Do I report this?a long post! - page 2
If this situation happened to you would you report it, and if yes how do you go about doing it? A nurse is pulled to my floor and is there for about 3 hrs when this happened. The wife of one of... Read More
Oct 11, '02Occupation: Nurse Extern Joined: Jul '02; Posts: 44Thanks everyone for the advice. I don't want anyone to think I'm pressed on the issue of whether the pt. needed to be suctioned or not. I definately was not drawing any conclusions to whether or not it affected the pt. When I told the nurse about the patient I only suggested that "maybe" he needed to be suctioned. I said that because I figured that if someone told me "hey your pt. isn't breathing right...has major audible congestion going on, sounds like he needs suctioning, he can't answer me and can't open his eyes." then maybe I would bother to go in and look. I am still in school and don't know it all by any means and certainly wasn't trying to act like I do. Maybe he needed Lasix, maybe he had V tach because of his respiratory distress, I don't know. But we work on a Post CABG floor, or step down ICU. So I just figured that these patients are critical and should be checked on when someone has a concern, not blow it off before you even bother to see for yourself. I went to work today to drop some things off and asked that nurse what ever happened to that pt. She said she didn't know but did say that she should have checked on him when I went to her. So by that I gather that no one did go in and check on him. I guess Youda is right that I was unsure of myself, I guess I would be after going to 2 different nurses and being blown off. But I know now to be persistent.I really appreciate everyones feedback. Thanks again.
Oct 11, '02Occupation: RN-i (RETIRED) Specialty: ORTHOPAEDICS-CERTIFIED SINCE 89 ; From: US ; Joined: May '00; Posts: 14,479; Likes: 2,298At our place everytime a patient goes to the unit you have to make a written report. [\/] "unexpected transfer to monitored bed." The report would only have the patient's name and something like patient's vital signs unstable, pt sent to ICU/CVCU/MTU whatever. That way risk management sees you knew this was an event and can look into it.
Oct 11, '02Joined: Nov '00; Posts: 931; Likes: 18It's hard to get all the information into a short post. Wow, I was thinking this was a LTC. If you work on a step-down ICU, and the nurses hadn't checked on their patient, with or without someone reporting symptoms . . . not good. Not good at all. You aren't expected to know more than the nurses, so it's understandable that you would be unsure of yourself in that situation. The basic nursing is: change in condition must be reported to the doctor. There are probably more recent articles written about this kind of thing, but if you can dig it up, there is an great article on this kind of situation in RN Magazine, October 1988, an issue devoted to nursing ethics. There is a very thorough, no-nonsence, practical guide about what to do when a colleague is unsafe. Good luck to you in your studies!