I just did something for the first time in my 35 years as a healthcare worker- I refused to accept a patient. When I got to work, the nurses in one zone were keeping a ratio of 4 to 1. My assignment was to take 3 patients from 3 different nurses, which together with the other nurses arriving at the same time as I would be lowering the zone to a 3 to 1 ratio.
Two of the nurses turned over their patients with no issues. The third nurse was Nurse Slacker, so I took a look at the chart. The patient had been placed in that room an hour and a half earlier, and nothing had been done. No vital signs had been taken, no IV started, no lab work ordered or drawn, and no assessment had been done. I went to the charge nurse and told him that I would not be accepting responsibility for that patient until the nurse actually did her job.
I will not be placing my name anywhere on that nurse’s chart and refuse to accept her patients unless they are properly cared for and it is properly documented. I am not risking my medical license for that incompetent, lazy slacker of a nurse. You can’t make me assume care for someone else’s patients when that person hasn’t done a single thing for them. The rest of the nurses in the zone won’t assist her because they aren’t willing to do her job for her, either.
When she finally came to me to give me report two hours later, she hadn’t even noticed that the charge nurse had done everything, treated the patient, and discharged her an hour earlier. That’s right, her patient had been gone for an hour and she never even noticed.
The charge nurse had no problem with it, and said that it would help if she wasn’t off the floor half the time. Management needs to do something, but they won’t.
EDITED TO ADD
For those who are asking: She is white. However, she is in a protected class, that of breastfeeding mothers. It’s due to a Federal law called the Providing Urgent Maternal Protections for Nursing Mothers Act (PUMP Act). The law says that employees who are nursing have the right to reasonable break time and a place, other than a bathroom, that is shielded from view to express breast milk while at work. Sure, it says reasonable, but that is subject to a court’s interpretation. What this means is exactly what the woman has told fellow employees- she can be in the pumping lounge as often and for as long as SHE thinks is reasonable. On of our charge nurses told me that they had a meeting about her, and they have been told that she is untouchable because she has already been to HR with her attorney in tow.
