I am a newgrad nurse. I've been working in a busy ED for two months now and absolutely love it and I couldn't be happier.
Unfortunately this morning I came across a ''situation'' and am not sure if I dealt with it in the right way.
This morning I started my shift at 7am. The nurse who I was meant to receive a handover from for 3 patients had went home 10 minutes early (so i ended up getting the handover from another night nurse that only briefly looked after these patients).
One of the patients presented at 0230 that morning with severe abdominal pain. From his arrival time up until 0640 he received 15mg morphine IV, 100mg Norflex PO and 50mg oxycontin PO. I noticed that the ONLY set of V/S that the nurse documented was the baseline at 0230 . The nurse also failed to put a name bracelet on the patient, didn't provide the patient with a gown-- nothing was organized. To top it off, the paperwork (assessment sheet) was only 1/2 filled out. I had a look at the patient list for the night to see if it was insanely busy but it wasn't.
This particular nurse is a lovely, kind, funny nurse however he is also notorious for being very slack/lazy. I know this because he was my preceptor when I was a student nurse. I ended up going to the ACN to express my concern and show her the lack of documentation. She instructed me to write a note and document exactly what happened and that she would raise the issue with the RN. I did what she said and luckily I didn't have to sign my name at the end.
Did I do the right thing? I felt maybe I should have raised this issue with the RN and let him know directly my concerns rather than going straight to management.... but this isn't the first time this RN has done this so maybe not? Could I have just ignored it... would any of you just ignored it and moved on?
I also hate to be a complainer since I am still extremely new. I wrote in the ''note'' that i felt the patients safety was comprimised. Do you think that was okay to write?
Any advice or tips on how to deal with this situation if it ever arises again would be greatly appreciated. Thank you!
I am a newgrad nurse. I've been working in a busy ED for two months now and absolutely love it and I couldn't be happier.
Unfortunately this morning I came across a ''situation'' and am not sure if I dealt with it in the right way.
This morning I started my shift at 7am. The nurse who I was meant to receive a handover from for 3 patients had went home 10 minutes early (so i ended up getting the handover from another night nurse that only briefly looked after these patients).
One of the patients presented at 0230 that morning with severe abdominal pain. From his arrival time up until 0640 he received 15mg morphine IV, 100mg Norflex PO and 50mg oxycontin PO. I noticed that the ONLY set of V/S that the nurse documented was the baseline at 0230 . The nurse also failed to put a name bracelet on the patient, didn't provide the patient with a gown-- nothing was organized. To top it off, the paperwork (assessment sheet) was only 1/2 filled out. I had a look at the patient list for the night to see if it was insanely busy but it wasn't.
This particular nurse is a lovely, kind, funny nurse however he is also notorious for being very slack/lazy. I know this because he was my preceptor when I was a student nurse. I ended up going to the ACN to express my concern and show her the lack of documentation. She instructed me to write a note and document exactly what happened and that she would raise the issue with the RN. I did what she said and luckily I didn't have to sign my name at the end.
Did I do the right thing? I felt maybe I should have raised this issue with the RN and let him know directly my concerns rather than going straight to management.... but this isn't the first time this RN has done this so maybe not? Could I have just ignored it... would any of you just ignored it and moved on?
I also hate to be a complainer since I am still extremely new. I wrote in the ''note'' that i felt the patients safety was comprimised. Do you think that was okay to write?
Any advice or tips on how to deal with this situation if it ever arises again would be greatly appreciated. Thank you!