1. Mr. Konkler (4245) was my patient that coded on 3/23/16. I had a lot of people in the room with me that help with the code situation. The charge nurse that was there with specifically asked me to page the attending of neurosurgery who is Dr. Wohlfield and I did. I paged him twice sitting by the phone waiting for a call back which never came. When my patient was wheeled out of the room I had to leave the phone and follow my patient that was taken to the ICU. I was being accused of not paging the attending. When I insisted that I have paged the attending the NP Medina now shift the focus to herself that she was not being recognized that’s why she has …show more content…
There was another patient that pico dressing that was beeping. When the doctors make their morning rounds they told the patient that the nurse will take care of the pico dressing. When the patient call on me and said this I told him that I do not know much about this pico dressing and that I will call the doctor to come and fix what needs to be fixed. I paged the doctor, once again NP medina returned the paged and said I should change the pico dressing. I expressed my fear to her that I don’t want to do something that I’m not familiar with. She said “it’s very easy if you don’t know asked the charge nurse she will show you. I said okay. We hung up the phone. I went to charge nurse and I explain everything to her. The charge nurse told me that the doctor change or do whatever they need to do with pico dressing. And that is not the nurses’ job to tamper with any kind of drain that is put on a patient. Go and call whoever that old you to come and fix it.” I left. Because I express my fear for not wanting to do something I am not comfortable with according to NP Medina, I am being accused of being incompetent to work in acute care …show more content…
Mr. Price (9143) was my patient that was waiting to have a vascular surgery. On 3/28/16 there was an order for heparin to be given. In the first two hours the order was not released. After that, the heparin order was flagged for a long time. In the meantime, the pharmacy did not send the heparin infusion and I kept checking the order until after several hours the order was unflagged and the status was active. It was then that the pharmacy send the heparin to the unit and I hung this heparin with the help of Sheila. Before I hung the heparin, I checked the labs that was drawn in the morning and I saw the result of PTT and the PT-INR. I did not feel like I need to do another PTT before hanging the heparin. Now I am being accused of not drawing PTT before starting heparin. It would have been plausible if there was no lab drawn on the patient and there was no PTT result on file before hanging the