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booboo

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Posted about 5 years ago

 

I am currently working as a CNA at a local hospital while I am going to nursing school. I worked an 8 hr shift yesterday after class. I was going to report off sick because I really am sick, but decided not to because I was going to be an extra person and it would be an easy day. I walked in at 11a, and ended up taking over 14 patients. There was 10 complete baths left for me to do in 4 hrs. OK. I muddled through those, but it was crazy. I had 4 patients being discharged. One woman with a fractured hip was going over to our skilled nursing department. The transporter came to take her, and all of the nurses were at lunch and I was there alone. The woman had a tesio for dialysis with argatroban running. I did not know what the drug was for. She was a tough lift from the chair to a stretcher and I was afraid of ripping the tesio out (It had happened earlier in the week with another patient with a R IJ CVC). I unhooked the drug to move to patient. I was being called to help move the other 3 patients who were being discharged and never hooked the drug back up. 2 hrs later the skilled nursing department called wondering why the patient didnt have the drug hanging. They talked to the patients former nurse. The nurse said she would look into it to give her 2 minutes and she would call them right back. The immediately called the nurse manager. The nurse came to me and asked me if I had unhooked the pump, and I just couldn't remember. It had been so busy that I could not remember physically doing it. Well, the nurse manager had snuck up behind her and heard the conversation. I got pulled into the back and given a lecture, which I surely deserved. She was not mean or nasty, she was stern but aware that I was competent and understood the consequences. The nurse and I went over to the skilled nursing portion of the hospital to rehang the drug. The nurse asked the patient if she remembered who unhooked the drug from her tesio. The patient winked at me and told the nurse that she didn't remember. I really feel terrible about what happened. The patient was ok, and the doctor wasn't mad about the incident. I am just so nervous about it though.

Has anyone else ever had an experience like this?

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Rate This | Posted about 5 years ago

 

First of all you should never do a 2 or 3 person lift yourself!!!! Find someone to help you. You said you had to assist with 3 other lifts, so why didnt someone help you? Then why were all the nurses at lunch? Who was on the floor with you? Aslo make it a point to know about you patients, even the drugs and I.V.'s they are on. This just goes to show us that nursing homes are understaffed and some DON's and nurses know this and still work this way. This is not fair to the residents or to you! Hope your next day at work was better. Also if you dont know ASK!! When you get report from the nurses they should inform you about the patients you have. You need to write this all on your flow sheet. Dont give up. Good luck

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Rate This | Posted about 5 years ago

 

All the nurses were at lunch? You mean there was no nurse on the floor? This is illegal, to leave you there without a nurse available. Never disconnect any meds, it is not in your scope of practice. I'm not saying you are not capable and knowledgeable, it's not in your scope of practice as a CNA. This is to protect yourself and your patient.

Next time, you ask the transporter to wait, and go find a nurse. If you can't find the nurse, then you call the supervisor. This should open a big can of worms, because they all were irresponsible by leaving you alone. Good luck toots, don't give up but learn from this.

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Rate This | Posted about 5 years ago

 

There should always be one nurse on the floor at all times. dmazment is right, unhooking the medication is not one of your functions and should be done by a nurse. If you cannot find one, then the patient will have to wait until one is available. That's just how it is. Even if you know how to something and it's not in your job description, don't volunteer to do it. Because as you found out, you will be held responsible. Don't try to lift by yourself. That's how so many nurses and CNAs get back injuries. You and your fellow CNAs are suppose to work as a team. Get help whenever you feel like you need it.. Don't be afraid to ask. I'm wondering why the nurse in the skilled department didn't notice the patient's drug wasn't hanging for 2 hours. The patient should have been accessed on arrival to the skilled unit. Her nurse should have some accountably in this. We learn from our mistakes. And all of us have made mistakes at one time. Let it be a learning tool. I've worked in a nursing home where everyone was running around like chickens with their heads cut off and you didn't know which end was up. It's madness and this is when misstakes can be easily made. Don't take on more than you feel you can handle. The nurse is there to help you too. Be safe instead of sorry.

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Rate This | Posted about 5 years ago

 

Take this and use it as a learning experience. Don't beat yourself up, truely learn from your errors.


Please don't pay any attention to my misspelled words or typos. Sorry I'll try harder next time.

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Rate This | Posted about 5 years ago

 

I just want to say thank you to everyone for your input. I appreciate it all. I found out today that I am not solely at fault. My nurse manager did admit that I made a mistake, which I admit it too. But she was a little more upset about all of the nurses leaving me alone. She wrote in the pertz (incident report) that I am a capable CNA/nursing student, and should have been supervised and assisted by a nurse in the transport regardless of hanging meds, etc. But thank you again. I know a lot better now not to rush my responsibilities, and to only do what I am allowed to do within my certification.