Just me.

I'm sorry about your spouse and current situation. Do you feel you are ready to go back to work? Mentally and physically? You don't have to answer on this site, but something to consider. Are you saying the current job is going to let you work for 30 days and then fire you if you don't find another job and leave?

For years I only did b/p checks with a dinamap. I got confused listening to manual readings, the different korotcov/korotcoff sounds when I was required to start checking them this way. I did practices online thru Youtube to retrain myself. IF someone re-rechecks, and says something drastically different, I know what I heard.

I left the Hospital setting about a month ago. I only worked part- time, 8 hour days.. I got burned out for various reasons, including the commute. I am currently working in a primary care/clinic setting and now working Monday thru Friday. I am still adjusting to the schedule and working more hours, and having less free time. Overall, my stress level has dropped tremendously! Getting a lunch break everyday, priceless! To be honest, it is a very busy practice. The hardest adjustment for me has been a new computer charting system and doing many things with less resources, and things that are not hard, but still need to be learned. And in my case the pay cut was tremendous, it would depend on your location. The pay adjustment has been worth it for my overall well-being. As you have your Bachelor's degree, returning to the hospital is an option. Or you could work prn at the hospital to make sure you like the new position?

The employers response sound a little extreme. It seems straight forward, that you tell someone apply this cream to the patient's...I may have asked myself. Was there a barrier in the communication, language? And as was already pointed out, was this a job that should have been delegated? The only other thing I would have done is call Poison Control.

I sympathize with your feelings. Having any surgery is scary and must have been a very emotional experience, no family around, etc. And having an unexpected hysterectomy, especially for someone of child bearing years, or not, can be devastating. This would be compounded if one planned on having children in the future. EDIT: I understand it didn't state complete hysterectomy...* I don't know anything about the nursing culture in Brazil. But to me it sounds like you wanted/needed some bedside compassion and it just wasn't happening. EDIT: I really appreciated the post from the nurse who actually lived in a foreign country and experienced things first hand after having a baby. And what she said made sense about the healthcare and cultural differences. I remember having post-partum depression almost immediately after having a cesarean. I distinctly remember a nurse telling me that she didn't have time to help me. I called once for medicine, they were busy. I remember crying and crying. Years later I remember all the details. As far as legal action or a formal complaint, I simply don't know. Just continue to be the type of nurse you wanted those days you spent in the hospital.

Is it a peer interview? Or one to one?

The narcotics need to be tracked. If the signature is for ongoing/off going you would sign appropriately for where you are in the shift. Don't accidentally sign in slot that was left blank by someone else. By signing at the end of shift with the nurse, you are accounting for the narcotics being the same or reduced or increased based on activity (dispensed or received from pharmacy)

I work in an ED, and have a good relationship with registration. We do annoy each other at times. And yes, they do collect co-pays and give the option to pay now or later. Overall, basically my goal in life is to get to the patient before registration! That is especially true if they have never been to the hospital before. And if registration is with a patient, I will let them finish before interrupting. I will ask if registration is almost done, especially if the pt needs a stat ekg, etc (they are to be done in a timely fashion). There are a few times I have spoken up and needed to interrupt. But in most cases, if the patient is in acute distress registration will usually recognize the timing is not good. That being said there are times the Doctor or PA is ready to see a patient, literally standing in the doorway. Most of the registrars will acknowledge the provider and mention I'm almost done, is that okay? Others make us them wait, like they are not even there. And I will say, some doctors are just rude about it, some nurses too. And there are times, I'm having a private conversation with a patient and registration is hovering. I have asked them to give us a moment. I understand no work situation is perfect! And I have no doubt there are some very toxic people, believe me.... Take a deep breath and be the bigger person. If someone really does offend you I would approach them privately and talk it out. And if that doesn't work, talk with your supervisor and she can speak to the unit manager and give reminders about what registration needs to do. It sounds like you are doing some solid things to make things work better!!!

Not to me personally, but... I wouldn't take it personally. They may just forgotten the appointment. Or the person that was supposed to call got sick, who knows? Now, if they don't respond to your email that is just rude! Did they get back to you? And if you are still interested I would give them another chance.

One of our Doctors leaves the prescriptions on the printer. To get the discharge done and over with, I walk it over to provider to have them sign it. If the Doctor refuses to sign, leave it without a signature. When the doctor gets repeated calls from the pharmacy, they might start signing. Fill out an incident report, likely you can do this anonymously? It is not fair for the patient to be delayed at the pharmacy, but why should you lose your job? Don't put your job at risk. I know they are supposed to sign, even with the electronic signature. For your states do all prescriptions need an ink signature if the medication is not a controlled substance?

Personally, I do believe the OP did their best. Sometimes when reading the Original post, you don't have all the facts. And it is easy to miss some details when they are revealed later in f/u posts. When I read the original post, it sounded like the daughter was there when it happened, expressing her concern(not in the right way). Later, it is learned that she was not. And the patient details and daughters location were revealed in later posts. When in doubt, I don't think it hurts to call a RR. IF nothing else, you are not alone. As far as abusiveness, our hospital has become increasingly responsive to abuse. Abusive family members have been removed from the grounds, others banned from the facility (unless they are dying), no trespassing orders. We do try to talk people down, but have a right to defend ourselves. @Tweety I am going to clarify if the Hospitalist is on the RR team, I may be wrong. He may have just responded, it was some time ago. I will correct if I misspoke.

@Tweety When I was on the floor the Hospitalist was part of the team, but teams vary at different facilities. Not sure now who is on our team, I'll have to ask.

@Davey Do is their a self-portrait in this illustration? Like a Norman Rockwell?

@Susie2310: I have to agree with most of what you said (in the above post) I didn't think about it from the daughter's perspective. The daughter was way out line in how she communicated her concerns. Her behavior was inappropriate. I think the OP did their best. And the patient did not code. When our hospital began the RR team, it was such a relief to know you could get help fast! You were not alone. I used the team a few times. To the OP, I think you did try your best to help your patient! Use the RR team in like situations in the future and don't put all the stress and responsibility yourself.

@RNperdiem I agree that tech help can make or break you sometimes.