Quote from krissyycupcake
So, I am a newer RN. I have been alone for 3 weeks now. This morning during report, I had a patient going for a procedure. We do bedside report. My coworker proceeded to yell at me, in front of the patient how her fluids weren't hung and consent was not signed (she refused to sign until her daughter arrived..who I did call). I was unaware of this doctors fluid prep, and not told in report. I apologized because I honestly didn't know. She then continued yelling and told me I needed to ask, because no one is going to just tell me these things. All of this was completely degrading, and in front of the patient... When we did clinical, all fluids were hung in preop. I obviously was wrong for not knowing the preprocedure process..but I still found myself crying the entire way home because now my patient is going to view me as completely incompetent. Reporting this nurse is not feasible because she is good friends with the DON. I normally have tough skin (been yelled at by doctors as an LPN and brushed it off). I am just feeling so small and down about how this unfolded. This nurse has a reputation for running off new nurses and tearing apart everyone during their report. Any advice is appreciated. And for reference, I did not see fluids ordered.
I think that you have learned how important it is to check the physician's orders and to clarify any orders that are unclear to you. IV fluid prep is very important for patients who have kidney problems. That may have been part of why the nurse reacted so strongly when she found this hadn't been done. If the patient was going to the cath lab, where they would be receiving contrast materials, and had kidney problems, IV hydration if ordered prior to the procedure would have been very important in trying to prevent acute renal failure. Another scenario where IV hydration could be ordered is along with a bowel prep for a colonoscopy if the patient had kidney problems, with the aim of preventing acute renal failure from the bowel prep which would result in large fluid losses from the frequent BM's. Is it possible that your colleague, who though not behaving appropriately, is an experienced nurse who understands what the consequences of missing the IV hydration can be for the patient, and in shouting at you (inappropriately) was expressing her frustration that the patient hadn't received the ordered IV fluids?
I'm sorry this happened to you. Your colleague shouldn't have yelled at you, and especially not in front of the patient. On the subject of bullying though; I don't see evidence that she was bullying you. Bullying is behavior that is intended to undermine, weaken, humiliate, or abuse another person, and is often repeated behavior. You mentioned that this nurse has a reputation for running off new nurses and tearing everyone apart during their report, and while her behavior was certainly maladaptive, just from the information you have provided I couldn't come to the conclusion that she was bullying you. It would be wise though to find a strategy for dealing with her behavior, and I think JKL offered good advice.