Criminal or just Bad Judgement? - page 4

Would like input please... I work sometimes with a male nurse, who I usually enjoy working with. Tonight I had a new admit, who was also a male, so I called the other nurse to come do the skin... Read More

  1. by   Meerkat
    Quote from mystic_fish0526
    Initial assessment upon admission should be done by RN. I don't understand why he was doing assessment and you were witnessing it, and even left the room. Should be other way around: you were doing assessment, he was just standing there, witnessing. And how did you chart his assessment findings, just because you watched him doing it? If you charted as you did it, it's legally wrong. If you charted that he did it, when he is LPN and you are RN, this is legally wrong either. I really do not see a point of bringing someone for witnessing, when there really was no witnessing: he told you to leave, and you did just that. Maybe he assaulted a patient, how would you know that? Sorry, I don't mean to sound harsh, but you both did not follow the protocol that was initiated by the facility for the reason.
    It was a SKIN assessment, not an initial assessment (which I had finished). I charted what I SAW, which was the hematoma and various other scars. He was not called to assess, he was called to witness, and he bullied me out of the room. Literally, pushed me to the threshold of the door. I should not have left, you are right. I was taken by surprise, thinking maybe he knows something I don't, thinking maybe the pt IS embarrassed...
  2. by   jill48
    Quote from mystic_fish0526
    Initial assessment upon admission should be done by RN. I don't understand why he was doing assessment and you were witnessing it, and even left the room. Should be other way around: you were doing assessment, he was just standing there, witnessing. And how did you chart his assessment findings, just because you watched him doing it? If you charted as you did it, it's legally wrong. If you charted that he did it, when he is LPN and you are RN, this is legally wrong either. I really do not see a point of bringing someone for witnessing, when there really was no witnessing: he told you to leave, and you did just that. Maybe he assaulted a patient, how would you know that? Sorry, I don't mean to sound harsh, but you both did not follow the protocol that was initiated by the facility for the reason.
    What are you talking about? As an LPN I have always done my own initial assessments which INCLUDE the skin assessment. This is true not only in long term care, but also when I worked med/surg. Is it true that only an RN should be doing this?
  3. by   all4schwa
    maybe it's another one of those things that varies state to state. here in ohio, in a hospital, an RN must do the initial physical assessment and the care plan. the lpn can do the rest of the admission stuff, and every patient must have an RN for at least one assessment a day (so if an LPN had them on nights, we mark the patients for an RN to take them in the am)
  4. by   UMNURSE
    What would you do if the patient was female and 16? We have to protect those who cannot protect themselves. Report him. If your management gives you a bad time about it find a new hospital to work in.
    I agree with Tazzi.
    UMNURSE
  5. by   KR
    I would say, as others have said, trust your gut. It is almost always right. Good for you for reporting your co-workers behavior. Keep us posted if you are able to.
  6. by   crissrn27
    Quote from KR
    I would say, as others have said, trust your gut. It is almost always right. Good for you for reporting your co-workers behavior. Keep us posted if you are able to.
    This thread is about a year old, I wonder what happened?
  7. by   MrsMommaRN
    for the no gloves. wow i'd really be a bit suspicious. document what you told us. discuss it with your nm. let nm how uncomfortable you were in that situation. it reeks.

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