I can't give report to this nurse anymore !! - page 3

Hi everyone ! So this may come across as ranting but I am fed up with a nurse I have had to give report to recently and I need some advice! So I work in an icu and I have been off orientation for... Read More

  1. by   Here.I.Stand
    Quote from jdub6
    While I think giving her a taste of her own medicine is hilarious I'm not sure its what I would do. Especially If she is annoying but your current relationship isn't outwardly adversarial. If you know in advance she is following you, start writing your report (the parts that aren't in the computer.) Maybe print lab results/orders/etc. That way when you power through her questions and she asks something you've already answered you can assure her its there for her to read once you're gone.

    What would happen if you told her you can't stay while she reads the whole chart but she can text with questions only you can answer (no identifying pt info of course). It takes you x minutes to drive and you'll be up for x minutes after that (i suggest giving her no more than a 15-30min window.) This takes effort from her, could force her to consolidate her questions instead of draw them out and she has to check for reply. Many people just won't bother. You'll have to judge if she would or not.

    If your employer has a book or form to fill out explaining unusual payroll changes (left early, stayed late, computer class or whatever) make sure you complete this every time this happens. If they don't have a system like this email whoever does payroll on every occurrence. "I punched out 36 minutes late because the oncoming nurse requested a complete joint review of the chart, joint patient assessment and joint environments rounds." Do not mention her name. If she follows you as often, and keeps you as late, as you say they will figure it out soon enough. Encourage others to do the same.

    If this fails then bring management in. If you want to try to salvage your relationship with this nurse just say "They keep insisting on bedside report and all these double checks and I just can't seem to do it and leave on time so when I spoke with Manager about all my incidental overtime I asked her to observe report to help me do better."
    See I don't think she needs to make herself available for work-related things once she leaves. I also don't think she should bide her time waiting for the pattern to be reflected in her paycheck and for management to get involved... all the while having her own personal time infringed upon.

    She just needs to make really clear that going forward, report will only take 30 minutes total (or however long the shift overlap is.)
  2. by   Irish_Mist
    You need to get your nurse manager involved. This is excessive and ridiculous. She is costing the hospital money by keeping nurses over by an hour. I guarantee that in and of itself will be an area of interest for you.

    Report is supposed to be the "meat and potatoes" information about the patient. It's not for the oncoming to do their assessment and check every order. She needs to be stopped. I'm honestly wondering if this is a form of lateral violence.
  3. by   jdub6
    Quote from Here.I.Stand
    See I don't think she needs to make herself available for work-related things once she leaves. I also don't think she should bide her time waiting for the pattern to be reflected in her paycheck and for management to get involved... all the while having her own personal time infringed upon.

    She just needs to make really clear that going forward, report will only take 30 minutes total (or however long the shift overlap is.)
    I agree that generally once one is off the clock that is it-they're done. I suggested giving her number and leaving as a short term trial-hopefully the nurse, having to wait to call until OP is home and taking the effort to call, will simply take the easier path and find the info herself. Plus if OP ends report "too soon" for this nurse she cannot be accused of insufficient handoff etc if she is available should the nurse have legit questions.

    If this other nurse ends up calling OP every night with multiple questions then I agree OP should no longer use that route. I have found though that nurses like this often will badger you endlessly if you are a captive audience but will find the info on their own if they need to put more effort into contacting you.

    Also from the way the OP sounded she shouldn't need to wait for this to show on payroll-it already has unless OP is off the clock in report. If that is the case that should be discussed with manager, put in for back pay and it shouldn't happen again! It sounds as though this has happened enough for a pattern to already be present.

    Some people including me have difficulty with confrontation like that-if she pushed back i would have a difficult time standing my ground. I have seen people get in trouble for cutting report off when the oncoming shift doesn't feel prepared. Also this behavior is very inconsiderate but I personally hate to burn bridges and start a full on war with this person-i would rather try a gentler approach. To each his own though.
  4. by   dbabz
    As a student, wondering how she can start assessment before you give report? Doesn't your report contain necessary information on which she should base assessment? Also, how can she disagree with your assessment? Was she there at the time? Did she see the patient as they were then? How could she possibly know patient wasn't tachycardic (or cyanotic, or confused...) if she wasn't there?
  5. by   SaraGriffy
    Sounds like she needs to arrive early to check everything out....report starts at 0701 and you better be ready! I myself (Also a new nurse - been working for just over 1 year) typically get to work 20 minutes early to look through the chart and feel prepared. I give myself this extra time (not clocked in of course) because report is supposed to be the broad strokes. Also it helps me catch issues early when report may have missed something.

    Do let us know what happens next time you give her report!

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