it’s not snowing, but it feels like it
i lost it at work, and i hate it that somehow, half of me doesn’t even regret what i said.
P, the AM nurse told me that she sent stool samples for tests ordered earlier. a few minutes later, i was being called for a phone call from the lab. i found out that P forgot to label the specimen, and i was told it can still be fixed if she goes to the lab and label it.
i stamped her the stickers, and told her to go to the lab before she goes home. next thing i know, she was giving her son directions to go to the lab and to give the labels. i’m not sure about his age but i am guessing he’s around 10 or 11. he was waiting for her to finish charting, have finished his homework, and have been waiting for awhile, so he looked pretty excited to break the boredom, and to be given a grown up chore.
i had to think twice before saying a thing, not because i was intimidated by her like everybody else was, but because i cannot believe somebody would even think of something like that. i waited, hoping she was just joking. when i saw that she was actually serious in sending her son, i told her: “P, i think YOU’RE supposed to go there yourself to label the specimen, i don’t think you can send your son to do that.”
she looked at me like i was from some unknown universe, completely and blatantly ignored me, and kept giving her son instructions, then told him to leave.
as expected, a few minutes later, a fuming, reasonably shocked lab personnel called to tell her off. i didn’t hear the other end, but P said: “what is inappropriate about that? my son didn’t sign the labels, I DID! i signed it, and i just asked him to take it there!, well, what do YOU want me to do? okay, THANK YOU!” she hung up, slamming the phone.
she then started self talking outloud: “who does she think she is? what right does she have to call me inappropriate? i don’t understand what the big deal is, it was just a label, and i signed it, and i sent my son, what is wrong with that?”
a minute later, the very angry lab personnel called looking for the charge nurse. P, on the other hand, was mad. she stood behind me, saying: “well, NOBODY told me i was supposed to go there myself!”
by this time, i can hardly contain myself, but i still tried to be calm. “P, i told you to go there yourself.”
“no you didn’t, you said “I THINK….”
now, i am not trying to sound like i am the smartest nurse in our unit, because we all know that is not true, but it was just getting too difficult to stay calm. i mean i can forget the fact that she was too clueless about how inappropriate her act was, but i just couldn’t stand her tone and implication of blaming me for her mistake. when i started my statement with “i think” i said it meaning to be nice, so it wouldn’t sound like i was questioning her for not knowing what she was doing. so, when she emphasized i didn’t tell her EXACTLY that she was expected to go herself, and now that she is in in toruble, it was my fault…i just lost it.
“P, i said “i think” because i didn’t think i needed to explain that. it’s just common sense…”
to which, she sarcastically replied: “well, i guess i’m the only stupid person here who clearly does not have common sense. i don’t understand what’s wrong with sending a messenger. if other nurses can go and give labels, what’s wrong with sending my son?”
i ended up saying, “well, i didn’t mean it that way.”
the drama ended quietly and quickly, because after my last statement, i decided to keep my mouth shut. i didn’t tell her that in situations like these, not even an RN is supposed to go down to the lab and label the specimen. whoever collected the specimen, is supposed to label it. i kept my mouth shut, and i should have kept it shut in the first place.
the discussion reopened after she left. i admit it made me feel good that everybody agreed with me. i realize now that there is something empowering about being cheered on to be mean. a power driven game i didn’t expect i would play, but i did, even for a moment. it felt good for a fleeting second, but i ended up feeling bad anyway, because i know now that i should have known better. it also hit me that although it was so unlike me to lash on somebody like that, i have what it takes to be devilish and mean. it is not a good realization, but now that i know, hopefully, i can do something about it, right? hopefully.
anyway, i had to repeatedly share the story to my poor husband, because until now, i cannot figure out how someone can actually think something like that is okay. i just thought things like these are flat out clear, and one doesn’t have to have a degree to get it that you just don’t go sending some patient’s name to your kid and tell them to go to the lab and label a specimen he has no idea about.
as i said, i was just being bitchy. i wish i can blame this terribly cold weather for my very cold attitude, but i can’t. i am owning it up and yes, i will gather my wits and apologize to P the next time i see her. then, i will cross my fingers and hope that i will not witness similar incident involving her again, because if i will, i won’t have any choice but accept she was right when she said she was the only stupid person in our unit who clearly did not have common sense.
that is a hard thing to acccept about someone, but if she forces me to believe her, what am i supposed to do?
sorry. i know that is a mean thing to say.
but it’s cold.


you. were. right.
This is the same type of person who will take other SERIOUS short cuts. That simple lapse, I am sure, was just the tip of the glacier! Good for you for not only doing the right thing, but also standing up for yourself.
Comment by Emily — December 13, 2007 @ 2:43 am
so why are you going to apologize again? I must’ve missed the part where you were rude/bitchy towards your co-worker.
That’s pretty scary. Call me paranoid but whenever I hand out samples to the hospital/lab (which we did a lot of when my son was stricken with a mixed amoebic/bacterial infection in the Philippines), I do not leave the receiver’s side until he/she has properly labelled it. Never mind that I get condescending stares from them.
I am not a nurse but I guess I have enough common sense to know that what P did was so inappropriate. That’s just the type of stuff that medical mistakes and lawsuits are made of.
Comment by rinna — December 13, 2007 @ 3:35 am
ditto to ninna’s comment and i’ve been in similar situations
Comment by beth — December 13, 2007 @ 5:08 am
Hello, May.
I read your posts every day, not usually moved to respond, but this time…….
Firstly, this is not about being mean. As a former med tech in a hospital lab, and now a nursing student, I am appalled by the attitude of this nurse. You, on the other hand acted appropriately. I wouldn’t even have defended myself in this situation - P. was just scrambling to justify her breaking, oh, I’d say 10 or so regulations. What was OK about her child wandering the unit? Or walking around a hospital, solo? What about HIPAA? What about the health and safety of her child? Or,just as importantly, of the patients? The point of having the person who put the specimen in the container going down to the lab to identify and label the specimen themselves is to re-establish a chain of custody of this specimen, in a medical-legal sense. Even after it is labelled, however, it will always be considered compromised - there’s always a doubt about whether it was from that patient. Also, usually the specimens sit around for a while until a nurse can take a break to come to the lab. None of that is good.
This nurse acted very unprofessionally. A mature, respectful, professional response would have been to apologize to the lab, take responsibility for her mistake and fix it herself. At the same time she ought to have been thinking about how to avoid this in the future.
If nurses don’t behave professionally, and treat each other with respect how can we expect to be treated as such by other medical professionals?
I’ll get down off of my soap box, now. Sorry for the rant.
You did good, May.
Comment by Lynne — December 13, 2007 @ 5:12 am
At our hospital, “post-labeling” would not be accepted and the speciman would have to be re-collected. I think JCAHO would have a BIG problem with this nurse’s delegation to her son to label a speciman he didn’t collect. Yikes!
Don’t apologize. If she can’t understand safe patient care and take a warning from a co-worker, it is her own fault, and perhaps the incident should be written up for the nurse manager to review!
From an RN in MN
Comment by Jenny — December 13, 2007 @ 6:19 am
as a medtech i know how important labels are… its one of the mortal sins of a medical technologists - forgetting to put a label.. or worse, putting the wrong 1
Comment by Rygel — December 13, 2007 @ 8:08 am
All your co-worker’s inappropriate (and rude) behavior aside, there is one reason her son should not have been called on to do her job: HIPPA. It’s simply against the rules, and she could have jeopardized your hospital’s Joint Commission certification. Your unit manager should have a few choice words for her.
In the second place, what is her 10-year-old son doing there in the first place? A hospital floor is not a day care.
Comment by Candy — December 13, 2007 @ 10:24 am
There are several good points to be made here, one being the JCAHO deal, and HIPPA, the floor is not a daycare, yes, and also her snippy attitude, but the point I want to make is this:It’s like where I used to work, in the parks of Denver. There is a reason it is illegal for you to pull up in a car, pull a set of golf clubs out of your trunk, and start whacking balls into the vast meadows of the public park. Besides the safety issue,if you do it, then every one will be doing it. If it was ok, you would see no picnickers, only golfers. There are golf courses where it is ok to do that. You would not believe how many stupid asses have to be told, It would blow your mind. It’s not ok to send a family member to fix something that was already broken with the improper labeling of a medical specimen. How did she get a nursing license? That P thought it was ok to send her son tells me that she is one of the park golfers! hahahaha!!(don’t you dare apologize, you did nothing wrong. I know you have to work with this person, but you are too hard on yourself. You shouldn’t feel bad. You could have stomped her, and gloated but you didn’t.
Comment by Bobby — December 13, 2007 @ 12:20 pm
Congratulations. You’re not an asshole.
Your coworker who had her child deliver a specimen to the lab, however: she’s a fucking psycho. Her kid is screwed bigtime. It’s probably too late now.
Thank you for so nicely documenting this nasty little slice of reality. Kinds sucks, doesn’t it?
Truth has a way of finally winning though, doesn’t it? It’s worth it, right?
Comment by shrimplate — December 13, 2007 @ 10:15 pm
Now I know why medical administrators lie awake at night. It only takes one not-so-common-sense choice to make a serious violation.
Comment by DermDoc — December 14, 2007 @ 7:31 pm
I am sure that JCAHO would have something to say about that. Not to mention that it was a blatant violation of HIPPA.
The nurse in question sounds like someone who does not like or think that they should ever be questioned. People like this are unsafe and careless in the workplace.
You did the right thing and even tried to be nice about it. Don’t sweat it.
Comment by Kathy — December 15, 2007 @ 12:28 am
[…] THANK YOU all for your comments. […]
Pingback by it’s snowing in the mountains after all » about a nurse — December 15, 2007 @ 3:01 am
I don’t care how old the kid is, to me that is a total breach of confidentiality! Someone who is not directly involved in the patients care, let alone even working in the building… being handed patient information. I feel she should be ashamed of herself! And technically, even though you may feel uncomfortable after the fact for “getting involved,” well technically, as a patient advocat is it not your responsibility to speak up when you see a breach like that? So please, stop apologizing; she’s the one who should be apologizing!
*shaking my head* - I still can’t believe first of all that she even THOUGHT of sending her son, and secondly, that she still doesn’t think she did anything wrong??
Comment by Jen — December 15, 2007 @ 1:57 pm
Have to agree. Don’t apologize as there is nothing for you to apologize for. Perhaps you could request an educational session for the entire unit on proper handling of specimens? Sounds like everyone could use a small review session.
Comment by cz — December 19, 2007 @ 5:59 am
[…] a delayed apology is a wasted apology. i decided to let my gut tell me what to do, so i waited till i work with P again. thing is, she never showed up after our little incident. i finally asked one of the charge nurses what happened to her. i found out she was on an indefinite leave because of a family emergency. something about their brand new house having plumbing problems, which flooded their whole house. […]
Pingback by THANKS and updates galore » about a nurse — December 30, 2007 @ 11:12 pm
HIPPA???? OMG…I can not imagine that she thought that was proper protocol! I would NOT want her for my nurse.
You weren’t rude at all. She was way out of line.
I would be furious to think a specimen or anything else about my med case was delegated to any non medical person…never mind the child.
The lab tech could also get in trouble for accepting it. Wow!
Is she always that way or was this a bad day??
Comment by SeaSpray — January 3, 2008 @ 7:02 pm