I am angry enough this morning to spit fire. My manager wrote me up today because we had a patient on IVF@100 cc/hr who went into resp distress on my shift and i transferred him to icu. Here is the part she wrote me up for: The patient arrived on our unit a couple of days before i started working that week. IVF were already running when i received the pt. When I did the 24 hr chart check the fluids were not listed on those orders but on his admission orders ,which was before the 24 hrs. Why would she think that i would go past the 24 hr point looking for someone elses mistakes. The order that said the fluids were only supposed to run 500 ml was part of the admission order. I think she is trying to create a paper trail. Lately this woman has been very emotionally labile, so much so that at least a third of the dept has left for other jobs or other depts?
When u do a 24 hr check do you go days back to look for errors??
