Hi, I work in LTC and before my shift I walk in every room of my patients to check they are alright and breathing. One resident in particular has been off oxygen and when I checked the resident - was not on any oxygen whatsoever (she was fine!). During the shift when I had to give a scheduled medication, I saw the resident was on 2L oxygen via nasal cannula. The previous nurse didn't say anything about the resident needing oxygen and I asked the aid, who said he put it on basically because he felt like it and I could take it off if I wanted to. I got upset, he never told me he did and he isn't licensed to do that. He basically walked off after those couple of sentences he spook and I spent a couple hours during my shift tapering it down so that I could take it back off without her O2 sats dropping horribly. When I talked to the aid again, I was nice but he was all defensive and saying I owe him an apology and made up all these excuses to make what he did alright. I kept telling him, if he has to do something like that, he needs to tell the nurse. He kept blowing off what I said and goes "It's just oxygen." I was really mad. I talked to my supervisor and I wrote the aid up.
At this moment in time, he doesn't know I wrote him up. And I am worried about the tension thats going to go on at work. I am a new nurse who looks like a teenager, so I guess people don't take me seriously or they think because they've worked as an aid for 10+ years that they are more experienced than me. But aid's aren't licensed or trained to assess and give oxygen or meds. And at least if they sense something is urgent, they need to tell the nurse. This resident was perfectly fine without oxygen. So I guess I'm just worried how work is going to be from now on... this is my first time writing someone up.
Anyone else write people up? How do you deal with someone who thinks they are always right?
This has been something that has befuddled me for 32 years as an RN. Why in the god name would any nursing assistant, Med Tech or unit secretary would ever think to take on a responsiblity/action that falls under a licensed nurse's domain in this legal focused healthcare system of ours. I have seen them do this countless times over the years and then turn around to the RN and act as if the RN is out of line. Are they not afraid of hurting some one? Do they even think that their action could hurt someone? What goes through their mind when they do these things?
Anyone, out there in cyber space, please, give some answers. i would kinda like to know myself after all these years, what goes through a CNA's , MT or unit secretary's mind that prompts these acts?
I'm 56 and I don't look 16. I don't think it has so much to do with how old the RN looks. I think it's more the personality of the nurse's aid. I had a unit secretary tell me she knows how to triage because she has been in healthcare for 10 years she just doesn't have the nursing license. Oxygen today, medication tomorrow, and alot of them do it. I've seen hundreds of central lines placed, does this mean I can pick up a central line try and just start inserting them when "I" feel one is needed? Some principal.
Last edit by kcmylorn on Jun 10, '12