Was I wrong? - page 7

Bear with me for this is going to be a little long. I was covering part of a shift for a co-worker on my scheduled day off. The shift was 7am-730pm and I was working 9 to 3:30 for her on the regular... Read More

  1. by   mudd68
    Quote from dimari
    You did the right thing but her behavior makes me think that maybe your co-worker is the addict and has been stealing the patient's morphine for herself (I've witnessed this in previous hospital jobs I've held). She might be furious that the PCA won't require her to get narcs every 1-2 hrs. Just a thought.
    This was exactly my thinking! This type of reaction raises red flags in my opinion.
  2. by   PudgeMC
    How can she call the PT "HER PT" if y'all both worked half of the shift? Isn't she the one that told her that she was gonna try to get the orders changed in the first place?
    I would've done the same thing.
  3. by   Munch
    Quote from Jessasaurus
    I hope your coworker is never my nurse...
    Me too I would never want her as my nurse either. Thankfully the patient I was talking about will be going home tomorrow. A good friend of mine that floats on that unit often told me the patient is going home tomorrow on her oral regimen that they tweaked a little bit. It was oxycontin 40mgs q8hrs with OxyIR 15mgs q6hrs for BTP they bumped up her oxycontin up to 60mgs q8hrs and her oxycodone 15mgs q4hrs prn. So that should help her and hopefully prevent her from having to come to the hospital for crisis pain. As for this nurse my friend said a lot of the patients have been complaining about how she is being stingy with pain meds, not getting them in a timely manner if at all. The charge nurse is going to have a talk with her so hopefully the situation should resolve.
  4. by   NuGuyNurse2b
    I think your friend nurse is being stingy on purpose. She wants those sickle patients to request anyone but her. It's old hat. We have one on our floor who's notorious for that. The sickle cells require PRN Dilaudid or whatever drug of choice Q2-3 hrs and that becomes a heavy assignment cause they also request their Benadryl and heaven forbid that IV line clots, you're looking at a very hard stick. One of our regular sicklers - their IV line literally goes bad within seconds when you're changing IV bags. We finally got them to agree to a PICC line and it's been so much better. So your nurse friend is making it obvious she's not a good fit for this patient, hence don't assign her this patience, since the sickle cell patients are often recurring patients and I don't know about your facility but at mine, they typically hang in the unit for 3+ weeks.
  5. by   Have Nurse
    You owe her no courtesy to get her opinion first. You owe no apology. The other nurse does not have the right to diagnose as to whether or not your pt was a "known drug seeker." Pain control is a priority regardless. You did just fine, Sweetheart!
  6. by   Have Nurse
    Good point. ...hadn't considered that. Perhaps it is time for a drug test.....
  7. by   Glycerine82
    Your co worker is a bum hat. Sickle cell is one of the most painful conditions there is and many SC patients are labeled as drug seekers. Your colleague had no right to play judge and jury and decide what her patient did or didn't need - her job is to give the provider the objective information and let he or she decide.

    Don't feel bad for one moment - this other nurse has a serious problem.
  8. by   OrganizedChaos
    I've medicated patients who said they were in a ton of pain that were laughing, playing on their phone & then I came back & were asleep. If they're asleep I generally don't wake them up unless they're post op but even if they're laughing or playing on their phone I will medicate them. I don't know how much pain they're really in.

    Yeah it will irk me that patients might me playing me but I'd rather give them pain meds than not & have the 1 patient I don't be in pain.

    Your coworker could be burnt out, acute care takes a huge toll. But that's no excuse to act the way she does. She needs to be written up & reported to her manager.
  9. by   alex1214
    The issue of possible drug seeking aside. I likely would not cover for anybody like that again.
  10. by   Sassyrose
    Your coworker was wrong. You were the nurse at the time. Besides, if she was such a drug seeker, she probably wouldn't have rated her pain a 3.. it still would have been a 9 or a 10. Addicts usually want more.
  11. by   Kayauhs
    It's nurses just like THIS that absolutely ruin it for the rest of us. Stop helping her in any way. AVOID her she'll just look for ways to ruin you. DOCUMENT what she is doing. She has NO RIGHT to deem this patient as an addict and then play judge and jury on whether the patient gets pain meds or not.
  12. by   Kayauhs
    Excellent point about the "3" rating.
  13. by   Qing
    You did the right thing. As soon as you took over her patients, they became your patients so you did your assessment and advocated for that person. So she had no right to go ballistic on you for helping alleviate one of her patient's pain. It does not matter if that person was a drug seeker, you did your assessment and the patient needed further exploration of pain control. We cannot judge people based on their past, but it does make us very wary of things that can happen. Now that you have seen this co worker react to you that way, its up to you whether you want to help her out again. You documented everything so you are okay, just be careful on who you deal with and do not let her shake your confidence. You cannot be her so what you see is not going to be the same view as her and things can change fast if any patient goes downhill or status changes for whatever reason. Good job and don't doubt yourself!

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