I'm having a problem with a newer RN. She is a VERY nice woman, don't get me wrong. But, whenever anyone gives her report, there is a problem. She doesn't do anything that you tell her about when you leave...and then you come back in and when you ask a question...blank stare.
We have a pt who has massive leg ulcers on a wound vac...with one wound that we need to do cleansing and dressings on once a shift. So, it was done the night I got him from another floor. when I left yesterday, I gave detailed report about the wound care and said "it's in the chart, and all the stuff's in the room. If you have questions, it's written there.' also, said exactly what we were doing.
When I came back last night, nurse tells me "oh, I changed the bandage to the heel." Oh, ok, how bout the wound care? "uhh....what wound care?":banghead:
His IV system was open at the cartridge, so when I went to hang antibiotic, I got a yellow antibiotic bath....ugghh.
Then, doc wrote orders for another pt to have a foley removed, PVR done 4 hrs after, and PVR once a shift. AT 9AM! It was still there when I came in...at 5P.
She has had 1 less week orientation than me...and still only can handle 2-3 pts...only if they are stable. (I was a CNA for 2 yrs before, but that can only explain so much).
When I was giving report, the day RN asked me to write a "paper trail" for our boss...over the next few shifts I work with her....not because we're out to get her...but because the concern is for pt safety and orders being followed/carried out.
I am NOT the kind of person that wants someone to fail...but I almost want to grab her and say "wake up!" If you don't get it, you'll be gone! I am planning to keep a sheet here and there...but only on "major issues" (like the wound care order.....Foley order, etc.) Any advice?
