What would you do?

Specialties Emergency

Published

Ok, here's the story. I am a new grad who got hired for the ICU. However, I have to do a month in the ER as part of my new grad residency program. Last week, I was assigned to a triage nurse as an orientee. I was in triage with this nurse and a guy comes in with a C/O "swollen member with discharge".

The triage nurse made him a low acuity and he waited for about 2 1/2 hours in the waiting room before he was allowed to go to the back.

Well, when he gets to the back, he was assigned to a male nurse. The next thing I know, the nurse comes up to the triage raging about why didnt the triage nurse (that I was assigned to) look at this guy's member. Comes to find out, this guy was not circumsized, and the foreskin retracted, causing it to swell. The triage nurse I was assigned to assumed it was an STD issue and thus, making him a low acuity. The male nurse was highly upset, he came up to the front of triage, yelling that this guy could have lost his member and that we as triage nurses should "learn to do our job" as he storms to the back. This was in front of a packed waiting room full of patients.

The triage nurse was very upset behind this. As well as another nurse who had an orientee with her was upset as well. The patient ended up being ok.

Well, a couple of mornings later, the triage nurse got called into the director's office. He also requested I come along. I was very intimidated because I am a new grad, the ER is not my "home" and I didnt want to be dragged into unit drama. The director asked both of us what we witnessed and I told him what I saw. He asked me to put it in writing and I expressed my concern that I don't know the guy in question, I have seen him around the ER, and that I'm a new grad that had a difficult time landing a job and I don't want to do anything to cause my job to be in jeopardy. The director stated that it would be anonoymus, and the triage nurse said she will put something in writing. The director stated it's best that someone who's not part of the unit could give a subjective point of view, because apparently this nurse has had issues in the past.

I'm torn. I'm all one for minding my own business and I don't want to be involved in this incident regardless if what I state is anonoymus of not. I'm not going to be working in the ER, but I did consider taking a PRN position in the ER after my ICU orientation is over, and if this director is the one who decides who get hired, I could possibly screw up my chances of getting hired in the future if I don't provide a statement.

It seems to me they want to get rid of this nurse. I don't want to participate in this. I don't know this nurse nor his work ethics, and I do agree, what he did was not professional. What would you do in this situation?

Please help! I can't sleep because I'm worried about what I should do. :crying2:

Yep that is inappropiate, unprofessional behavior. All you are doing is saying what you witnessed. You are not single handedly causing this guy to lose his job.

Re: What would you do?While he should have expressed his frustration and concerns to the triage nurse in private, I am trying to see his side as well. Had the triage nurse properly assessed this patient, instead of assuming he had an STD, would she have made him wait over two hours to be seen?

I agree with gninab. The patient was NOT fully assessed. We all know what assuming things will get you in nursing.....either a dead patient or a lawsuit. So, my personal view is that this guy's unprofessionalism probably shouldn't be viewed more seriously as this nurse not properly evaluating a patient. "A,B,C,D" airway, breathing, circulation, disability....seriously...he could have lost a limb. :) They should both be in the directors office being disciplined.

I have to agree with this also. This could have turned out a lot worse.

Specializes in ED staff.

Really it doesn't matter that you're a new grad or that you don't know this guy. You saw what happened. Tell the truth, "just the facts ma'am" Just know that you aren't responsible in anyway, you will not cause this guy to lose his job, he did it himself. "Did you look at his member in triage?" NO!, and lady partss arent examined in triage either!

Really it doesn't matter that you're a new grad or that you don't know this guy. You saw what happened. Tell the truth, "just the facts ma'am" Just know that you aren't responsible in anyway, you will not cause this guy to lose his job, he did it himself. "Did you look at his member in triage?" NO!, and lady partss arent examined in triage either!

Thanks for your input! The nurses also said the same thing you just said, that they don't examine lady partss in triage, even if the patient states they are bleeding heavily. I have sent an email to the director stating what I saw. The guy is still working there, so I guess he was given a warning or something.

Eventually, you will have to take report from this guy and be responsible for a pt. that he has cared for.

Your documenting of the facts only...no bias...will likely not be what gets this guy fired. Whoever he is, he won't know that this had anything to do with you. If anything, his anger may be piqued at the triage nurse. Welcome to nursing! There is drama no matter where you go...and even if you try to avoid it like the plague. In my facility there is no private area in triage to look at a member. Just for your own future reference, make sure you document the patient's complaint/symptoms AND the fact that the member was not visualized in triage due to privacy contraints.

+ Add a Comment