My only free night here as I am now on nights, which really means the night and half the next day. All I can say is WOW! Working my ass off running around covering 8 lists following up labs and admitting 5 new patients. So I get pretty frustrated about incessant dumb pages from nursing, Examples from last night 1:00 AM "Doctor, the patient is coughing can I give him cough medicine?" I say, "sure do you need an order for it?", "No I just wanted to know".
Fine, stupid is one thing. I then get 5-10 pages between 1 and 3 am about a patient (who is a drug seeker) who wants more medication but who is under strict parameters because of his drug seeking behaviour by the day team. "No, tell him he can't get, he is over his alloted amount", click, 10 minutes later again I get paged same thing. Each time I run to answer it because it can be an emergency requiring my immediate response. The nurse tells me "but he is standing on top of me what should I do?" Call security I tell her after the 6th time what the fuck ( i didn't actually curse to her) am I supposed to do? She wants me to get the patient off her back so she can go back to her relaxation. As I go running around like a chicken without a head all I see on every floor are the nurses sitting on their chairs some sleeping, some yucking it up some talking about their next break, but one thing is clear....none of them are working. Not until 4 AM that is...
Nursing has alot of work after 4 am (meds, bp, and other real stuff) so obviously I get paged again...alot. 6 AM is my first "real" page of the night, this time 2 in a row and an overhead page within 5 minutes (I was in middle of a procedure so it took 5 minutes to return the page), it was regarding a patient who was real sick. I quickly run upstairs and start assessing the situation, I ask the nurse for an ECG as this patient was in bad shape. The response I get is, "Does that need to be done stat?" I already know where he is going, (officially nurses don't perform stat procedures). YES it needs to be done stat (you fuck) the patient is very sick, "Oh, we don't do stat procedures" I was gonna kill this guy, here I am alone trying to save this patients life and all this fuck cares about is to finish giving out his medications so he can leave on time. Where are his priorities, why is he nurse then? I myself left 2 1/2 hrs late. .....The patient died.
PS just to qualify the above, I do not feel all nurses are like this, just the ones at my hospital that share night shift with me.
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7 comments:
Ugh, I can relate to your experience. My dumbest page was to help a nurse take a manual blood pressure. I was thinking - OH MY GOD. She was taking care of a dying patient with 1 hourly obs and she couldn't do manual BPs - what the hell is she doing as a nurse then? Finishing the hospital biscuit supply and reading the patients' Woman's Weekly magazines? I almost screamed at her. My hospital REALLY needs LAN paging so I can prioritise.
Ha love the title of this post!
Both my parents were in the medical proffesion at one point or another so I hear ya. My Dad is the world authority on complaining about nurses and lpns.
I gave you props for doing what your doing. You'll make it.
Great blog by the way.
My top 2 stupidest pages:
1. "I just checked patient X's blood pressure. It was 110/60...what should I do?"
2. "I just noticed that the nurse before me gave liquid tylenol [you know, the cherry flavored stuff] through this patient's central line. What should I do?"
Unfreakingbelievable.
This is from a night shift nurse. How dare you post things like this on the internet? You state we sit on our asses until 0400, then get busy? I am lucky if I get a 15 minute break in an 8 hour shift. You think you doctors are the only ones who work? It's YOUR JOB to answer our pages. If you don't like it, maybe you shouldn't be in the medical field. In response to your comment about getting pages for pain medicine for "drug seekers", I had someone last week attempt to self medicate because her MD's refused to treat her pain issues. Needless to say, because she couldn't get some Dilaudid or Morphine, she decided to shoot herself up with heroin in her central line and killed herself. You apparently don't know jack shit about what we do for a living. I am thankful that at least I work with doctors who at least pretend to care what about what I call them for, and hopefully aren't blogging like this on the internet with their frustrations. Hey, maybe with the upcoming nursing shortage, and treatment like this of nurses, no one will enter the field and you'll have to wipe your patients asses yourself!
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