Just need to vent!!!

  1. Okay, sorry for doing this, but I have to vent!! I was in charge the other night and got report from my ANM. During which we were being told about a pt coming from a lower level of care to our intermediate floor. The resident was there and was telling us he was just cross-covering and didn't know about the pt.

    Anyway, the pt get's there before I can find out more info. We have no transfer orders to our floor! The covering resident won't come see the pt (?he's busy ) Okay, the pt doesn't look like he needs our care...not in distress, hemodynamically stable, etc. No progress noted by MD to explain why he was moved. In fact last note was discussing terminating treatment and getting hospice. Primary resident called total of 3x and he still won't come! The senior resident was called...came, saw the pt, told me I could move him general...FINE!!!

    The primary resident finally comes up 6hrs after the pt came and we told him the senior came and wrote transfer orders to general already!

    To get to the point....now I am being questioned about what I did. The primary resident is trying to say he did come see the pt TWICE What a lier! The senior is being reamed that he did the wrong thing. It is being implicated that nursing manipulated the docs into moving this pt. Gosh this makes me MAD!!! The other floor is taking this to the chief of staff. There is going to be meetings, etc.

    Now okay, I will add the pt did crump the next day on the other floor, but at the time he did not need my floor. The DOCTOR was the one who ultimately evaluated the pt and made the decision NOT I! I reported what I had to the doc and also kept my nursing coordinator aware of what was going on.

    So as you all know who's head will this ultimately fall on...THE NURSE (ME)! The docs of course never do any wrong right? I will stick by what I did that night. The primary didn't do his job and YES I went over his head! CHAIN OF COMMAND!!

    There was a lot of miscommunication of behalf of nursing and doctors. No notes in the nursing chart nor the doctors progress notes to give me any indication of what was going on with the pt. Nothing to tell me why this pt needed a higher level of care.

    Sorry, guys, but I had to get it out there and see what you guys have to say!
    RIGHT NOW I AM SO VERY TICKED OFF!
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  2. 13 Comments

  3. by   teeituptom
    Hang in there
  4. by   atownsendrn
    altomga - Sounds like you did the right thing. Don't let them beat you down.

    :kiss {{{{{{{{{{{hugs}}}}}}}}}}}}}}}}}
  5. by   VickyRN
    The primary didn't do his job and YES I went over his head! CHAIN OF COMMAND!!

    There was a lot of miscommunication of behalf of nursing and doctors. No notes in the nursing chart nor the doctors progress notes to give me any indication of what was going on with the pt. Nothing to tell me why this pt needed a higher level of care.
    I am so sorry you are going through this. It was because of constant stress, strong personalities, endless bureaucracy, conflicts, and anal stuff happening that I left the hospital environment about 1 year ago. I really feel for you. From what you have described, you are a great nurse and did all that you could do when placed in a needlessly stressful and dangerous situation. Is it possible for you to fill out an incident report, describing what happened? This is horrible, not only for you, but also for the poor patient who was left on your unit without orders. The PRIMARY RESIDENT was very negligent indeed and needs to be held accountable for his actions and attempted cover-up.
  6. by   live4today
    ((((((((altomga)))))))) I feel ya......as do many other nurses who know full well what you experienced in that situation. Vent on.....we support your need to do so.....and rightfully so.
  7. by   altomga
    Thank you all so much for your support. As you know it mean a LOT!! I should hear more about this "situation" tomorrow. My "boss" is supposed to be having a meeting with the doc's, other manager, etc....
    I'll let you know!
    Again THANK YOU
  8. by   meownsmile
    I would definately get a incident report made out asap. Include the lack of documentation when the patient arrived, and each and every attempt at contacting the resident who should have sent orders with the patient.
  9. by   RN4jewels
    I am rooting for ya, I get tired of docs with their attitudes and lack of responsibility. Last night I had a surgeon sit on a chart for 2+ hours. She was smoozing on the phone and putzing around. We were staffed on PMS but short NOCs (surprise, not we have big staffing issues and I am working on a transfer). So a bunch of pm stuff cascaded to nocs and this patient was involved and a prep op. She had issues anyway and since she didn't get much sleep doing tests all night she is mad at me for "rushing" her and feeling like I was physically rough with her doing BP!!! (the ones with her 2 hr neurochecks)just get tired of being the fall guy for docs who don't care about anything else. A few months ago a resident didn't come up to see someone she was supposed to because she had other patients (God forbid). So when there were problems and her prep was started "late" by her standards, something she could have caught had she made an appearance, I had all kinds of docs climbing up my butt. We are the garbage for all that goes wrong unfortunately, whether it is a pts perception, docs negligence or another depts errors. Feels like we are supposed to be GOD sometimes. I am learning not let it get the best of me. I am not staying in the hosp enviornment after my kids are both in full time school. I want to go back to office work. Forget the money, I want some sanitly. JMHO, you are in my prayers.
  10. by   mother/babyRN
    Well, when something similar has occurred in my experience, I merely document the times I have called them, who I called and when or if they state they are going to arrive. Then, I suggest they discuss it amongst themselves as the problem is with the docs,not the nurses.
  11. by   Hellllllo Nurse
    Altomga,

    Please stand up for yourself. Do not let the resident get away with lying. It just kills me when these kinds of things happen and the nurse always gets the blame, no matter what. Please don't let that happen.
  12. by   altomga
    Originally posted by Hellllllo Nurse
    Altomga,

    Please stand up for yourself. Do not let the resident get away with lying. It just kills me when these kinds of things happen and the nurse always gets the blame, no matter what. Please don't let that happen.
    I am known for having a BIG MOUTH and being a *itch! When other nurses don't have the nerve to go to the management they send me. I don't care as long as I know it is right. I won't let them blame me without a fight per say. I will stand by what I did b/c I did nothing wrong. This particular resident has officially made the rest of his residency a living hell. Word spreads ya know? Nurses tend to stick together with things like this; especially if they know a resident has lied to protect their own ass!
    Haven't heard anything from management today, they were supposed to have a meeting.
    Thanks for the support
  13. by   funnygirl_rn
    Hang in there altomga!!!
  14. by   MandyInMS
    Originally posted by meownsmile
    I would definately get a incident report made out asap. Include the lack of documentation when the patient arrived, and each and every attempt at contacting the resident who should have sent orders with the patient.
    Ditto the above and make a copy for yourself as well..good luck hun (((hugzzz)))

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