I had one of the WORST shifts ever yesterday. The shift started with myself, a CNA and 7 patients at 7AM. At 7:15 2 patients went to the OR and one went for a TEE. Then the lab called to say the TEE pt has MRSA so we moved him next door to a private room that belonged to one of the 2 OR pt's (a Leukemia pt). The night nurse I took over for was supposed to leave at 7:30 was still there at 10AM doing charts. Then at 12:00 I took report on one of the OR pts (a BKA) and at 12:15 took report on the Leukemia pt (Omaya reservoir implant). At 13:00 I d/c'd another pt. and then got called into the Leukemia pt's room, he was livid to have lost his private room (understandibly so). I got the social worker and head nurse involved as I didn't have time to talk to him (I was 2 hours behind on my meds) and had 3 pts ringing for pain meds. At 13:30 I got a page saying I had an admission on her way up. I went to the charge nurse on the verge of tears and said "I'm NOT taking another pt." The HN and AHN heard me and told the charge nurse to call a float to do the admission. I told the HN that my assignment was inappropriate, esp. considering 2 other RNs on the unit had 4 pts each (with no CNA) and why was I getting the admission??? She said if I was concerned about my assignment, I should have expressed my concerns to the charge nurse at the beginning of the shift, not at 13:30. *****!?!?!? I was supposed to be working an 8 hour shift but didn't leave till 5PM (no lunch break, of course). :angryfire
Anyway, thanks for letting me vent, I feel really bad for the pts who didn't get good care.