aligar89

Is it just part of our job as a nurse to deal with rude behavior and the name calling or can i document on a pt being mean, grabbing my arm tight when yelling at me, accusing me or just mocking me? These a various pt by the way all elderly men....

Also i know its a pts right to go to the er when says so but why didnt my supervisor say ok lets send the pt. He just kept nodding and saying oh ok oh ok....

My night shift ended with a pt who had abdominal pain 10/10. Given dilaudid 6mg po fell alseep and woke at 0600 again with pain. No distention with bowel sounds rule out constipation. Has renal failure and liver transplant. Kept wanting to send out to er but pt was stable its a skilled facility we can keep pt stable. Anyway another pt began to desaturate with 102 temp. Started fluids with 100% o2 and tylenol. Both pt was stable except for pt c/o abdominal pain. Bickering know it all nurse comes in and begins to accuse me of nonesense and went to both pts and wanted to bag the desating pt. For some reason my rn supervisor switched his nonrebreather mask back to his venturi mask which he shouldnt since he was not doing well on it anyway. So nurse goes wack i put him back on the nonrebreather mask and goes back to 98. Next, pt with abdominal pain starts to cry. Ive literally tried what i could.Tums massage dilaudid and just wants to go to the er. Vital signs stable but for some reason bickering nurse starts to yell his bp is high! Student nurse checked it...i checked 150/68....i just said look ive charted we called the doctor got new orders waiting for doc of pt with abdominal pain to call back. I said im sick i need to go home it passed my shift bye. Was there seriously something wrong in my part? By the way im an lvn whos rn supervisor takes off at night and falls asleep somewhere where no one can find him!! All the time! So sometimes im stuck! Trying to keep pts stable!!

Pt is alert but not oriented. Fluctuates when trying to make needs known. Doesnt get up. I try putting the yanker tube in pts mouth but closes it so hard and pushes my hand away. Tried nasal suction and same thing.

Seems to cough alot and sounds like hes gurgling, almost drowning, his secretions then tries spitting them out but not alert enough.

I have a patient with throat cancer and muscle weakness. Pt has heavy amounts of secretions with cough. He gets breathing treatment from me prn when sob. My job has inserviced us that pneumonia will be reportable soon and we must be prevent it or were at fault. Ive tried multiple times too suction the patient oral and nasal suction but fights! And good at pushing everything away. So how can i chart correctly on what ive been trying to do and what can i do to try prevent pneumonia??

Awesome thanks the commuter my supervisor said the same

Im at work right now and the rn gave me an order to give norco to a patient after the doctor called her. I gave it without looking at her chart or transcribing to the mar. I just took it out of the ekit. Turns out shes allergic to codeine. As of now shes fine but how do i chart on this or what do i do?