Okay, I really didn’t want to talk about crazy work stuff. But I have to. Or I am going to get high blood pressure. Or high(er) blood pressure. The latest. Well, let’s see. If my nurse manager (NM) had her way, all of the nurses in the hospital would work OB. Because, you know, OB isn’t a specialty or anything. So the other day, it is BUSY! Shock. Anyway, a doc sends a patient over to be augmented because her water had broken. Which really wasn’t, and was essentially an induction for a PITA patient that he didn’t want to deal with any more. Instead of telling this dr. that we didn’t have the staff to safely start the pitocin at that minute, what does she do? Oh, this is FABULOUS! She grabs a nurse from the MEDICAL FLOOR (who are smart BTW, but aren’t trained in OB). She then proceeds to tell this nurse how to hook up pitocin and titrate it. BUT. Instead of starting a mainline IV of LR, she tells the nurse to hook the pitocin directly in to the IV. Not even kidding you. So very many things wrong with this, it’s not even funny. Least of all is, if she had the time to tell the other nurse what to do, why didn’t she just do it herself? Oh…..my blood pressure. I can feel it rising……..
December 19, 2009