What could be the ramifications? - page 3
Hi all...been a long time since I've been here. Between school and working in the ER, not much time. I had an experience a couple of weeks ago and just wondered what the ramifications could be with... Read More
Aug 26, '02Occupation: RN Specialty: ER, PACU, OR ; Joined: Dec '98; Posts: 2,120; Likes: 28well ess,
we have had a couple "i'm so cute" girls in our er. they are great friends outside of work. however, they always cop the, "what's wrong attitude, or why are you not paying attention to me attitude." in the meantime they stand around and flirt with some of the guy nurses and firemen/medics that come through the door.
unfortunately, i am not the type of person to say, why? because this is not the time to act like that (and/or be an airhead). just my two cents......and i know i am alone on this one....unfortunately some people thrive on it!
i mean hey? imho.... there are flirts (sorta the equivelent to the liberal), and hopeless romantics (equivelent to the conservative) at least in the gender area. they are 180 degrees apart! i'm the hopless one.......
like you said, the patients are the important things at work.
p.s. - trust me, i can still be a joker or goof at work. (i usually am) the difference, is i don't let it interfere with what needs to be done! :d
Aug 28, '02Occupation: school nurse Specialty: 36 year(s) of experience ; Joined: Jun '99; Posts: 748; Likes: 68Originally posted by RNFROG3
...We talked and cried( I cry when others do) I explained that the pace and the stress here was too much. I also told her I thought that she would make a good community health nurse or office nurse, or rehab nurse...
I'm a PHN who has referred in woman with absent FHT's, a kid with PERITONSILLAR ABSCESS, patients with Hypertension, chest pains etc, etc.
Office nurses are the front line for subtle presenting problems often. I know of a _receptionist_ whose index of suspicion was ticked by a mother who called in about her child's vague abdominal pain that progressed to a reduced level of consciousness. Child developed a virulent hepatitis that threw him into hepatic failure.
Nurses who don't have the capacity to think about out-lier presentations are a danger anywhere they go.
Aug 28, '02Occupation: RN Joined: Feb '02; Posts: 89; Likes: 11We have a policy at our ER that all chest pain pts must have an 12 lead EKG within 10 minutes arrival time to ER, even walk-ins are taken right back to a room and EKG performed prior even triage notes or vital signs!! We document time the EKG given to which MD also. We hook up the monitor, establish IV,send cardiac panel and give 4 baby ASA chewed per protocol. Some pts that were least suspected of MI has gone to cath lab!!!
We also get frequent flyers that have learned that chest pain gets you back immediately. I like to mention the little boy that cried wolf story after cardiac has been ruled out. But as a nurse, I'm glad our policy is better to be safe than sorry.
We also have variance reports that anyone can fill out for any reason to give our nurse manager heads-up. Many changes has resulted from these reports.
Jan 26, '03Occupation: ER Charge Nurse Joined: Sep '02; Posts: 26; Likes: 1Have I missed something??? No one has suggested that the state board of nurses be notified?? Sounds like NOW would be a good time. Just venting.
Jan 26, '03Joined: Aug '02; Posts: 38,000; Likes: 37,180I could only read a post here and there b/c of the feelings that were trying to break thru. No wonder I was approached by a total stranger to join a class action over the massive mi death of my young husband. I am a licensed nurse w/yrs of exp (but not ER) and this is the first time I have learned that people presenting w/sx of MI are drug seekers. The autopsy which I paid double for confirmed the negligence/malpractice even though I did learn that sometimes it is hard to catch a MI in progress. And it has taken me more than 10 yrs to finally convince a MD that I have HTN and I am monitoring my cardiac "events". (And getting my affairs in order). I became a nurse b/c of my husband's death and now I am in the process of preparing to leave nursing for good. Sorry but I've probably already said enough that the wrong people can identify me. Nursing might have been a calling for me all my life. But it brought me to hell on earth. Sorry to vent like this. I seek no sympathy or empathy, but I am human and have not been able to properly cry for almost 20 yrs now. I can't take it anymore.
Jan 26, '03Occupation: Telephone Triage Joined: Dec '02; Posts: 158; Likes: 3She is very dangerous.
A word about documenting. Most ERs DON'T have computer charting, it only makes sense that they dont with the flow. So this (cough) RN can document whatever she wants for times as to when she put this guy on a monitor etc.
I sounds like she is getting away with whatever she can, so what is a lie on paper to save her butt.
You said in your first post that she TOLD THE MD that this pt was a drug seeker and he took her word for it. I really dont think he is not going to back her up....since he SHOULD HAVE ASSESSED HER AS WELL....AND NOT JUST TAKE THIS NURSES WORD FOR IT THAT HE WAS DRUG SEEKING.
Jan 26, '03Occupation: Critical Care Joined: Aug '00; Posts: 2,629; Likes: 20It is so difficult to seperate your personal feelings sometimes but this is a prime example of why we must not judge. Treat all c/o CP seriously. If you are concerned I suggest you talk to the charge nurse, unit manager, etc... Document your observations on a incident report. I am sure management is aware of this nurse but unless people are willing to document problems then they are stuck with them. You would be doing the entire department a favor if this nurse no longer worked there, such a shame that he/she will bring her poor nursing to another facility.
Jan 26, '03Occupation: RN Joined: Apr '02; Posts: 2,065; Likes: 48the original post is pretty old, b ut it would be interesting to see another update.......wondering about an ethics comittee and a report to risk mangmnt??????
Feb 21, '03Occupation: inactive RN Joined: Jun '02; Posts: 70; Likes: 2Last edit by pappyRN on Feb 21, '03
Feb 21, '03Occupation: inactive RN Joined: Jun '02; Posts: 70; Likes: 2Callioter3,
I can almost feel your pain. I lost my father from a massive MI related to not only a physician's negligence but also a nurse's negligence. It happened in March of 1980 and I feel it as if it just happened. I hope you were able to get resolution through your class action suit although I know that it couldn't possibly make up for the loss of your beloved husband.
I will pray that God will give you the peace you so deserve in your life. I am so sorry your pain is still so raw.
This only proves why the attitudes by ER personnel about drug seekers shouldn't be projected onto patients just because they are being treated for chronic pain. Think before you act or judge. This could easily be any nurse misjudging someone as a drug seeker when in fact something else is very wrong. This frightens me a LOT. I have cardiac problems. I know I will probably die because I am also a chronic pain patient. Can I trust that I will receive the appropriate care if I am ever desperate enough to go back to an ER? It's very likely I won't be offered any pain medication if I have chest pain either because it's been said to me "how can you be in any pain on all the medication you are on"?
I guess I'll start praying now and call my doctor and ask for a bottle of nitroglycerin. I will probably have better odds staying home with a bottle of nitroglycerin and baby asa than to go to an ER. You can't possibly imagine how frightening this is to read about these events. I think I'm more terrified of the prospect of having to potentially go back to an ER than of having an attack of chest pain.
Do you even have to ask if this nurse should be reported? What if this was one of your relatives? What if this happened to your Mom and it was your night off? If you have a problem with a situation then you need to become part of the solution otherwise you harbor a near equal amount of guilt. It's not always about saving your own a$$. There is personal integrity to think about also.
I realize that most of these posts are from a while back but the same situations are repeated I'm sure. What an unbelievable mess. The plain and simple answer is just recgnizing the differences between right and wrong.
Warm personal regards,
Mar 8, '03Occupation: student nurse extern Joined: Apr '01; Posts: 1,345; Likes: 12I thought I would update everyone. This nurse is still working in the ER. She is still dangerous. About two months ago she was outside having a cigarette and an ambulance pulled in with a patient on O2. She walked over to the patient with cigarette in hand got up close and stated "what's your problem?". She's still the little princess and does exactly what she wants.
I have since left the emergency room (even though it is my first love) and moved to the med surg floor. The pace is much slower, the nurses work as a team, and trust my judgement (which is greatly appreciated).
This nurse has been "turned in" I don't know how many times and nothing has been done except for a conference with her boss. I just pray that no one gets killed by her attitude, judgement (or nonjudgement), and princess attitude!
Mar 9, '03Occupation: BSCN peds/nicu Joined: Jan '04; Posts: 0I have lost two friends from bad judgement calls in the ER. Friend number one, 31 year old male, was told he was having an anxiety attack, he was a frequent flyer, BP would freq. be 240/160 at work. He was a known alcoholic, no insurance, they didn't take him seriously, sent him home, was dead in 2 hours of a massive MI. Friend number 2, severely obese, no insurance, been in several times with c/o not being able to breath, chest pain. Sent her home, she was found dead in the morning by her 10 year old daughter. All complaints better be taken seriously, someones life may depend on it!!!!! By the way, lawsuits pending in both cases as no cardiac testing of any kind was done on either.
Mar 9, '03Occupation: RN in Emergency Room Nightly Joined: Jan '03; Posts: 757; Likes: 1Agree with writing everything down while it's still fresh in your mind. Don't leave out any details. That way if you are called to give your side of the story years later, you will have the actual event recorded as you saw it happen.
Doesn't matter if these drug seekers repeatedly come in with vague complaints, the one time you DON"T do the chest pain protocol they will crump on you!