Wednesday, July 22, 2009

Good or Bad Night...Don't know

Arrived at work today at 3pm sharp. Was in a pretty good mood. I did not feel up to par because of the excessive eating over the weekend. But I got report and did a med count on the narcs and was done with that at 3:30 pm. which was very good. I then went over to the other side of the building and did the same. Nothing going on in the whole building, everything calm, a few people out on Dr's. appt....very quiet, it was quieter than I had ever known it to be since I had been working there. I got a good start on med pass, no one paged or even called me for about 2 and 1/2 hours. I was done with med pass at 6:30!! If you can believe that. I did some paperwork after that and decided to start pulling my 9pm meds at about 8. At 8:30 I am just getting ready to start my night med pass when a new resident (whom I had no idea was even in the building)called and wanted v/s. I decided to get that out of the way. I took resident vitals and they were extremely high... blood pressure, heart rate.... everything. Protocol was followed (sorry can't go into details because of HIPPA). Resident did not go to hospital (their choice). The incident took up about 45 mins. I have a strong feeling this is going to be an every night ordeal with this resident. Resident drinks cokes, and eats a lot of junk...that was noticeable when I walked in the room. I got back to med pass...ended up getting done at 11pm with med pass. Of course as usual, I had some angry residents because their meds were late but there was nothing I could do...I am getting used to the griping. Thank goodness I had done paperwork earlier or I would have been there all night. Checked on this resident again before I went home and v/s were much better. Ended up clocking out at 10 after 12. I have asked myself why would I get upset when someone needs medical attention..is it because I am tired...is it because I am nervous being a new nurse..after all I did go to nursing school to be able to do this very thing. There was a slight panic because I still could not find phone numbers, etc. I had no knowledge of this resident which did not help the situation. I have come to the conclusion it is because I am still very nervous and apprehensive because I am the only nurse in the whole building...no experienced nurses I can turn to. Is this a bad thing? I don't know...since it forces me to make my own nursing decisions it could be a good thing because I definitely need to get the experience. Tonight because of my actions everything turned out good. This incident was what any new nurse would hope would not happen on their shift. Now that it is over, I feel that I would handle a situation like this again in a calmly manner...not panicked. I hope tomorrow will be a good night...until the next blog....

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