I learned today that one of my biggest pet peeves as a nurse is following behind someone who puts my patients at risk simply by being a moron. Don't make up your own orders. Don't try to play the doctor--that's not your job. Don't try to teach me anatomy when you don't know it yourself. And don't teach me about diabetes when you don't know what a hemoglobin A1C reflects. I don't care if you have diabetes. You obviously have no idea what you're talking about.
No, it's not ok for you to hard-stop a nitro drip and then bolus/run maintenance fluids on my renal patient the day she just had dialysis. She has CHF. Wouldn't you first assume first that the purpose of that dialysis was to pull fluids off??? And then, wouldn't you think "Self, perhaps I should SLOW this drip down rather than shut it off???" Her BP will just rebound--and it did. And can't you please show me when you called the doc for her chest pain? Don't you realize she had a heart attack this morning and perhaps the doc would like to know if it's getting worse? Oh and can you show me the orders for the morphine you gave her since she has no PRN orders? Why didn't you do an EKG? And where is the doctor's note? AAARRRGGHHHH!!!!
Likewise, it is not cool if you can't tell your right from your left if it means that you're going to turn my other patient on his right side when he has a butt wound there. Turn him LEFT for crying out loud!!! And please, learn to do ostomy care correctly so I don't find poop on his skin when I enter the room.
Don't be that person I have to call when your shift is over. Don't put me in the position of thinking I should report you to my manager. Don't be that person who breaks down the team, who is unteachable, and who does nothing but demand the respect you do not deserve from your coworkers. It just pisses off people like me,those trying to save lives here.
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