I've been on both sides of this fence all righty...
had a pt who was gurgling like crazy even though HOB was up almost 90 degrees, so hearing the nurse outside the door, I turned off the pump and got the suction equipment ready, and then stepped out to tell nurse that pt. might need to be suctioned, but in any case, needed to be looked at stat because she was gurgly.
Well, after she spent about 15 minutes going up one side of me and down the other about turning off the pump, what did she do? but wait til she thought I was out of earshot and suction the pt. (Same nurse also almost missed pt going into CHF but instead of arguing with her, I simply said, this pt does NOT act like this, EVER, and I got her vitals and stayed with her til she became symptomatic; then the nurse got on the ball)
Another time, another place: Cna tells me that pt is SOB and needs neb tx. What she missed was that I had just finished assessing pt and that is why he was sob. I said no, he doesn't need that now, and she went off and got the UM. Well, by then pt was fine and he never did de-sat below 91%. CNA was so pissed she refused to talk to me for the rest of the day and ignored me when I asked her to do stuff.
What's my point?
Two: One, you must have trust, respect and cooperation to get the best effect for the patient. Bend over backwards if you have to; it's not a matter of your pride, but a matter of quality pt care.
Two.....people like this?
they're freakin' EVERYWHERE!!
and when those ones leave, more of 'em just keep coming up to take their place.... :uhoh21:
Really!! :chuckle now just remember that, and you'll do fine, ok?