Quote from nrsgnerd
Bob has the right to inquire as to why he is getting this new pt. when it seems clear that there are other nurses who are available/underassigned and more capable of being able to accept this pt. My question is what are the accuities of the other two nurses pts. Are they one on one pts? Are the other two nurses trained to take this level of OR pt.? Did Bob state any objection, now or previously, or is Bob such a nice guy he doesn't stand up for himself? I would have delegated a few things such as: asked for someone else to transfer my pt. ( pack him up, take him out, get meds ready...whatever) and ask someone else to get my meds or do accucheks for my remaining pt or whatever else i could have delegated to ensure that i stood up for myself and let Tameka know that she can't bowl me over. In the future, Bob should professionally state his opinion and delegate his needs thru his charge nurse.
Just think about it. If your patient has high acuity would you be gossiping at the nursing station or would you be at the bedside?
In this scenario, Bob has been a nurse for about 6 months and his patient was 1st day post op and was extubated during night shift. The other two nurses have been ICU RN's for >5 years. Bob did have a nurse tech available who did get the patient packed up (pulled artline, ASSIST with transferring pt from bed to wheelchair, assemble chart and personal belongings) once she was available to do so.
Anyways, In my unit we rarely do accuchecks when patients have art lines (why stick fingers when we have an artline?). When we draw blood we check respiratory status, potassium, magnesium, lactic acid as well as blood glucose. Only ppl that get accuchecks in our unit are basically long termers (more than 3 days in our unit) of course because we try to convert from IV meds to PO (oral/corpak).
We have CT's in our unit but there is one or two for 6-8 nurses and they are all over the place. It's unrealistic to think they will be around waiting for one RN hand and foot. CT's can pull central lines, they can't interpret labs, they cant chart for RN's in the ICU, they can't pull or hang meds, they can't assess, they can't call report. So there is so much that they can do WHEN THEY ARE AVAILABLE TO DO SO. If they are not available the RN has to make it happen.
I just want to know from a professional standpoint how to handle this should it happen to me. In this culture where Nurses "eat their young" I could easily be subjected to this. But just knowing how I am, I don't want to make my work environment hostile. That is what tends to happen when you question authority.
Now as far as asking those other nurses to help (draw/hang meds), if they are sitting around gossiping at the nurses station do you think they would be willing to help you if you ask? I mean the whole gist of this scenario is about them putting off work so that they won't have to do it.....