Dining Room Situation

[BSN-to-MSN, ADN, BSN, RN]

Friday evening, dinner time. Skilled Nursing Facility.

Nurse 1 is in charge of hall 3.She informs her colleagues that she is going on break, and drives herself to a nearest drive thru.

Nurse 2 is an admissions RN who doubles as an "evening supervisor". She has an admission in process in hall 4.

Nurse 3 is in charge of hall 1, and has a re-admission in process.

While both Nurses 2 and 3 are busy doing their things, they both get paged into the main dining room, along with nurse 4, who is not relevant in this situation.

Nurse 3 arrives there first. She sees couple of CNAs hovering over an elderly man seated at the table, who is a patient of nurse 1, who is on break. She asks what happened, and gets pieces of information: suddenly passed out, and had periods of apnea. Pulse thready and weak, O2 93 RA. Nurse 3 tries to perform a neuro check on the patient, while someone is getting a wheelchair and a BP cuff.

Nurse 2 arrives and asks what happened. Nurse 3 fills her in. Nurse 2 then starts to laugh and rub patients face, and states he is asleep. "Listen, he is snoring!" she yells, and pulls Nurse's 3 head toward the patient. Nurse 3 informs her she is out of line acting the way she is.

Patient is wheeled into his room, hypotensive, but "wakes up" after a while and is being monitored by Nurse 1, who returned after her break. Nurse 3 returns to her hall, and is busy with 2100 med pass and half done re-admission. Nurse 2 walks over, and tries to explain her behavior, but is being told this is a busy time, and Nurse 3 does not wish to go over what happened right this minute and walks away. After half an hour Nurse 2 asks if Nurse 3 needs help with her re-admission, but nurse 3 turns her down.

What rights and issues are seen in such situation?

[JustBeachyNurse, LPN]

Homework?

[annie shaun]

That's a tough one. I think openness to talking is the most important, especially since everything seemed to work out fine. As professionals, we need to be able to listen and understand our colleagues, even if we're feeling frustrated or if something didn't go the way we would have wanted. Sounds like Nurse 3 took it a little to heart and is feeling resentful rather than moving on. And maybe Nurse 2 reacted slightly inappropriately, but it could be understandable. Maybe it's happened to her before. Lots to consider here - depends on personalities. Overall though, professionalism needs to be put first.

[BSN-to-MSN, ADN, BSN, RN]

Nope, real work situation.