What to do about nurses who neglect their patients and their responsibility??

Nurses General Nursing

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I work with a nurse that does nothing but sit behind the desk and charts pages of nurses notes. How can you chart care on a patient you only see one time, especially in CCU?

She had a post-op pt that was 92yrs old who had pneumonia before surgery and we could not keep his sats above 90%! She did not turn him for her entire shift on two nights in a row.

She had a pt with a radial art line that was leaking/bleeding instead of attempting manual pressure she sandbaged it and gave him a hugh hematoma, she had orders to pull it if it kept bleeding or quit working. However she "Wanted the BP's from the line as long as it continues to work".

On another occasion I was in a room with my pt cleaning up his bottom (GI bleed) and my other pts IV started beeping. It was a NTG gtt and our pumps do not stop they run at KVO while they are beeping. She sat on her buttocks behind the nurses station talking to the house supervisor and allowed the pump to beep until I was done (10 min later)! I guess my pt my problem!!!

She emails the entire unit about how messy the nurses station is and how people form their opinions on what they see first yet she has never got up stocked a cart, emptied trash, taken out laundry, cleaned a room, etc. I could go on and on!

Yes it has all been reported to the boss and nothing was done:confused:

Interesting post...I work with folks as described and I do not ever hesitate to confront them respectfully. I do not let them get away with anything and am relentless about patient care. If I have to continually pick up the slack for these folks, I sit them down after shift and let them know that they are not providing the basic care their patients require. I usually ask them something like: "what is preventing you from doing the right things for your patients?" and i end up giving them choices...to shape up, take care of their patients or have a conversation with the manager and me....once the choices are outlined, behavior usually changes in the short run. Unfortunately, this kind of lax behavior is deeply rooted in some other issue and must be addressed by the manager and the nurse for lasting improvement.

I followed a nurse last nite who had capped off an epidural drip on a surgical patient in ICU because the patient was not getting any pain control. When I took report, his heart rate was above 120 and had been for the past 2.5 hours. The nurse did not seem concerned about it at all and had not done anything but make sure the PCA demerol was working. Well....she forgot that our epidural patients come up with some narcan in their IVs and she had failed to hang a bag without narcan..so the narcan was chewing up the demerol. Within 15 minutes of removing the narcan, heart rate went down to 80's, pain went from a 10 to a 2 and shortly thereafter the patient was asleep and had a great nite....

She had been totally frustrated with a patient who was using the call bell a lot and was angry at both patients...she just made the problems all about her convenience, rather than what the patients needed. Neither patient got acceptable care from her because she was inconvenienced.

We have an obligation to help each other know that nursing care is NOT about our convenience, but about what the patient needs in the moment to move forward toward recovery or transition. Dont let anyone get away with lax behaviors....

my best

chas

one word to describe that nurse "trifling ass" mark my words nurses like that you will find in the brn report. i find telling on them wont do a bit of good i would document incidents believe me they will catch up with her.

i hate a trifling nurse. this profession is hard enough what you have to deal with. patience she will perish. :mad: :mad: :mad:

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