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

by beeker 3,387 Views | 32 Comments

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... Read More


  1. 2
    Quote from Jenni811
    Don't take offense to this, ause i don't mean it in a bad way but you sound like a push over. You sound like you allow people to walk over you.
    My response would have been "Aw heck no" (I can't swear on here, so reply heck with what should be there).
    I'd get that patient back in bed, cleaned up if necessary (clean gown), maybe a vomit bag. Call an EA to clean the floor if there was vomit. Then i'd call the nurse and tell him/her about the situation. If they told me to give them something i'd kindly say "i don't have time right now. But i thought i would just let you know." If they did to me, what they did to you...i'd call them back and say "I don't appreciate you hanging up on me. If you would have asked for help nicley earlier i would have been glad to help you" then i would hang up. It isn't your responsibility to figure it out for this patient...it is this patient's nurse. Yea the patient is the one suffering from it, but keep in mind 6 other patients (YOURS) are suffering from it too because you are not attending to their needs while your attending to the needs of a patient who is not yours. Yes, we are all responsibile for answering call lights, bathrooom, turns etc. but when it comes to things like giving meds, calling doctors it is the NURSES responsibility (unless its like a code/MRT the i step in and do whatever)
    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.
    anotherone and OCNRN63 like this.
  2. 7
    Quote from GrnTea

    Perfectly appropriate. Even if you name no names, the risk manager will see that something was amiss and will follow up. I'd submit the original to the RM by hand, and a copy to the nurse mgr so it won't get "lost."
    This is good sound advice. You were taken advantage of and it needs to be addressed. I would speak up not only for yourself, but for whomever else gets floated to that dreadful floor.
    JenRN30, redhead_NURSE98!, BeesMama, and 4 others like this.
  3. 1
    When I was in the ICU I got floated to the cardiac ICU and they tried to give me a three pt assignment. I refused. The day supervisor came over and asked what the prob was. I said I didn't feel comfortable taking a 3 pt assignment especially not on my floor. She said she'd talk with my supervisor and they just may not need me then. Well 10 minutes later she came slinking back and gave me a 2 pt assignment. That floor was notorious for screwing over floats.
    Sounds like you went above and beyond, and yes it's hard to leave a pt when they're feeling so poor. Write up an incident report and make sure to note that the charge had no pts and was using the computer for non work rated stuff rather than help out.
    nrsang97 likes this.
  4. 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.
  5. 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.
  6. 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.
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    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.
  8. 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.
  9. 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.
  10. 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.


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