I'm 6 months in my career as an LVN and I want to vent about my dilemma.
I work the NOC shift and boy did it start out ugly. :eek:First of all beginning of my shift I had to send a patient to the hospital b/c he was low of oxygen, then I had a patient who was re-admitted already from the last shift and was given regular Tylenol bc her medications have not arrived from the pharmacy. I told her as soon as it comes i will let her know.
So hours gone by, i'm trying to finish my charting and could not because I had a very confused patient that keeps getting up from her bed and the aides were busy at the time and i'm doing all i can to prevent the patient from injury. During the shift the CNAs are complaining to me that the charge nurse is way too bossy as i'm in the middle of my med pass. Then another confused patient is trying to leave the facility.
To make matters worse I get a complaint from the re-admit patient saying that i never asked her if she had any pain (which i always do,every shift) and i did not give her Codeine bc the charge nurse told her that we had one supplied in the med room. So i went back to let the patient know we had one supplied and she was asleep and i did not wake her up. Is it right for me to wake up a patient to tell her we had Codeine available? Now she wants to report me to the DON about this.
I was bottling in my anger and frustration bc it was me, the charge nurse(she's also an LVN) and the patient in the room. The patient stated she never got any medication when in fact the nurse from last shift told me he did give and he also recorded time given on the MAR. Am i mistaken for not waking her up or is she forgetful? why would the nurse sign the MAR and the patient states she never got anything? Am i losing it?
To put me on a uncomfortable position, the patient blames me for not giving her pain medication and she rather trusts the charge nurse more and i get the nurse card when she stated, "you are a nurse, you should know how i feel". Now that she knows we have Codeine available the patient does not want to take it right away and prefers to take it in 30 mins. The charge nurse lectures me about pain meds in front of the patient and they start talking in spanish and i just walked away slowly while i continued my med pass. The charge nurse is aware that the patient was sleeping too and the patient stated to us to just wake her up. So 30 mins later charge nurse tells me to give her the Codeine (i thought the patient trusts her and not me) and it was so uncomfortable cause i woke her up and she looked pretty upset (because I woke her up? or I(the confused nurse ) ended up giving her the pain med?) I guess this is a lesson learned I'll wake up the patient anyway when it comes to this.
Has anyone else been in this situation? I've only been working for 6 months and im a brand new nurse. How did you handle it? I want to quit before i put my license in jeopardy. I get 45 short term and long term patients. I get the hectic, busy, unstable assignments while my coworker always has the stable, long term patients ,less meds & accuchecks and hardly ever wants to work my assignments or float with unstable and short term patients. It is unfair and I brought it up to her before but she said no.
Anyone out there ever encounter this? I'm open for advice, thanks in advance.