possible violation

I'm confused, you are an ER Nurse with an ICU hold and still had other patients on top of that?  The topic seems more about exerting power by an unreasonable and unsupportive director.  Give yourself a break, we are not ICU nurses in the ER, but what was the concern of the pt being "investigated?"

the previous nurse failed to report findings to the physician on not only the ICU pt but the altered mental status as well which caused the doctors to miss information and then ultimately leave a train wreck in the morning.  From my perspective the ICU could have been prevented. It's very common for us to be holding an ICU pt and have several other patients at the same time. Since pt was intubated in the E.R. it is our job to continue the care until they admit pt and a bed is assigned so I had this pt for a couple of hours and was not able to leave the room due to titrating three different medications. I got way behind on my charting because I still had other pts that were there and needed work ups and medications. I left the floor a half hour after my shift and was actively charting. I'm more concerned on the time limit I was given to chart and if I had not completed the charting, how it would affect my RN license. I'm looking for some law or rule that says not allowing a nurse to finish documenting is a violation on their nursing license. 

14 hours ago, Ernurse11521 said:

I'm looking for some law or rule that says not allowing a nurse to finish documenting is a violation on their nursing license. 

You're on the wrong track riding a train headed in the wrong direction.

What is jeopardizing your nursing license is acquiescing and/or accepting responsibility when someone else demands that you do the impossible, when that puts patients in jeopardy. If it is physically impossible for any prudent nurse to do what is being demanded, you need to say no. Flat out say no. Call the supervisor and tell them that the staffing level is dangerous and you will not take responsibility for another patient.

I'm going to be straightforward here, please don't take it personally: You are making things worse for yourself when you make unrealistic threats instead of putting your foot down. The main power you have is the power to make choices and follow through on them. The BON is not going to crusade for you over some he-said-she-said managerial baloney.

You need to find a way to go into business mode here, pronto. I know it's hard but stop being afraid of horrible, weak people and toughen up so that you can protect yourself and your patients. You have to know BS when you see it, and not play games over it. No nurse should ask anything like, "and what will happen if I can't get it done in fifteen minutes?"--ever. Ever, ever, EVER. What a nurse should say is, "I will not be finishing in 15 minutes. Do not threaten me. I did not make the assignments and I am not responsible for the staffing. I did the best I could." Trust me, these people are weaklings and if you convince them you're serious they will find someone else to terrorize.

Remember too, that since timely documentation is considered part of prudent nursing, you are shooting yourself right in the foot by running your *** off doing tasks and deciding to worry about the documentation later. Now they have you right where they want you: You accepted responsibility and can be made to look like you were irresponsible; like you were imprudent because good/timely documentation goes along with good nursing, and you can be made to look like a poor worker/employee because of "overtime" and "time management" and all the backlog of charting you have to do. Plus whatever else they can make up.

You don't threaten people. Rather, they make their choices and you make yours.

Refuse unsafe assignments.