I'm having a problem with a newer RN. She is a VERY nice woman, don't get me wrong. But, whenever anyone gives her report, there is a problem. She doesn't do anything that you tell her about when you leave...and then you come back in and when you ask a question...blank stare.
We have a pt who has massive leg ulcers on a wound vac...with one wound that we need to do cleansing and dressings on once a shift. So, it was done the night I got him from another floor. when I left yesterday, I gave detailed report about the wound care and said "it's in the chart, and all the stuff's in the room. If you have questions, it's written there.' also, said exactly what we were doing.
When I came back last night, nurse tells me "oh, I changed the bandage to the heel." Oh, ok, how bout the wound care? "uhh....what wound care?"
His IV system was open at the cartridge, so when I went to hang antibiotic, I got a yellow antibiotic bath....ugghh.
Then, doc wrote orders for another pt to have a foley removed, PVR done 4 hrs after, and PVR once a shift. AT 9AM! It was still there when I came in...at 5P.
She has had 1 less week orientation than me...and still only can handle 2-3 pts...only if they are stable. (I was a CNA for 2 yrs before, but that can only explain so much).
When I was giving report, the day RN asked me to write a "paper trail" for our boss...over the next few shifts I work with her....not because we're out to get her...but because the concern is for pt safety and orders being followed/carried out.
I am NOT the kind of person that wants someone to fail...but I almost want to grab her and say "wake up!" If you don't get it, you'll be gone! I am planning to keep a sheet here and there...but only on "major issues" (like the wound care order.....Foley order, etc.) Any advice?
Oct 15, '08
Your "paper trail" for the boss sure does make it seem like you're out to get her. I can't help but notice you mentioned that she's a newer nurse. Try taking her to the bedside and physically show her what needs to be done. I'm new too, and I still need a lot of people with things I'm not familiar with, such as vacs, PCAs, special wound changes, and so on. SHOW HER. sometimes new RNs like myself want to prove ourselves so we wont ask the questions we should. Politely fill her in on it, take her to the beside and do a return demonstration if that is how she learns. sometimes it takes multiple times doing the same thing before you get the hang of it without needing help. and stop trying to get her trouble with the boss (whether you think youre doing that or not). how on earth is firing her going to make her better at another job she finds when no one has taken the time to do show/do things with her at your job?
An RN gave me detailed instructioned on how to change a PCA vile during report. step by step. I got to the beside (alone) and I had no idea what to do. text to reality isn't the same thing at all
Last edit by uscstu4lfe on Oct 15, '08
Oct 15, '08
If the nurse is still in orientation and is getting frazzled with the patient care, I can understand that--if in fact she is a worker and isn't just lazy. It's all in the attitude. If she's lazy write her up left and right. If she's just new and overwhelmed, don't write anything. There's nothing worse in the world of nursing than knowing your coworkers are out to get you.
Last edit by Flightline on Oct 15, '08