Okay, sorry for doing this, but I have to vent!! I was in charge the other night and got report from my ANM. During which we were being told about a pt coming from a lower level of care to our intermediate floor. The resident was there and was telling us he was just cross-covering and didn't know about the pt.
Anyway, the pt get's there before I can find out more info. We have no transfer orders to our floor! The covering resident won't come see the pt (?he's busy:devil: ) Okay, the pt doesn't look like he needs our care...not in distress, hemodynamically stable, etc. No progress noted by MD to explain why he was moved. In fact last note was discussing terminating treatment and getting hospice. Primary resident called total of 3x and he still won't come! The senior resident was called...came, saw the pt, told me I could move him general...FINE!!!
The primary resident finally comes up 6hrs after the pt came and we told him the senior came and wrote transfer orders to general already!
To get to the point....now I am being questioned about what I did. The primary resident is trying to say he did come see the pt TWICE:( What a lier! The senior is being reamed that he did the wrong thing. It is being implicated that nursing manipulated the docs into moving this pt. :( Gosh this makes me MAD!!! The other floor is taking this to the chief of staff. There is going to be meetings, etc.
Now okay, I will add the pt did crump the next day on the other floor, but at the time he did not need my floor. The DOCTOR was the one who ultimately evaluated the pt and made the decision NOT I! I reported what I had to the doc and also kept my nursing coordinator aware of what was going on.
So as you all know who's head will this ultimately fall on...THE NURSE (ME)! The docs of course never do any wrong right? I will stick by what I did that night. The primary didn't do his job and YES I went over his head! CHAIN OF COMMAND!!
There was a lot of miscommunication of behalf of nursing and doctors. No notes in the nursing chart nor the doctors progress notes to give me any indication of what was going on with the pt. Nothing to tell me why this pt needed a higher level of care.
Sorry, guys, but I had to get it out there and see what you guys have to say!
:( Gosh this makes me MAD!!! The other floor is taking this to the chief of staff. There is going to be meetings, etc.