Originally posted by twinmom2k
The nurse was completely oblivious to the fact that she should have gotten the vitals herself.
I have walked in you shoes (unfortunately) Im in a meeting and called by DON to ask WHY my resident was being sent out ????
Well the (LPN) charge nurse never did call me to assess the pt and I wasnt even AWARE that she was being sent out (for unresponsiveness) Id been here a LONG time and knew my staff well. Covering charge nurse and CNA who always tries to get her pts shipped out in this senario, furthermore this pt was difficult to say the least. I go to the room to assess her, shes not unresponsive she is ASLEEP. I ask for the vitals- CNA and nurse say "we are getting them now", however MD, family, ER, and amb had ALL been called already
Wound up not shipping her out there was no reason what so ever for her to go. Nurse pissed, CNA starts CRYING and saying how I dont trust her judgement. Since when is it the CNA's judgement to ship them out. All this poor lady needed was a diaper change and to stay in bed a little later. This was the saddest CNA I ever knew, was there for 33 years !!! When she ever told me somebody had a temp I would say, "lets retake it- come on Ill go with you............" By some miracle the pt would now be afebrile :imbar The happiest day of her life was the day I resigned.
Another time eve supervisor sent out one of my (few) "walkie-talkies" who was sent right back, another case of "unresponsiveness". Went to see her ASAP in AM and she told me they "woke me up and made me get on a strecher" Look at the chart to see what the heck went on, No VS to be found but there was a page-full of documentation about what jewery she was wearing when transferred !!! Great assessment in the diamond district but come on this is scary.........
We would work so hard to fill the beds only to have them shipped out. If I call an MD and say a pt is unresponsive- of course he will say ship them out. How do you call MD without VS didnt he ask for them ? Priority inappropriate while you sit at the desk making calls and no staff is actually tending to this unresponsive resident ?
Another pet peeve of mine. They would call 911 for "non emergency" type transfers, here would come EMS and the police with sirens blaring to take out this pt who had been running a temp !! How embarrasing and god help the person having an MI while EMS is transferring a febrile demented pt who could be treated at a supposedly SNF.
Im in the hospital now and see the other side of the coin. I get the nursing home pts who got shipped out for no good reason. We give them a day or 2 of IVAB then ship them back on PO meds
LUNCH whats that ?? Im lucky if I get off the floor for lunch by 3-4 PM To shove food down my throat and my (new grad) orientee disappears for an hour and a half on fri and mon. When he returns he asks me if I gave his 1400 meds for his 2 pts. WHAT ??? He is so un-serious about everything and scared me good when he drew up .7 cc of insulin in a TB syringe instead of the 5 "U" that pt should have gotten. OK he read the scale wrong I realize he is a new grad but shouldnt you know that upon graduation. I tried to stress what a powerful drug insulin is and showed him what 5 u looked like compared to .7 cc and he placed the blame on "whoever" put that TB syringe in the drawer marked INSULIN syringe !!!! Then he whacks me on the back and says what great critical thinking skills I have !!??
Yesterday his ONE pt ( I had 7) had a dry dsg to her foot- I asked did you do the dsg YET (1800) he said, Why dont you walk me thru it !!! Translation- do it for me !!! Cant kill anyone with a dsg so I said just change it.................
Lack of knowledge, laziness, of work ethic ? DUNNO
OK done venting TY