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NeuroICU_RN

NeuroICU_RN

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  1. NeuroICU_RN

    Report or not when administrators have favorites

    Let me just clarify this for everyone: I did NOT report her nor go off half-cocked running to the BON. The only reason the BON is even on there is because my entire administration protect each other, and I can't trust any of them. So who else do I go to? These were my thoughts during the whole process: 1) I think it was wrong that this patient did not have a nurse because the patient was definitely sick. Had something gone wrong suddenly, who would have been the one responsible? I'm not taking responsibility if something bad had happened. Had it been your own family member and you found out they had no care for the time, how would you have felt? I think there was definitely a lapse in this patient's care and I definitely think this is a patient safety issue. 2) I have NO animosity towards this nurse whatsoever. NONE. We joke around, we laugh. We're not friends because I only interact with her during change of shift, but I've never had any issues with her. She's an incredibly smart nurse and she's damn good at what she does. So there is absolutely no reason for me to even want to get her in trouble. 3) she lost someone and that is something I wholeheartedly understand. I am truly sorry for her loss and that's why didn't impulsively start writing emails or filing complaints. It could've been her kids that were hurt for all I know (it wasn't), so I definitely wasn't going to add insult to injury. I even hated that I had to text her because I really did not want to bother her. My only need to even text was that there were still some questions left unanswered about the patient that were not documented, and that would have directed us to what to do next for the patient. 4) in regards to everyone saying we should've looked through labs/notes/etc. WE DID. The key point here is that we were asking about things that were NOT DOCUMENTED. Hence why I felt it was important that she should've responded and why simply hearing from admin to "look at the notes" was insufficient. And in regards to HIPAA, simply asking the name of who report was given to on patient in room #__ is not releasing any personal info. I guess maybe I should've rephrased the original post differently, because I'm realizing that it sounds like I am trying to put the blame completely on her, but that's not the case. There was just a lack of accountability here. I do feel that the ball was dropped here somewhere and if it were my own family member that was the patient, I would've been upset at the lapse in care. I felt that I corrected the situation the best I could and made do with what I had. We handled it. I was upset initially because I was walking into another situation I had to clean up, and it happens more frequently than I would like on this unit. But in a nutshell: I'm over it. I'm not doing anything about it. I have no grudges or ill will towards this nurse. I've already let it go.
  2. NeuroICU_RN

    Report or not when administrators have favorites

    Yes, I have and it's in the works.
  3. NeuroICU_RN

    Report or not when administrators have favorites

    You're definitely entitled to your opinion about me, but you don't know me. I've been in this same situation before and I still gave report and ensured my patient was stable and handed off properly, regardless of how poor my report may have been and I always answered questions after I left work because it was still my patient. I have no compassion? I've personally covered for several people for bereavement or emergencies, even if that made me work 6 nights in a row before. When things weren't done, I always tell them, "I'll take care of it, go take care of your family." I've taken on unsafe patient assignments so that nurses can leave for emergencies.
  4. NeuroICU_RN

    Report or not when administrators have favorites

    I HAVE been in her situation already and was not extended any grace. I was still required to work and when I questioned it, was told by the same administrators that gave her slack that "we don't know what to tell you".
  5. NeuroICU_RN

    Report or not when administrators have favorites

    If I wanted to get this person in trouble, I would have reported her already and not be asking for advice.
  6. NeuroICU_RN

    Report or not when administrators have favorites

    Yes, I agree. No one got hurt and the nurse did suffer a loss, so I didn't escalate it and make matters worse. There definitely should have been more accountability, but it is what it is. Thank you for understanding
  7. NeuroICU_RN

    Report or not when administrators have favorites

    What I did was when I showed up, I attempted to find out if anyone had assumed care of the patient. Nobody had. So I gave report on the patient to the best of my ability to the oncoming nurse based off what I had, and helped her ensure the patient was stable. We inserted a foley, got the patient respiratory treatments, and then continued on with the shift. I feel that I did my job and improvised the best I could. From what I understand, the director and coordinator were the ones that approved her to go home, so they were well aware of the situation. As far as the gap being filled, that's where the lapse in care was since the gap never got filled. Accommodations for this nurse were made as accommodations have been made for other nurses on day shift with similar emergencies. On the contrary, we've had a couple of night shift nurses go through the same issue and were forced to stay the duration of the shift or were written up. I understand where you're coming from when you say that it's life and all because I've had to leave due to emergencies before and I've also been in such a rush that yes, I've forgotten to give report on a patient before leaving as well. But when that happened, I immediately went back to give report or I even called when I was driving to give report and answer questions. I didn't just disregard the correspondence and go directly to someone else to call the unit for me. I didn't report or write an email to my director because yes, I know, things happen. Let me clarify that I'm not upset at the fact that she had to leave or the fact that she didn't transfer care properly. Things happen, yes, it's life. But if she knew she didn't do it properly, at least try to fix it or reply when I try to reach out.
  8. NeuroICU_RN

    Report or not when administrators have favorites

    I've gotten bad report before numerous times, so I'm no stranger to having to read through labs/notes to find out what's going on. In this case, no one ever took over care of the patient and report was never given.
  9. Just looking for some advice on a situation and whether to report or not or even how high to escalate it. I work in a neuro ICU as a charge nurse and return to work one day to find that the day shift charge (L) had left early due to an emergency; apparently there was a death in the family. Another nurse took over charge and gave me report, but clearly didn't know very much about any of the patients except his own. I had questions about the final patient that the previous charge, L, had been assigned to that day. This was a fairly stable patient, hence why the patient was assigned to a charge nurse for the day, but nonetheless, this is a neuro ICU and the patient had had brain surgery, was wheezing, and retaining urine. Relief charge had no idea what was going on with the patient and all other day nurses stated they did not assume care of this patient. Relief charge then told me, "I guess the patient didn't have a nurse for the past hour." I texted the previous charge, L, and apologized for bugging her during her family emergency but just wanted to know who she gave report to since charge report is vague without the fine details. No response. I was left with no other option than to give report on this patient to my night shift nurse based on my limited charge report for this patient. My director showed up not long after and I explained the situation to him. He tells me, "Yeah, she's (L) not going to text you back. Under the circumstances, just have your night nurse read the patient notes." He leaves. I suddenly get a call from my clinical coordinator, my director's #2, and she tells me that she "heard" I had questions about a patient. I told her I spoke to my director already, to which she had no idea. This leaves me to conclude that L had completely disregarded my text and went straight to our bosses to let them know I was texting her. This situation frustrates me in several ways. First off, to me, this nurse essentially abandoned her patient because she did not properly transfer care of her patient. Secondly, this patient had no nurse for an entire hour and considering her current state, a number of things could have happened and there would have been no nurse to take accountability for the patient. Patient safety was severely jeopardized here. It also put me in a position where I had to give report on a patient that I was not assigned to, did not care for, and had limited information on. Lastly, this nurse should have been a professional and responded when I texted considering she was the last known nurse for the patient, but for her to go over my head and straight to the coordinator was uncalled for. In the time it took for her to contact the coordinator, she could have replied back to me with a quick text. I'm stuck with the decision now whether to report this or not because I truly think that it was wrong what this nurse did and that the patient's safety was jeopardized. I completely understand that emergencies happen, but proper handoff of this patient should have taken place. My reservations in reporting it though, are that for one, my administration is incredibly corrupt and they will throw anyone under the bus to get what they want, and will retaliate like they have with several of my colleagues. My admins are also very friendly with the day shift staff, as is how it usually is when night shifters are treated like the orphan children. So I know for a fact that if I reported this day nurse, that they would do everything in their power to protect her. Even my CNO and my director are very tight with each other, so that puts me in the line of fire with my entire chain of command. What do I do? What are everyone's thoughts?
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