I've think I'm giving up. I'll miss the palliative care patients...but I gotta get off my floor, I can't quit do to obligations, but darn it I'll transfer.
I had someone do a med error report on me, because I never hung a second bag of IV fluids on a patient. The order read "ERS in first bag, run at 125, then hold fluids for rest of day." Yes, I know that normally we run ERS after an MVI/ERS bag, but this is not what the MD order read, the order read to hold the fluids after the first bag of the day, which is what I did. THis isn't an ETOH patient, this is an oncology patient with slight malnutrition.
I was confronted about not sending a patient down for a procedure. No, I didn't send him down, but my reason was THE PROCEDURE WAS NEVER ORDERED. My NM was having staff called in to do this procedure that we had no order for, I told her that this wasn't ordered. Finally, after everything settled down, she looked me in the eye and said, "I just didn't believe you." While this was going on, I was trying desparately to get the 1800 meds and IV's out to 15 patients because the LVN left sick, and I got stuck with IV's, meds, and assessments with only an NA to assist.
I was confronted about admission paperwork not getting done the night before, when a different RN had that patient, and I repeatedly asked her if she needed help and she said no, but I"m responsible because I was charge, never mind the fact that I had already picked up 2 admission packets for the other RN, and I'm not being given the option to write her up retroactively, because I was under the impression the admit was done before we left that night. I'm supposed to "go and check behind" everyone. What ever happened to personal accountability, the other nurse was an RN!!!!
I was told 5 minutes AFTER my shift was over that I was going to be mandated for night shift.
This all happened in less than a 9 hour period...
I give up, I can't quit...but I'll transfer to another area of the hospital. Heck, I'll give up my license and scrub toilets before I continue to work like this. It's really shattering to my self esteem to know that my coworker's/NM have so little faith in my capabilities as an RN that they would write me up for a med error before looking at the order, and don't believe me when I'm standing right in front of them saying "there is no order for this, I already checked in the chart, the computer, and in scheduling". I've never had a med error, and all my performance appraisals have been exemplary, I had 4 step increases in my first year. It's not like I have a reputation for screwing up. Heck, I might even file hostile work environment, I need to talk to the union.
Anyways, I've been up for 24 hours now...thanks for the opportunity to vent. Hopefully my pain meds will soon kick in and I'll be able to relax enough to sleep, my back hurts so bad I was barely able to drive home.
