ok so I recieved a pt who was hypotensive and a little tachy, I sat next to her on the bed assessing her and bolusing her until she was stable enough for me to leave the room.
that time was about 35-40 min
the physician walked into the nurses station just as I sat infront of the untouched chart and asked for the records, I gave the records and we proceeded to the room to see the pt.
I did not know all of the hx or the labs of this pt because I had not cracked the chart open yet
later as my pt was stable and I came to the desk to work on the chart my coworkers asked what was up with the doc because they came to the desk and said they didn't think their pt was managed correctly and what woule "they" do .. and that I (the nurse)should have been watching the pt more closely instead of sitting around talking, the physician also said a clear lie about an assessment.
Had i seen the phys. I would have asked them to come to me directly if they feel their pt is not managed appropriatly and not to question my competence at the nurses station, however they went home
The next day my manager and director called me into the office to tell me off the complaint and that the phys. went to the chief as well and we would do a timeline and chart review.
I am told my superiors that I have their support, but I feel awful about it
the main complaint is that I did not have the info to report (labs,records-history) and an order was not initiated that was ordered while the pt was in another dept 2hours prior to me... that is all true however I felt ( and still feel) that the pt needed me in with her not as the desk doing the chart.
I feel like the phys. should have come to me directly
not spoke with my colleagues in a defamation tone
and I feel like they are trying to get me into trouble intentionly
This is a phys. that is notorius for being very rude with new nurses/students/residents and so I really wasn't all that bothered at first but then when I heard all the effort and energy she is putting into it I feel betrayed... and to say I didn't watch her close is frustrating because the phys. wasn't even there and I was on the bed with the pt until just before the phys. arrived.
so no I didn't have the info from her chart to tell the phys. and I did not know about orders in the chart because I never saw the chart!
I also cant believe the phys is reporting a different assessment then what we both saw (at the same time)
anyway I am told there won't be disciplinary action, but I have never had my competency questioned and an official review with all my superiors and chief phys. of my chart and actions..