Irked

[chellelynn25]

I am being moved from my permanent assignment and put on one that I have never worked before. Why? Because a nurse with twice as much experience as me, finally messed up enough that administration finally had to do something about it. Said nurse works 3-11 with me, but we work different units. I get to work today, have barely punched in and am getting paged to the DONs office. I get there she tells me that said nurse has made a mistake doesn't tell me what, and that they are reassigning my hall to hers b/c they think I can handle it better than she can. That they accuity is just too much for her to handle they say. Well what am I suppose to do? I know that a good nurse can work any unit, but my complaint is that I don't wany to leave my residents not so much having my assingment changed.

I report to my new "unit" to get report and so on. A friend of mine who works this unit on a regular basis, sees that I'm a little bit peeved. She let me in on the details, my friend who works the cart on days found a residents HS meds, including Depakote left in a med cup in the stock drawer of the cart. And then said residents depakote lab came back today with a extremly low level. And also that there have been some Pt/INR issues with said nurse. Like not putting labs in the computer and writing new coumadin orders and not DC'ing the old. And that the doc had said that all of the levels were sub therapeutic. Admn and the DON are questioning whether she even passes her meds. In my facilty coumadin is a 6pm med and depakote a 4pm so they are afternoon shifts responsibilty. The admin made my friend go back thru the charts and write down the past three lab values for those kind of meds.

Then at the end of my shift tonite said nurse comes up to me and says thanks alot for getting my unit taken away from me and for getting me put on preceptorship. How she figures this is my fault is beyond me. I just kind of look at her dumbfounded and bite my tongue. I kinda wanted to say well if you would have done your job like you were suppose to, this wouldn't have happened. And by the way it wasn't me who told what you weren't doing, considering that I don't even work with you on a regular basis. And b/c you messed up for like 100th time I'm getting thrown to the wolves now.

I just feel like there are other nurses with more experience than me that could have taken this unit. NOt saying that I can't handle it, but why did I have to been the one that got moved. Anyways sorry about the rant just wanted to get if off my chest. Thnks

[sasha2lady]

hmmm........well that just blows! I got forced into doing charge on my shift last year b/c my don said I could handle it and that i was the strongest nurse on my shift.....sureeeeeeeeeeeee......i hate doing charge! hated it since day one b/c they think that they can throw off on me anything they want to. but ....however....we use depakotes as well...fairly low doses so that the levels are LOW....thats per psych..so I dont fully understand the reasoning behind that one...we have to do a level q 6 mos for depakote.. once yearly for synthroids, and our pt/inrs well.....we have a pt/inr machine that looks like a big fat glucometer ..only alot more expensive....day shift are the ones who are to do the pt/inrs....but i run into several big problems with this.....we give our coumadins at hs b/c day shift is so slack about getting the lab....some of them wait til 3 pm to do it....when it shoulda been done in the am and given to the doc when he is doing his rounds....1 nurse in particular does this all the time.....and sometimes they will do them and just throw it up in the doc box for him to see that next day (if he is to come in that next day)...b/c they think its normal and usually its low. ...soooo not safe and thats just..slack to me.....and then when other nurses do the orders sometimes they just highlight the old one and write a new one w/o marking the day its to start or writing d/cd on the old one...which makes for a confusing hot mess cuz when i see that i think..ok is it changed? or is it highlighted out by mistake???...and then i go on a hunt for the problem and have to fix it. some of the nurses throw important labs in the box w/o even comparing anything...but in your case......I would be upset too....i like my hall as it is..and i would wonder why i would be moved too b/c of someone else....if i was the boss..i wouldve written her up and found out exactly what she was or wasnt doing and gave her some kind of inservice and probation. If she continued...then i would terminate her and get a new nurse. she apparently was not doing her job as she should have. I have came in and found cups w/ pills in them...no name on it or nuthin...I just throw them in the sharps box b/c i wouldnt want someone to come audit my cart w/ me on it thinking i had pulled those meds up. know what i mean?