Quote from amzyRN
This patient already had her work up complete, she was getting a meclizine. I do see your point if it had been a new patient without all her labs and stuff back. I don't like being unprepared if I have a potentially critical patient I am going to be receiving any moment. I did give the meclizine and by the time I was done the new hypotensive guy was in my room getting his care and I had missed part of the EMS report. It was a legit code 3, severe hypotension along with ALOC is an esi 1. I think if I had been more prepared I would have given the meclizine first, but in my previous experience, a critical arrival is priority over a routine/comfort need.
I am guessing that there are two issues here-
1- Giving an orientee the best clinical experience possible.
2- Efficiently running an ER.
In all likelihood the preceptor knows how to prioritize shock vs benign positional vertigo. (Or whatever). OTOH, the ER may, at that point, had a greater need to clear beds than educate a new nurse. It happens.
And, despite the fact that you personally did not prep the room, etc..., the hospital based care had begun before report was even finished. And, Mr Vertigo left the hospital 1/2 hr earlier than he might have otherwise.
Personally, had I been your preceptor, I would have tried to maximize your critical care experience. But, I could see letting you take a minor hit for the greater good.
OP- I wouldn't read too much into this.