Seriously Ill Patient vs A New RN Who Clearly Did Not Know How To Work in That Area

Nurses General Nursing

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This happened to me about a year ago. I have several serious life threatening conditions that affect my heart and my lungs.

This particular time I was hospitalized is serious condition after waking up around 04:30 AM gurgurling on my own blood, and was desperately gasping for breath.

The Medics gave me 15 litres of oxygen via non-rebreather mask, and rushed me to the ER. My heart was tachy, and it felt like it was going to jump out of my chest.

As the X-ray tech came to take X-rays, I vomited about 2 1/2 quarts of blood. After I was stabilized, I was placed in a room on 6 litres of oxygen.

This happened about a week before Memorial Day weekend, and it was very hot and humid at the time, but was too early for the hospital to turn on the AC.

I was alright laying flat, and on the 6 litres of oxygen, but when my Pulmonologist entered my room a few days later, he turned down the oxygen to 2 litres, and placed me in the high fowlers position. Everything turned black, and I felt like I was going to pass out, and my heart began to race again. When my Physician and my Pulmonologist saw what happened, I was immediately placed in the TCU, with a monitor placed on me.

Then when Memorial Day arrived, my kidneys began to fail. How do I know? Because what small amount of urine I was putting out was black.

I was so uncomfortable, I eventually asked my nurse, (a GN who clearly did know which end she was supposed to think with,) to please place a cold washcloth on my feet to cool me down. She placed a sopping wet one on my feet, and it made me even more uncomfortable.

A short while later, an 8yo was wheeled in after being ejected from a van in serious condition following a head-on crash with a motorcycle. He died a short while later. How do I know? Because the charge nurse, who had a very loud voice, said; "He's gone."

Needless to say, I did not need to hear that, nor did I want my door wide open without my curtain drawn, and the hall light blaring in my eyes.

I rang my callbell, and asked her if she would turn off the hall light. She said she couldn't do that. So I asked her to pull the curtain so the light wouldn't blare in my eyes.

Her response; "I can't do that, because I need to watch you." My immediate thought was; " Wonder where you went to school, and how much homework did you do, or are you brand new, and not yet trained?

That was the worst experience I had in that hospital. When I mentioned about the boy dying, she asked me if I saw it on TV, or read it in the paper, I told her neither, but I just had a clear show-and-tell experience about it.

After I got discharged, I asked my doctor to please put me on hospice. I did not want to ever even see the inside of that hospital again.

Well, a few months later, I was back in there, but in a much more comfortable room. In fact it was private. But when they came to transfer me into the accute care area, I asked them if they hire brand new graduates and place them in the TCU for training. I said they did not belong in there until they learn something first, because they are placing peoples' lives in jeopardy.

After they got me into the Accute care area, the one nurse whispered in the reveiving nurse's ear about treating me with TLC, because I was onto them.

Is this standard practice in other hospitals, or is this dumbbell experience I had just an isolated incident?

Specializes in LTC, CPR instructor, First aid instructor..

Thank you, BL. In the first place, I loved being on the giving end too. Admittedly,I'm not very good at being on the receiving end. I have been here much too long, and am fighting to get better. In fact, I'm now walking, which is a miracle in itself. If only some of the younger RNs fresh out of school would listen to the older RNs, IMHO they would learn much faster, and would have a much better quality of education. The particular RN I was speaking about, was one fresh out of school, and I don't know if she even had her license yet, but I have heard so many older staff nurses in acute care complain about the new hires not even knowing how to do very much. That is a fact with PSU, because they expect their students to do their homework, and to know what they are doing. How can they if they don't? That's what my real concern is. In fact, I heard a staff nurse complain about new GNs not even knowing how to take a BP correctly.

(((Fran)))!

That sounds like a really awful experience for you! I think sometimes it is harder on us because we see all the things that we would handle differently, and are extremely aware of the reality of what is going on around us in these situations. That had to be emotionally wrenching to witness when you were so critically ill yourself.

I know that sometimes ( more and more frequently) a newer nurse with minimal training in an area will be pushed into working that area by admins who se "a nurse is a nurse". An uncomfortable situation at best for the nurse as well as the patient who is able to recognize her discomfort. I can't say this was what happened to you, but if you have concerns after this long it would probably do you good to write a letter to the hospital about this, then decide whether or not to mail it.

Hope we see more of you around again - I always enjoy reading your posts.

Specializes in LTC, CPR instructor, First aid instructor..
Without meaning to be insensitive, my question would be why you are bringing this up a year after it happened? While what that new nurse did wasn't exactly the greatest, I wouldn't exactly call it incompetence.

Is there something else going on here?

Perhaps I should have worded it differently. Perhaps it wasn't exactly incompetence, but was the lack of knowledge. That's what I'm talking about. Sorry if I misled you guys, I didn't mean to.
Specializes in Trauma,ER,CCU/OHU/Nsg Ed/Nsg Research.

Fran,

I have enjoyed reading your posts over the last several years, and yes- you are always a big supporter of new nurses, and nurses who are having issues (plus, I like your jokes).

I wish you had found the support you needed from your fellow nurses here. So often, we are harder on each other than anyone else. Maybe some are doing that to you, while accusing you of doing it to the new nurse.

If we can't vent to each other, then who do we have?

Perhaps I should have worded it differently. Perhaps it wasn't exactly incompetence, but was the lack of knowledge. That's what I'm talking about. Sorry if I misled you guys, I didn't mean to.

Because she was new. We don't graduate knowing everything and doing everything right. I understand you were sick. I'm sorry for that. But she was a new nurse. She deserves as much compassion as a sick person. She was probably trying her best under what sounds like horrendous conditions.

I still don't understand the need to bring this up so long after the fact, but that's your issue to resolve. As far as being subjected to hearing about an 8 year old's death, all I can say is thank God you weren't one of his parents. They're the ones who truly experienced tragedy that day.

I hope you're doing better and can come to some sort of peace over this.

Specializes in LTC, CPR instructor, First aid instructor..
Without meaning to be insensitive, my question would be why you are bringing this up a year after it happened? While what that new nurse did wasn't exactly the greatest, I wouldn't exactly call it incompetence.

Is there something else going on here?

I already brought up the issue shortly after it happened. In fact, it was during my next hospitalization. The reason it still bothers me is due to the hospital's reputation, and the articles about lawsuits that were brought against the hospital. Since that is the only hospital in my county, I have to rely on it. Just thankfully, I now have a top notch MD who listens to my concerns and who believes me when I tell him something is wrong. That wasn't the case with the old MD. After I got much worse, and was never in what one would call a stable condition after 10 years, I decided on letting him go. If you know Earle58, ask her. She spoke to that old physician. She can tell you exactly what he said and what his attitude was.
Fran,

I have enjoyed reading your posts over the last several years, and yes- you are always a big supporter of new nurses, and nurses who are having issues (plus, I like your jokes).

I wish you had found the support you needed from your fellow nurses here. So often, we are harder on each other than anyone else. Maybe some are doing that to you, while accusing you of doing it to the new nurse.

If we can't vent to each other, then who do we have?

I don't think anyone is giving Fran a hard time, just trying to remind her of the realities of what new nurses go through. Plus this didn't just happen yesterday. Putting things in perspective isn't necessarily being unsupportive.

I already brought up the issue shortly after it happened. In fact, it was during my next hospitalization. The reason it still bothers me is due to the hospital's reputation, and the articles about lawsuits that were brought against the hospital. Since that is the only hospital in my county, I have to rely on it. Just thankfully, I now have a top notch MD who listens to my concerns and who believes me when I tell him something is wrong. That wasn't the case with the old MD. After I got much worse, and was never in what one would call a stable condition after 10 years, I decided on letting him go. If you know Earle58, ask her. She spoke to that old physician. She can tell you exactly what he said and what his attitude was.

If it makes you feel better to vent about it, by all means, you should vent. I'm glad you got a better doc.

Specializes in Nephrology, Cardiology, ER, ICU.

Fran - I sincerely hope that you are more at peace with your care now. Perhaps due to your seriousness of your illness, the care or lack thereof was overwhelming for you. Please talk this over with a professional so that you can find peace and acceptance. Take care.

Specializes in LTC, CPR instructor, First aid instructor..
The E.R. is a unique place that usually never runs the way a patient would want it to, but then again like I said it is a area like no other. Having said that, hope its better for you next time if you ever have to be there again.
Sweetie, I wish it had been in the ER. I would have understood better then. I loved being an EMT. It gave me a high like no other, because you had to prepare your equipment on the go. It's an awesome fast paced environment, and those ER nurses brought me back from nearly dying once again. I was discharged from the ER twice, but it was by an old physician who didn't check me out thoroughly enough, and I was hospitalized the next day with Pneumonia. The other time was by a doctor who thought I had a mild case of the hives. It wound up being an anaphylactoid reaction the very next day, and I spent all summer long in and out of two different hospitals.
Specializes in LTC, CPR instructor, First aid instructor..
I had to add that I remember how bad that time was for you, Fran. You seem to be doing better right now, but I have to think that your recollections of that time are affected by that fact.

The negative memories you have are intensified by how bad you felt--very scary, too.

I'm glad that experience is behind you, and I hope you can let go of this memory. I can tell you that many, many people were praying for you then (and now), and are grateful that you're still around to brighten our days.

Thank you hon, I appreciate that. I love being here. This is where I feel most at home. And I remember when you guys called me and prayed for me, but it wasn't that time. It was before then. Yeah, but this here gal isn't done yet; nope not by a long shot, and I know that put a scar on my mind that I pray will one day be completely healed. Thank you all for your support. It means a lot to me. By the way, have you read my post in the humor forum about why women take so long in the bathroom? If you havn't yet, I suggest you do so. It'll tickle your funnybone for sure.
I now have a top notch MD who listens to my concerns and who believes me when I tell him something is wrong. That wasn't the case with the old MD. After I got much worse, and was never in what one would call a stable condition after 10 years, I decided on letting him go. If you know Earle58, ask her. She spoke to that old physician. She can tell you exactly what he said and what his attitude was.

fran, i remember that hospitalization well.

and yes, her pcp was a pt's worst nightmare.

fran has very late stage copd as well as a remarkable cardiac hx.

i had been talking with her and over the phone, could hear her decompensating.

she shared her concerns about her pcp being dismissive.

i ended up calling this physician and ultimately he ended up seeing it my way.

but dang, it was like pulling teeth to elicit an iota of concern from him.

and so, finally with fran being transferred to a hospital, had already evoked a tremendous amt of anxiety.

afterall, if her own doctor didn't believe her, then fear of delayed tx could be a genuine concern.

fran ended up being tranferred to the tcu when labs/tests came back, showing how sick she was.

one needs to understand the perception of a very sick and vulnerable pt. who is not being taken seriously.

to lay a late stage copd'er in a flat position, is virtually cutting off their air supply.

diaphoresis should not be treated with a sopping cloth....

i'm not saying there were significant blunders in the hospital.

but they were such that propelled an urgent state to a panicked and urgent one.

at one point during this hospitalization, fran truly thought she was dying. (hyperventilating r/t panic)

they ran some tests, took vs and told her she was fine.

now, aren't we all supposed to know that copd'ers are prone to anxiety attacks?

i ended up talking to fran's nurse and telling her she needed a damned ativan.

fran told me later, how much that had helped.

can i say "duh?"

so being a part of fran's experience, i empathize greatly with her distrust and frustration.

there is nothing worse than medical staff downplaying one's concerns.

or worse, not knowing how to effectively intervene.

it just goes to show you that a pt's emotional state can seriously impede a timely and full recovery.

it sounds like fran is trying to take charge of herself and her life at this time.

no easy feat for one that lives alone with minimal support.

i think this is fran's way of asserting herself, her needs and her will to be heard.

good for you, fran.

keep it going. :balloons:

leslie

Specializes in LTC, CPR instructor, First aid instructor..
When I discuss "monitoring" my patients, I am referring to more than their cardiac rhythm.

I wish you well.

By the way, MLOS, any time I was a patient in theICU (which we call CCU) which were several, I have no memory of even being in there. Why, well, a couple times I was intubated, and I don't know what else. My daughter took photos of me being intubated. Both initial intubations I do remember feeling the NG tube being inserted, but no memory of anything after that.

Sorry if I gave any one of you nurses the wrong impression. I sometimes do things like that either by not mentioning enough, or misplacing a thread. I blame on (C-Nial?) just kidding. More like my often senior moments. I hope I didn't get on your dark side about what I said. When I posted about loving you guys I meant it-I do.

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