yikes, I just wrote up someone at work ,which is something I swore I would never do , but there ya go I did it ...
here goes why...
it was xmas eve (night shift) we were shortstaffed (thanks santa!) and crazy nutty busy with admissions from emerg... anyhow long story short, I got three admissions within half an hour , which as any of you med surg unit nurses know is impossible to handle, I have no problem taking admissions and this is not an emerg vs the floor debate cuz we've all been there done that, okay so I called admitting and I said yeah okay with this third patient she sounds quite heavy, MRSA pos, respiratory distress, blood sugar extremely high can you have emerg just wait 10 -15 minutes or so until I settle the patient I just got - who was a fresh GI bleeder with BP in her boots - so I get the okay from admitting and the nurse looking after admission #3 in emerg that she would wait a bit before sending , okay cool, I bolus my GI Bleeder , and then see the ER attendant (do you guys have those in the states?) bringing up , yep you guessed it , admission #3! I'm slightly annoyed, but dont show it , so I go to grab a hand from another RN on my unit (so now thats 2 of four of us who will be busy with this patient !) as the patient is trying to climb out the bed, combative what have you and the emerg attendant says and i quote directly "why do you floor nurses always b*tch about getting patients, just do your job, its not like there is anything to do for this patient , I mean look at her she's from a nursing home, not like she needs a monitor or whatever!" so I calmly asked attendant boy who he was , Ie credentials etc and then I said "well if the patient has nothing to be done for her why is she being admitted, please do not insult my intelligence and my experience and my role as a registered nurse based on what you think you know, which for the record is incorrect" well he just lost it, started snickering saying that things will never change , left us to transport the patient from stretcher to bed, told us he was doing us a favour and left....
dont do me any favours pally.....
anyway, I finally figured that I shouldnt have to deal with this guys verbal diarrhea and made a complaint, which as i mention I never do , but it turns out many nurses have had a problem with this guy. In my opinion patient safety should come first, so how can I bolus one patient and tranfer this other lady by myself and settle and sedate her ? hello two hands her
whew okay I'm done ....
sorry for the rant but it was needed, I feel much better now hah
