OMGosh...she wrote me up! Update about the Narcan! - page 2

For those that didn't see my post, I had a patient come in after surgery who was very sedated, however...didn't meet the criteria for using narcan. He had serious sleep apnea so his pulse ox went... Read More

  1. by   nurse15dc
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    Last edit by nurse15dc on Dec 14, '06 : Reason: -----
  2. by   bethin
    Quote from TriageRN_34
    Anywhooooooo they are going to talk to the nurse and get her side of the story...but in her documentation in the chart she actually wrote that I was at fault! That is not cool and I believe since it wasn't my fault...that is false documentation and proably more!

    I was very professional and to the point and stood behind my choice! Everyone was so proud of me! Including me!!!!!!!!
    I may not be a nurse (yet) but I think it's unprofessional, immature, and even unethical to chart who is at fault. You chart what you see at the time, not what the nurse before you saw - that should already be charted.

    Also, I was led to believe that narcan was to be given only in emergencies, respirations low or nonexistant, seizures, codes, etc. You don't mention any of that. It sounds like the pt just did need to sleep it off. Even though he was experiencing apnea (heck, my dad experiences that when he snores), his sat did not stay in the 70's for an extended period of time. This may not mean much coming from an aide, but it sounds like you did the right thing and you remained professional throughout this ordeal. I think you should be commended for what you did.
  3. by   bethin
    Also, this noc shift group you work with could learn alot from you if they paid attention and treated you with the respect that you deserve. IMO, they treat you like crap! Are you going to stay on noc? Don't let them get you down for you are a great nurse.

    Can I work for you??
  4. by   SaderNurse05
    Sounds like either 1) she overreacted and now has to justify her practice or2) she IS really messing with you and took advantage of this opportunity to try to make you look bad. Either way it got in the way of her treating the patient appropriately. Either one is her bad If you are half as professional in real life as you are on this board ( no doubt here!) there is no way she has a leg to stand on. I am proud of you because you DID the right thing, above and beyond, and documented it! :smiley_aa I hope this blows over soon.
  5. by   missqueenqann
    Quote from SaderNurse05
    Sounds like either 1) she overreacted and now has to justify her practice or2) she IS really messing with you and took advantage of this opportunity to try to make you look bad. Either way it got in the way of her treating the patient appropriately. Either one is her bad If you are half as professional in real life as you are on this board ( no doubt here!) there is no way she has a leg to stand on. I am proud of you because you DID the right thing, above and beyond, and documented it! :smiley_aa I hope this blows over soon.
    What she said.!!!!!!!!!!!!!!!
  6. by   RN BSN 2009
    Wow... writing opinion in the notes... just wow.
  7. by   GardenDove
    I absolutely hate this kind of shift to shift BS. This gal sounds immature, childish, and immature. :spin: I cannot believe anyone would trash the previous shift in writing! Good Lord!!!:trout:
  8. by   gentle
    Wow!!!!!

    We have a very specific protocol for using Narcan and it appears your facility has one likewise. It is very unfortunate that the patient had to suffer for such a long time due to that impulsive decision.

    Triage, your decision was phenomenal. The "cutie" unfortunately is not going to fare well in nursing and neither are her patients. Impulsivity alone is not a good thing in nursing. However when one combines impulsivity with pride and removes thought and understanding . . . OMGoodness, this is reallly bad.

    Please keep us updated with how things turn out for you. I wish you the best.
  9. by   GatorRN
    Wow! I can't believe she actually put such a thing in her notes..Unbelievable! I sure wouldn't let something like that slide by without being addressed. By your first post about this particular pt, and previous posts about the night nurses attitudes with you, I was afraid you'd come back and say she wrote you up.

    As I said before, you did right by your pt, I wouldn't have given the Narcan either in that particular situation. It's a shame the pt had to suffer in such pain afterwards. She obviously wasn't too concerned with his comfort, sad, very sad indeed. She should not have made it her priority to undermine you, at the pts expense.
  10. by   morte
    thanks, P_RN
  11. by   Tweety
    By "written up" are you talking about what she documented in her nurses notes?

    Or did management give you a written warning that is in your personnel file?

    I'm sorry this happened.

    (What about Bipap for the apnea? Was the MD aware?)
  12. by   P_RN
    I'd assume writing up would be the making of an occurrence/incident report, either naming or suggesting that triage did or didn't do something. Wouldn't something from management be more of a written/verbal warning/counseling?
  13. by   outcomesfirst
    Triage - be very careful about your situation. The actions you describe from management and between shifts may indicate a toxic environment. As a newbie, you are a threat to the status quo - both for staff and management. The behavior during this event is not reflective of you, but of what has been allowed to occur in the environment. Please assess your current situation carefully. What do you see for the future in this environment? Is reasonable, progressive, professional change possible? What is the history/tenure of staff and managment? Have you experienced "words" of one sort and seen "actions" of another? Do you feel "cognitive dissonance" - a vague internal awareness of disgreement between what you believe to be true and right versus what is occurring? Do you have a mentor with authority at this facility? If you cannot find positive responses to these queries, I would seek a new work environment, if that is not possible right now - lay low and be careful.

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