Murphy's Law... (long)

Nurses General Nursing

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Okay, so I had the weirdest shift last night. First, I was really busy, just because my pts were busy. I had a 90 yr old lady, LOCx1, very unsteady on her feet, who decided she was going to walk home. And the only way to keep her still was to put her in her bed, and then she screamed constantly at "that little boy who keeps getting my floor all wet. I keep telling him to go home, but he won't listen!" So keeping her safe was a full time job itself - and did I mention that she was combative? Pt #2 was very nice, but getting chemo, which takes time. Pt#3 was a young guy with a lot of pain in his back, and I had a really hard time keeping him comfortable - doc came out and yelled at me b/c pt was in pain. I said, "I just gave him his oxycodone 15 minutes ago" - not sure what he wanted me to do. Pt #4 was very VERY anxiouos, and would keep you in the room talking about nothing for an hour unless someone came on a resuce mission to get you out of there. Very nice lady, but again, time I didn't have. Then I got a new admission, and surprise - confused and climbing out of bed! So needless to say, I was running my butt off all night.

Well, pt #4 needed pain meds, so I got it out of the pyxis (2mg dilaudid IV), and was just heading to her room when I saw pt#1 trying to "go home" out the window (they don't open, don't worry!). So I dropped pt #4's meds in my pocket and put pt #1 back to bed. As I walked back out of that room, I realized my top was all wet. You guessed it! Dilaudid all over me! So I had to waste that and get new.

So I'm heading to give pt #4's meds (finally), and pt #3's wife asks for another pillow. I say, "sure, no problem" and head into an empty room. Unbeknownst to me, that room had very recently been cleaned, and the floor was wet. Yep, hit the floor (luckily only one knee and one hand - and not the hand holding the two broken dilaudid vials in it!). Why did I hit the floor? Because there was no WET FLOOR sign! SO embarassing, and pretty painful as well. And I was only an hour into my shift!!!!

So to make a long story a little shorter, some of the other strange things that happened included...what are the things called that you use when you hang an IVPB? You know, the little arm things (ours are blue) that come with the PB tubing to hang the main bag down lower? Anyway, I was in chemo pt's room, and the one holding his main bag (not the chemo) snapped in half and the bag fell on the floor. I didn't touch it. I wasn't even near the pole. It just decided to jump off the pole! I was like, "you've got to be kidding me!" Then I was getting out an IS for a pt and dropped it on the floor - it broke. I don't mean it cracked. It shattered! Then people were picking on me, trying to joke and be funny. Normally I am very easy-going and will joke and whatever, but they knew I was having a hard night and they wouldn't let up, even when I asked them to stop, and finally I ended up yelling at the person who is probably my favorite on the whole unit, and now I'm sure I'm going to look like a total jerk when I go back. I can't even think of the rest of the weird stuff that kept happening, but I have to go back this eve! I don't know whether to wish for the same group or not! And I'm still embarassed about falling - you know it's going to be common knowledge today. But, at least it was me, not a pt/visitor, or someone who might not be as resilient if they hit the floor (I'm young, I'll be fine). I just wanted to SCREAM!!!!!!!!!!

Specializes in Tele, Acute.

What is up with NM's calling their nurses down in front of everyone? Our NM is famous for that. She really is rude and does not care who hears her chewing someone out. I never had it done to me but I have been there when she did it to a few people. I told them to follow chain of command and go to the Admin. who also has an office on our unit. Sometimes she also tells us stuff about another employee that I don't think she should be sharing. The day she does that to me is the day I will go out the (window) door and right to the BON!

I love my NM, but she is worse than the ANM as far as that goes. I have never asked her not to do that to me because she's really only done it twice, and it was when I was so new that I was too afraid to speak up. But if I have to tell her anything that I think she won't like, I take her away from people, lol. As for the ANM - she's fairly new to the job, having a hard time adjusting to it, and kind of stressed out. She's about 60 and I think she didn't realize what she was getting herself into. don't get me wrong, she's not bad at it, and we get along well most of the time. But when she does stuff like that...yikes. Anyway i told ehr how it makes me feel when she calls me out in front of other people, so hopefully it will get better.

As for the "I just won't tell you anything anymoer" comment - I just rolled my eyes and was like "how old are we?". Get real, she has to tell me stuff, I just think there's a better way to handle it.

And the SW started telling me "legally, all we can say is that Mrs. X was admitted to the hospital on such-and-such date". And that's what I was worried about - I don't know what I need to say, what I'm allowed to say...I just needed 2 seconds worth of help. I have never heard of a nurse writing a work excuse - it's always been a doc or SW, but I'm fairly new to evening shift, so I guess things are different then.

THANK GOODNESS I'M OFF TODAY!

Wow...days like that you need to laugh about or you will end of crying. Which by the way...it soundled like you wouln't have had time to to either.

I've had days like that. The topper was after finally leaving work...I get into a car that had a flat tire. Yep...it was almost 1:30 am (from a 3-11:30 shift) Now thats when I just lost it.

Specializes in ICU/PCU/Infusion.

Enjoy your day off!!! You sure do deserve it!!

:)

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

Oh yea I can relate. My sympathies lie with you. I am sorry your coworkers did not see fit to help you out....

Hang in there, in all the ups and downs, at least when we know we hit bottom, it's all UP from there.

Miko,

Enjoy your day off, pamper yourself a little. Regarding the excuse, I saw a nurse fired for giving a family member an excuse without clearing it with the physician. Seems there was some shady stuff going on and the family member got paid for time he did not spend at the hospital. You did the right thing to CYB. The ANM needs to be reminded the right way to give instruction and information to staff. Let the NM know if she continues to act to unprofessional.

Miko,

Enjoy your day off, pamper yourself a little. Regarding the excuse, I saw a nurse fired for giving a family member an excuse without clearing it with the physician. Seems there was some shady stuff going on and the family member got paid for time he did not spend at the hospital. You did the right thing to CYB. The ANM needs to be reminded the right way to give instruction and information to staff. Let the NM know if she continues to act to unprofessional.

THANK YOU!!! I was not comfortable doing that seeing as how I have no idea what I am legally allowed to say. I was covering my own butt and I'd do it again in a heartbeat!

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