Opinion, how would you have handled this? - page 4
by beeker 3,368 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
- 1Feb 15, '13 by teampurpleUgh, 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.
- 1Feb 15, '13 by jadelpn GuideWow. 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.