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RealityRN
Posts Tagged ‘Mistake’
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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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Provocative Topics
The path to recovery for nurse addicts.

Addiction: it’s a moral issue, right? Whoever starts abusing a drug is a bad person, making a bad choice, and should be punished. At the very least, they should be able to quit on the spot.

But it’s not that simple. According to Dr. Linda Barile, APRN, and advocate for nurses who are addicts, we need to stop blaming them and instead support them through recovery.

Here [...]
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Rookie Wit & Wisdom

Sometimes it feels like I’m not given the time—or opportunity—to learn.

As a new surgical nurse, I’ve noticed that the nurses who have been around for a while don’t want to let me do some of the procedures. I’m nudged out of the way. I’ve talked with other nurses, and they say that they’re afraid of getting into trouble if the new nurse blunders, or they [...]
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Provocative Topics
Freedom for those trapped in drug abuse.

Drug addiction? That could never happen to me!

I wish that were the truth. I’m a nurse, and I certainly never thought I was vulnerable.

Not all nurses will develop the disease of addiction. But for many nurses, addiction is real. Substance abuse in the nursing population is believed to parallel or be slightly higher than that in the general population: approximately 10%. And it very often [...]
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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
Fixing a broken relationship.

Doctors and nurses have been trained to be suspicious of each other.

So writes Suzanne Gordon, author of Nursing Against the Odds (Cornell UP, 2006). And while this has historical roots, it is particularly dysfunctional today. In this RealityRN interview, Gordon describes the complicated relationship between nurses and doctors—and gives practical advice for nurses to help remedy the situation.

RealityRN:  Describe the history of nurse/doctor relationships.

Suzanne [...]
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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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