Had a doc give NS bolus for v-tach, called him back twice within 10 minutes for a new order and he got ticked because I didn't wait for the entire bolus to finish. (WTH!)
Heard a nurse talking to a confused patient who wanted her to call his family "don't you think they have better things to do than to come in here for you?"
Many, many incidents of charted work not done, like baths, mouthcare, etc, and almost impossible to get anyone to pay attention because a)there has to be a pattern with one nurse, b)all incidents must be documented, c) must be a patient who is not confused, d)incidents must be written up by more than one person, or it looks like a personal vendetta-and no one else will step up to the plate.
Watched a doc circ a newborn, and after taking off the bell the baby was still bleeding. The doc obviously was flustered, looking around the room for a solution, then looking behind him to see if anyone was watching, saw the medical staff president walk by and immediately blocked the view to the baby with his body. Since I knew there was a problem I motioned for him to come in
and he casually mentioned a solution to the dumb doc. But from then on I knew which doc would NOT admit he needed help.
Same doc had a fully effaced, nondilating OB patient for over 24h, wanted to cut the cervix with a scalpel to "get it started" Luckily the patient refused.
Delivering provider got so excited about a bad baby that he turned and walked towards the warmer without cutting the cord....FYI big, BIG mess.
Told by ER provider to go ahead and administer sedating drugs pre intubation...and then he walks off to take a phone call for 10 minutes! Luckily the nurses know how to bag.
3yo with a rash, no SOB, Rx 3mg epinephrine IV now. Ummmmm...no way.
Patient gurgling, drowning in her own secretions, I coached a nurse (not a newbie) through helping the pt with coughing and PT, but she can't raise the mucus by herself. Nurse says "I'm just going to go give my meds to _____and then I'll come back and suction.
Patient has Na of 155, and IV order for NS at 150cc/h, so we call the doc and point that out. We got a new order- D5W with NS at 150cc/h. Helpful, huh?
I could go on and on.