We had two incidents this weekend that blows my mind. I wasn't there either time, so this is all second hand, but still, YEESH. I work at a freestanding inpatient Hospice facility....
1) We use a company owned by our hospital organization to mix all our IV drugs. A woman was admitted with breast ca with extensive mets to bone and pathological fx to humerus and hip. A doc at the hospital put an epidural in her and had fentenyl at 5mcg/ml at 15ml per hour. The nurse called the ONCALL pharmacist at 5pm and told him of the new admit. HE REFUSED to go and mix the fentenyl:madface: :madface: Apparently, he was getting ready to go to the movies with his family and THAT was more important the the patient's comfort:nono: The nurse on duty made a few calls and another IV company agreed to mix up the bags and bring them in so she would have enough to get through the weekend. THEN this man called back and said, I have an order from Dr. G, we are going to take her off this drug and try something else. Carol told him, number one, I don't take orders from a pharmacist. Number two, this woman is getting adequate pain control from the fentenyl and I WILL not change that just to make your life easier. NUMBER THREE, did you tell doctor why you wanted to have this changed? Needless to say, our director is getting involved in this tomarrow, but OH MY GOD!!!!
2) We only have housekeeping coverage from 8-4:30. The housekeeper interrupted report this morning with a 10 minute tirate about the rooms not getting cleaned at night. We had a patient leave at 7:30 the night before and with the 14 other patients, plus one death, we didn't have time to pick up in the room She said she is going to the director because, get this, ITS NOT MY JOB! YOU nurses need to be checking these rooms to see if they are clean or not. Umm, yeah, ok, so now on afternoon shift, without a unit clerk, we are suppose to be nurses, unit clerks, secretarys, and HOUSEKEEPERS.. AHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH
Please, please, please tell me. What is WRONG with these people. Or, is it possible I expect too much:uhoh21: