Okay, so I got screamed at by an incoming nurse during report. I decided to write a little post about this, and maybe I can get some feedback.
First of all, you probably want to know what major offense caused this particular nurse to go ape-shit, banshee-screaming wild on me. In a nutshell, I forgot to put multi-podus boots (MPB) on someone. Normally, I agree that this is a big deal, however, as explained to her, due to the fact that this particular patient's skin issues were known to me, I repositioned this patient hourly, making sure heels were floated on the pillow each time. Skin issues were abundant. This patient had at least 5-6 pressure ulcers, poor nutrition, tube feeder, wound vac, foley, spongy heels... just the works.
As a sidebar, I don't feel this patient is appropriate for a rehabilitation hospital such as ours; our focus is being the bridge between hospital admissions and home. A prerequisite of our facility is that the patient must be able to physically endure three hours of physical, occupational, and/or speech therapy daily. A big focus is on recovering lost ability or learning to live with a disability. A newly appointed marketing team has been sending us incredibly inappropriate patients. One of last week's patient had dementia so bad she couldn't even finish a sentence because she couldn't recall what she was saying midway through.
Back to the issue at hand, in my defense, I simply didn't have a chance to run across the paperwork stating that MPB were ordered until late in the shift. I have 10-12 acutely ill patients nightly and reading every physician order since admission (it didn't appear on the kardex) is simply not feasible. I was the first one to even notice the order and reported it to her. So, I believe I acted to the best of my ability, and while MPB are great, repositioning hourly I feel would be more effective anyhow, especially since the heels were elevated.
Well, this nurse basically turned into a screaming banshee and laid in to me, called me lazy, and embarrassed me in front of a bunch of nurses in the large report room. The one thing I hate about this field is simply working with women sometimes... I feel like I'm cruising on a hormonal highway sometimes; this is something I'm definitely not used to. This particular nurse has had this incredible hulk issue before with others. I don't think it's so much what was said, it was how it was said. I think I had ex-wife post-divorce screaming match flashbacks. Horribly unprofessional, in any case. I did handle the situation well and remained composed... though in the back of my mind I wanted to ask her if perhaps her Paxil prescription ran out.
My point is this: can't we just assume in most cases that our colleagues aren't incompetent or lazy next time someone doesn't have a last bowel movement or other similarly important, yet not immediately crucial, piece of information?