This nurse is an unlucky patient!

Nurses General Nursing

Published

Well, I have been in the hospital, or the ER at least, more than I would have liked to in the last 4 years with cardiac and BP dx, ect. The last time I saw my cardiologist, he informed me that my murmur had worsened and also I will be needing to be scheduled for a cardiac ablation. I saw him last Wednesday morning. I had been having some intermittent nausea during the week and had cut back on my exercise due to a nonspecific "yuck" feeling.

Thursday most of the day I tried to clean up a little around the house and finish up the yard. I guess I did too much, and tried to rest some after finishing. My dh and I were propped up watching tv that night a little after 9pm. I thought I had just gone to sleep and had some REALLY crazy dreams, that there were two strange men im my bedroom, and that someone kept trying to get me up and go somewhere...

I remember looking up from our bedroom out the window and seeing flashing lights, and then my dh telling me to get up and go somewhere. I wake up a little more and see there are 2 EMTs coming in. Long story short, I had had a seizure and stopped breathing. He called 911 and I had just become postictal when they were arriving.

So I get admitted to the ER where dh sups in the trauma room and get started on the battery of tests that come with needing to be in the trauma suite. We find out that my potassium was very low, 2.4 or so. The doc gave me some Klyte which I rapidly threw back up, and then started a IVPB of 40mEq instead.

As part of the tests, you submit to a UDS. I had no problem with that. After a while, the same ER doc that prev. been pretty nice came back in with "that look". First thing out of his mouth, of couse, "Where did you get the drugs?!?" My response, "What drugs?" So he tells me that my UDS had come back positive for PCP. When I tell him that I had not been around it, of course, he made the "stick face" and rolled his eyes. He was on the way out and I stopped him and asked if he would let me repeat the drug screen. Again he rolled his eyes, but did agree. So, instead of a clean catch like the first one, here comes the nurse with an in and out cath kit. I wasn't wild about that, but wasn't about to refuse it. It went to the lab.

Here comes the doc again and this time he asks who I got the urine from for the repeat test. I remind him that he ordered a cath collection for the second one. He says that the urines look like "they came from 2 different patients." When dh suggests that maybe the lab possibly made the error... the doc doesn't like that suggestion. He does call the nurse back in and made sure she cathed the right patient. She just laughed on the way out, apparently he was giving all the nurses a hard time.

So, finally I get d/ced and leave with my negative drug screen. Felt a little insulted, dh and I had both worked there in the ER, and dh still does supervise there. I was glad they finally got the correct screen on my chart at least and they didn't think I had been out purchasing some PCP just before my seizure activity.

Anne, RNC

Specializes in ICU.

Holy crap, that is crazy. And very scary if they switched the labs...stupid!:uhoh3:

Specializes in OB, HH, ADMIN, IC, ED, QI.

If I hadn't been a nurse in that ER one time when this same scenario happened Quote from Anne's post: "If I hadn't been a nurse in that ER one time when this same scenario happened to another patient, I wouldn't have known to even say anything at all, even though dh and I both knew it was incorrect. I'm glad they did listen, at least, and got my clean UDS with only having to have an in and out cath. Small price to pay to get that straight."

It was important to get your own record straightened as a secondary measure, but that didn't erase the primary one.........it remains in the record.

You were lucky that you didn't get a UTI from the cath, but that could have happened. Other patients will still have that in their records, too.

There are laws protecting "whistle blowers". Please report this to the AHA and ACOH? (senior moment, can't think of the initials for the certification folks). Then write a letter to the Board of Directors (anonymously if you think you might lose your job because of it) explaining that you aren't the only victim of this scenario. Suggest that a survey of all charts having that type of entry in the past year, from an ER visit be done by the QI/QA dept.

I don't believe the lab report was switched, as you found it on another person's chart (appropriately or not). That's how glowing satisfaction rates are derived, when actual occurrences differ.

+ Add a Comment