Thursday, September 15, 2011

Tuesday Morning

SO MY BOSS CALLS ME THIS TUESDAY MORNING TO GET MORE DETAILS ABOUT THE MISTAKE THAT i MADE AT WORK.  i'M NOT FEELING AT ALL EASY ABOUT THIS.  I STILL FEEL SHAKY FROM IT AND i'M WORRIED ABOUT LOSING MY JOB. tHE COWORKER WHO WAS MY CHARGE NURSE ADVISED ME NOT TO TELL THE PATIENT ABOUT THE MISTAKE AND i TOOK HER ADVICE WHICH WAS REALLY STUPID.  i WAS EXTREMELY TIRED AND CONFUSED AND SOMETIMES iJUST DON'T KNOW WHY i DO THE THINGS i DO.  i HAVE NEVER BEEN ABLE TO TRUST THIS PERSON BEFORE, WHERE THE HELL DID i GET THE IDEA THAt I could trust her that day? 

i was exhausted and had an emergency  that night and one of my patients was having a melt down and after the emergency. i was somewhat flustered because I could not get in touch with the doctor to ask him a vital question about this patient and as I was waiting for his phone call I decided to hurry and get my meds out.  i ended up accidently switching up my the patients meds and when i discovered this i was horrified.  i didn't tell the patient right away because i was trying to calm myself down and i didn't want to scare her.  i never completely calmed down and decided that i would wait until my patient was more awake before i explained what happened.  when the charge nurse asked me about whether i had told her or not.  i told her not yet.  she said, "no don't tell her". then she gave me a speech about how the patient's doctor would take care of it.

i knew better, but i was so sleepy that i wasn't thinking clearly. so , i did not override her.  i took her advice.  she also advised me not to put a note in the chart which i had written.  i said to her , "but they need a record in case something happens".  she said, "no". still shaken from the earlier events, i took her advice.  i'm uspet with myself for using poor judgement.  " i've used poor judgement in many matters involving my own life. i tend to be a little more cautious with someone elses.

the thing is: even with policies for transparency, many nurses think that you should not tell when you make a mistake.  many nurses.  so, mistakes still go unreported.  i've been told by numerous nurse that they never report med errors.  i always try to report med errors myself, because you have to consider the welfare of the patient.  and they need to report if something goes wrong.

i've learned a very valuable lesson.  follow my gut and don't let your charge nurse talk you out of doing the right thing.

anyway. it is kind of scary how little integrity someone has and how you can be convinced to compromise your own values if you are not thinking clearly.  always think. 

the biggest problem with society today is that we don't have the courage of our convictions--a psychology teacher that i had once said this in a lecture.

maybe is should go back to school.

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