My nurse manager told me to kill my patient. The patient had ischemic bowel, CKD, on bipap, CRRT and pressors, had been for the past 3 weeks, and wasn't progressing in anyway and was a DNR/DNI. Wasn't getting worse, wasn't getting better.
She came into the room, told me about how medicaid was not going to pay for all of this, how expense all of this is, how much of a waste of resources it is, etc (the patient was a 1:1). She then asked if the patient had any pain meds. I stated that she had fentanyl and lidoderm patches on, as well as 2mg dilaudid ordered but we were only giving .5 mg because that would completely knock the patient out for hours, almost to the point of being in a coma (she was pretty unresponsive to being with, wasn't follow commands, nonverbal). She told me to give the 2mg, and not take a blood pressure for 2 hours. After 2 hours, when her pressure was "30/20 or whatever", we would call in the family. Now, the patient was on Levophed. I told her I couldnt do that. I don't kill patients and for legal reasons (she has a background in law), that if anything went to court, they would question me why I didn't take a blood pressure for 2 hours when they were on a pressor. The thing is, she was completely being serious. I was so scared that she was going to enter into the room and kill the patient, that I did not leave the room at all during that day. Well, the patient passed away that night. The nurse taking care of the patient, was the managers best friend.
I don't know what to do...I'm afriad I'll loose my job....
I think that was the one about the new CNA on her first day of orientation observed the nurse put the call button up on a shelf so the patient couldn't bother the nurses every half hour. As the story goes, she snatches the call button off the shelf, gives it to the patient, and reads the nurse the riot act, asks her how shewould feel if she couldn't reach her call bell, and invites the nurse out to the parking lot for a "chat". I think it ends when the nurse realizes the error of her ways, sobs out an apology, and she wins CNA of the Year. Or something. :uhoh21:
southern rn
235 Posts
Yep, that was it.