There is a manager who wanted an RN to overlook policy and procedure, and got mad when other RN's voiced their opposition to this request. Who is wrong here, the manager or staff RN's. Situation was pt on floor gi bleed in need of multi unit of blood. pt had unit hanging and was taken to gi lab, blood sent in hospital is done by secured tube system. manager wanted RN to send the blood to gi lab after receiving it on the floor. Problem is it can not be securely sent from floor to another unit, so blood would be in tube system "unattended". Two staff RN's voiced their opposition to this request. "Newer" RN, said "he told me to send it and he would take the heat for it". "New" RN decided that her co-workers were correct and then had the blood hand delivered to the gi lab to be hung. Mananger had charge RN "council the two RN's that voiced their opinon. Who is in the wrong here? Isn't pt safety the number one goal. Manager stated "pt needed blood right then and it was best to not have followed the policy and procedure". Just asking.
Sheesh. Patient safety first.
IMHO, get the blood to the patient. Were you saying that your NM wanted it tossed back in the tube system and sent to GI? If so you guys already received it in hand. I don't know what the policy is where you work, but I'd ask the blood people what the policy is in this situation... I am sure they can clarify. If they wanted to reject the blood, it would have had to go back to the blood bank, and the process started all over - which is stupid.
IMHO, I'd have involved my charge to watch my patients for a sec while I deliver the blood hand to hand sign off on receipt, as the patient in GI is my patient and the drug (blood) is signed out to me (in my hands). I am sure this patient was in dire need of the blood, and why don't people understand this. People move emergently all the time from one place to the other, you are going to have meds in hand signed out of pyxis and ready to hang and push many times... think of the patient first.
I'll add that doing it by hand assures it gets there, and doesn't get stuck. I'd be sprinting down the stairs and down the hall to assure it gets there.
Last edit by netglow on Nov 3, '11