Opinion, how would you have handled this? - page 4
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
Feb 15, '13Quote from beekerThe 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.
Feb 15, '13The 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.
Feb 15, '13Quote from beekerJust 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.
Feb 15, '13I'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.
Feb 15, '13Well Holy Smokes! Wow I can't even imagine the nerve it took for them to pull that! I sure hope I never wind up as a patient on their floor! I am so sorry that happened to you and I sure hope they get what they deserve for pulling that!
Feb 15, '13Ugh, I'm so sorry you had to deal with lazy, ungrateful idiots in addition to your own heavy load, being out of your element, and pregnant on top of it all! Talk about going above and beyond.
Caveat: I am not a nurse. I'm a secretary/monitor tech with an incomplete nursing education. But I'm still sitting here with a O_o on my face about that assignment. When our unit gets float or flex nurses, we try and give them the lower acuity patients. When our charge is lucky enough to be out of staffing, he or she is the *first* person to help out when another nurse is in a jam - having them there as a resource person is half the point of not giving them patients.
In my opinion, once you ensured the patient was safe and comfortable and her nurse aware of the situation, your responsibility to her was complete. It is absurd that they would try to pin the NG tube on you when you had already put your own patients on the back burner to help out a nurse who really didn't need the help. I am glad your manager has your back, and I hope everything works out for you.
Feb 15, '13Wow. Just wow. First off, a biohazard nightmare if patient is vomiting in the hall after having chemo. Secondly, I would always tell the charge nurse (whilst looking at pumpkin orange bridesmaid dresses or not) that you called RN xyz, that the patient has intractable vomiting, and the RN was unable to take care of the patient's needs, at which point most all charge nurses would have to do something about that, as that is part of their job. But that is water under the bridge. Your saving grace is that the patient was not assigned to you, you may have taken the order, but you did not note the order (?) and your manager has your back on this one. That there were at least 2 other nurses who don't look at orders,apparently, is mind boggling! I would do a report to risk management/quality assurance as the ratios are too high (and quite frankly infection control--vomiting in the hall exposes a whole lot to a great many). And that you did not do the NG tube--well IF it were your patient assignment--which is was not-- it would not have been in your practice to do the NG tube anyways--as you do not know how to, and it could cause the patient harm. This all falls to the charge nurse, who is ultimately responsible to ensure everything that needs to be done is. Hopefully, may you never, ever have to be on this floor again. Ever. The poor patient. And I would bet money that the other nurses hadn't a clue how to do an NG tube either, hence why it just was "forgotten". I am shocked and amazed that they all just didn't say "patient declined" as that's usually the "go to" excuse for poor practice.....Oh, but wait, they didn't have to if they blamed it all on you. You did what you could. You were attempting to help out, and went far beyond what most would do. It is difficult to not be "walked all over" when you are put in a situation of which the need is immediate. This is not your issue. But seemingly that floor needs some serious re-vamping.