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Specializes in LTC and School Health.

I would have assisted with the admission.However, he was totally out of order. He needs a write up.

Vishwamitr

156 Posts

Specializes in Psychiatry.

How are others to know your internal lexicon? In such case as yours, we do a Pele on them. Do you know what that is? Hint: Brazilian soccer great.

Ruby Vee, BSN

17 Articles; 14,030 Posts

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

While yelling in the workplace is never appropriate, I've found that much of what is labeled as "yelling" these days is simply an emphatically stated differing opinion. Given the circumstances, I wouldn't have even considered it insubordination. When there are only four patients, there cannot be so much for the charge nurse to do that it justifies jumping two patients and an admit on the other nurse while the charge takes one patient. I'd have tag-teamed the admit and then possibly kept him myself. The other nurse was understandably enraged at the division of labor.

guest655229

48 Posts

In an ICU setting, you as the charge, should be taking the admission when the other RN already has 2 patients. S/he should not be taking the admit as their 3rd patient while you only have one patient. I'd have probably been ****** too.

KelRN215, BSN, RN

1 Article; 7,349 Posts

Specializes in Pedi.

With 4 patients and 2 nurses, why wouldn't both nurses have 2 patients? I get that charge typically has a lighter assignment but with 4 patients total on the unit and 1 other nurse, it's not like there's that much charge work to be done.

When I worked in the hospital, we had a night charge nurse who would never, ever take admissions. We could start the night with 6 open beds and 5 nurses plus charge on. We could all take an admission and have 5 patients (max) while charge had none and when the 6th admission was beeped through, she'd come back with everyone's names in a hat for someone to pick who had to go to 6 and take the final admission. One time she did this, one of the nurse's pulled a name (charge's name was not in the "hat") and said "Jane" (charge). "Jane" did not understand that she did this to say that it wasn't fair that every single one of us had taken an admission and had the most patients we were supposed to have while she had none. Every other night charge nurse would take a full assignment and wouldn't hesitate to take admissions when she saw that everyone else was stretched to the limits, as they should.

Vishwamitr

156 Posts

Specializes in Psychiatry.
In an ICU setting, you as the charge, should be taking the admission when the other RN already has 2 patients. S/he should not be taking the admit as their 3rd patient while you only have one patient. I'd have probably been ****** too.

Dchicurn,

I concur.

wooh, BSN, RN

1 Article; 4,383 Posts

But this isn't an ICU setting. And everyone is assuming charge responsibilities based on their facility, rather than what OP's facility might require. OP wanted it easy? How about the other nurse that was whining about having a whole THREE patients when he didn't have to do any of the the charge duties?

Nurse Leigh

1,149 Posts

Specializes in Telemetry.
But this isn't an ICU setting. And everyone is assuming charge responsibilities based on their facility rather than what OP's facility might require. OP wanted it easy? How about the other nurse that was whining about having a whole THREE patients when he didn't have to do any of the the charge duties?[/quote']

You do have a point, and I think some clarification from the OP in regards to normal practices and change duties at her facilities would make it easier to response appropriately. I only know how my hospital floor runs -- on days/evenings charge has no pts if possible. At night, when I work, I often end up with 6 Tele pts and lately, no pca on the floor, and charge duties. Her area/shift might well have different expectations. I think most of the posters here just want to be sure both nurses were treated fairly.

tyvin, BSN, RN

1,620 Posts

Specializes in Hospice / Psych / RNAC.
Tyvin.....I would have walked that nurse out of the building and report him for abuse. There is NO need to slam a syringe into anyone's thigh.

I agree...I should have said "Appeared to have slammed" At that facility back then when I was working there the nurses knew I was going to be checking on them if they had an IM injection due to an incident with a nurse a couple days prior where an IM injection went terribly wrong. When I was talking to the male LPN about the IM I observed that he had already prepped the man inside the room (the shorts on the patient's right leg had already been hiked up and the nurse was tossing an alcohol prep into the garbage on his cart when I had approached him).

When I looked back on it all before I went to the DON I realized he had intentionally saved the prep to toss in front of me. The IM had already been mixed laying on the cart in clear view; the lidocaine was in clear view as well. He had obviously been waiting for me. When he gave the shot he landed right on the vastus lateralis as if he had been practicing this whole show for me. The site was correct for a deep IM. Take away all his theatrics and he gave a correct IM. Of course I chose not to include all this in the previous post; it would've been way too long. I wrote on this thread because of the OPs remark if anyone else had run ins with other nurses when in a charge position.

The facility this happened at was a 3 story building with 286 filled beds. I know it sounds insane but the charge was responsible for it all on noc shift (days they had 3 charges). On noc shift things could get very crazy, very quickly. I couldn't afford to lose that nurse and I trusted my 6th sense that he would never hurt that man. I checked the site of the IM and the man before going down after the LPN and both were fine...a show all set up for me.

I believe every nurse who has ever been in a charge position for long has had a run in with a staff member. It's not until you are charge that you realize what it requires. I know that the amount of patients with the OP that work shift was minimal and it sounds like the LPN was starting trouble. It's fine to discuss things in a civil manner but to argue like that is unprofessional. I believe the negative posts to this thread are from nurse and people who have never been in a charge position for long or have never been charge. I liken it to the CNAs and the RNs where I have worked. The CNAs complain that the RNs never do anything but sit on their butts talking on the phone, sitting at the computer, or writing in charts. If they only knew...

itsmejuli

2,188 Posts

Specializes in Home Care.

I'm still waiting for the OP to come back and provide more information.

lucki_star7

21 Posts

IMO, you seem like one of those charge nurses that just wants to sit at the nurses station and do nothing. I will agree that the way he handled the situation was inappropriate; however, it was inappropriate for you to take on one patient and dump all of the other's on the other nurse. If you are going to be in charge then take charge responsibly, instead of being lazy. If you want respect from your fellow nurses, then you need to earn it and this is not the way. I am sorry, but if you are looking for sympathy, you won't get any from me.

ohmeowzer RN, RN

2,306 Posts

Specializes in ob/gyn med /surg.

thank you all for responding. i actually have alot to do and on weekends i am the liason for the hospital and i go out and assess pt 's and bring them to the unit. i have alot to do, and it takes me time to work up pt's ., we needed pt's to increase our census. it was indeed her resposibilty to take that third pt , this is about team work. and if she didn't start yelling at me i probably would of , helped her with that pt. that nurse was out of line and to yell at me in a pt care area and the 2 cna's heard this and a pt . she can have up to 8 pt's , well she is now a level 3 , and was asked to look for another job. we want team players, i worked up 4 pts that day and now we are up to 6 pts. we are a 15 bed unit. thank you all for your input you are all awesome !! :)

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