I am so freaking upset!!!!

[AtlantaRn1]

Had a pt this weekend , nh sent to local er, Then called the service, pts sat 70%, rr 50, said pt found w tubing pulled off concentrator and they had no idea how long she was in this condition, normally they would call hospice first but pt in dire condition, and admitting rn did not send an e-kit. So I went to local hospital, they gave her a couple of breathing tx, n started her on cipro for pneumonia. Facility rn was ****** there was no ekit for patient and relayed this to my manager. Case mgr for the facility tells mr today that facility doesn't want dnrs to go to the er- they want them treated at facility- nurse said "facility has an e box w resp tx's n ativan po n im, also morphine iv or im but no liquid roxanol. And "if u don't know what to do, you can always call the doctor.". WHAT? Facility told me what THEY had done, emts were there when I called back. I've been an rn for 15 yrs w last 4 in hospice. I know how to handle w breathing tx, o2 n roxanol to slow down respirations. The admitting nurse needs to b sure all pts have ekits so on call can handle emergencies. She knows this bc she had been an on call nurse. Rant mode off, I just need someone to listen, thank you! Atlanta rn.

[caliotter3]

Hope this gets resolved for the future. Sounds like someone just dropped the ball. I hope it isn't a common slight.

[tewdles, RN]

It is ALWAYS difficult when a team member drops a ball...lots of splainin and butt kissing to do after that while working to get the pt back into a state of well-being.

Perhaps a meeting between field and admission teams to discover how your processes might be tweaked or what additional safe-guards could be put in place to better support one another and insure that patients have what they need?