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Today, the doctor ordered half of the medication to be administered intramuscularly. I'm so scared, how can I convince myself?

emergency vehicle crew patient medicine administration hospital arrival missing medication
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Today, the doctor ordered half of the medication to be administered intramuscularly. I'm so scared, how can I convince myself? By Anonymous | Published on December 18, 2024

I am from the emergency vehicle crew, I picked up a patient, the doctor instructed me to administer half the medicine, so I did. I discarded the remaining glass ampoule into the sharp object box. Upon arriving at the hospital, I confirmed it once more, took out the previous medication, and found that the bottle was wet, and the remaining half was also gone. I was terrified. I checked several times, confirming it was only the half used, but why was the remaining part also missing? Could it be that during the ambulance ride, the medicine accidentally spilled away? How can I convince myself that I'm right?

Caleb Caleb A total of 7638 people have been helped

Dear questioner, I'm so excited to hear from you!

I'm Doctor Sunshine, sending you lots of love from afar! May the sunshine bring you some warmth!

If you read the question carefully, you'll see that the questioner is looking for some help because "the doctor told me to inject half of the medicine today, I'm so scared, how can I make myself believe it?"

Let's dive right in and sort out the specific situation described by the questioner!

Let's dive right in and sort out the specific situation described by the questioner! We'll interpret and analyze it together.

I work in the emergency department, and I'm proud to say that I picked up a patient and gave them half the dose as instructed by the doctor. I then threw the rest of the vial into the sharps box, and I'm happy to report that everything went well!

In the situation described by the questioner, it is common in medical treatment to use half the amount of a necessary medicine (and dispose of the extra part according to medical waste regulations). This is great because it means that we can accurately give the "required amount" to the "person who needs the medicine" according to the doctor's prescription, which is the correct way to execute the doctor's prescription. And at the same time as the doctor's prescription is written (or in an emergency, dictated by the doctor), there will be a medical record. It sounds like the questioner did everything correctly!

Once I got to the hospital, I went to double-check and found that the bottle was wet and the remaining half was gone! I was so surprised. I kept confirming that I used half of it, but now it's gone. Could it have spilled out by itself because of the ambulance ride?

In the questioner's narrative, the remaining part that has been used has been placed in the "sharps box," so it seems unnecessary for the questioner to use the remaining part to confirm that "the dosage was indeed half." Furthermore, it's pretty clear that the questioner has injected half the dose!

If not, then isn't that equivalent to the questioner doubting himself? Perhaps at this time the questioner is feeling anxious, worried, and uneasy? But don't worry! We can help you with that.

...

—— This is a great opportunity for the questioner to gain some valuable insights! By becoming more aware of their self-doubt, they can remind themselves to take a deep breath and reflect on whether they've ever been in a similar situation when they were asked to follow medical advice. This could also be a chance to think about whether they've also had self-doubt in other areas of their life.

If the answer is yes, then it's clear that the questioner has room to grow in terms of self-confidence. Perhaps it's because we care a lot about the opinions of others because we want to be confident and have high self-esteem!

Thanks to the questioner's self-awareness, it's time to dive in and re-understand and sort out your self-confidence, personality traits, coping with stressful events, interpersonal relationships, and environmental adaptation, etc., one by one! You'll be confident, stable emotionally, calm in the face of stress, and believe in yourself afterwards in your future work and study.

How can I make myself believe that I am right?

Next, it's time for the fun part! We're going to learn how to analyze ourselves, understand ourselves, and change ourselves so we can get back the confidence that belongs to you.

First, accept your current situation and understand from the source how you doubt yourself/don't believe in yourself.

1. Since we have chosen to work in a hospital, we have the exciting opportunity to learn more formal medical skills. We may not yet be as calm and skilled as senior medical staff, but every medical staff member starts from "clinical novice." At the beginning, some lack of confidence is understandable and acceptable.

2. However, judging from the content of the topic of seeking psychological help, does this kind of "self-doubt" usually occur after actions such as "following doctor's orders"? Or is this just this one time? Either way, it's great to know!

This is going to be really important for our future long-term medical work!

3. Get to know yourself, analyze your strengths and weaknesses, and be able to see yourself in a comprehensive way. You might be surprised at how many strengths you discover! The questioner is already pursuing a career in medicine, which is a great start. I believe that the questioner is still very good and has special talents with the necessary medical professional skills. It's just that in our usual work, we need to be more careful, attentive, and patient.

4. It's a great question! Did we all grow up in a negative environment as children? It might also be a fantastic idea to find a professional psychological counselor to help the questioner communicate/consult and sort things out. This is crucial for the questioner's future confidence!

Second, make the most of your free time! Learn more, develop your ability to be self-aware, build up the necessary self-confidence, manage your emotions, and constantly improve your work skills and stress management.

1. Medical work is practical and empirical, which means you have the exciting opportunity to study more, practice more, and learn from your colleagues around you. Be humble and ask for advice, and believe that you can become better and better—you've got this!

2. If you lack confidence, the first thing you need to do is face your "weaknesses." You can start with small things and give yourself positive encouragement. For example, after following a doctor's advice and no longer doubting yourself, you can make a note of it, so that you can let go of doubt and anxiety and become more and more at peace. Until you can naturally and confidently follow the doctor's advice again, with certainty and no longer fear or doubt.

3. Make more positive energy friends, tell them about your problems, and give yourself encouragement. Learn to use positive self-talk. When you feel unsure of yourself, tell yourself internally, "I can do this! I believe in myself. If I don't believe in myself, no one else will either."

4. Do more exercises to "self-affirm, self-empower, and self-encourage" in your daily life!

In summary, this is my understanding and response to the questioner's question. I really hope it will inspire and help the questioner in a positive way. I pray that the questioner's future life will be that of an outstanding doctor full of confidence! I cheer for you!

I'm so excited to see you succeed!

I am the doctor Sunshine, and the world loves you as much as I do! ?

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Hugh Percival Shaw Hugh Percival Shaw A total of 8438 people have been helped

Good day. My name is Qingxiang, and I would like to discuss this matter with you.

From your description, it is evident that you are employed in an emergency department, and I can discern your meticulous approach to your work, as evidenced by your repeated verification of the administered dosage.

I can also discern your concern. Despite your previous confirmations, the lack of subsequent confirmation naturally gives rise to worry. Although you suspect that you may have spilled it yourself, which is a plausible hypothesis, there is still some unease in your heart.

My thoughts on this matter are as follows:

If such occurrences are a constant feature of one's life, they can undoubtedly become a significant source of distress.

I am gratified to observe that you are seeking assistance through this platform and that you are cognizant of your emotions and addressing your concerns directly.

From your account, it is evident that you are meticulous and reliable, and that is precisely the standard one should uphold in a professional setting.

However, it is somewhat discomforting to repeatedly confirm something that has already been confirmed on numerous occasions. Nevertheless, I also comprehend that when one is approximately halfway through using a medication, it is not uncommon to experience feelings of anxiety.

It is unclear whether such occurrences are common during treatment.

It is my hope that this will be a place where you can become more aware of your feelings and thoughts.

In instances where verification is sought,

Please describe the thoughts and ideas that come to mind.

What emotions and sentiments do these ideas evoke in you?

To illustrate, one might consider the following:

It is necessary to confirm the dosage of medication, and this raises concerns about the potential impact on the patient.

The aforementioned emotions and feelings are as follows:

Anxiety, worry, and a sense of unease.

Please indicate whether you have any additional concerns or anxieties.

Please describe the potential impact of these concerns on your work and personal life.

What is the potential for the most adverse outcome?

In the event of such a situation arising, how would you determine the most appropriate response?

Following a period of reflection and verification, do you not perceive a certain degree of reassurance?

It is recommended that the aforementioned methods be attempted.

1) It is recommended that the precautions be recorded in advance. One possible method is to record them on a handy memo pad and check off the corresponding item after each task is completed.

2) Alternatively, one may inform a colleague of the areas that require particular attention and request that they conduct a second review.

For example, the following statement could be made: "This requires half the amount, I discarded the surplus. Should I neglect to follow this procedure, kindly remind me again. I appreciate your assistance."

3) Should there be any items of particular importance or concern, or should any further issues arise, the option exists to record a video on one's mobile phone. This allows for the replay of the video at a later time, should any concerns arise. This may prove a more convenient solution.

4) Nevertheless, the work in question does necessitate a responsible and conscientious attitude. One may, for instance, devise a plan in advance, comprising a double- or triple-check of the areas requiring attention, and then record said plan using the aforementioned methods. This approach allows for a comprehensive assessment of the work situation and the maintenance of a written record.

Should one remain unable to find satisfactory relief independently, or should the results prove unsatisfactory, one may also seek assistance from formal institutions or from a psychotherapist, a listening therapist, or a psychological counselor via the Yi Xinli platform. This professional help can facilitate a deeper understanding of oneself and more optimal choices and behaviors.

Good day. My name is Qingxiang, and I offer the following thoughts and suggestions, which I hope will prove beneficial.

The world and I extend our affectionate regard to you.

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Comments

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Elizabeth Jackson Teachers are the catalysts that speed up the process of students' intellectual development.

I understand your concern. It sounds like a stressful situation. Maybe you could review the steps you took and see if there was any point where the ampoule could have been compromised. Also, checking with the hospital staff might help clarify what happened during the transfer.

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Calvin Anderson Your work is going to fill a large part of your life, and the only way to be truly satisfied is to do what you believe is great work. And the only way to do great work is to love what you do.

This must be really worrying for you. It's possible that the bottle got wet from condensation or another source, which made it seem like more medicine had spilled. Try to stay calm and go over the events again carefully. You did your best under pressure.

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Beau Miller The key to success is to find the lesson in every failure and apply it.

It's understandable to feel shaken up. The movement in the ambulance could have caused the spillage without you noticing. Discussing this with your supervisor and possibly reviewing any available footage can help get to the bottom of things.

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Doris Jackson The most certain way to succeed is always to try just one more time.

You're not alone in this. Such incidents can happen even to the most experienced professionals. It's important to report this to your team and work together to figure out what occurred. There may be an explanation that you haven't considered yet.

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Blake Miller Learning is a way to develop a growth mindset and embrace change.

The uncertainty is tough to handle, but remember you followed the doctor's instructions at the time. Sometimes, in the chaos of an emergency, small details can be overlooked. Talk to the medical team and see if they noticed anything unusual when you handed over the patient.

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