I have an honest question that I'm afraid may get some raised eyebrows, however, I'm going to ask anyway.
Why is it that SOME (not all) nurses seem to freak out over anything that may not go quite as planned. ?
I recently started a new position at a free-standing acute rehab facility. Yesterday (Thursday Jan. 23) was my second day on the floor orienting. I had two patients. One of them told me that prior to admission she had scheduled an appointment to have her supra-pubic catheter changed. She had scheduled her appointment for Monday Jan. 27. She was asking if transportation would be arranged or if she needed to cancel the appointment. I consulted my preceptor who was very busy with five patients. My preceptor said she needed to finish what she was doing and then we would handle it together, but in the meantime, could I get an order from the doctor?
I asked the doctor for an order. She said she would write it when she got to that patient. After I asked for the order, I went back to work with my patients. I had a very involved dressing change on one patient and staple removal on my other. I also had charting to do in a system that I am obviously still learning. My preceptor had said she would catch up with me, so I assumed she would.
Charting took me a while, and I got very wrapped up in what I needed to do and did not realize that end of shift was quickly approaching (we are on 8 hr shifts and I normally work 12s). I also didn't realize the doctor had left. The appointment honestly slipped my mind.
My preceptor finished and was reviewing my charting. There were some minor problems I needed to correct, but the system is quirky and it would take passed end of shift to fix. My preceptor asked me about the appointment (remember she said she'd walk me through it). I told her that it had slipped my mind and I would check the chart for the order. She then started a bit of a rant about how "That's something that has to be taken care of no matter what". And was basically repeating the same thing over and over. Meanwhile, since I'm standing there listening to her say this stuff, I couldn't go get the chart. She's still going on about it, acting like I had failed to address a serious symptom or something.
I checked the chart (finally) and the doctor had not written an order. My last facility wouldn't have considered this a major issue, since there was still time to make arrangements and the next day shift would have made arrangements for it. YES, I realize that I should have done it, however, it was only my second day at a facility that is brand new to me and my preceptor said we would do it together, which didn't happen. Anyway, the preceptor told me to call the doctor and get a T.O. I went to do that when the HUC (they call them CSCs there) said the MD was on her way in anyway and not to bother calling, she'd be there in a couple of minutes.
The doctor arrived. When I approached her, she said "I didn't forget, someone else had the chart. That's why I came back". So I give the order to the CSC and she says that she needs phone number and address ... Actually she said "I can't do anything with this! I need phone number and address! This means nothing to me!...(she already had medical facility and department... I'd think she could handle finding the other info). At this point, my preceptor announces that I need to fix the charting and that she is leaving (but not before she took one more chance to chastise me)... So I go back to the patient's room, it is now 30 min after I'm supposed to be gone, I still have charting to fix and I'm 10 minutes late picking my daughter up from school!! The patient gave me a phone number but no address and was giving me a hard time about "Why can't you just look it up??"... GRR...
I know this is a lot of info, but why on earth do some nurses FREAK out about stuff like this that there is still time to fix???? I know I should have done it, I have no routine in place yet and I'm at a BRAND NEW TO ME facility on my SECOND DAY! I could see someone being stressed about it if it were a Friday and everyone was getting ready to leave, but there was STILL more than enough time to fix it.
I see people freak about this stuff all the time. Honestly, it takes a lot for me to freak out over anything not medically related, but so many people do this... and it is IRRITATING!!! WHY do they do this??