I really need some help/input as to a situation I went through at night last night
I work on a very busy med/surg floor currently doing 12 hour night shifts, Five RN's on at night for 35 patients.
we have been working with a nurse for the past year or so who sometimes seemed moody or easily aggravated and had several negative interactions with other satff members, most of which were brought to our unit administrators attention and dealt with and never followed up.
Last night the blank really hit the fan.
we will call her Nurse 1 , well anyway she had been in a bad mood the night before but seemed okay to the other four members on our nursing team.
she came on shift and was not speaking, slammed a door into one of the nurses arms , bumped into me with her medcart and told another RN to shut up.
we were all helping with her patients during the first 2 hours of her 8 hour night shift. I took an admission and then gave her report on it and she ignored me repeatedly, then that same new admission coded on the bathroom floor and this RN was nowhere to be found, another nurse and I initiated the code and started the work etc, I was doing the documentation and RN #1 came up and grabbed the chart and clipboard from me and said "just go away!" I mentioned to my incharge that I was concerned about all these incidents of verbal and even physical abuse by RN #1 , to which the charge nurse agreed, We were contemplating what to do about the situation when RN #1 came to me, threw her charts at me and said that she was leaving her patients and that I was to care for them because she "had to leave before she harmed someone, one of us or one of her patients" I attempted to ask if there was anything I could do but she started to really raise her voice and concern the rest of the team that she could be of harm to our physical safety, one of the nurses was thinking of calling security but by that time nurse #1 had stormed off , leaving her 7 patients without an RN to care for them.
the rest of the members of the team and myself got together, one did the meds for that team, I did the vitals and any patient care, while the third did the ins/outs etc . Our incharge called the unit administrator on call and security, both made reports, our own UA came in early and we all had to fill out detailed reports of what happened etc as this will be a practice issue for the college of nurses.
now on to my problem, this incident has left me shaken, exhausted emotionally and yet still hoping this RN doesnt harm herself or anyone else. Our UA ensured us that she would be in contact with RN #1 but we dont know whats going on and its scary.
also the disgusting state she left her patients in is something i cant get out of my head.
one of the patients had such a soaking underpad that you could ring it out, the other ones head was wedged inbetween the siderails etc.
I havent slept, we left 2 hours late from our shift, our co workers are badgering us for details ,like I said I'm exhausted.
any helpful tips?