auntie72

really??? Im really sorry you feel that way. It is no witch hunt. Yes, I made copies to go along with the write ups/ med errors I wrote up. I had to follow up on the stat labs that were to be drawn.... it IS part of my job. I go thru all of this physicians labs every morning and alert him to things that need immediate attention. A HGB of 8.6 is a little bit of a concern. You can feel anyway youd like, but I am in no way a crusader. I am a nurse. I am not out for anything, I could care less. I just dont want my patients having to go back to the hospital because of poor nursing care. You can have your opinion, but I will be able to sleep at night knowing that I did right by the patients in the facitily in which I work.

thank you... I am feeling like I am having to defend myself here...

read the posts... I didn't keep it for my own personal use. Geesh, I made copies to substantiate my write up. I made copies for the appropriate people and kept a copy of the write up for myself to show I did actually do something about this... once this is handled, I can put it in the shredder, but right now, its the only thing I have showing that this has even been addressed. It's in my desk drawer at work.

no, I am not his boss, but I do kinda oversee the skilled nusing unit. I am an MDS coordinator, RN and I round with the physician. I am the only contact between the physician and the nurses. Yes, I wrote him up and made the copies of the supporting materials, MAR's ect. I had to alert the Physician to the errors that were made, had to call the labs to find out that the labs werent drawn and I had to order them stat 4 days after the order was written. Im not trying to cause problems for this sub standard nurse... Im trying to ensure that the patients get adequate, safe care. If admin does fire him, he is just going to carry on this poor nursing care somewhere else... Im not doing any patients justice if I let that happen....

Im not looking for trouble. The MD wrote the order during our rounds on Friday. I started looking for labs to follow up on Tuesday. I noticed that a patients hgb had actually dropped more and couldnt understand why if we gave procrit, her hgb did not rise at all, so I looked at the MAR to ensure that it was given. It was written on the MAR as a 1 time order yet it was initialed off 4 days in a row! The best part is that the Procrit was never even delivered! The same nurse on the same day noted an order and failed to stop the Paradoxa and the medication was administered for 6 additional doses. That patient ended up in the hospital with acute renal failure and needing transfusions.... I wasnt looking for anything, but it doesnt take much investigating to find way more than you want to....

we have a complete melt down in nursing. No one to follow up, no one is held accountable and no one is disciplined... its sad and scary at the same time. Thank you all for your input, I know what I have to do to.

I am an MDS coordinator, I also round with the physician. I noticed the errors when gathering the information for rounding with the physician (labs, ect) I initiated the write ups when I found the errors. I made copies of the MAR's ect to back up my write up. I made copies of all of it together, one for the DON (which the admin fired today) one for the administrator and one for myself.

yes, our BON has an anonymous hotline number to call.

basically this nurse noted orders and did not carry thru with them. The medication that he kept giving was a blood thinner, this patient was bleeding. He gave 6 more doses after the medication was dc'd because this nurse didn't carry thru with the orders...... this is bad, but it could have been a lot worse.

I understand that, but as a nurse I am a patient advocate. This patient imparticular was actually harmed by this nurse's actions or lack of. How can one just sit back an watch? I dont know what to do....

I have copies of the MAR's, the orders that were written, statements from the lab and the pharmacy. The labs so along with the woman not getting her procrit. You can make a report to the board atleast here where I live you can. I just feel like that If I don't do something, the unsafe practice will continue. Pleaseknow, these aren;t the first major things this nurse has done.

Well, I will try. He is very unreasonable, very forgetful, throws staff under the bus, he yells at staff for things out of their control. We got yelled out because the patients were sent to the hospital. No management staff wants to talk with him and every time he is in the room you could cut the air with a knife. Thank you!

I have a floor nurse that administered medication to a patient after the order was dc'd, he failed to draw stat labs, and this patient ended up at the hospital with renal failure and anemia. That same nurse also initialed that he gave a procrit injection as a one time order, but the pharmacy never sent out the medication because it requires admin approval. These 2 instances where written up and given to the DON and the administrator. The MD was very upset and the administrator said this employee would be fired however he is still working and the write ups havent been issued to him. These write ups would have been his dismissal becuase he has already had so many and was given his final last week. I am torn. I feel like since our admininstration isnt doing anything about the unsafe care this nurse has a history of that I should report it to our local nursing board. I know everyone makes mistakes, however this is his trend and it puts our patients at risk. Please give me your thoughts.