What do your coworkers do to annoy you? - page 8
Last night when I got report from the RN who was leaving, he told me the doc had ordered a stat med for one of my patients. After report, I checked the chart, and found the order timed for a half... Read More
Apr 20, '03Your comments about counting narcs reminded me of another peeve, because I often see it when counting narcs but it doesn't end there. People Who Keep Score. Example, "I counted when I came in and it was your turn." Or "I stocked the shelves the last time, " etc. "It's not fair."
Oh gee I guess I am talking about whinners again. Told you they are the worse.
Apr 21, '03Nurses who arent familiar with meds and cause med errors. Had 3 this weekend alone.
1)Now dose of toradol written at 9 am. I was told in report at 7 pm that it still hadnt come from pharmacy so it hadnt been given, Cue;Toradol is stock in our acudose,available 24/7
2) Order for MGS04 2 gm ivpb ordred at 11 am. Nurse wrote"refused" next to it on the MAR and charted that the patient"refused the morhine as it caused headaches". This person had a mag level of 1.0!
3) Took and order to d/c coumadin which is given at 9 pm in our hospital Did not d/c this on mar. If I had not checked my charts before medpass, which frequently happens,I would have given this med to a person with INR of 7.The same nurse made all 3 of theses errors. And altough I hate to write incident reports,these were of the nature that couldnt be ignored.
Apr 21, '03I trust no one. I check labs at the start of shift so I have in the back of my mind whether or not someone needs K replaced, held, Mag replaced, hold or not hold coumadin, know Cr before toradol ect ect ect ect ect ect ect ect. Catch lots of mistakes that way.
If I offended anyone its not intended
Apr 21, '03In my opinion, if your co workers get offended because you CYA then maybe they are afraid you'll find something they missed.
Apr 21, '03No offense taken here.I found these errors checking my charts before passing meds.My problem was that the patient needed the mag as soon as it was ordered and the nurse didn't know the difference between mgso4 and mso4.I gave the mag as soon as i found it,but it was hours after it was ordered.
another problem,with the crazy way that our floor is staffed, all H... is usually breaking loose at 7 pm. Sometimes it is almost impossible to check all orders before assessing the first patient,and some of my coworkers don't do it at all, they wait for the charge nurse to check them.
Apr 21, '03ER Nurse here,
I consider myself very flexible, not much gets to me. I will change to overfilled needle box, get more gloves, hang another IV bag, when I come on and the bag is dry. Will get the urine that has not been gotten in the 8 hours previous to me coming on. All with a smile and an attitude that this is why we change shifts so that the work will get done and the patient will get to their next destination.
My biggest pet peeve is when the other shifts are complaining about, (when we come in the trauma rooms are not stocked, the needle boxes are overflowing, this urine has not been gotten in the 8 hours previous to them coming on shift. etc. etc.) It is a big circle and the things that most complain about I have found are things that they themselves do not always get done. I am exaggerating about the urine here.
One time I was out of the building and walking to my car when a day shift unit clerk came out yelling that my charge nurse was paging me overhead, I thought my patient was dying or something, I get in there. My charge nurse looks at me and apoligizes and says the oncoming nurse wants to talk to you. A urine was sent to the lab labled with the correct patient, and with the correct order requisition, however the lable printer did not print a medical record number, this nurse was losing her mind because the lab said they could not accept the urine without the lable having the medical record number. "Now I am going to have to tie up a tech" (of course not herself) to walk to the lab a 2 second jaunt, to take a lable with the medical record number, otherwise she would have to get another urine sample. I don't know, I felt this was not something to sweat, this patient was a young healthy female with some abd. pain, she could have produced another specimen. After this nurse finally saw that I was pretty annoyed and not completely devastated by this quote unquote error. She says to me, you need to be more careful and check the medical record numbers, I said you cannot tell me that you look at the medical record number everytime you send a specimen especially if you are busy, she said yes I do. I said I don't believe you and walked off. Two months later, guess who didn't check a medical record number or a name for that matter, we had two patients with the same last name, she labled the urine wrong. I was tempted to call her butt, at 0300 am and tell her but, it was enough satisfaction to know that she is not perfect either.
I guess I think we need to pick our battles wisely. I will say something if I feel a patient has been neglected or their care seriously jepordized. Otherwise I say we should not sweat the small stuff.
It is hard to tolerate tardiness though I agree.
Apr 21, '03Don't tell me how busy YOU are, I've got work to do.
I've got to tidy this place up so it is clean and set up for the next shift and not the dogs breakfast that I was greeted with.
Apr 21, '03Some people bug me when they show up for work.
Some people bug me when they don't show for work.
Some people just plain bug me.
I'm sure people have the same feelings towards me.
Apr 21, '03Originally posted by FullMoonMadness
My problem was that the patient needed the mag as soon as it was ordered and the nurse didn't know the difference between mgso4 and mso4.
Apr 21, '03The biggest thing that honks me off, is coworkers that ask for a favor, such as covering oncall or an extra day to pick up for them and CONVENIENTLY get alzheimers when you ask them!!
Also, nurses that know that something has been ordered and deliberately leave it for the next person! Sometimes, It just drives me mad, that the SAME nurses are the ones that get by with skimpy work...I do not know how they can sleep at night!