Opinion, how would you have handled this? - page 3

by beeker

3,149 Unique 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


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    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"
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    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.
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    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.
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    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.
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    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.
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    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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    Quote from beeker
    The charge nurse had no assignment. She was shopping online for bridesmaid dresses all night. And I have never put in an NG tube and this was not a good time to learn. I am still angry. So angry I haven't slept much.


    I am pretty peeved myself. I want to punch someone for you. Here I was assuming the charge nurse had her own load or something.
    Orange Tree and nrsang97 like this.
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    The charge nurse should have called that doctor. Everyone was being so unprofessional...sorry for your experience. Put everything in writing and report it to Risk Management and/or your nursing supervisor.

    And no, one nurse should NOT get all of the patients receiving blood and blood products AND get first admission. Definitely not safe. We all know admissions can be a lot of work at times so who is going to be monitoring your patient(s) for transfusion reactions while you're busy with your admission? Certainly not the charge nurse or those other nurses on that unit who definitely do NOT sound like team players to me.
    anotherone, Orange Tree, nrsang97, and 1 other like this.
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    Quote from beeker
    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.

    Good, I'm glad they're hopefully going to look at her web history (not hard to do) and it's great that Rude Nurse couldn't find herself another emergency she was dealing with (because she was just being a b-.) Thank goodness your manager understands. This is probably not uncommon with this unit and your manager knows it.
    nrsang97 likes this.
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    I'm glad your manager is supporting you. Apparently she knows she has an excellent nurse. I don't know if you can refuse a float but getting sick sounds like a good option. That floor is burning their bridges. I hope your manager talks with her supervisor about this because that other floor needs improvement.
    anotherone likes this.


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