Opinion, how would you have handled this? - page 2

I got floated to another unit last night. I am not familiar with their type of patients and I am not chemo certified. At one point, while already drowning and getting an admission (which gave me 6... Read More

  1. Visit  morte profile page
    0
    Ah, anthropologically, being pregnant explains some of your ...hmm .. allowing yourself to be dumped on. Yup, the first word out of your mouth when she said medicate her patient should have been 'NO'...and that should have been the last as well, perhaps a polite "good by", before you hung up.
    Quote from beeker
    On my floor I would have been better able to handle it, but being out of my element I was already feeling overwhelmed and emotional. I felt bad for the patient who was really miserable. It was clear that her nurse did not care. On our floor we all try to give the float the easier assignment and we all try to help them out. I wouldn't dream of treating them so badly. We are usually grateful for the help, not using them as a work mule.

    I am also pregnant and I know it is not an excuse, but really it is slowing me down. My back is sore and my feet swell. I am trying to get my own work done never mind someone else's. I don't mind helping, but this was beyond that.
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  3. Visit  uRNmyway profile page
    0
    Quote from beeker
    On my floor I would have been better able to handle it, but being out of my element I was already feeling overwhelmed and emotional. I felt bad for the patient who was really miserable. It was clear that her nurse did not care. On our floor we all try to give the float the easier assignment and we all try to help them out. I wouldn't dream of treating them so badly. We are usually grateful for the help, not using them as a work mule.

    I am also pregnant and I know it is not an excuse, but really it is slowing me down. My back is sore and my feet swell. I am trying to get my own work done never mind someone else's. I don't mind helping, but this was beyond that.
    Ok, seriously, do not be beating yourself up over this. First, let me congratulate you on your pregnancy, and throw in a big hug. And heck yes, it IS an excuse! Every department I have EVER worked on, we bent over backwards to accommodate the pregnant girls. No lifting, nothing near the confused/aggressive patients, no contagious cases, etc. And as most women who have been pregnant can attest to, that placenta brain really slows you down on top of the physiological effects pregnancy has on you.

    On that note, if this floor is needing floats to go help out, it most likely has something to do with the poor teamwork mentality, laziness, every-man-for-themselves attitude they seem to have. As a float, and a pregnant one at that, you should definitely not be the one picking up the difficult patients and the slack from the regulars. I get that your priority was the patient who was obviously suffering, and I commend you for taking time out of your workload to focus on them. You are clearly a good, caring nurse, and you deserve a pat on the back, not a reprimand like you got.

    For your assignment...a part of me wants to give the charge nurse the benefit of the doubt on that one. I was an agency nurse before I came to the US and went into home health. It has happened that I ended up with very hard assignments, but it was mostly because of really bad timing or awful coincidences. The previous nurse gave report to the previous charge. They were fine, or stable. Then things went downhill. Or doctors all came in and gave orders at change of shift. So while THAT part of it might not have been intentional, I think she definitely could have given that admission to another nurse, especially when she was told how you were struggling with your regular duties. And she sure as heck should have gotten off her butt and helped you out. Seems like some people become charge nurse thinking they can sit at the nurse station, be there to handle a crisis, and make next shift assignment. A GOOD charge nurse helps her staff with their patients.

    Anyways, I want to send you another virtual hug for your baby, for being there for patients and genuinely caring about their wellbeing, and for putting your foot down and standing up for yourself, even if it is only to refute their accusations after the fact and refuse to go back ever again.
  4. Visit  sugarwahine10 profile page
    6
    Write that up right away! That's ridiculous!!! That nurse needs to take care of her OWN patients! If she was too busy, then she should have called her charge nurse to go to that patient. Do an incident report, write up, talk to your director, and maybe have her boss there too when you talk to her. If that charge nurse didn't have a group even and was on the computer and didn't even help you or that other lazy nurse, then she needs to be fired. If that other nurse whose patient you were taking care of was only passing routine meds and expected you do to her job, then she needs to be reprimanded or fired too. Imagine if they were like that with you, then what kind of crappy nurses they are on a regular basis! You shouldn't have done more than beyond helping that patient to bed and some clean-up and call the tech or nurse--THAT'S IT--them expecting you to do calls to dr and give meds--NO WAY--especially when you were busy! The charge nurse should've already been helping you with your busy patients. Then the charge nurse had the nerve to send an email that you weren't being a team player?!! What kind of clueless idiot is she? Write it up almost exactly how you posed your story on this board--you did nothing wrong.
    Orange Tree, JenRN30, Wise Woman RN, and 3 others like this.
  5. Visit  applewhitern profile page
    2
    Yes, definitely write this up! Did you even get report on this other patient? I hate to float to other units/floors because of this same exact thing. No, you shouldn't have had the admission, and no, you certainly were not responsible for placing an NG tube on a patient not under your care! This really makes me scared for the patients on that floor! This nurse and the charge nurse need to be reprimanded, if not fired. Sounds to me like this charge nurse is too immature for that position.
    nrsang97 and imintrouble like this.
  6. Visit  imintrouble profile page
    3
    I would have skipped the second phone call to the puking pt's nurse. We would have been looking eyeball to eyeball.
    If she refused to do her job, she'd have to tell me that, and everybody else within hearing distance.

    You are much more compassionate than me. I would have assisted the pt back to the room. I would have done clean up duty. I'd have made her as comfortable as possible, but I would not have taken over the care of someone else's pt just because they wouldn't.
    redhead_NURSE98!, nrsang97, and Altra like this.
  7. Visit  OCNRN63 profile page
    1
    Quote from beeker
    On my floor I would have been better able to handle it, but being out of my element I was already feeling overwhelmed and emotional. I felt bad for the patient who was really miserable. It was clear that her nurse did not care. On our floor we all try to give the float the easier assignment and we all try to help them out. I wouldn't dream of treating them so badly. We are usually grateful for the help, not using them as a work mule.

    I am also pregnant and I know it is not an excuse, but really it is slowing me down. My back is sore and my feet swell. I am trying to get my own work done never mind someone else's. I don't mind helping, but this was beyond that.
    It's really hard to handle situations like this when you are totally out of your element, not to mention hormonal. It sounds like you tried to do your best. I agree that a fact-based incident report would be your best move.
    anotherone likes this.
  8. Visit  beeker profile page
    9
    Just an update. Apparently the other nurse NEVER PUT IN THE NG TUBE then blamed it on me in report, then the day shift nurse never put it in so when the MD came at 11 am he flipped out. My manager agrees that I should not have been put in that situation and should not have had to call the MD to begin with. The manager on the other floor was told that the other nurse was "dealing with an emergency with another patient" which was not true at all. And the CN said she was not at the desk or online. My manager suggested they pull the IT records, and I really hope they do! The other nurse could not explain what emergency she was dealing with. That is because there was not one. Anyway it seems like my manager has my back on this one, but the other floor tried to blame the no NG tube on me even though more than 8 hours had passed and 2 nurses ASSIGNED TO THAT PATIENT had ignored the order. The nurse from that night said I never told her about the order for the NG, and the charge nurse claims she was also unaware of the order. LIARS. Fortunately another nurse from that floor had witnessed the whole thing and when the manager called her at home she vouched for me. I want to go hug her.

    I swear if I get floated to this unit again I am going to immediately get sick and go home. I will NEVER do that again ever.
    azhiker96, GrnTea, Orange Tree, and 6 others like this.
  9. Visit  anotherone profile page
    0
    did you chart on this pt? can you go back and chart any of this ? our emr allows uo to 5 days of late entry. such as what haplened the order and pts nurse informed, hmmmm. we just got a ton of new nurses on our unit that act like that nurse. ugh. i just tell them essentially your pt your problem. if i am busy too bad. the charge would have been called out to her face on being online. i have done it and will continue to do it. i will not kiss up of be trampeled over for the potential of being liked or other bs. i have had it with working with lazy, slow and/or incompetent people. you did way more than most would have done. unless an emergency, i have and will say, something like , "pt in room 644 just threw up " if i am not busy i will gladly help. if not i will say , " sorry, i have my own pts to deal with"
  10. Visit  anotherone profile page
    1
    i agree with poster who said they evaluated you, now you evaluate them. emails to their manager, your manager, maybe them and a few more higher ups
    GrnTea likes this.
  11. Visit  Esme12 profile page
    3
    Quote from beeker
    I got floated to another unit last night. I am not familiar with their type of patients and I am not chemo certified. At one point, while already drowning and getting an admission (which gave me 6 patients while all other nurses on the floor had only 5) a patient came out into the hallway vomiting everywhere. I did not know what was wrong with her, but I helped her back to bed and called her nurse.

    The nurse told me to give her something and hung up. I called back and asked what the patient was in for and what can she have. She said she was busy and hung up on me again. I looked up the patients chart (even though I had NO TIME FOR THIS), she had a bowel obstruction and she had already maxed out her nausea meds and it was 6 hours too early to have anymore.

    I called the nurse and told her it was too soon. She told me to give it anyway and chart it as "condition warrants". I was not comfortable with that and told her so, but she hung up again. I called the Charge Nurse who told me to call the Dr, I explained that I had my admission and still was very behind with all of my own patients. I had 2 patients getting blood and i getting platelets.

    She screamed at me told me to call the dr. So I did. I tried to answer the Doctors questions the best I could with the chart in front of me, he ordered an NG tube. I wrote the order, called the nurse and told her she would need to do it I did not have time. I later found out that she was just giving her routine meds, so she was not busy with anything emergent.

    Anyway I got an email this morning that the Charge Nurse from that floor emailed my boss to say I was not being a team player and that I refused to put in the NG tube. I ended up staying an hour late trying to get MY OWN patient stuff done. That other nurse left on time. I literally spent an hour dealing with this other patient which was NOT MINE. I feel like I did as much as I could and never even got a thank you from the rude nurse I was helping. I asked to meet with my manager to tell her how I was treated on that floor and the mess I was left. I have also told her I will not under any circumstances go back to that floor.


    I really felt like they dumped the worst assignment on me to begin with. Should one nurse have all the patients getting blood and platelets? And then get the first admission? It was hard enough having to find where they keep everything and look up every single med since there were a lot I was not familiar with.
    Where was the primary nurse that you had to keep calling her? Calling her where? Give a med and chart "conditions warrants"...what the heck is that????

    If I got screamed at and told to call the MD on someone else's patient, on a unit I was floated to...... my first phone call would be to the supervisor. They were upset that you refused to place an NGT on someone elses patient, a patient being ignored by the primary nurse and the charge nurse has no patients? This pair has been getting away with this behavior for a while.....I too would mkae it clear that you would not be returning to that floor.

    Yes they dumped on you and shame on them. Wow.....if I was manager of that unit I would be VERY unhappy with the nurses and have some nurses with formal warnings.....if not a couple of days off without pay.

    I'm sorry this happened to you.
  12. Visit  nrsang97 profile page
    2
    Ok totally in the wrong if Charge had no patients. I would write up in an incident report as well. Can't believe they tried to blame you for not inserting a NGT on a patient that was not yours. These two need a reprimand from their manager.
    anotherone and redhead_NURSE98! like this.
  13. Visit  CrunchRN profile page
    4
    I am glad your manager has your back. It is ridiculous that they are trying to blame this on you. I hope those IT records get pulled!
    anotherone, azhiker96, AnonRNC, and 1 other like this.
  14. Visit  redhead_NURSE98! profile page
    0
    Quote from beeker
    I got floated to another unit last night. I am not familiar with their type of patients and I am not chemo certified. At one point, while already drowning and getting an admission (which gave me 6 patients while all other nurses on the floor had only 5) a patient came out into the hallway vomiting everywhere. I did not know what was wrong with her, but I helped her back to bed and called her nurse. The nurse told me to give her something and hung up. I called back and asked what the patient was in for and what can she have. She said she was busy and hung up on me again. I looked up the patients chart (even though I had NO TIME FOR THIS), she had a bowel obstruction and she had already maxed out her nausea meds and it was 6 hours too early to have anymore. I called the nurse and told her it was too soon. She told me to give it anyway and chart it as "condition warrants". I was not comfortable with that and told her so, but she hung up again. I called the Charge Nurse who told me to call the Dr, I explained that I had my admission and still was very behind with all of my own patients. I had 2 patients getting blood and i getting platelets. She screamed at me told me to call the dr. So I did. I tried to answer the Doctors questions the best I could with the chart in front of me, he ordered an NG tube. I wrote the order, called the nurse and told her she would need to do it I did not have time. I later found out that she was just giving her routine meds, so she was not busy with anything emergent.

    Anyway I got an email this morning that the Charge Nurse from that floor emailed my boss to say I was not being a team player and that I refused to put in the NG tube. I ended up staying an hour late trying to get MY OWN patient stuff done. That other nurse left on time. I literally spent an hour dealing with this other patient which was NOT MINE. I feel like I did as much as I could and never even got a thank you from the rude nurse I was helping. I asked to meet with my manager to tell her how I was treated on that floor and the mess I was left. I have also told her I will not under any circumstances go back to that floor.


    I really felt like they dumped the worst assignment on me to begin with. Should one nurse have all the patients getting blood and platelets? And then get the first admission? It was hard enough having to find where they keep everything and look up every single med since there were a lot I was not familiar with.

    Well, you have now learned your lesson. At the end of the shift I'd be writing up the charge nurse and the rude nurse for violating your behavior standards (I'm sure everyone has these?) and for dumping on the float person, and the second call to her would have been the last where you asked her what you could give the patient and she hung up on you, my next call would have been to the house supervisor to come up to the floor and see why Rude Nurse is incapable of taking care of her own patients and incapable of answering questions when I was attempting to help her. The good news is, you're probably a DNR to this floor, since you apparently ticked them off. Once someone reviews the circumstances, I doubt you'll be in any trouble.


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