it's quite a difficult time to post this blog. not that i'm busy or anything but i'm feeling a bit upset about what went on this morning or earlier today. anyway, lets try and calm myself down by blogging about my work yesterday which sorta led to what transpired today.
worked yesterday. was good, yes just one word to sum it all. worked with preceptor, had a chat with her just before the end of my shift and was given some contructive feedback from her, which was a bit of surprise really. anyway, did drug round with her and to be honest i wasn't really up to the standard. wasn't myself. was a bit nervous i guess. wasn't quite sure why. well, i've never been quite sure when i'm working with another colleague. i was told to push myself forward a bit. i didn't yesterday cos' i thought there was a sister with me, so i'd just be assisting her but i was told that i should act like a staff nurse and take charge. point noted.
the other more major thing is drug administration really. i think i've let myself down in a way. i've read up on analgesics but not really on cardiac drugs. so a couple of things i was pulled up on: volterol = diclofenac (i should know this really but didn't) and have forgotten that it's NSAID ie. can't be given to patients who are either NBM or on ff only. so the pain relief that i could give to patients in this case is restricted and i need to think carefully about what i give to them. i think this is very good feedback and will push me to read up more on this topic but unfortunately, not many nurses that i have worked with have pushed me to think about things like that. so, 1-0 to my preceptor.
the other thing was about atenolol. i was about to give the patient atenolol after i had checked that his BP was fine but apparently failed to notice that it was not given the day before and i should also have looked at the trend of his BP whilst not been given the drug. they were on the low side. so, 2-0 for my preceptor. actually i did briefly look if he was given the hypertensive drug but thought it was signed but it was actually a number to indicate that drug was not given on nurse's discretion. i supposed it's not really a good enough reason but i did try and explain to my preceptor but it didn't really sound like a reason and in the end i fumbled and apologised and talked about something else. what a plonker i'm....![]()
anyway, like i said earlier, these are constructive feedback and i'm more than happy to act on them (whilst trying not to get too personal with my preceptor about it :-p). and i went to the bookshop after work and bought a £35 pharmacology book. the challenge now is for me to read it and put it too good use
what i like about the book (apart from being a new book, published 2007, and 7th edition i think) is there are questions at the end of each chapter and the questions were those that prompt one to think about drug safety and contra-indications etc.
then also met up with partner and we went to see stardust after pondering about what to do on a saturday evening. when we came out of the cinema, got missed calls and a message from the mother of our lil boy that they were in hospital due to breathing difficulties. (he had a cold earlier during the week). so, phoned the other mom up and was immediately told off for not replying. so had to explained that we were in the cinema and when u r in cinema, u turn off ur mobile phones. so, we rushed back, obviously that other mom wasn't happy. but she can be quite rude sometimes anyway. so, we stayed at theirs to look after our daughter who was asleep and the other mom went straight to the hospital to join her partner and our boy. to cut the long story short, our son apparently wasn't breathing right, so, mom 1 took him to hospital and stayed overnight while mom 2 came back after an hour or so. we went back home.
the next morning we all went to see our son. when we got there, he was busy playing with another boy, which boys do
and after exchanging pleasantries, i went to look at his notes and apparently he was in a bit of a respiratory distress and was advised by the GP to bring him to the hospital. oxygen saturation was fine throughout the night etc.. so nothing major really, and then after the doctor ward round, they took him back while we waited for his salbutamol to arrive on the ward from the pharmacy. and it took like 2 hours. really ridiculous but that's what happens everywhere and i personally had patients who were to annoyed with us cos' they thought it's our fault!!
anyway, i've lost the plot now. o yes, what i forgot to mention was mom 1 had a go at us on the ward again for having our phone switched off and not bothering to check if our boy was ok yesterday before going to the cinema. what f..k..g s..t!!! not trying to be unpleasant to her or anything like that (she hadn't had any sleep during the night cos' had to pin him down when the nurses there gave our boy nebs etc. every couple of hours throughout the night) but what was this all about??? why couldn't they call us at 4pm when they rang up the GP and was told about possible admission? instead of frantically trying to contact us when we are in the cinema at 7pm and then blamed it on us for not being there?? omfg!! what do we do to deserve them i dunno, these two b.....s can be real unpleasant and rude. anyway, i kept my cool, my partner never really react to things; but i'm going to have a word with them next week when things settle down a bit i think, i just don't think we can keep on like this. it's always our fault if things go wrong. i've my own ideas why mom 2 was desperate to join mom 1 in the hospital but it's too complicated to explain all that in one post, so will leave it for the time being but hey, i'm really pissed off with them at the moment. f.....g b....h !"£$%^&*(*&^
huh...apologies for all the swearing.....i'm beginning to appreciate the saying women are from venus/men from mars!!! oops, am i turning into a sexist???