I have posted here only a few times, and I'm in need of advice again! I love my job at a daycare facility for special-needs children, but a situation has come up this week that is really stressing me out.
We enrolled a new client this week. This little guy has a PICC line on a continuous KVO rate with intermittent "bolus" infusions of his antibiotic. This all runs on auto-pilot via his "Prism" pump. Now, we don't deal a whole lot with IV's, but I am totally comfortable with maintaining a PICC line, dressing changes, etc. And this is the stressful part...this kiddo was admitted, his mom was told everything was handled, and his home health nursing visits were cancelled. This home health nurse was supposed to come out and inservice the child's mother and me on this pump. I have NEVER operated a pump like this before, and now I'm supposed to do the bag and tubing changes as per the routine home care orders. My DON did this admission, made promises, and cancelled procedures without ever asking my comfort level with this. Oh, and I need to mention that I am the only RN in the facility while this child is there.
I am so angry with management at this point. Like I said, we don't deal with IV's very much, and I worry about my liablility if I start messing with this piece of equipment that I have never been properly trained on. (Our policy is that the family and/or home health provide all equipment, we do not own anything ourselves.)
Am I just being a whiner? Does anyone else think that my DON was out of line just a little bit? Home health is coming tomorrow to instruct me, so I hope this all gets ironed out then. Can anyone give me advice on how best to deal with a manager who I can't trust from now on?