i just started a new job after taking maternity leave and i feel like i'm quickly developing the reputation of being an idiot...
1) one night in the beginning of a holiday weekend, my cmt told me we were out of a psych med for a pt. when my supervisor came around, i told her.. she told me to call the emergency pharmacy number and get it re-ordered asap, which i did.
2) same night, a pt, with history of cva, crawled out of bed. he was way more confused than usual. speech was slurred. he was leaning to the side; couldn't stand up straight. wouldn't raise his head to look at whoever was speaking to him. could barely walk. vitals were stable. just started on xanax tid 3 days ago and had 6 doses of the new order. called supervisor. since he was previously a hospice pt, she called the family for direction. family wished to go with dr's orders, so, under her instruction, i called him. the dr was ***** that he was called at 0030 for a pt who was lethargic; "it's the middle of the night, i'm lethargic too! we'll deal with it tomorrow!" and hung up.
apparently, the day nurse that relieved me received calls from:
--the pharmacist: he called to follow up on the psych med order. the day cmt found a few extra doses hidden in the card that my cmt had overlooked, and because of the doses found a rush delivery wouldn't be necessary.. this was relayed to the pharmacist and he was ******.
--the dr: he was mad because he was called in the middle of the night for someone who was lethargic. "let him sleep it off, for christ's sake! he'll be alright!"
--the family: they were worried about dear old dad. they thought he was "on his deathbed." the day nurse made it sound like no big thing and the family ended up being upset; thought we had made them worry unnecessarily.
the day nurse told her supervisor and several other people that i had been calling the dr and other people all night for "stupid things" and that she had to clean up my mess all day. when all of this got back to my supervisor, she stuck up for me, but the damage had been done. gossip had ensued.
yesterday evening, i was relieving that same day nurse and was told in report that a certain pt had been acting strangely. later in the shift, my cna told me this pt had dark, foul-smelling urine. checked her vs; they were fine. i wrote up a little note and faxed the dr. anyway. when i gave report to the oncoming nurse (different day nurse this time), she told me that was her normal behavior & somewhat scolded me for faxing the dr. with it.
the facility is in a bad part of town and there have been problems with strange men hanging out in the parking lot.. when i took my break, i spotted a man i'd never seen before, in street clothes, sans badge, walking behind me. i went to my car and locked the doors. by the time my break was over, he hadn't left.. i was afraid to walk back in! i called my job and asked for a friend to meet me at the door. she called the supervisor, the supervisor brought 2 big male employees downstairs with her. my cell phone rang and the supervisor told me that everything was okay; i could come back inside. when i got in the lobby, there was the guy, the super, and the 2 male employees; they all laughing (except the strange man i saw). i guess he was an employee that never wears scrubs and had forgotten his badge.
oh my god! how much could go wrong?! it just seems like one thing after another.. i didn't think i was an idiot, lol, but maybe i am... this is really getting to me!
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i just started a new job after taking maternity leave and i feel like i'm quickly developing the reputation of being an idiot...
1) one night in the beginning of a holiday weekend, my cmt told me we were out of a psych med for a pt. when my supervisor came around, i told her.. she told me to call the emergency pharmacy number and get it re-ordered asap, which i did.
2) same night, a pt, with history of cva, crawled out of bed. he was way more confused than usual. speech was slurred. he was leaning to the side; couldn't stand up straight. wouldn't raise his head to look at whoever was speaking to him. could barely walk. vitals were stable. just started on xanax tid 3 days ago and had 6 doses of the new order. called supervisor. since he was previously a hospice pt, she called the family for direction. family wished to go with dr's orders, so, under her instruction, i called him. the dr was ***** that he was called at 0030 for a pt who was lethargic; "it's the middle of the night, i'm lethargic too! we'll deal with it tomorrow!" and hung up.
apparently, the day nurse that relieved me received calls from:
--the pharmacist: he called to follow up on the psych med order. the day cmt found a few extra doses hidden in the card that my cmt had overlooked, and because of the doses found a rush delivery wouldn't be necessary.. this was relayed to the pharmacist and he was ******.
--the dr: he was mad because he was called in the middle of the night for someone who was lethargic. "let him sleep it off, for christ's sake! he'll be alright!"
--the family: they were worried about dear old dad. they thought he was "on his deathbed." the day nurse made it sound like no big thing and the family ended up being upset; thought we had made them worry unnecessarily.
the day nurse told her supervisor and several other people that i had been calling the dr and other people all night for "stupid things" and that she had to clean up my mess all day. when all of this got back to my supervisor, she stuck up for me, but the damage had been done. gossip had ensued.
yesterday evening, i was relieving that same day nurse and was told in report that a certain pt had been acting strangely. later in the shift, my cna told me this pt had dark, foul-smelling urine. checked her vs; they were fine. i wrote up a little note and faxed the dr. anyway. when i gave report to the oncoming nurse (different day nurse this time), she told me that was her normal behavior & somewhat scolded me for faxing the dr. with it.
the facility is in a bad part of town and there have been problems with strange men hanging out in the parking lot.. when i took my break, i spotted a man i'd never seen before, in street clothes, sans badge, walking behind me. i went to my car and locked the doors. by the time my break was over, he hadn't left.. i was afraid to walk back in! i called my job and asked for a friend to meet me at the door. she called the supervisor, the supervisor brought 2 big male employees downstairs with her. my cell phone rang and the supervisor told me that everything was okay; i could come back inside. when i got in the lobby, there was the guy, the super, and the 2 male employees; they all laughing (except the strange man i saw). i guess he was an employee that never wears scrubs and had forgotten his badge.
oh my god! how much could go wrong?! it just seems like one thing after another.. i didn't think i was an idiot, lol, but maybe i am... this is really getting to me!