Wow, I really may need to get out of here.

Pepper The Cat, BSN, RN · Nov 3, 2012

I don't understand. You think because you gave her a cup of coffee she should not be upset because something important was not documented proberly?

SaoirseRN · Nov 3, 2012

I'd be irritated, too, if the I&O wasn't documented. Perhaps you should admit you have some fault in this situation?

gloryfied · Nov 3, 2012

hmmm, I guess yelling at me about something that has been happening for the past 3 days with other shifts is not my responsibility. I ws new with this patient, and all the orders werent being followed for the past 3 days by nurses or aides., and basically, she showed up on a day I was there and decided to check past history of charting, and took it out on me. I think no matter a situation, yelling gets nothing across. Her approach was totally uncalled for. and being a night shifter helping out on days, im not familiar with the docs, but i later learned, that is her norm, to talk down to others. I've prayed for everyone, even myself. Glory be to God. Amen.

SaoirseRN · Nov 3, 2012

Okay, the extra information is helpful. Sorry for implying your guilt in the lack of charting, but without details it sounded like you hadn't done the I&O yourself.

I see where the irritation on her part comes from, but agree fully that her approach toward you was uncalled for.

In that situation, I would say something along the lines of, "I agree that it is inappropriate that this was not charted. This is my first shift with this patient, and I can assure you that I will document the I&O accurately, and also speak to the next shift about it as well."

turnforthenurse, MSN, NP · Nov 3, 2012

I&O is pretty important and needs to be documented...I would have been irritated too if I were that MD...

gloryfied · Nov 4, 2012

Once again, my point here is not that I/O 's arent important, its that she yelled at a person new to the patient about charting that was not done 3 days ago from 3 previous shifts. I chart during my own shift, and have nothing to say regarding what others do during theirs unless it is critical orders, or is caught during report, and if she cared to know so much, she should have found out who were on those shifts and adress them. What would she have liked me to do, call or text each of everyone of them ( I dont even know them at all) and find out for her, by yelling at me. If I am being questioned of something I know nothing of, in a rude manner, I will have to defend myself. My mother already gave birth to me, I am no one else's little one to be addressed as such.

I am all for having a smooth breezy shift, every shift, but some times some people need to be tucked in to their place.

SionainnRN · Dec 16, 2012

Wow, you have quite the attitude don't you? I've had docs yell at me about something that's happened on a previous shift and you know what I did? I said I was sorry that it wasn't done and that I would make sure it was done on my shift and pass it along to the next shift. Do I have to accept the blame? Nope, but letting them know that you agree it was wrong usually works well and smooths feathers. If you're coming off this high and mighty on here when you have time to think about what you want to say, I can only imagine how dismissive and rude you come off in person.

gloryfied · Dec 16, 2012

@sionainnRN. LOL. Imagine how dismissive and rude i come off. That's something you can do.

Quite an anttitude I have? ermm, imagine that too. Go wild.

Altra, BSN, RN · Dec 17, 2012

You are absolutely correct that you cannot control the charting/care provided by others ... but you can control the situation you are in at the moment that it is occurring. If someone, anyone, raised their voice to me at work I would make every effort to nip that in the but and ask that they lower their voice so that we can have a productive discussion.

It may well be the case that this provider lacks interpersonal skills, or is just a *itch. But from what has been described here, she has come to the unit to see the patient, perhaps make a decision about discharge/transition of care ... but encounters a major missing piece of information she needs to make a decision. This affects patient care and outcomes ... and she has every right to be frustrated.