WILTW 10/29: Trauma for breakfast

Nurses General Nursing

Published

Hi Everyone!

Another ER busy week for me; between lots of sick kiddos, boarding, and overtime; although ordering breakfast at a late night diner the last two scheduled days of work certainly helped improve my mood.

I had a near miss at work; I caught it and realized I needed to report it; I haven't had a near miss happen in about ten years; my eagerness to report it is reflective of the atmosphere that I work in and how we report errors; I'm also more reflective that I feel as though having three patients as opposed to four high acuity patients makes a difference, and the need for a quiet place to draw up meds is needed (which we don't have).

What I also learned this week:

Sharpnel can still cause through and through trajectory for a gun shot wound;

Serum sickness can occur 10-14 days after exposure to antibiotics, but can appear faster if one decides to continue a course of said antibiotics, despite given instructions to discard them after the therapeutic date.

That I develop borborygmus after an unsuccessful code.

So, what have you learned this week?

Specializes in M/S, LTC, Corrections, PDN & drug rehab.

Just signed up to take the TEAS test. I'm scheduled to take it on January 13, 2017. That's a FRIDAY the 13th!!! Hopefully it will bring me luck.:D

Specializes in Hospital medicine; NP precepting; staff education.

I learned that an infant with a skull fracture can be asymptomatic and that calling DSS is not fun.

Specializes in CVICU CCRN.

I've been quiet lately because I've been trying to learn a lot in my new role. Unfortunately, I eventually learned that the specialty was not for me, for a variety of reasons.

I have had terrible communication and personality issues which led me to micromanage everything, which conversely actually led to mistakes and things not getting done. I feel like a total failure right now.

I'm not sure what is next for me. Some of my issues stemmed from the unit I transferred to being in chaos due to management and culture issues...but now I'm actually afraid to ever try a new specialty. Orientation is horrible for me.

So, as it stands right now I was welcomed back to a previous post with open arms, which is great. Now if I could just figure out what's next. I love high intensity, high acuity, high adrenaline and my skills are a

good match for that...however, I apparently struggle with "trying too hard syndrome" during orientation...

Also, something in my personality may be off-putting to others. Unbeknownst to me, I apparently *really* pissed some people off. I still don't know what I did, but whatever it was lead to drama (which I hate). I am hoping to have a talk with a nurse educator I trust when things calm down a bit and try to get some feedback.

Sorry for the brain dump but I clearly have a lot of self-exploration and self-learning to do. I have missed AN and this thread in particular. I learned a ton over the past several months - but the whole situation is so painful I don't even know what specifics to share at this point. Hopefully some time and perspective will help. Thanks for letting me talk.

--Kaly

Specializes in M/S, LTC, Corrections, PDN & drug rehab.

@kalycat - *hugs* I'm sure you will find the right fit for you on a unit with people who understand you better.

Specializes in CVICU CCRN.
@kalycat - *hugs* I'm sure you will find the right fit for you on a unit with people who understand you better.

Thanks, friend :)

I was really happy to read of your TEAS test and plans. You've got this.

Specializes in pediatrics; PICU; NICU.
I learned that an infant with a skull fracture can be asymptomatic and that calling DSS is not fun.

In Illinois it's called DCFS & the first time I had to call them I had been out of school less than 6 months. It's a horrible feeling to have to do that but I had a 6 week old with broken ribs that couldn't be explained.

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
Thanks, friend :)

I was really happy to read of your TEAS test and plans. You've got this.

Thank you so much! I'm super nervous but I know I can do it.

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
I learned that an infant with a skull fracture can be asymptomatic and that calling DSS is not fun.

The last PDN case I worked on had CPS called out after I left. I knew they should be & wish I could've reported the issues sooner. Initially they removed the children (the only child I was worried about was my former patient). But of

course she got her children back, that pissed me off. I told the day nurse I use to work with that I wouldn't be surprised if the patient dies & mom ends up on the news for it.

Specializes in long term care Alzheimers Patients.

I miss the An app too. I thought I had lost An forever, but was able to find it through FB

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
I miss the An app too. I thought I had lost An forever, but was able to find it through FB

I miss the app as well & am holding out hope they will bring it back. :(

Specializes in M/S, LTC, Corrections, PDN & drug rehab.

So I have some *really* bad news. The TX BON isn't renewing my license. So I can't go to school. So now I have no LVN license & can't work as a nurse any more. I'm so depressed. Oh well. This is my fault.

I knew something was wrong when my license hadn't been renewed yet. What sucks is my husband is being an ******* & totally not supportive. Also my mom spent over $200 on a study package for me from ATI so I could pass the TEAS.

I feel like such an idiot. I can't even work as an LVN any more. My husband is gonna have to work 2 jobs & it's all my fault. I told my mom when my kids are older I'll go back to school, retake my sciences & apply to a generic RN program but I know that won't happen. I'm just so depressed.

I won't be on here any more, there's no point & it only makes me feel worse. Thank you for everything for the short time I've been here.

Specializes in Hospital medicine; NP precepting; staff education.
So I have some *really* bad news. The TX BON isn't renewing my license. So I can't go to school. So now I have no LVN license & can't work as a nurse any more. I'm so depressed. Oh well. This is my fault.

I knew something was wrong when my license hadn't been renewed yet. What sucks is my husband is being an ******* & totally not supportive. Also my mom spent over $200 on a study package for me from ATI so I could pass the TEAS.

I feel like such an idiot. I can't even work as an LVN any more. My husband is gonna have to work 2 jobs & it's all my fault. I told my mom when my kids are older I'll go back to school, retake my sciences & apply to a generic RN program but I know that won't happen. I'm just so depressed.

I won't be on here any more, there's no point & it only makes me feel worse. Thank you for everything for the short time I've been here.

O

Oh gosh, Cheerios. That is unfortunate! I am so very sorry to hear this. I don't know what else to say. I have questions but I understand that you may not wish to divulge. Hugs and love to you, if you see this.

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