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RealityRN
Posts Tagged ‘Fear’
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Handling Stress
How nurses can get beyond the goof-up.

Nurses are human—we all make mistakes. But knowing how to deal with mistakes is what will make you a better nurse. Despite what your fears tell you, it is possible to live through, and benefit from, a mistake. Here’s how:

Avoid mistakes in the first place.
This is a statement of the obvious, but it’s better to avoid mistakes than to learn how to deal with them. [...]
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Rookie Wit & Wisdom

Have you ever gone home after a shift and been haunted by what you may have forgotten: Did I remember all the meds? Did I chart it all? When I passed on my report did I remember everything? Did I assess everything correctly?

I often wake up—as if in a nightmare—cataloging what I may have forgotten. It has created an immense amount of anxiety. I’m plagued [...]
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Handling Stress
Why healthcare professionals are at risk.

“I thought having knowledge of addiction protected me from developing an addiction.

“I thought I was immune,” says Patricia Holloran, RN.

But she was wrong. A recovering drug addict, Holloran has become a strong advocate for other nurses facing the same struggle.

Most nurses think they will never fall into addiction, but, according to Holloran, even as healthcare professionals, nurses are vulnerable.

Look around your unit: You may [...]
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Nurse Relationships
Build your network of support before you need it.

My first year of nursing, I considered becoming a forest ranger. Nursing was bleeding my emotions.

When I first got out of school, hospitals faced a big nursing shortage—not unlike today. The unit was understaffed, and the level of responsibility quickly overwhelmed me.

Worse, I became trapped in a destructive internal dialogue. I’d constantly tell myself: I’m not doing a good enough job. I stink at this. [...]
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Precepting
7 principles for starting off right.

It is the profession’s worst nightmare: a nurse draws 3 cc’s of insulin instead of 3 units.  Thankfully, a preceptor is there to double-check the dosage. It could have been lethal.

The first few months of most nursing jobs begin with working with a preceptor—a mentor who is by your side to make sure nothing goes amiss.  Whether you are fresh out of nursing school about [...]
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Reality Unscripted

There may be times when we need to take a turn as the patient – and let somebody help us.

A new nurse recently wrote, “I’ve been having anxiety attacks. I’m wondering if I’ll make it another week—let alone another day—in my job. My patient load is overwhelming. I can’t, in good conscience, handle the number of patients I’m charged with. I’m [...]
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Nurse Relationships
Nurses must confront workplace abuse.

The new nurse was doing the best she could. But it wasn’t fast enough for the emergency room doctor. As the doctor struggled to triage the patient, he became more and more agitated. Finally, he yelled and threw a bloody sponge at the nurse—right in the middle of a procedure.

When physical and verbal abuse takes place in the workplace, immediate action should be taken. But [...]
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Reality Unscripted

So he went to medical school, and you didn't. Plus, you are fresh out of nursing school. So who are you to question a doc?

Here's a common dilemma that many new nurses face: "I was put in a compromising situation last week. A young doctor gave me an order that I didn’t question—I just ran with it. After thinking more about his order, [...]
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Nurse Relationships
When you know the doc is wrong.

It was the ninth hour of a 12-hour night on Labor & Delivery when my fourth patient presented with complaints of vaginal bleeding.  Exhausted, I told myself this had to be another worst-case scenario—probably placenta previa or abruption.

I initially performed a comprehensive review of symptoms and thorough patient history, which I presented to the resident. He was a cocky first-year resident, just starting his first [...]
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Managing Your Career
5 reasons you’re exactly where you need to be.

“No, these results are not normal. We know what’s normal.”
The words of Tommy’s parents dripped with condescension.
A second-year nurse on the peds floor, Anna was gaining confidence every day. But this was a blow. Her patient Tommy, who suffered from Nephrotic Syndrome, had been tested. Anna assessed that the results fell within a normal range. Years of dealing with the chronic illness, however, had made [...]
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