Hey all. Need some advice. I work NOCS. Had a s/p BKA POD#1 who asked for an ice pack around 3 AM. I provided pack and instructed patient about "10 on/ 20 off" over intact surgical dressing. Dressing and knee brace were still intact when I gave report to oncoming RN. 13 hours later, I received a phone call at home from the Day Shift Charge Nurse. Apparently, sometime btwn the time I had left work and MD saw pt. later that AM, the pt. had removed knee brace and dressing and applied ice pack directly to incision. Charge Nurse stated that pt. told MD they had done this themselves but MD says he doesn't believe pt. and insists that I must have done it myself. No mention is being made about the oncoming RN who I gave report to. What, if anything, should I do?
Hey all. Need some advice. I work NOCS. Had a s/p BKA POD#1 who asked for an ice pack around 3 AM. I provided pack and instructed patient about "10 on/ 20 off" over intact surgical dressing. Dressing and knee brace were still intact when I gave report to oncoming RN. 13 hours later, I received a phone call at home from the Day Shift Charge Nurse. Apparently, sometime btwn the time I had left work and MD saw pt. later that AM, the pt. had removed knee brace and dressing and applied ice pack directly to incision. Charge Nurse stated that pt. told MD they had done this themselves but MD says he doesn't believe pt. and insists that I must have done it myself. No mention is being made about the oncoming RN who I gave report to. What, if anything, should I do?