I am finishing working an eight hour night shift. It is 0715, I am done in 15 minutes. I usually don't care about getting out on time, but my facility is asking people to "please finish your duties on time and do not accrue OT". I have a pt. in one room who Occupational Therapy is going in to see, but there is only one of them and she is a max assist of three. I am imagining him dropping her on the floor. In another room, a pt. who is trying to finish her second dose of barium has begun to vomiting despite having received zofran. Also, a CNA has just informed me that another pt's saturation is "lower than usual".
How I thought I'd handle it:
Poke my head in the door of the room with the OT staff who is about to make a huge mistake and inform him he needs more help, thus averting a "fall" occurring on my watch and even more importantly, avoid an injury to him or the pt. Then get to the desaturating pt., check their oxygen level. Once that is solved, go to the pt. with N/V due to barium, inform them they don't have to finish the second dose and inform CT.
What actually happened:
Cant find a pulse ox to check the saturation of the pt. I am most worried about. Run around like a mad man trying to find it. All the while, the nurse replacing me is taking her time going through report (she has not even started yet). Said nurse then informs me the CNA who just left (yeah, same one who told me "That pt's saturation is lower than usual, but I dont remember the number exactly"), didnt do her daily weights and they need done, the doctor who is known for flipping out about this is just down the hall. I see Respiratory Therapy approaching, figure I will use their pulse ox and proceed to poke my head in the door to warn him the pt. he is working with is too much for one person, he should call for help. His response "I need help with this pt. then, you need to get the bedpan for her and help me move her." I tell him I have issues in other rooms and cant spare any time at the moment. The response "So what, I don't care, get in here and help like U R supposed to." At this point I try to tell him not to squabble in front of the pt. and that I have pressing matters I need to attend to. His solution, instead of contacting his dept. to get help, was to throw a hiss fit, cursing and swearing in the hall "Unbelievable, never in my life, anyone around who can help this guy, ALL HIS PT'S ARE DYING AND HE NEEDS HELP, SOUND THE CODE ALARM." So I ignored him and continued with my plan. Checked the guy, and yeah, he was 88%, fixed that with Resp. Therapy. Then checked the vomiting pt. She was alright, CT was contacted and not worried about it. Then as I am updating the nurse who is coming on (she just decided to listen to report about the time the OT guy was throwing his temper tantrum). As I am updating her, the OT guy is storming the halls screaming about lack of teamwork.
Now what gets me here is, how ancillary dept's always end up thinking they are the only one's with duties/responsibilities to manage. Whats even best is, nurses don't have the luxury of approaching one pt at a time. We have a team of 6 patients, and must attend to them all at once, round the clock. Can't just hide in one room and pretend the world begins and ends at the door. But other dept's (PT/OT, security, housekeeping, radiology.....all of them) throw temper tantrums when we cant drop everything and attend to something they want done.
I didnt write him up, I wanted to sleep on it, but I will be when I return tomorrow. As much as I am against writing people up, this guy needs to go.
Wow, I think I've had some of the same experiences. Unfortunately the rudest dept is therapy. In my last job they would grab a new admit chart and start leafing through it because I' went to do something and then I would spend ten minutes looking for it. They also bag all the chairs and it doesn't matter in who's room you're in they will find you to tell you that a patient needs more pain medicine prior to starting therapy and why didn't you give it. Ugh, maybe because who knows when you guys will show up and to which patient?
They don't work Sundays which is great.
This OT was a jerk and you probably do need to say something.
Last edit by StNeotser on Aug 12, '09