Okay, I need to vent. :angryfire I'm an LPN working as the 2nd nurse in a small ER. I work the busy 11-11 shift. I am so frustrated with my RN! I don't know if its a lack of compassion or if she really doesn't know how she comes across. I usually spend the first 1/2 hour of my shift apologizing for the bad care the pt's have received and making excuses for why they haven't received meds, blankets, been changed, etc, and trying to explain away her pure rudeness. I probably get told on average of 3 times/day how hateful she was.And its not just the comfort measures and manners that are lacking. I understand that she can be busy before I get there and maybe drinks and blankets don't get handed out. But some of this borders on negligence. If a Foley was ordered at 0838 for a CHF pt on Lasix and she has only had a total of 2 pts in the ER since 0700, why is the order waiting on me when I come in at 11? Maybe I'm looking for someone else's perspective on this? I don't want to be a total biotch, but it seems like everyday when I come in, I either have to fix something she's messed up or failed to do.For example, pt SCREAMING with severe abd pain. Has been in a room in the ER for 1 hr when I walked in. Two other pts present. No one crashing. No one bleeding out. One of the two pts just waiting for floor to pick them up. Order has been written for pain meds, labs and CT. Orders not in PC; no IV; meds not given. I gave within 5 min of clocking in!! Can someone please tell me why they weren't given before I got there? I spent most of the next hour apologizing and making excuses to the pt and family and trying to smooth things over. Then there is the other problem. I am an LPN. Granted, I am a good LPN. But I have been a nurse less than 5 years. My RN has been a nurse a lil longer than that. I understand and appreciate that she trusts me to do a lot of things independently. BUT...I am not in charge of the ER. She is. I do not get paid to run the ER. But from the moment I walk in, I am in charge. I am the one alerting the MD when pts go bad (i.e. new pt with 70/30 BP she did initial assessment on and then never checked on again. I wasn't aware of initial BP until I walked into room an hour later and found pt circling the drain), calling for transfers, calling report to floor, etc. I'm the one pointing out lab values the MD needs to be aware of, etc. And I feel totally responsible when something goes wrong. And the stress of this is overwhelming because I KNOW I am limited in my capabilities because of my education. To be honest, I am terrified of what happens when something comes through the door that I am not prepared to handle. I don't think it will have a happy ending. Okay...give me your best RN opinions...from the examples given, am I just being one of those people that bitches because she thinks the person above her doesn't work hard enough? Or do I have legitimate complaints? I don't want to stir up trouble, but I don't know how much longer I can handle this. What should I do? HELP!