Inexperienced supervisor/Vent ?

[fabiusgile]

Let me start off by describing myself and I'm male 26 year old nurse.who is in the end of my first year. My unit is subacute usually 20-30 patients. With 1 nurse and a working supervisor. My supervisor was hired the same time as me and has as much experience as I do. She talks down to me and when I want to collaborate on something she says what do you think your the nurse. When I work with her I find myself doing my job and part of hers. I'm just concerned with the way she talks down to people and the lack of assessment/experience she has, at times I feel l have more experience than her.

Last night we had a man who refuses to sit up laying flat with a hx of GERD and some other GI Dx C/O CP. I was doing my med pass and had an aid come up to me and say Super is sending pt zero out. I said ok whats going on. He complained of CP, The aid asked me to check his vitals cause supervisor asked her to get a set while she called MD. I lock up and do my assessment he's flat. VSS 152/80 Apical 82 everything else fine. No sweating etc. MD ripped her a new one for wanting to send him out without getting any assessments and I believe paged the DON after he got off the phone. Weekend supervisor was finishing up her day shift and was thinking the same as me. I got him maalox and put him at a 45 (won't go 90 backpain). He said it was feeling better 15 min later. Super dupervisor comes in and says hows your CP. Do you have any feelings of dread. You think its a HA. Do you want me to send you to the hospital? and she looked terrified. She called MD back and said well he wants to go and its his right. Weekend supervisor was BSed and so was I. Guy goes out enzymes (-) EKG (-). Hosp kept him for UTI ?CP and nausea. Asked my opinion after and told her I would of tried treting the Gerdy symptoms then checked Resp.. with his VSS. Update MD and continual assessment. I asked her if she got his vitals and were they stable. She said no the aid got them. I said you should assess a unstable patient yourself. She said well she's in nursing school and I trust her assessment. Its My license I can do what I want. That floored me. If she kills someone and I'm on shift won't they come after both of us?

I'm just frustrated that I didn't know what was going on and she was more anxious than the pt. Weekend super who is awesome keeps telling me just ignore her she'll hang herself eventually. Later that night lil old lady with SOB O2 86% R 24 who we just took off 2L cold turkey who was stating 93-94 on 2l (asthma excab, COPD). I put her on 1L and wait to see if she comes back up... she goes to 91-92. And Super Dupervisor telling me I can't just throw o2 on her. Which I know l can from where I worked at before stabilize pt then get orders. She wouldn't call MD so I had to and asked him if I could write a titration order.

There's some newer nurses in the facility and I feel like they come to me rather than her. She doesn't have the nursing skills/experience. I'm doing my job and her job. last night i didn't get out till like 2a cause there were orders that needed to go in Tx left etc. she left at like 1230. The whole time I have her telling me. I feel flustered (spoke to DON about me doing her job few months back) because i'm inexperienced. But the last 2wks census been down and I've been on the dementia unit with a 40:1 ratio running unit with no issue which helped renew my confidence.

Thanx for listening to my vent. Should I just sit back enjoy the show cause she ****** off our facility MD like weekend super is saying. Speak to the DON. Any impressions or suggestions on the situation greatly appreciated.