We had problems out of YOUR patient.

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I am very aggravated at a clinical manager at my job. I work PRN for HH on the weekends. I saw a pt two days in a row for Lovenox teaching and assessment. When I first saw the pt, he had been admitted to HH the day before and the family had been taught the day before. I asked who would be routinely giving the pt his Lovenox. The wife stated their daughter would be and that she was a nurse. Okay. I instructed the wife on how to administer the injection anyways just in case. She stated she didn't think she could do it. I documented that I taught her and that the daughter would be giving the injections. I saw the same pt the next day. This time the son was there too. I taught him and the wife again and AGAIN they both stated that the daughter would be giving the shot. THe son was able to return correct demo of technique. I documented all of the above. Cut to Monday. The family calls the office inquiring about when a nurse would be coming out to see the pt and give him his shot. The case manager told them that they had been taught 3 times and that they should be okay to do it now. There would be a follow up visit on Wednesday. The family freaked and said they didn't know how to do it and that the daughter actually lives 2 counties away and can't get there everyday. Long story short the office had to send a nurse out there at 6:30 to see the pt. The next day, I walk into the break room at the office and started eating lunch when the clinical manager comes over to me and nastily stated in front of a LOT of staff and our DON, 'We had a lot of problems out of your pt last night.' I asked what the issue was and she said, 'You didn't teach them well enough. We had to send a nurse out at 6:30 last night and she wasn't very happy about it.' I told her, "Well, I taught 2 able bodied adults and they stated the daughter would be giving him the injection. I documented all of this.' (which she would have known had she taken the time to read my charting. ) She nastily replied, "Well, we had a lot of problems. You really should have scheduled them for another visit." EXCUSE ME?!?! First of all, I taught 2 people and they stated the daughter that was a nurse would be doing it. I can't help it if they changed the story and are now saying that the daughter can't do it every night. Also, they had 3 teaching visits for LOVENOX. I'm not the case manager and can't change the frequency. Plus, why would I even think they needed another visit if 2 people were taught and a daughter that is a nurse is coming over. I am just really irritated because I don't think I did anything wrong and this manager embarassed me in front of our DON and some other managers. SHe made me look incompetent. What are your thoughts?

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I think the manager had the nerve to make you look bad in front of the DON and the others. She did that on purpose and had no real complaint, only wanted to make you look bad. Trying to make an LPN who doesn't have the authority to change the number of visits look bad is rather low. Had she really thought you were deficient, she should have counseled you in private, the normal way that job performance counseling is done. She was the one who was wrong here. You did a good job from what I can see.

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Specializes in PICU, NICU, L&D, Public Health, Hospice.

I think I must have worked for this homecare and nurse manager...for about 7 months...a nightmare job.

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I think I must have worked for this homecare and nurse manager...for about 7 months...a nightmare job.

think i still work for them!!!!! i love the statement---"it's your patient"........no it's not MY patient, it is a patient of (name of company) that i am seeing!!!!!!!!!!!!!!!!!!!!

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Specializes in COS-C, Risk Management.

And is the company motto, "It all starts here with you"? I wouldn't be surprised.

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