Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Geriatric Nurses and LTC Nursing /

night nurse who leaves everything undone..



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,636 members! Join today to network with other nurses, laugh, share, and much more.
Page 1 of 4 1 234 >

Feb 28, 2007 08:34 PM

night nurse who leaves everything undone..

by linzz

What do you guys think of a night nurse who charts that they did an in and out cath but doesn't really do it and the residents bladder is ready to blow. To top it off this is not a one time thing, she does this a lot. I feel so bad for the resident, she must be in excrutiating agony.


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Page 1 of 4 1 234 >
Reply
34 Comments
No. 1
from caliotter3
Old Feb 28, 2007, 08:45 PM

Default Re: night nurse who leaves everything undone..
Do the required procedure along with needed documentation showing exact condition of pt when you found her, your assessment, your actions. This covers you as far as the required nursing care. If this is an isolated instance, have a talk with the nurse. Maybe she just charted with the intentions of following through and got sidetracked. If this is a bad habit of hers, where she tries to make it look like she accomplished more that she really does in reality, then you should gather up some evidence, in writing, and provide it to the supvr. Once you have brought the poor pt care to the attention of the supvr, your responsibility ends; unless the behavior continues. Document, document, document, so that you are not painted with her brush; particularly if there are adverse outcomes, up to and including lawsuits/deaths. You have to protect yourself as well as see that the pt is taken care of appropriately. Yet it is not your duty to play nursemaid to your co-worker. Good luck. Put up your guard.
Top
 
No. 2
from TrudyRN
Old Feb 28, 2007, 08:48 PM

Default Re: night nurse who leaves everything undone..
Well, let's see. The nurse has falsified a medical record (unless this res just makes pee, a whole lot and quickly) and she has not followed a doctor's order and she has probably been negligent and abused her patient.

I think you need to gently confront her.
Tell her you are a little confused, that the res had 600 cc when you cathed her at 0800 and you saw where she had just been cathed 2 hrs. earlier. Tell her this has happened several times and give her dates and amounts of urine. See her reaction. See if it happens any more. If it does, or if you just don't want to be bothered with the above, just tell your boss and let her deal with it.
Top
 
No. 3
Old Feb 28, 2007, 10:40 PM

Default Re: night nurse who leaves everything undone..
If this person is being negligent ,WE as nurses are patient advocates.Document the amount of urine you drained. But then again,are you sure she didnt do it??Certain medical conditions could cause someone to produce alot of urine.((diabetes insipidus)) Inquire about her diagnosis and possibly bring it to the DR attention maybe her condition is worsening and the other nurse might really be cathing the pt.Maybe the Pt requires more intense medical intervention.Id hate to think a fellow nurse is lying about the treatment being given.
Top
 
No. 4
Old Mar 01, 2007, 07:25 AM

Default Re: night nurse who leaves everything undone..
I don't know what the policy is where you work, but I don't really think it's up to the floor nurse to 'get evidence' on another nurse. Follow the chain of command whatever that is in your building...charge nurse then supervisor then assistant dns...whatever it is, follow it. Let THEM investigate. Don't you have enough work to do without trying to find out what someone else didn't do?
There is a similar post about people signing off treatments without doing them. Do they realize that it is a federal offense to falsify medical records? Everyone talks about putting their license on the line because they think they have too many patients, but THIS is what endangers your license (and rightfully so!!).
Top
 
No. 5
from NextSummer
Old Mar 01, 2007, 08:04 AM

Default Re: night nurse who leaves everything undone..
Originally Posted by linzz View Post
What do you guys think of a night nurse who charts that they did an in and out cath but doesn't really do it and the residents bladder is ready to blow. To top it off this is not a one time thing, she does this a lot. I feel so bad for the resident, she must be in excrutiating agony.
I agree with allantiques4me. It's wrong to assume that a previous shift nurse did not do catheterization just because the amount of urine you obtained was a lot.
Top
 
No. 6
from banditrn
Old Mar 02, 2007, 08:27 PM

Default Re: night nurse who leaves everything undone..
Originally Posted by linzz View Post
What do you guys think of a night nurse who charts that they did an in and out cath but doesn't really do it and the residents bladder is ready to blow. To top it off this is not a one time thing, she does this a lot. I feel so bad for the resident, she must be in excrutiating agony.
How do you know that she didn't do it? Did the resident tell you she didn't, or was it by the amount of urine you got when you cathed the resident?

Are they ordered at a specific time? If so, maybe she's doing them when they're convenient for her instead of when they're ordered?

I can tell you that if 'I' were the resident - you'd get large amounts everytime - I'm a pee machine.
Top

1 Reader Gave Kudos
 
No. 7
Old Mar 02, 2007, 08:35 PM

Default Re: night nurse who leaves everything undone..
Originally Posted by banditrn View Post
How do you know that she didn't do it? Did the resident tell you she didn't, or was it by the amount of urine you got when you cathed the resident?

Are they ordered at a specific time? If so, maybe she's doing them when they're convenient for her instead of when they're ordered?

I can tell you that if 'I' were the resident - you'd get large amounts everytime - I'm a pee machine.
Me too.Ha Ha
Top
 
No. 8
from Daytonite
Old Mar 04, 2007, 06:14 PM

Originally Posted by linzz View Post
What do you guys think of a night nurse who charts that they did an in and out cath but doesn't really do it and the residents bladder is ready to blow. To top it off this is not a one time thing, she does this a lot. I feel so bad for the resident, she must be in excrutiating agony.
I think this is a pretty crappy nurse. I would make it a point to check that resident the first thing I came on duty after her, catheterize the patient if necessary and then make it a point to chart the time and the amount of urine obtained. I would also start pointing out to the bosses that this doesn't happen when you follow other nurses, so something seems "funny". I'd also lay it on with this nurse about how odd it is that the patient always has to be cathed in the mornings for huge amounts of urine. If she's too dumb to figure out that's she's being watched, then she deserves everything coming to her.
Top
 
No. 9
from nightmare
Old Apr 20, 2007, 10:54 AM

Default Re: night nurse who leaves everything undone..
Slightly sideways to the topic but if this patient needs all this catheterisation why is she not on continuous drainage?
Top
 
Page 1 of 4 1 234 >
Reply




Thread Tools


Who's Online
367 members
2,570 guests
2,937

29

lawsuit - But don't most RN's work through breaks/lunch...

0

Patient Evaluation of Retail Clinic Care

2

The hard to reach on-call doctor, and its effects on...

8

Woman charged with passing off prescription drug as...

20

Man in "Vegetative State" was conscious for 23...

2

Interesting article on ThedaCare's Collaborative Care Model

13

Possible breakthrough regarding MS

63

16th Philly area hospital to stop delivering babies: Mercy...

13

Really interesting article on Indian open hearts

12

High-Tech Pump Does What Her Heart Can't



41

Dear preceptor

1

Society Needs Care Too

13

Why am I doing this, anyway?

2

Nurse Heal Thyself

9

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

16

A Sister Never Forgets

16

Ruby's Marbles

39

What Do Operating Room Nurses Do?

14

My Little Old Jedi

20

I love this job......

23

"I hear voices"

19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude





Sponsored Links

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: