Report or don't report?

1 Post

Overly frustrated, exhausted, overwhelmed are 3 words. Need to get thoughts out while walking home. 4 patients tonight. 2 of which were angels, 2 of which needed a lot of one on one RN care. First, non violent restraints q2. In there more than every 2 hours, no one fed him dinner, need to change saturated dressing from old chest tube-no order for dressing change. Cp didn't do second q4 vs, did his vs. offered water each time, hep locked, did ALL his daily cares. This was room17. Now room19. I go in there and for more than 30mins at a time the cp is there changing the cot bed linens, talking to patient and taking too much time when other Pts need him for restroom and vs to be done. RN spoke to CP and explained importance of getting vs done and other cp tasks prior to helping family member cots which take lower priority. I was in room19 most of the night issue with MD ordering CT angio and claims ISP never explained procedure to pt and just ordered. Pt and spouse refuse; pt throwing around term 'negligence' to nursing staff. TLC provided to spouse and pt. Uro, surg, Pts primary all made aware, issue resolved by 0730 when outgoing RN steps out after talking to pt surgeon in the room. Next- cp did not do first set of vs on room21 and room23. Claimed he was at a meeting- so I did it. Room21 bp was in 160s during day shift- nothing reported and nothing done by outgoing RN. Taken again at night still 160s orders for lasix and nitro received. changed IV site- leaking- condom cath. Ok not bad right? Then room23. Doesn't want male CP to wipe after bathroom but ok to help out of bed. Only once/twice CP came in to help- no female Cp available. Inadequate team work. Charge RN very helpful throughout entire night. Cp took vs second time within an hour after RN taking vs even after RN told him it was done. Debating whether or not I should do a write up on this Cp?! CN IV and fellow RNs say to do so. My heart goes out to this CP and him potentially losing his job. Will ponder and get back to this. What's the right thing to do??