Written up and confused. - page 2

by pageturnstyle 11,613 Views | 55 Comments

I have been a nurse for 2 years now and have been fortunate enough to avoid any deaths on my shift until recently. Last week I had a hospice patient with a DNR who was exhibiting Cheyne-Stokes breathing, fixed pupils, and a thick... Read More


  1. 7
    Quit sister.
    libbyliberal, jrwest, barbyann, and 4 others like this.
  2. 1
    Unfortunately I did. Doesn't my signature just indicate that the write up was explained to me? Is it an admission of guilt?
    Esme12 likes this.
  3. 1
    It's much harder to contest a write up that you signed.
    barbyann likes this.
  4. 1
    Was it a LTC setting? You have to have an order for everything in LTC.

    I would be upset too, if I thought my boss was out to get me. However, I can guarantee you no BON in any state would consider jerking your license, because you suctioned a dying pt's mouth.
    cienurse likes this.
  5. 7
    This kind of thing is exactly why I would never encourage anyone to go into nursing at this point in time! It's only going to get worse as far as non-clinical management setting priorities and goals when they have absolutely no idea how to care for a patient! Yes, some things look just ducky on paper, don't they? But we all know that in real life there's most often not only black and white choices.
    You certainly did the right thing...get out of there while you can!! What a shame that managers and administrators are ruining new nurses with their (managers, admin) view of patient care...
    RN12PTL, libbyliberal, SweettartRN, and 4 others like this.
  6. 41
    I spoke to my DON and she advised me to attach my own written statement to the write up. She said signing the write up only indicates that it was read to me, not that it was an admission of guilt. She agreed that I was providing comfort care and said she would look into the matter. She also said she would do an inservice for the unit managers to help prevent intimidation and other inappropriate behavior in the future.
    NutmeggeRN, fireball78, NyteshiftLVN, and 38 others like this.
  7. 4
    You did the right thing.
    cienurse, Wise Woman RN, LTCNS, and 1 other like this.
  8. 4
    No you did the right thing! IT was a comfort measure otherwise the patient would choke and not be able to breathe!
  9. 1
    Does she know you did oral suctioning? Was she thinking you deep suctioned for some reason? Check to be sure she understands it was oral suctioning you did - not deep. This is because deep suctioning causes pain and choking (as you know) but maybe you don't if you've not done it to an awake vent assisted patient. The look in their eyes if they've had some uncaring RTs do it - pure terror.

    Hospice pretty much is against deep suctioning. Patients are put on Scop patches hopefully before it gets to that point. But oral care is given often, and suction is very commonly ordered as DME in case of this very thing happening.
    SHGR likes this.
  10. 11
    Dumbfounded, I am.

    I can understand if you did deep suctioning (endotracheal); facilities and RTs can be weird about who is allowed, etc etc. But a YANKOWER?!

    In NO WAY could clearing crap out of a dying patient's mouth be considered anything but compassionate, BASIC care. It wasn't going to prolong her life (unless, of course the plan was to MAKE her choke on old food??).

    Ridiculous, and I'd fight it tooth and nail. Your manager is a nincompoop, period.
    NyteshiftLVN, SHGR, cienurse, and 8 others like this.


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