Unreasonable requestRegister Today!
This is a discussion on Unreasonable request in Nurse Practitioners (NP), part of Advanced Practice Nursing ... I had a 2 year old come in today severely constipated, I asked the nurse to please show the. Mom...by pedspnp Mar 8, '12I had a 2 year old come in today severely constipated, I asked the nurse to please show the. Mom how to give a enema since mom was uncomfortable doing it. The response I received was I'm not doing that you do it. Since it was just me and her and a screaming kid and mom, I showed the mom, and now wondering why have a nurse.the nurse stated I have done it on old people not babies ( it was a 2 year old ) I offered to have her come in with me and she still refused . Done venting
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- Mar 8, '12 by zenmanWas it an order? Did she have the training? If not will she train in essential procedures? If not, she's not needed.
- Mar 8, '12 by pedspnpYes it was a order, does she know how to do it yes but only comfortable doing it on adults I offered to show her , she hmm declined
- Mar 9, '12 by danceluver@pedspnp: I wanted to send you a message but your inbox is full. Let me know when i can send it to you
- Mar 9, '12 by DixieRedHeadYes, you need a nurse. No, you don't need that nurse.
- Mar 9, '12 by pedspnpOk you can send it
- Mar 9, '12 by mammac5Is this staff person a licensed nurse or a medical assistant? When I was a medical assistant (back in the day) I had not been trained to administer enemas and might have refused to do that with a small child, more out of concern for safety than anything else.
If the staff person is a licensed nurse, he or she should be expected to be qualified and willing to perform any services ordered as long as they are within the scope of practice AND the person has been appropriately trained. If you were willing to demonstrate for her and she refused, that's a problem. It is a great thing for any licensed person to speak up and admit that he or she needs some brush up on certain procedures that may have not been performed since nursing school...but then that person should be willing to learn.
I'm sure I've said this before, but you seem to work in a horrible environment completely lacking in support from office management, staff, and other providers. From previous posts it seems that the staff have run amock, there is general disrespect for you as a provider, and evidence-based practice is laughed at. Not a good situation.
- Mar 9, '12 by BlueDevil,DNPITA with the above. I'd fire her, quit that job, or both.
- Mar 9, '12 by TinabeanrnI think you still need a nurse bc there is a reason you asked her to do the enema....so you could go do other things. And for her to say "no you do it" was just disrespectful and rude to me. Can you write her up or anything? I can understand being uncomfortable, but you watch one, do one and teach one. And if she is gonna be like that, she doesn't need to be working in that clinic where you see kids. I love kids so much, and those lil ones will need a nurse that is more caring and compassionate then that. Just saying
- Mar 9, '12 by pedspnpI have addressed the office manager a few times and the staff about the staffs attitude. The office manager has done nothing, today I emailed administration with list of concerns, regarding the issues and how nothing has been done. Immediate response from Vice CEO " they were not aware of these issues and there is no tolerance for this type of behavior" next I hear from the office manager wanting to know how this could be remedied , my response to her was " I have brought this to your attention repeatedly with no resolving of the concerns or issues or any attempt, I will be having a face to face meeting next week with administration regarding your failure to address the problem regarding staff etc etc and they will be talking with you after the meeting. With thy said I told her I was busy and hung up.