Scolded For Prioritizing Emergent Situations Over Routine Meetings

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As a unit manager, it seems as if everything is my responsibility.   It is almost as if people expect me to be three places at once (which, of course, is impossible).  Everyone seems to think that I should attend to their requests RIGHT NOW regardless of what else I have going on and the urgency of each task.   If I don't respond to their requests immediately, they have no problem expressing their frustration with me.   

A couple of these situations occurred today.  I had a couple of Care Conferences scheduled (which are basically routine meetings to discuss resident progress, plan for discharge if appropriate, etc).  Unfortunately, during both of them, other urgent situations came up.  Medical issues requiring immediate attention (one patient's surgical wound was worsening while another one was experiencing a sudden onset of shortness of breath).  Regardless of the fact that these issues required my undivided attention, I was scolded by several coworkers that demanded I attend these meetings regardless of how critical these other issues were.   One of them stated that it was important for all staff to "do our due diligence," while another one stated that I needed to attend this meeting no matter what, even though, in both instances these meetings were for residents who were currently medically stable.  

After delegating some work to the floor nurse, I was able to attend one meeting, but not the other.  Despite the seriousness of the one situation, which required my full attention, my coworkers still expressed displeasure over me not prioritizing a routine meeting discussing ostomy care over someone experiencing a medical emergency.  I explained to them that I would be happy to follow up with questions the family may have later on, but I needed to attend to these patients first.   They weren't satisfied and resorted to calling in my co-manager to the meeting instead.  I am sure they reported me to the DON as well.   

I am wondering if anyone else has been in a similar situation and what your response to your coworkers was.  After all, it's not as if I can schedule my emergencies at convenient times. 

Specializes in Rehab/Nurse Manager.
5 hours ago, lifelearningrn said:

To the OP, were the annoyed co-workers nurses?  It baffles my mind a nurse would expect you to prioritize a meeting over a medical emergency (I'm not sure I'd consider the wound change an emergency that couldn't wait for the nurse assigned or wound care nurse to take care of) but the worsening SOB definitely is a priority  (imo). 

Therapy disapproved of me attending to the emergency, not another nurse 

Other nurses in the building thought my prioritization was a no-brainer, including my superiors

Specializes in Physiology, CM, consulting, nsg edu, LNC, COB.
10 hours ago, SilverBells said:

Therapy disapproved of me attending to the emergency, not another nurse 

 Other nurses in the building thought my prioritization was a no-brainer, including my superiors

We have already determined that listening to therapy is what you need. And that the other nurses need to step up and not always expect you to do what they should do. So, the no-brainer here is about their responses.

Where have all the flowers gone? When will they ever learn…

Specializes in oncology.
4 hours ago, Hannahbanana said:

We have already determined that listening to therapy

You  (not we) determined listening to therapy in a meeting  was more important. I think you said "dusty and done".  A PE whether it is dx or not is scary. I would want the most experienced nurses at the bedside. Therapy have so many PTA, OTA aides that do not have have the experience or judgement beyond reports. Yep the PT or OT are on a tight schedule to get to their next $$ job. Oh a " suspected PE, can she ambulate ? oh she could walk yesterday good enough for me"! 

20 minutes ago, londonflo said:

You  (not we) determined listening to therapy in a meeting  was more important.

I think the two of you are discussing two different types of therapy. 

Specializes in oncology.
On 6/26/2021 at 4:51 PM, Hannahbanana said:

Completely agree, but once you do a decent assessment and know they’re sick enough to be on the bus for the ER, you have the unit aide make the phone call, EMS will come pick them up, and then you’re done. No need to spend hours and hours at this drama. Assess, analyze, delegate, and get out of the way.

I am responding to this comment: If they are sick enough to be on the "bus" to the ER. I think asking for an RN they know to stay by them is not too much to ask.  After all Watson's theory of caring is based on this...not the "scoop and run" theory of EMS.

Specializes in Physiology, CM, consulting, nsg edu, LNC, COB.

I agree c you. You can sit at the bedside, have somebody make the call (or make it yourself from the bedside phone or your own cell), and they’ll be right there. No need to dilly-dally, if your assessment is that the pt is that sick. If he’s not that sick by your assessment, then you delegate somebody else to sit c him, with instructions to check vs and loc as you think prudent.

Specializes in Physiology, CM, consulting, nsg edu, LNC, COB.
1 hour ago, londonflo said:

You  (not we) determined listening to therapy in a meeting  was more important. I think you said "dusty and done".  A PE whether it is dx or not is scary. I would want the most experienced nurses at the bedside. Therapy have so many PTA, OTA aides that do not have have the experience or judgement beyond reports. Yep the PT or OT are on a tight schedule to get to their next $$ job. Oh a " suspected PE, can she ambulate ? oh she could walk yesterday good enough for me"! 

Sorry, you lost me there. I was under the impression that the thrust of this entire thread was that (psycho)therapy for the OP would be helpful; it appears she agreed. I don’t think there was any mention of therapy for her in a meeting at the workplace.

I didn’t say or imply anything about OT or PT or aides or any kind of therapy for the pt (about whom we know little other than the fact that s/he was SoB and out the door c EMS in 30 minutes). 

I didn’t see an RN assessment that diagnosed likely PE. Increased SoB enough to be worrisome by protocol, yes. So  EMS and on the bus. 

”Done and dusted” is a common expression meaning, “All set then,” referring to the idea that EMS comes promptly and transports the presumably sick pt to the ER per protocol, so your presence is no longer needed at that bedside.

Or am I missing something you saw?

Specializes in oncology.
On 6/22/2021 at 8:13 PM, SilverBells said:

I had a couple of Care Conferences scheduled (which are basically routine meetings to discuss resident progress, plan for discharge if appropriate, etc).  Unfortunately, during both of them, other urgent situations came up.  Medical issues requiring immediate attention (one patient's surgical wound was worsening while another one was experiencing a sudden onset of shortness of breath). 

 

On 6/22/2021 at 8:13 PM, SilverBells said:

Despite the seriousness of the one situation, which required my full attention, my coworkers still expressed displeasure over me not prioritizing a routine meeting discussing ostomy care over someone experiencing a medical emergency.

The initial post does not refer to the OP needing psychotherapy. "I am probably the same age as you and have never heard (done and dusted) ". must be a vernacular phrase but it is dismissive of someone's concerns 

 

4 minutes ago, londonflo said:

The initial post does not refer to the OP needing therapy 

If you have been following all of the threads from this OP you know very well that it has been suggested that the OP seek some therapy to deal with her issues. It has been part of every single one. One might think you are being deliberately obtuse just to continue picking at HB who has been very polite in not taking the bait. 

Specializes in Geriatrics.

Yes I went through this. Wasn’t safe for my license. They turn and burn you in ALF or LTC. I got a new job and went back to school.

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