I am a new nurse, but not new to the field. Here is my question? Who's responsibility is it? If you give report to a nurse and a situation occurs with a patient who should go? Here is the scenio. Report was given to a nurse on a patient. The PCA came to the conference room and asked me if I still had the patient I told her no and that I had given report to his nurse and we will call her Nurse A and we will call me new nurse. The pca told the nurse A that she should go to his room and nurse A said why and she told nurse A that he had pulled out his peg tube. So nurse A turned to me and said "I didn't get report from you New nurse" Anyway, I told her oh yes you did and she refused to move and go see about the patient. Although, I did go, I felt that because she was given report, she should have gone because she had recieved report on her patient. So, the next morning I approached her and she said the reason, why she didn't go was because she was still in report, however, so was I. She was the nurse coming in and I was the nurse leaving. She also said, I had the patient for 12 hours, so that's why I should go. My feelings are, we should have both gone. She was the primary nurse and I could have been her back up. What is your feelings, please let me know what is your take
Legally I suppose it would be the nurse who had gotten report who would be responsible.
In actual fact I would know that she won't be getting to the patient until after she finishes report on her other patients, so I would go in and do a very quick clean up before leaving. I'd make sure the pt was OK until she was able to get in there, but I would leave notifying the MD to her, since she'll be the one doing the orders, and will probably want to eyeball him before she talks to a physician.
If you think about being the other nurse, halfway through report, you'll probably be able to relate to her needing you to just take care of it for a minute while she gathers her thoughts.
Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
unless it was 7:30 am and i had a dental appointment at 8 am, i would have gone. i think you both should have gone -- i really wouldn't want to be the one who refused to go for no good reason!
If you are still on the clock...still your patient. You both should have gone, or if she still had other patients to get report on, you should have gone without her.
Here's my case for both: If I was going off I would want to be assured everything was ok and I had not inadvertantly left a mess behind. As oncoming nurse I would want to see exactly what the previous nurse was leaving me.
I'll bet this particular on coming nurse would have hightailed it out the door if the roles had been reversed.
Here's my case for both: If I was going off I would want to be assured everything was ok and I had not inadvertantly left a mess behind. As oncoming nurse I would want to see exactly what the previous nurse was leaving me.
i get that, i do.
if something happened to a pt that i had all shift, and the oncoming nurse went in to check it out, i too, would have gone...
for the very reasons you cited.
but it would have been totally voluntary on my part, and not because i "should".
You both should have went yes. But remember, she as the oncomming nurse, and should have WANTED to go since she would be the one that would be dealing with this issue really for the remainder of the day. I have to say, Nurse A gets a L for being lazy. You were correct in going, it shows that atleast you cared enough to make sure the man was ok.
i am a new nurse, but not new to the field. Here is my question? Who's responsibility is it? If you give report to a nurse and a situation occurs with a patient who should go? Here is the scenio. Report was given to a nurse on a patient. The pca came to the conference room and asked me if i still had the patient i told her no and that i had given report to his nurse and we will call her nurse a and we will call me new nurse. The pca told the nurse a that she should go to his room and nurse a said why and she told nurse a that he had pulled out his peg tube. So nurse a turned to me and said "i didn't get report from you new nurse" anyway, i told her oh yes you did and she refused to move and go see about the patient. Although, i did go, i felt that because she was given report, she should have gone because she had recieved report on her patient. So, the next morning i approached her and she said the reason, why she didn't go was because she was still in report, however, so was i. She was the nurse coming in and i was the nurse leaving. She also said, i had the patient for 12 hours, so that's why i should go. My feelings are, we should have both gone. She was the primary nurse and i could have been her back up. What is your feelings, please let me know what is your take
you are correct both of you should have gone, however the legal responcibility is on the other nurse. Once report is given the incoming nurse assumes responcibility for the care of the patient. Thats why documenting what time report is givien and what was discussed is so important.
You gave report, this was her patient that she did not attend. You could have been nice to go with her to help, that is what most cooperative nurses do with each other, but you were under no obligation to take care of her patient. Next time do not do it.
If you have handed over, and you are both on the floor, and your shift hasn't finished, my understanding is you should both go see to the patient. but if you are in the middle of handover whoever is looking after the patients should go. If your shift has finished you should go and the new nurse has responsibility.
canoehead, BSN, RN
6,909 Posts
Legally I suppose it would be the nurse who had gotten report who would be responsible.
In actual fact I would know that she won't be getting to the patient until after she finishes report on her other patients, so I would go in and do a very quick clean up before leaving. I'd make sure the pt was OK until she was able to get in there, but I would leave notifying the MD to her, since she'll be the one doing the orders, and will probably want to eyeball him before she talks to a physician.
If you think about being the other nurse, halfway through report, you'll probably be able to relate to her needing you to just take care of it for a minute while she gathers her thoughts.