I work for a small HC company. The MD ordered 1/2 in nu gauze packing to the wound. I called MD to inform him we did not have nu gauze and could I substitute a sterile 2x2. The MA at his office called my administrator and said, "doesn't your nurse know how to cut a 2x2 sterile gauze?" He never told her we did not have the nu gauze. I showed him that cutting a 2x2 frays and that can cause problems in her wound. He wrote me up, because we lost the patient. I have always been taught if we need to change the order we have to call MD. Was I wrong? More to come, this agency is a mess, absent DON and I am ADON with NO job desciption which I have requested numerous times. Administator wants me to train nurses in OASIS! I have always had formal training courses and have 2 manuals that I use all the time. He pays me 20.00hr for 4 hrs a day and has assigned numerous tasks for me, supervising staff, all OASIS visits, performing chart reviews, wants me to set up a training schedule for all staff, put together a medical record with all necessary papers, supervise HHA q 2 wks, LPN's monthly and on and on-all in 4 hrs. Oh and I have to correct their documentation, make a list of supplies nurses need. Please help! I am applying at other companies.BTW- the absent DON called and said I should have used Iodoform packing!! The patient was young and alert. DON has been out for 3 months and is coming back PT 3 mornings a week for 1-2 hrs.
Thank you in advance for your comments!