May, 2007 Archive

May 11, 2007, 10:03 pm

why she peed in her pants

this is not second hand information
this is what really happened. straight from the horse’s mouth:

” i asked to be relieved in the morning, and was already at the point of wetting my pants when the RN finally relieved me. the second time i needed to go, she kept saying “later, i’m busy”.

i can’t pee in the patient’s restroom because the patient i’m watching was a suicidal teenager with anorexia nervosa. i’m not supposed to leave her, even for a minute. she was in bed 1, (near the door), and the patient in bed 2 was a toddler (with a parent at the bedside all the time) who was using the restroom very often. i can’t leave my patient or leave the restroom door open because i was not comfortable doing any (leaving the patient and/or leaving the restroom door open) of that.

finally, when my break came at 2 PM, i thought that surely, i can go, but the RN kept saying she was busy. at 2:35, i stood at the door and yelled to nobody in particular that i really NEEDED to go. one RN motioned me to go while she was on her way to my patient’s room. 

i was half running to the restroom, but it was too late. my underwear was already wet. i was still peeing, thinking what to do next, when i heard this knock at the restroom door. when i opened it, the charge nurse was there, asking me what i was doing in the restroom. she did not give me time to answer. she continued, (in a loud voice) that what i did was wrong, because i abandoned my patient, which, under no circumstance should i leave alone.

without even realizing it, i was crying. i stood there thinking…”what do you want me to do, take off my underwear and shove it to your face?”, but i asked her instead if she checked the room because there was actually somebody watching the patient while i was in the restroom. it turned out, she saw me running out of the room to the restroom, and without investigating, she assumed i just left the patient alone. trying to explain it while crying was difficult, but to hear the charge nurse  continuing her lecture on how it was so wrong that i left the patient alone, and with my wet underwear bugging me, i finally told her: “that’s it, i’m leaving!”

the next day, my husband and i went to file a formal complaint to human resources, and went to see our nurse manger. after the dialogue between nurse managers, the nurse manager and the charge nurse ended up writing me a formal letter of apology. too late, because after a couple of days, i ended up having a UTI.

i swear i will never go back there, even if they fire me because i will not float in that unit anymore. as if the fact that i peed in my pants, (which has never happened to me in my whole 30 plus years of being an adult) was not enough, did she really have to humiliate me by knocking at my door while i was in the restroom relieving myself?

it was beyond humiliating, but even though i was wet, i was ready to go back to the room and finish my shift. i was thinking of possible solutions because it was obviously emabarassing and uncomfortable, but i never thought of leaving, because i knew my responsibility. but when the charge nurse knocked and accused me of being irresponsible, after all those times i had to keep holding my pee just to be responsible, i lost it. i lost it because she gave me no other choice.”

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as you can see, stories passed on from one mouth to the next has its added and subtracted facts. but the above quote was directly from the PCA who is currently “enjoying” the kind of fame that nobody ever dreams of.

it has been about two weeks now, but she was still very emotional about the whole thing, and understandably so. her voice was shaky, tears were gathering at the corners of her eyes, and i can almost feel her heart racing while she related the embarassing experience. i honestly felt her pain.

i said it before, and i’ll say it again…if you ask me, this is a very disturbing situation, on many levels:

1. the assigned RN not knowing how to ask for help to relieve the PCA. i mean, how difficult is it to ask another staff to watch the patient while the PCA goes to the restroom because she is extremely busy she can’t spare 3 minutes of her time?

2. the charge nurse rudely jumping to conclusion and knocking at the restroom door like she thought the PCA was some sort of slave who has no personal right whatsoever? and why was it so hard to apologize the moment she realized that she made a mistake by not checking her facts first before lashing out on the PCA to emphasize her authority?

3. the other nurses who obviously heard the countless pleas for help…how difficult was it to just go and relieve someone for a matter of minutes, even if the patient was not assigned to them?

i don’t know all the answers, but i do know something. we always have PCAs who watch 1:1 patients. they come from different places. from other units, or from registry. and you know what, we all try to make sure to ask them if they need to step out of the room. sometimes, we even relieve them for a smoke break. usually, we don’t even ask whose patient he/she is watching. or at least we get somebody to relieve if we can’t do it. so yeah, i know it is not THAT hard to do.

no matter how many times i run it over my head, i still can’t figure out how some people can just let this whole thing happen. it’s like a lot of people are getting so uncaring, it is getting really scary. but then again, it could be that i’m just overreacting.

what do you think?

May 9, 2007, 8:23 am

happy week, happy day

cookies were in abundance. there was a fancy blue tote with some inspirational quote print, given to everyone. evrybody received this high tech looking timer. there were flyers advertising the week’s scheduled free, and fun activities.

it could only mean one thing…it’s nurses week!

to be honest, i heart the high tech timer. it was so efficient. unlike my antique version, this one actually went off at the exact time it was set. it is by far the best nurses week treat i got. i’m still looking forward to my dream treat. yeah, that 3 day trip to the bahamas.

as for shopping in victoria’s secret…good luck with that!

i was behind a guy pushing a double stroller yesterday, both his boys screaming. the line was ridiculously long, you would have thought everybody decided to eat lingerie for dinner. anyway, while he was holding some really sexy stuff close to his chest, his kids tried to complicate things by just being kids. it didn’t stop him. he was determined! after he paid, sweating like a little cute pig, he exclaimed: “buddies, there goes our 150 bucks, we can only hope it will be worth it!”

well, the little guys were clueless, but i’m pretty sure their momma is gonna be happy on sunday. or maybe, their daddy will even be happier…you know what i mean.

so yeah, six days of celebration…just for us. five days of fattening, unhealthy  treats for nurses at work, then one grand day of celebration for mothers. at the end of the week, i’m pretty sure nurses and mothers will really feel special. or not.

happy nurses week to all nurses. and for the mothers…go ahead, splurge on something for yourself. you deserve it!

May 4, 2007, 9:21 pm

analyze this: why did she pee in her pants?

this is a second hand information, so the details are, well, not that detailed.

one of our patient care assistants (PCA), a filipino, was floated to a different unit to watch a patient as a sitter. sometime in the middle of the shift, nature called for number one. she requested the RN to relieve her, but apprently, the RN responsible for the patient kept telling her to wait, because she was busy.

she waited. and waited. and waited. finally, it was 2 PM, and it was her scheduled 30 minute break, so she thought she will finally be able to go and relieve that busting bladder! at 2:35, RN was still very busy and did not relieve her.

then, it happened. yes, she wet her pants!

crying, she called her husband. husband was furious. drove to the hospital. talked to our nurse manager. our nurse manager requested the nurse manager of the unit the PCA floated to, and they had a discussion.

PCA will never ever float there again.

again, i apologize for the lack of details, but i cannot wait until i work with PCA so i can ask her what really happened. i personally know this PCA to be a straightforward, self confident, not-afraid-to-ask-people-for-help-if-she-needs-to kind of person, so i know this is not something about filipinos being too timid to ask sometimes. and that’s why i have mind boggling questions:

1. there were no other people who can relieve her other than the patient’s nurse?

2. this was a worst case scenario, can’t she bend the “only for patients” rule and just use the patient’s restroom, which was like three or five feet away from the patient’s bed?

3. who should be more embarassed, the RN who did not relieve or at least delegate somebody who was not busy to relieve, or the PCA who was almost like a victim of abuse?

4. would you do the same thing? i mean sticking to the job (when a patient is ordered to have a sitter, there MUST be someone watching the patient EVERY second of the minute, even when that patient is asleep) to the point of humiliating yourself? if not, what would you do in this same situation?

5. am i the only one who thinks this is just so wrong in so many levels, but also disturbingly unbelievable in so many ways?

anyway, just wanted to get that off my thoughts by blogging about it.

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on other news, those who are interested in joining Rep.Schakowsky, (a leading nurse advocate on Capitol Hill and sponsor of federal nurse-to-patient ratio bill) in a nurse conference call on May 7, go ahead and pick up that phone.

DETAILS: The call is this Monday, May 7th at 12:30pm EDT/9:30am PDT. The call will last approximately 30 minutes.

INSTRUCTIONS: The number to dial is toll-free (888) 428-4478. When you call, you will be greeted by a live AT&T operator. You will then be asked to say the name of the call you’re joining. Respond by saying you’re joining the Nurse Conference Call. The operator will ask for your name and location (first name is OKAY). Then you’ll be patched through to the call.

we can be quietly cynical and swear nothing will change anything, or we can keep speaking out and see where it goes. whatever you feel or think, let me know. i won’t tell you what i think yet, because maybe you can convince me to change my mind in the future. and sometimes, change is good.