osodecanela (![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png)
osodecanela) wrote2014-09-11 09:00 pm
osodecanela) wrote2014-09-11 09:00 pm
Entry tags:
Tired...
I just sent the last person out my door here in the office and now I get to head over to the hospital to see someone post surgery. This guy fell in the bathroom yesterday and broke his hip - he was already inpatient at the time to treat an infection in his arm. If it wasn't for bad luck.....
I'm going on way too little sleep at the moment. At 3 am I got a phone call from a pharmacy asking for an approval to send some meds over to one of the nursing homes. It seems the night RN had called then 30 minutes earlier requesting them for a patient for the morning, said patient being asleep at the time. I called the SNF to find out why the call at that hour, which had awakened not only me, but everyone in my household, only to find that the patient was peacefully asleep, as I had been a few minutes earlier. The patient had been there for a week already and the day shift had missed the med change several days earlier and had not ordered more. So for their minor fuck up, I was awakened in the middle of the night.
What part of your institution's poor planning, does not constitute an emergency on my part, did you not get?
I got rather caustic with the nurse, who became snippy and defensive. The words, "How dare you wake me for this!" crossed my lips; my reaction left me tossing and turning, sleepless for the better part of the next hour. We're supposed to be a team. They're supposed to be able to call on me, IN AN EMERGENCY. Yelling at an RN does not foster a collegial relationship, but for Christ sake, where are your critical thinking skills? Worse, after I hung up the phone, my husband rolled over and said, "isn't that that same SNF that woke you in the middle of the night for something similar last week?" He was right. It was the same place he used to be legal counsel for.
I spent nearly half an hour on the phone with the institution's Director of Nursing first thing this morning. She was mortified when she found out about the middle of the night call, for no real reason. The floor RN had awakened the DON, after I'd yelled at her. It turns out neither the DON, nor the RN was aware that the pharmacy was going to call the on-call Doc for clearance, or at least they so claimed. We wound up talking about how to change their system so this doesn't happen. (Had evening shift had the responsibility of ensuring there were the proper meds on hand for the morning shift, rather than have the night shift with that responsibility, the phone call would have come in prior to 11pm, when there would have been a fighting chance that the on call would still be conscious.) After profuse apologies on her part I finally hung up.
At least I made it clear. I DON'T want an apology. I want them to fix their system so it doesn't happen again. If it's happening to me, that it has to be happening to other covering docs. You have to fix your damned system.
I'm going on way too little sleep at the moment. At 3 am I got a phone call from a pharmacy asking for an approval to send some meds over to one of the nursing homes. It seems the night RN had called then 30 minutes earlier requesting them for a patient for the morning, said patient being asleep at the time. I called the SNF to find out why the call at that hour, which had awakened not only me, but everyone in my household, only to find that the patient was peacefully asleep, as I had been a few minutes earlier. The patient had been there for a week already and the day shift had missed the med change several days earlier and had not ordered more. So for their minor fuck up, I was awakened in the middle of the night.
What part of your institution's poor planning, does not constitute an emergency on my part, did you not get?
I got rather caustic with the nurse, who became snippy and defensive. The words, "How dare you wake me for this!" crossed my lips; my reaction left me tossing and turning, sleepless for the better part of the next hour. We're supposed to be a team. They're supposed to be able to call on me, IN AN EMERGENCY. Yelling at an RN does not foster a collegial relationship, but for Christ sake, where are your critical thinking skills? Worse, after I hung up the phone, my husband rolled over and said, "isn't that that same SNF that woke you in the middle of the night for something similar last week?" He was right. It was the same place he used to be legal counsel for.
I spent nearly half an hour on the phone with the institution's Director of Nursing first thing this morning. She was mortified when she found out about the middle of the night call, for no real reason. The floor RN had awakened the DON, after I'd yelled at her. It turns out neither the DON, nor the RN was aware that the pharmacy was going to call the on-call Doc for clearance, or at least they so claimed. We wound up talking about how to change their system so this doesn't happen. (Had evening shift had the responsibility of ensuring there were the proper meds on hand for the morning shift, rather than have the night shift with that responsibility, the phone call would have come in prior to 11pm, when there would have been a fighting chance that the on call would still be conscious.) After profuse apologies on her part I finally hung up.
At least I made it clear. I DON'T want an apology. I want them to fix their system so it doesn't happen again. If it's happening to me, that it has to be happening to other covering docs. You have to fix your damned system.
no subject
I think waking the DON in the wee hours will fix the problem. Think of it as a "If I wake up, you wake up" rule.