blueskyy

I guess delegation was the incorrect choice of words, that term seemed to keep coming up in my research because I'm just baffled over the whole situation. The other nurse and I had a conversation and when I explained that I needed to help another patient she offered to stay so I could help the other patient. Management has yet to come up with a solution seeing as I can't physically be in two places at once... I'm just frustrated and looking forward to moving on to bigger and better jobs at this point!!

The only thing I can think is the Rn I asked to help me must have went and complained. I had no other choice I couldn't leave the first patient alone and on the other hand I couldn't let the other patient's sugar drop any lower so I did the best thing for both patients. I do have a day left to write a appeal letter because I completely agree this is a ridiculous reason to nitpick over asking someone qualified for some help.

Can one Rn delegate another Rn? I had a patient that was stable awaiting for ems to arrive, while tending to this patient I was notified that a second patient needed my immediate attention. I delegated another Rn to stay in the room with the first patient while I went to assess the second patient. My employer felt this was wrong. I'm confused is this delegation not allowed?

Can a Rn delegate to another Rn to remain with a stable patient? I had another patient that needed assessed when I finished my assessment I immediately went back to the first patient.

This is an update from my other post, today I got the call and was terminated due to failure to remain in the patient room. I'm frustrated because I had another patient at the same time that needed help because of blood sugar. I'm only one person and directed another RN to stay with my other patient whom was a DNR and in no distress, she was alert & oriented, vitals stable. I attended to my other patient and returned to the first patient before EMS arrived. Would filing unemployment open up other problems like the BON getting involved?

Sorry my post is a little difficult to follow it's been on my mind non stop for days now and it's exhausting me. The patient I had to attend to was having major problems with their blood sugar. I did go back in the room prior to the patient leaving and this nurse never let on that she didn't follow through. All she had to do was say something I feel like she knew 911 shouldn't be called and messed up and left me to take the fall.

Just to give a little background I work in a ltc facility and my daily patient assignment is taking care of roughly 22 patient's. A few days ago I was dealing with a patient who is known to be a very brittle diabetic when I was alerted that another patient needed my attention. So I go to the other patient's room, when I entered I saw that the desk Rn was in the room as well assessing my patient that was completely alert sitting up in bed showing zero signs of distress. The other nurse stated that she entered the room and the patient was totally unresponsive "practically pulse less" so she directed someone to call 911 and staff put her in bed and all of a sudden the patient was responsive and alert. It was after 911 was called that someone brought it to her attention that said patient was a DNR, she had the families phone number and stated that she would notify them due to the fact that they may become upset that 911 was called. I notified this nurse that I had another patient that needed my attention and the decision was made that she would stay with this patient until the ambulance arrived. About 10 min went buy before they arrived and I reentered the room to speak to the medics and gave them report before they left. The nurse who stayed in the room then leaves the floor to attend her morning meeting as she usually does, I think nothing of it and a hour or so goes by and the patient's husband comes to visit the patient only to discover that she's not in her room and it was then I was left notifying him that she was sent out. I try to get ahold of the nurse that was in the room to find out why she didn't follow through with calling the family and I was told she left after morning meeting for a dentist appointment and would be back later. I had no knowledge of any of this. Now the family is upset that she was sent out in the first place and secondly they weren't called. Was I wrong for leaving a stable patient with another Rn to attend to my other patient? Was I wrong to trust that she call family besides the fact that our desk nurses almost always call family and if not they tell you that they didn't call family so that we make sure to call ourselves. I'm just so confused as to how to handle this situation if it were to ever occur again.