58jeli

Last try. I am not the OP and I would not report it. The OP was distressed over reporting it or not. To contact a nurse I would leave a personal note. If she's not interested that's fine. Then the OP is back to her original 2 choices.

Ok just to be clear I am not the OP and I would not go to the office. The OP's core question was, report the matter or ignore it in angst? I'm suggesting a 3rd alternative that cuts through the confusion and avoids blindsiding a co-worker. Ok forget about the coffee! Geez! But get her number or email and solve this thing. All too often the only person on the unit who doesn't know about a problem is the one who is about to get nailed. Don't we owe it to each other to do better than that? Even if it's inconvenient, or it's taking a risk?

"I totally understand it's not so easy to just leave a note for a nurse you never see or have met to "meet for coffee to discuss" in a night shift private duty pediatric scenario. That would backfire or at least be laughed off on most of the cases I've worked on." Actually it's very easy. Our crew has had pancake get-togethers for years. All I'm suggesting is to try some form of communication first. If the effort is laughed at, that's fine. The OP can stick to plan A and report her.

Sorry I just re-read that she's the regular nurse who's worked there for years. I'd still leave a note to ask her to coffee as a professional courtesy. I'd pick her brain about his history, how he's changed since she's been taking care of him. Then ask her about these specifics like "I see on night x his sats were 93. From what I know of him that's way below his baseline. What do you think?" and "with x breath sounds, what parameters are in place to get ahold of mom?" etc. Have the discussion and you both might benefit. p.s. Or let it go.

Leave the nurse a note with a smiley face to call you, or go out to coffee. Be friendly, review the case and ask about the particulars. "That night of x when the sats were 93, you know we can titrate o2 from x to x" and "If you include xyz in your notes it's helpful because that way _______ " fill in the blank. Maybe she's a new grad or re-entry and it's a teachable moment. If she can't understand then speak to the case manager.

I'd talk to the nurse first.

Is mom experienced in foster care? If she's newer perhaps she felt alarmed and defensive. Is English a second language for mom (or the pt?) I could see how "the baby's rolling away from you to the other side of the bed" could be confused. Same with "the baby may be feeling insecure" and mom hears "because of you, and no other reason". So by the time p.t. tried to teach/demo the exercises all hope was lost and mom was completely upset and not able to process anything. Maybe while talking to mom you could fill in a few of the blanks such as "gum massage may look strange but it's useful for desensitization" etc. Or maybe it was a crazy p.t....

I like to keep an internal dialogue running to the effect of "I know all about you. You've been at every job I've ever had. But I've been picked on by some of the Best and frankly, your skills are nowhere near theirs" etc. And let my memory drift back to the various characters I've met who made my life miserable, that I now remember with fond bemusement.

Sometimes they confabulate, attempting to convince others and themselves that they are not confused.

contraction stress test?

"My question to the older workers who are new grads is why do you feel like you deserve jobs over the younger new grads? I feel like if anything, the older workers seem more entitled than younger workers." When people around you are acting and behaving as though they are more deserving it's got to be painful. Perhaps it's a bluff. Older workers are just as often seen as more expensive (insurance and pension) with less energy, more family obligations, and too many opinions. Perhaps the management forum would have some real-life insight :)

running to get popcorn