestions of some things to do and then we ended the conversation. I got home and realized I didn't even ask if they knew how to take a rectal temp. I'm getting really concerned about it due to the possibility of perforating the bowel! I really hope that wasn't the case, but how likely is it that that could happen? How quick do symptoms start presenting after a perforation? It's things like this that are really starting to make me question if I should be working in the nursing field after all. It's always been a lifelong goal, but now I'm rethinking it. I just have a great amount of anxiety before I go into work and especially after where I question everything I did that night. I would really appreciate some words of advice in what you would do about this. Thank you!

Yes, that's exactly what I was meaning. I'm very well aware they aren't antibiotics... Thank you for the responses. Next time I need to use the LET I will make sure to ask for clarification on how the dr wants it done.

I'm sure it can and is probably a good idea, but I was taught to apply it directly to the wound. I've only used it a few times so I'm not 100% sure. Maybe I'm doing it wrong?

I have looked it up but haven't found much info on it. There have been a few studies, but not many results. I wanted to hear from experienced nurses and find out what you all know about it.

I work in a pediatric office and we use LET (lidocaine, epinephrine and tetracaine) on wounds before we clean the wound and prepare it for stitches. I am curious whether or not the LET gel has any antibacterial properties in it. I question this because the syringe of LET we use is multi-use and it concerns me about possible cross-contamination from one patient to the next. Would love some thoughts and feedback about this. Thank you!

What did your co-worker do? I work at a clinic and feel like maybe the patient needs to come back in?? What are your thoughts?

Ok, kinda weird/probably very paranoid question... Tonight while irrigating a wound with hibiclens prior to the patient getting stitches, I breathed out and a small about of drainage came out of my nose, just like sometimes when speaking and a little spit comes out. I have no idea where it landed, thought maybe it could've landed in the container with the hibiclens, not sure, but I kept using it to finish irrigating the wound. Now that I'm thinking it over I probably should've dumped out the solution and started over just in case. I'm a little worried due to thinking "if" I was a carrier for MRSA, could I have exposed the patient to infection? What are your thoughts on what I should do? Thank you in advance!

Thank you everyone! I really need to calm down, relax and let it go or I'm in for a long, stressful career!

Question... Today while giving vaccines to a 6 month old, I had to apply a new clean needle to one of the vaccines I was giving due to being contaminated by touching the patients skin before the actual injection was given. I definitely remember cleaning off the skin with an alcohol swab prior to the first vaccine, but I can't seem to remember if I re-cleaned the area. I do remember the skin looking a bit red and splotchy before giving the second injection, however. I'm freaking out some in thinking I could've given this baby an infection! What are some of your thoughts on this matter? I know I tend to worry about small things all the time, but this is causing me a bit of anxiety. Thank you in advance for your thoughts!

Thank you for the input and advice! I will be using safety needles from here on out!