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.
Specializes in Emergency nursing, critical care nursing..
I would of called the doctor while on night shift anyways. They have an answering service and he could of been notfied and had the pt. sent to the ER.
How come you didn't call the doc while there on nights? I am a straight night shifter and am not intimidated at all to call the doc at any hour. (just thinking as if a jury was watching me).
DOCUMENT !!!!!!!
as for the day shift (ignoring and possibly giving lasix without an order)
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.
They are practicing medicine without a license. Report it to State Board of Nursing. You should also do an incident report or write a formal letter to the company supervisor and send it regsitered mail to her.
sockov, ADN, ASN, BSN, CNA, LVN
156 Posts
I would of called the doctor while on night shift anyways. They have an answering service and he could of been notfied and had the pt. sent to the ER.
How come you didn't call the doc while there on nights? I am a straight night shifter and am not intimidated at all to call the doc at any hour. (just thinking as if a jury was watching me).
DOCUMENT !!!!!!!
as for the day shift (ignoring and possibly giving lasix without an order)
.......-----> :deadhorse