So essentially I’m very lame and have no very good excuses as to where I’ve been for the past few weeks. School has been totally kicking by butt time commitment wise (and therefore emotion wise) Today I spent no less than 10 straight hours on this beautiful sunny day hunkered down in Panera typing up THIRTEEN pages of notes for my midterm in Pathophysiology which is on Tuesday. Pathophysiology is a little overwhelming as I expected and I’d like to meet whoever had the bright idea to make this class into an “accelerated format” class and make the students responsible for 14 weeks worth of lessons, including 14 separate online tests, the mid-term, final, class presentation, and online discussion board questions in an 8 week time period. Our mid-term on Tuesday, 4 weeks into the class, covers the first 600 pages in our text book. Nice. And the final… 4 weeks from then our final will be covering the next 8 online tests and 800some pages in the book.
Make my statistics class accelerated — we’ve learned nothing in that class!
I’ve also been working nights because they’ve decided we should work 6 offshifts each month now. Out of a total of 12. I also had a traumatic shift one of those nights where I made my first major med-error as a nurse. Hopefully last, although a few people have assured me that’s just wishful thinking. I had a patient who was being boarded in the ER for the night because there were no beds. She was a sick cancer patient who was in for pain control. Very sweet, I tried to take good care of her and everytime I walked in asking her how her pain was an reinforcing that I had her narcotics in my pocket and could give them whenever she needed them (probably better for her than being admitted to a floor room because she was my only patient for most of the night). Anyway. The floor doc came down and wrote orders for her sometime around 3/330am. I looked them over, morning labs, regular diet, PRN (as needed) med, Daily med, Daily med, patch to get changed each sunday. She was assigned a bed about 630am so she left before change of shift.
I was driving home about 8am and I got a call from the daylight charge nurse asking if I had given her metformin in the middle of the night because the floor was “all fired up” about this med not having been given. I said “nooo, I only saw daily meds” – anyway long story short, apparently one of the meds was ordered “daily with a dose now” and I totally missed it. And to make matters worse I found out the next week that it wasn’t metformin (oral diabetes medication) but atenolol (blood pressure medication). I felt like the worst person alive. Her pressure had been up through the night but the ER doc had finally written for some nitropaste which brought it down, plus she was in pain which can elevate pressure too. I mean nothing bad happened, when she went to the floor her pressure was about 130/80… but I still felt just AWEFUL. It’s totally inexcusable regardless… but it’s not even like I was busy or doing something else. I just didn’t see it? I looked through the list and just never saw it. Oh god, I was in tears for days. Plus I was convinced I was going to be fired.
I had a long talk about it with my preceptor, which I think was good for her too because she was having a lot of guilt about that cardiac arrest patient from the other week, but the summary of her advice was “You have to look at how your patient was, what was her pressure when she went to the floor?” I said 130/80, and she said “well then it doesn’t matter, shit happens and no one died” and my mother kept telling me “it’s bad, but it’s a learning experience, it would have been worse if you had given her the WRONG med, or too much of something… nothing bad happened to the patient”. Ugh, I hope to never go through that again! The guilt was terrible… for weeks! Everyone has assured me I won’t be fired. The charge nurse that day said she was pretty sure our boss was most upset that the floor called him at home, on his day off, at 730am. It’s been a few weeks, and I haven’t got a pink slip yet, so hopefully I’m okay.
I also totally fell off the shrinking-jeans wagon for ahem, all of March… which is now spilling over into April. I’ve just been too busy to go to the gym, and have been induldging my food wants just a LITTLE too much. A little because I want to, but I’m sure a little has to do with stress… I need to get back on that. Of course, then there’s this mid-term.