Need to vent about my horrible night!! UGGG long

[txspadequeenRN]

well i worked last night at a nursing home that i go to on a regular basis but normally would be taking the skilled medicare hall that has 24 patients or so. anyway i ended up with the bad end of the deal and got the split which means i have 42 patients while the other nurses have 24 or so..big deal i can handle it. everything went ok until about 4 am when one of the patients was riding the light to go to the bathroom the cna reported that she was having frequency and c/o severe pain when urinating . so i said well lets get a clean catch and ill get on the phone and get some orders. called the doc but he had himself a on-call doc on for him that night ...but anyway after that wonderful conversation got the order for ua/c&s but he also started her on cipro 500mg . i wrote all the paper work out did all the charting . then went to talk with the patient about the new orders and what we needed to do...mind you i have never worked this hall.i want to mention here the cna brought me a urine sample labeled with with mrs x bed b. the patient looked at me like i had 10 heads when i started talking about how long she had had the urinary pain ....:uhoh21::uhoh21::uhoh21: the cna got the a and b beds mixed up..lets not forget she is a staff cna that has been there many months. it was really mrs. y in the a bed, so i had to restart the procedure all over again. this means i had to error out all my charting and call another doc..ok fine whatever. got the new orders from the other doc and went on about my business...this &^%* doc that was on call ..the one i spoke to first called me back two hours later and explained to me that at 4 am there was no need to call a physician for anyone having s/s of uti. that is a non- emergent matter and could have waited until 8 am. i told him that any patient that is in pain is a emegency and i have to take care of the patient even if that means calling the doc at ..yes, 4 am. well he became a little mad at me wanting my name and such ..ranting about how there is no way to get the lab there that early and i would have to wait until 8 am anyway... when i told him we had stat lab services and because of the time of the morning the lab was already there he said..."humm well i don't think so"...whatever.. bye i don't have time for that mess cause i now have a cna standing beside me telling me that a man down the hall is screaming about not being able to urinate and his abdomen hurts so bad "he is going to explode"... i verified by the cna that he had not pee'd much all night..thanks for telling me now!!! patient did have some distention and very tender in that area. because this man had his foley removed yesterday and has bph. anyway got the order to re-insert the foley..anyone guess what happens next !!! you guessed it meet resistance an the patient is screaming bloody murder. so now it is 6:30a and the next shift is already here... i give report on this man to the oncoming nurse and she starts talking about "well you and me will just go in and re-insert this foley together"...uhhh no we wont i have had enough and my shift is over..the nurse(not the one i was giving report to ) working the other side said "why would you try again she just told you she could not get it in"...uggggg i could not make this nurse understand that she takes over from here. i guess she was expecting me to stay until the problem resolved itself...the last i knew she was over on the other side of the building trying to get someone else to put in the foley...i just don't know....but all i knew is that i was all kinds of frustrated and just needed to report and leave.... cause i have 3 more nights out there.. thank for letting me vent!!!!!!

[cappuccino]

I definitely would've called the md if the patient was in a lot of discomfort. I mean we all try not to call mds at 4am. I just crack up when these doctors get worked up about stuff like that. I'm sorry but we all try our best in this profession. You can't always make everyone happy............

[pkapple]

I live on both sides of this. I work nights in the ER, my DH is aPA-C and last night(my night off!) got 6, yes 6 phone calls from the same nurse. He only had 2 patients in the hospital! Does he get nasty? NO Did he give this nurse q1h VS/neuro checks with parameters at 0030-you betcha! Pt (70) roams the halls all night, not really a fall risk or a wanderer, just anold night worker who still sleeps days.--The other pt and 2 calls at 8pm and 0530 were appropriate and warranted orders for meds/labs. Oh, this nurse really wants all her patients asleep by 2200, guess they all need sleepers, and repeat sleepers, well maybe something stronger--you get the idea!! LOL

[SmilingBluEyes]

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[bigsyis]

Does that facility have prefilled syringes of Lidocaine gel? A tip I learned from a Urologist, many years ago in ER, is to instill 3 cc of Lido gel into the urethra, and then cath the pt with a Coude' catheter. I have never had that method fail, not one time.

[jill48, ASN, RN]

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SmilingBluEyes, you look very pretty in your new picture. Is that my foot? Silly. You make me laugh.:rotfl: