Monday, July 16, 2007

A cautionary tale

On the ward that I'm on, the physiotherapists notes are the indicator as far as how the transfers of each patient should be managed. As with other wards, we write the transfer status (1x assist or whatever) on a board above the patients bed. Last week a nurse was injured while transferring a patient who I'm responsible for. I wasn't there. I don't know what happened. The patient is sometimes worse than others in terms of his balance, but in general he is 1x mod A for sit - stand and ambulation. If he was 1x max assist then he would not be 1x assist. He'd be a hoist or 2x assist. He doesn't require 2 people assist or hoist.

Anyway, this nurse took time out of her day to tell me that he was in fact "2x heavy" assist and that is what should have been written in the notes. Additionally she told me that she would have to "submit a form" (documenting her injury). This, and the filthy look I receive every time I see her, tells me that she blames me for the incident and feels that I have been negligent. Now, I do care that someone has been injured, let me be clear about that. But, and this may be frowned apon, I have not apologised. The fact is that my notes are spot on in regards to this patient, and every other nurse, PT and OT have managed on their own without incident. I'm not saying that the nurse was doing a bad job.
I guess I'm just venting about having someone decide to deal with me via thinly veiled threats and dirty looks. Also, it shows how your notes have got to be clear and correct. If this were to occur again, I might take the time to further discuss the issue with the nurse so that it could be put to bed, and I acknowledge that I could have done something like that. But, I suppose when this person decided to act the way she did, I decided not to bother. It has slightly darkened was has been a much brighter neuro experience than I was expecting, and other than that I have enjoyed the placement. Final Ax tomorrow
M

1 comment:

MelH said...

Hi Martin,
It’s good to hear you’ve enjoyed your neuro clinic – other than this experience of course. It sounds like a pity that the nurse couldn’t have been more professional in voicing her opinion of the situation. Was the transfer status changed after her injury?
Mel