ATNNurse

This is in the pts home, i get there at 7pm and the Dr. is closed, the supervisor has said it is the day shifts place to call the Dr. They would have to take him to the MD office

The pt has made it clear that he is not to be taken back to the hospital, and the family supports this, he is suffering from lung ca and wants to die at home, but it should be from that, not from some stupid little know nothing trying to play god. I believe that is why he was given lasix because if he was taken to the Dr. as i requested the Dr. would have seen right off what was going on with all the edema, so they had to cover themselves. what do i do about her charting his lung sounds clear and no edema when it is there? Can I take a picture of the edema in his ankles? although i dont think it would even do any good, the supervisor has made it plain she does not want to hear it.

I do doccument my findings each day, but i have no proof he was given lasix. I dont feel I can contact the family because the day shift has her so snowed that she thinks they are just perfect and do no wrong, I did tell the daughter he seriously needed to see the Dr. but they talked her out of it because they knew the minute the Dr. laid eyes on him he would know what was going on, thats why I believe he was given Lasix to get rid of the evidence, without regard as to what they are doing to him.

I work for a Private Duty company and my supervisor is located in another state, The pt that I sit with recently got dehydrated and we obtained a order for IVF at 25cc/hr prn d/t h/o chf, the day shift nurses have been increasing his fluids during the day and now he has become overhydrated and has developed 2+ edema and crackles in his lungs, I contacted my supervisor concerning this and each night i chart the edema and lung sounds but then they come in during the day and chart that everything is wnl. the other night i came in to find him in fluid overload and called the supervisor again very angry at what they where doing to this pt, she said to stop his fluids, which i had already done, he had 2+edema from his knees down and rales/rhonchi in all lobes, the next morning i told the nurse he needed to be seen by his doctor that day so the Dr. would be able to see what they where doing to him, I even told the daughter he had to much fluid on him and needed to see the Dr. the day shift played it out to her that we just made it up but when i told him he needed to go to the Dr. one of them states "lets just give him one of his wife Lasix pills" that night when i got to work he had not been taken to the Dr. and for the first time since we have taken care of him voided huge amounts every hour during the night, he is not in his right mind enough to tell you if they gave him something or not but i believe they did. I feel like we are all just warm bodies taking care of them to the company and the supervisor does not want to hear about it, I dont know what to do, I feel like my pt is in danger, he is not strong enought to withstand being flooded with fluids one day and then getting dried out the next. What do I do? It does no good to talk to the supervisor.