Marie.rn- yes, this was her first TPN treatment, she was originally supposed to receive it in the hospital, however, she requested to the dr that she be able to do it at home and go back to work so that she could keep her medical insurance which covered her son who was on a transplant waiting list (all this according to info sent from hospital). I had not accepted my schedule for the day, this was the disagreement and the reason I left and they fully knew this was the reason I was quitting when I walked out. I try to learn as much as I can and update my education when I come across any new skills that I will need to be able to perform, however, up til this day, the agency had a policy not to accept TPN patients, so I did not seek any instruction on it before hand. The agency had just decided to accept this patient because they were desperate for money/having problems meeting payroll. They did not warn us ahead of time so that we could prepare by educating ourselves on this skill. As far as getting another nurse to help me, only one other in the field staff had any experience in this and she probably would have helped me, except that her schedule wouldn't allow..she was scheduled to see patients an hour away from our location. The nursing supervisors had experience with tpn but refused to help.
The agency KNEW I didn't have any experience with TPN because they keep a skills checklist in our file, AND I told everyone who could hear me that date that I was inexperienced with this. Since this has occured and I am not currently employed, I have logged many hours reviewing material on TPN therapy.