Shocked At Nurses Actions Tonight - page 8
I work part time at a local SNF / rehab faciliety. On PM and NOC shift it is staffed with 3 or 4 LPNs and one RN charge nurse (tonight it was me). One of our LPNs is a sweet young girl from a very... Read More
Nov 24, '06Specialty: 8 year(s) of experience in ABMT ; From: US ; Joined: Feb '05; Posts: 187; Likes: 56Nurse abandons pt=nurse gets reported to the BON, nurse gets fired.
That's the key issue, I think.
And I agree with everyone else who's said it, PMFB, please call your DON now. The DON will want to know about all this. Please don't fall in to that place many of us do, thinking "oh I can handle it all myself." Truly, I believe your superiors will want to know about this, partly because they will have their own ideas about appropriate action. I believe they trust your judgment, but at the very least they will want to weigh in. Give them the choice to put this off till Monday.
Best of luck. What a sad mess. I believe sending the nurse home was the right thing to do. Out of curiosity, was the pt aware any of this happened? I hope not.
Nov 24, '06Occupation: CDU nurse Joined: Sep '03; Posts: 4,001; Likes: 542Quote from HappyNurse82I thought that the reasons our administration was so adamant about our troops staying over seas and "staying hte course" was because many of the muslims over there in Iraq are NOT terrorists and are victimized by the extremists as well. So those people who have nothing to do with terrorism don't deserve compassion or medical treatment? Your comments are absolutely appalling. Basically what you are saying is that if someone that shares the same religion as YOU, goes and kills or maims another person, then noone that shares that same faith deserves medical or nursing care. How would you like to be sick and go to the hospital to recieve medical attention and have the nurses and doctors refuse to care for you because they looked in your chart and saw that you were catholic, episcopalian, baptist, anglican or _______ , and one time someone of that same faith hurt them? Makes ABSOLUTELY NO SENSE!I'll remember your comments when DH goes to get fitted for his prosthetic. Get over yourself.
Nov 24, '06Joined: Apr '03; Posts: 7,569; Likes: 2,297Quote from porterwomanIf I read things right, no he was't. I think she saw the notation in his chart before she went in the room.Out of curiosity, was the pt aware any of this happened? I hope not.
Nov 24, '06Occupation: Day Surgery/Infusion/ED Specialty: Day Surgery/Infusion/ED ; Joined: Feb '06; Posts: 1,405; Likes: 47Quote from ZASHAGALKAFabulous!Actually, your opinions DO make you wrong. They aren't just differing opinions. They are wrong.
I DO watch the news, and those on this site can tell you that I have been and remain one of the biggest supporters for the need to go into Iraq.
If you were on active duty, you swore an oath to uphold the Constitution and that Constitution has this nagging little principle in it that says we are bound by a kindred not vested in religion.
An America that can declare itself intolerant of any religion puts all religions at risks. 9/11 was not about faith, but about the faithless actions of those that carried out that dastardly deed.
I find myself comforted in knowing beyond a doubt that not just MY God was appalled by their actions, but THEIR God as well. How do I know this? Because the very same Allah of Muhammad is the God of Abraham that I respect and worship.
I find your statement that muslims on the whole harbor terrorists to be factually incorrect and ignorant. Many American muslims (and indeed, worldwide) are just as horrified at 9/11 as you are. In addition, I lived among muslims in Turkey for a year while on active duty and found them to be fierce and respectable allies.
The majority of muslims are peaceful people. While you might contend that is the 'stupidest' thing you've ever heard, I contend THAT belief completely explains your viewpoint. You've based your core beliefs on this issue upon hyperbole, and the disconnect from reality created by such misplaced beliefs is readily apparent.
I'm not attacking you, but your opinion is indefensible and stands in stark contrast to the Constitutional principles you swore to uphold. We are a great nation BECAUSE we repudiate such positions.
Nov 24, '06Specialty: OR ; Joined: Oct '05; Posts: 536; Likes: 24Quote from caroladybelle:yeahthat: The way I see it is, this girl knew that as a nurse, she must do what is best for the patient, not for herself. When you go into work, you have to leave all your personal baggage at the door. I have a personal history of domestic abuse happening to me, but I still took care of a convict in the OR who was in prison for beating(and almost killing) his wife. Not only do I think she should be fired, I'd report her to the BON. She did take report on this patient, therefore what she did was abandonment.Well, I am a Jewish nurse and I have cared for muslim patients, and white supremacists, also. And I lost family in the holocaust.
A patient is a patient.
Nov 24, '06Joined: Dec '05; Posts: 1,375; Likes: 248I haven't read most of the responses but did want to comment on the situation.
It sounds to me this young nurse is just plain ignorant and needs to be educated. Will firing help? I am not sure. I most certainly think that some education and more training would be in order. When one has seen how the media portrays certain groups of people we tend to believe to a certain extent and some are more naive than others. Think about how we as amercians view the Chinese or the remote tribes in Africa. Why do we see them that way?
Did you tell her if she does not care for the pt she will be considered to have abandoned him or did you just in frustration tell her to go home, therefore excusing her from her duties?
Nov 24, '06Joined: Jul '06; Posts: 6,976; Likes: 12,460OK couple things. I called DON's house today. SHe is visiting relations out of state but I got the number. Called her today before work and while she didn't say so she seemed anoyed that I had bothered her about it. Her attitude is that it seems like this can all wait until Monday to sort out. I did get an OK to not use the LPN for the rest of the weekend if, in my judgement, I can do without her.
To answer a couple people's question, no the patient had no idea any of this happend. I have (and am currently) personally taking care of him. No problem.
I want to respond to some of the comments made about muslims by certain posters. My regular job is in the ICU at ****** Hospital in Marshfield Wisconsin (not the faciliety we have been discussing). A many of our doctors are muslims. Most of the hospitalists seem to be muslims. I work closely with these people and as a group they are good and skilled doctors who daily display great compassion to our patients. I would be happy if my child was under their care. I also want to point out that many muslims are currently serving bravely and honorably in the US armed forces as you read this. When I was in the army I served with many muslims. Almost all of them were native born Americans and good citizens. There are still lots of African Americans who have converted to islam serving in the military.
Just some things to consider. My lunch is almost over and I have to go now. More later.Last edit by Jay-Jay on Nov 24, '06 : Reason: Identifying place of work
Nov 24, '06Specialty: med/surg, telemetry, IV therapy, mgmt ; Joined: May '05; Posts: 15,027; Likes: 8,983Quote from PMFB-RNIf I were the DON I'd be more than annoyed at someone who got my relatives telephone number and called me over a holiday about a disciplinary problem. She's right! This could have waited until Monday morning. There is supposed to be someone assigned to take administrative calls for problems with the facility during non-business hours and that chain of command is supposed to be followed to the letter. As a hospital supervisor we knew exactly who to place phone calls to when there were emergent situations that required a decision by an administrator above our level of authority. And, it had better be serious enough for them to put their clothes on and high tail it to the hospital. I agree that the LPN who refused to provide care to the patient was wrong, but to disturb the DON about it during her time off? Very bad judgment call in my opinion and experience. It's very possible that you may be in trouble now as well.I called DON's house today. She is visiting relations out of state but I got the number. Called her today before work and while she didn't say so she seemed annoyed that I had bothered her about it. Her attitude is that it seems like this can all wait until Monday to sort out.
Nov 24, '06Joined: Dec '02; Posts: 41,761; Likes: 48,082Poor original poster . . . first we all implore you to contact a higher up and then you get a post that you may be in trouble. I almost always agree with Daytonite too but in this case I think it was the right thing to do to call. Maybe I'm just spoiled - our DON was always open to having us call her with problems.
Nov 24, '06Occupation: Licensed Practical Nurse Specialty: Community Health, Med-Surg, Home Health ; From: US ; Joined: Sep '05; Posts: 9,297; Likes: 8,221I think that you did the right thing...this woman is very small minded. I would have said trade, but as you stated, she was late. Why should someone else have to alter their assignment if they came on time. I have had issues with quite a few patients I have dealt with, but I try and keep in mind that they have to be safe under my care. I would certainly question how she would conduct herself as an RN with a higher degree, and the example she would be setting for other people.
Nov 24, '06Occupation: Licensed Practical Nurse Specialty: Community Health, Med-Surg, Home Health ; From: US ; Joined: Sep '05; Posts: 9,297; Likes: 8,221Quote from stevielynnPersonally, I can't see why the original poster would be in trouble for calling the DON during off hours. I can see the DON being annoyed, yes...this wasn't a sentinel event...and personally, I would have waited until Monday, however, I think that at the most, she may be chewed out for calling for a non-critical issue. This should be at her desk first thing next week, but, again, I don't think she has to worry about her personal job.Poor original poster . . . first we all implore you to contact a higher up and then you get a post that you may be in trouble. I almost always agree with Daytonite too but in this case I think it was the right thing to do to call. Maybe I'm just spoiled - our DON was always open to having us call her with problems.
Nov 24, '06Specialty: med/surg, telemetry, IV therapy, mgmt ; Joined: May '05; Posts: 15,027; Likes: 8,983Subordinate help get ticked off for one reason or another in LTC facilities all the time and act up. It happens a lot on the off shifts. When you are a supervisor in one of these facilities you have to learn how to handle these situations smoothly. 99.9% of the time it sure doesn't require a phone call to the DON at home. As a supervisor I learned a long time ago how to handle these fools and the scenes they want to subject everyone to. It is what it is--attention-getting behavior. A supervisor can't be intimidated by those they supervise. I have no argument with anyone's personal views about nurses being non-judgmental, but it applies to all nurses, those in leadership positions as well. One's job responsibilities or actions should not be driven by their emotional feelings toward another employee, but by the breaking of rules and the application of discipline.
Try calling your nurse managers at their homes to tell them about someone you sent home because they refused to take care of a patient for any reason and see what kind of reaction YOU get from your boss. When I was a nurse manager, I would have torn your head off and put it where the sun don't shine if you'd done something like that with me. Work issues need to stay at work. My time at home is my time unless I instruct you otherwise.
Nov 24, '06Occupation: 20+ yr RN Specialty: 15 year(s) of experience in Critical Care ; From: US ; Joined: May '05; Posts: 7,520; Likes: 4,032I would have rather risked the minor annoyance of a 2 minute phone call than the major annoyance of the chain of command being out of the loop on such a major event.
Sending someone home for a whole weekend is not a minor disciplinary action.
You did the right thing calling. If anything, you greatly tempered her being even MORE annoyed come Monday morning. At least, she cannot complain that you left her out of the loop.
It's a good call. If you don't CYA yourself on stuff like this, it's amazing how discussions can turn towards YOUR actions instead of addressing the issue at hand.
I stand by my previous advice. It didn't hurt her vacation greatly to discuss this with you for 2 minutes.