So as today dawned, I now have 21 shifts left.
Of course this is a bit of a rant.
This place can be INSANE!
Last night I inherited an intubated patient on a ventilator. After getting a bit organized, I realize this man has this huge plastic tube shoved into his lairway, and is on a machine that is focing air into his lungs, but that he is neither restrained, nor sedated. This is asking for problems. When I asked about either of these things, I was told "Oh we don't do that" Apparently they just "watch the patient". (when I picked up the patient he was in a room with the curtain pulled so no one could see him….) If a patient pulls out that tube, it generally has to be put back in and it is a lot harder because now there is trauma to the airway…..
I eventually insisted on restraints. Apparently the nurses do not like to fill out the paperwork to do restraints. it;s about 2-3 pages of paperwork. No biggie, all checkboxes.
Soooo, now I look like a Holier than thou person because I was so so angry about this. But what can I do. I'm always going to do what I believe is prudent and safe for the patient.
I know I'm not going to get any kind of a good recommendation from these people. but his wife did thank me in a very genuine way, which is not exactly common.
I hate when doing the standard thing makes one look like a big stinker. We'll see how the next 21 go!