Question... being a brand new graduate nurse, I watch...a LOT... because I want to learn and emulate those around me. I see some things which I know are right and good, and some things which I question. Now I must wonder... when is it appropriate to bring something to the attention of your DON ? I saw something take place last week which really bothered me, but I keep thinking maybe it's just that "newnurse" thing.. perhaps I'm being overly picky, etc. And I simply HATE being a "tattletale", so now I'm torn.
Perhaps you can give me some sound advice here...
One of our patients had a subclavian cath replaced a week ago and when he was returned to our clinic for dialysis, he had orders to receive Tobra for x amount of days...which he did. Last Sat., our charge nurse slapped her forehead at the end of this pt.'s treatment as she was taking him off, exclaiming "DARN !!! I forgot to give him his Tobra!" She had not yet returned all his blood and would have had plenty of time to give it over the 20 minutes required by running him a bit longer on the machine (even without pulling any more fluid off..) But it was Sat., and she had plans for the day which she told us about earlier. I watched as she hemmed and hawed, deciding what to do about this. She really wanted to go home, and he was our last patient. After going back and forth for a few minutes, she went ahead and took him off the machine, and he did not receive his Tobra even though it was ordered for that day. We would not see the patient again until the following Tues.
What bothered me was that she made a deliberate decision not to give it, although she could have. And the patient needed it. To me, it was as if her plans were more important than the patient.
I did not question her about it because she KNEW she SHOULD have, or she would not have deliberated so long over it. What could she have said? She knew what she was doing, and choosing to do. She didn't try to hide it. Nor do I have my State Boards behind me yet, so I'm not "really" a nurse yet and didn't feel right about questioning her judgement.
So what do you guys think? Personally, I think she was wrong and negligent. What annoyed me most (besides the patient not getting the antibiotic) was that she's the charge nurse and should be setting a good example. I was very disappointed and now don't know that I want to learn from her. Am I wrong to feel this way? Am I being to "new-nursey"? Too "by the booK"? Do I mention this to our DON (who was not there that day) and risk being a "rat" or do I just overlook this incident and keep in under my hat. I hate being in a position like this...need some advice here.