rats!!

[nightnursecupofjava]

I work at a NH. We have a new grad who just started about a month ago.

She is always running to the DON over everything. She never confronts people, just calls or leaves notes to DON. She fishes for things, makes it look like an innocent question and wham next thing you know there is a note by the time clock regarding the matter if your answer was wrong. For example a Pt. has Tylenol as an allergy on her mar. It gives her an upset stomach so when asking for allergies on admission she stated Tylenol. That Pt asked for tylenol as she does frequently with her ultram and has been getting it. Its even on the PRN sheets. So this nurse asked me do you give it to her, and well I knew from prior that she was a rat so I told her no. later in the brake room I heard her ask three other nurses the same question. Sure enough the next day the Tylenol was taken off the PRN sheet and a note next to the time card. This is just one example. She is always worried about who is doing what. We all strive to do our best, but she looks for trouble. any Ideas on how to handle this?

[nightmare, RN]

In my experience,'perfect' nurses like this usually slip up themselves eventually!!

[Batman24]

It will catch up with her and she better pray that her minding eveyone else's business doesn't end up causing harm to her own patients. I try and stay away from people who are toxic. Only deal with her when absolutely necessary.

[rnmomtobe2010]

:yeahthat:

In my experience,'perfect' nurses like this usually slip up themselves eventually!!

[shellsgogreen]

i would just ignore her and go about my own business.

chances are she will learn the hard way - probably when she most needs the help and it will turn out no one will be there to help her.:uhoh21:

[RN1982]

I worked with one of those. She thought she was such a perfect nurse. So perfect she forgot to start heparin on a patient that had new onset Afib that started at 10am. It was 8pm when I saw the order. She was also a big spaz and goodie-goodie kiss-up to management-type too. Her and I got into very vocal arguements in the med room quite often.

[ukstudent]

If she asks you any more questions about meds, point her to a med book, so that she may find out the information herself.

If she asks about how to do something, point her to the policy and procedure manual.

This way you can't get a nasty gram from management for not being helpful and at the same time you never answer another question from her. I would tell your co-workers to do the same thing.

No answering any more questions. It is one thing for a new grad to ask multiple questions, another to go to management at a drop of a hat.

[pagandeva2000, LPN]

I do believe that if a patient stated they are allergic to a medication and then, it is still being administered, questions should be asked for safety precautions, but I would inquire with the charge nurse, doctor and pharmacy before even considering running to the DON.

It could have been that the MARs were not updated, or allergies were not documented in red ink, many things.

In terms of this emloyee, I would avoid her unless necessary, but try to keep myself in order in case the poo hits the fan.

[medsurgnurse, RN]

Give her enough rope...

[CHATSDALE]

agree with answer 7 do not give her a chance to report you on anything

tell her you do not discuss patient care with anyone

[calliesue]

She sounds annoying !

That said, if there is an allergy listed to the med it shouldn't be on the mar. She is right to question it. Someone who knows about the upset stomach vs true allergy should have clarified it with the md.

Then there wouldn't be an issue.

Isn't this what we are taught to do in nursing school?

Question orders that are not right ?