In this thread, I my question is threefold. It involves a bag of TPN possibly being hung with no filter, a nurse that does not like new grads, and a new grad.
Last weekend I had to give report to a nurse who dislikes new grads. She especially does not like getting report from new grads. I made an attempt to write out a simple, concise report on the patient's progress through the night, and hoped that she would atleast discuss the most important aspects with me. I had gotten through the CV report, i.e. pt started on Hep, doppler studies shows multiple UE DVTs, cold hands bilaterally, D/C of PICC. All the while, she hastily said "OK...OK...OK". When I attempted to tell her that the pt's glucose was almost in the 50's, she said, "You know I don't care, don't you?" She proceeded to walk away without hearing the rest. I left my written report on top of the MAR, and sent a short e-mail to my manager about the incident. This had happened to me before, and I had swallowed it up - but I knew that this was a matter of patient safety.
Today I called the unit and spoke to one of my preceptors who told me that last night, some nurses were talking about me; about how I didn't put the filter on the TPN tubing. The nurse I mentioned above had that same patient, the same one that I didn't give the report to. I told my preceptor that I had written an e-mail to my manager. He said that this is her way of "getting me back". He said he didn't know if it was a "big deal" or not. I always prime TPN at the nurses station, and take the filter off there too. I honestly do not recall not hanging the filter.
If I am called in to speak to my manager, what should I expect to be done against me? Is it dangerous to the pt if some of the TPN has been delivered without a filter? Should I mention that it is ironic that I always prime TPN with the filter at the nurses station, and that I had written an e-mail about this nurse (who reported me)?
Thanks for your insight!