Hey all, I am a new member of the bb - and would like everyone's opinion on a situation I experienced a few weeks ago. I've been working on an oncology floor for approx 6 mos - my previous background is med-surg. Anyway, the oncology floor is fairly new in the hospital, so most of the time we only have a handful of actual oncology patients and the rest of the floor is med-surg. Consequently, I do not feel very experienced in oncology, and am not yet chemo-certified.
So, a few weeks ago on a Saturday, I show up at work to find out two nurses had called in sick - the charge nurse and an experienced nurse on the floor. That left me, and V., another RN who had started on floor at the same time as me - also pretty inexperienced in oncology and not chemo certified. Staffing so graciously provided us with an LPN from another floor and an agency RN - yep, neither one an oncology nurse or chemo certified. And of course, there happened to be a chemo patient on the floor. V., who has been a nurse longer than I, had to work charge with no training. That left me, the only other regular staff nurse on the floor to take the chemo patient.
Being it was a Saturday, V. and I decide to page our nurse manager to ask for help, what to do, etc. Oh- I forgot to mention that our manager also staffs the hospital's outpatient infusion center - for patients to get outpt chemo, IV abx, blood, etc. So, the nurses managers solution? - he will have the infusion center nurse, who leaves at 2pm, hang the chemo, and V and I should just "be careful and monitor the patient closely"
Needless to say, I was pissed. Easy for the nurse manager to tell me to "be careful" - it is not his license on the line if something happens! Sure I could refuse the assignment, but that would leave V, who was already overwhelmed with working charge or an agency nurse to take the patient. I thought both of these situations would be worse for the patient, so I took the assignment. As it turned out the patient was fairly young and stable and tolerated the chemo well, but I still shudder to think about what could have happened.
I had already turned in my resignation about a week before this happened, and this whole situation just reinforced my decision to leave. If they would do that to me, what else can happen in the future? Anyway, if anyone has any thoughts on how else I could have handled things I would be glad to hear them.
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