Saturday, August 14, 2004
ARGHHHHHHH!!!!!
What a night. I get to work, find out I am in charge.. once again and I am working with inexperienced staff. 1 new grad, the RN from Zimbabwe again and a RN from the pool. Plus one AIN who is the equivalent of a carer and and an extra EN who was starting at . About half way through the shift I find out we are sposed to have another EN because the AIN is only equal to a carer. The night goes to the shitter from the start, obs weren't done, antibiotics weren't given, fluid balance charts were unkept it was shit. I think I had pretty much every single person I was looking after that needed IV fluids written up.
I have been looking after a woman with gallstone problems, she had a baby a few weeks ago and her loss hadn't settled down as was expected, I was wondering if she had some placenta still inside her as her milk supply was decreasing as well.
So I asked them about it last night and got her reviewed and they decided it was nothing to worry about, so I passed it on to the nightshift and asked them to get her reviewed again today. I get to work... nothing has been done for her, I talk it over with her and then talk to the RMO (who unfortunately happens to be a total fuckwad and have no idea what is happening or how to treat sick people) she gives me absolutely no help. So I talk to maternity and a staff member comes over, I finally manage to get the doctor to agree to send her to maternity so they can look into her lactation problems and her loss and help her with her baby. She looks at me with tears in her eyes just before she goes and thanks me, telling me that I was the only one who had listened to her. Damn it... I can't be the only one who is listening to what the patients are telling her can I??????? She has had this problem since she was admitted... no one apart from me did squat about it! Another of my patients had pain all the day and no one had asked her about it, she was in the hospital for abdominal pain for goodness sakes. I gave her some morphine and she felt very much improved by the time I left... my goodness peoples, a little attention to your work please?
It doesn't help to have doctors on call who have absolutely no idea what they are doing, it is not my job to be going through every patient who's name is up on the board and tell her what to do in each case. She needs to work it out and if she can't, call her supervisor, not rely on nursing staff to tell her her job. Prime example: We have a woman who is having a gastro intestinal bleed, so she decides the woman needs IV fluids and ranitidine which is fine... then she writes the order, she writes it in a very abnormal fashion, so I asked her to re write it showing her the guidelines we have telling her we would rather it was not on an infusion basis, and showing her the normal 6hrly dose...she re writes the order... as a fucking infusion! ARGHGGHHHHHHHHHH!
If I wasn't insane before tonight... I am now :p
Laters
What a night. I get to work, find out I am in charge.. once again and I am working with inexperienced staff. 1 new grad, the RN from Zimbabwe again and a RN from the pool. Plus one AIN who is the equivalent of a carer and and an extra EN who was starting at . About half way through the shift I find out we are sposed to have another EN because the AIN is only equal to a carer. The night goes to the shitter from the start, obs weren't done, antibiotics weren't given, fluid balance charts were unkept it was shit. I think I had pretty much every single person I was looking after that needed IV fluids written up.
I have been looking after a woman with gallstone problems, she had a baby a few weeks ago and her loss hadn't settled down as was expected, I was wondering if she had some placenta still inside her as her milk supply was decreasing as well.
So I asked them about it last night and got her reviewed and they decided it was nothing to worry about, so I passed it on to the nightshift and asked them to get her reviewed again today. I get to work... nothing has been done for her, I talk it over with her and then talk to the RMO (who unfortunately happens to be a total fuckwad and have no idea what is happening or how to treat sick people) she gives me absolutely no help. So I talk to maternity and a staff member comes over, I finally manage to get the doctor to agree to send her to maternity so they can look into her lactation problems and her loss and help her with her baby. She looks at me with tears in her eyes just before she goes and thanks me, telling me that I was the only one who had listened to her. Damn it... I can't be the only one who is listening to what the patients are telling her can I??????? She has had this problem since she was admitted... no one apart from me did squat about it! Another of my patients had pain all the day and no one had asked her about it, she was in the hospital for abdominal pain for goodness sakes. I gave her some morphine and she felt very much improved by the time I left... my goodness peoples, a little attention to your work please?
It doesn't help to have doctors on call who have absolutely no idea what they are doing, it is not my job to be going through every patient who's name is up on the board and tell her what to do in each case. She needs to work it out and if she can't, call her supervisor, not rely on nursing staff to tell her her job. Prime example: We have a woman who is having a gastro intestinal bleed, so she decides the woman needs IV fluids and ranitidine which is fine... then she writes the order, she writes it in a very abnormal fashion, so I asked her to re write it showing her the guidelines we have telling her we would rather it was not on an infusion basis, and showing her the normal 6hrly dose...she re writes the order... as a fucking infusion! ARGHGGHHHHHHHHHH!
If I wasn't insane before tonight... I am now :p
Laters
9:14 AM
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Writing since January 2003!
web-counter? Maybe one day
BJ T now was S
Born in April on the 21st!
Australian but living in the USA.
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