4
March
2010

Indescribable5

I know I have spent a great deal of time in the past complaining about the nurses we’ve received.

It makes me sad, because the vast majority of nurses we had in the NICU (and especially Dorrie’s primaries and honorary primaries) were fabulous. Competant, reliable and trustworthy. I did not like having to leave her with them, but with only a very few exceptions, I did trust them (and the RTs and the NNPs and the doctors). Part of that was because I had to, but mostly it was because they had their act together. It was clear that they knew what they were doing.

Our first nurse when we came home post-trach, DramaNurse, was also pretty competant. All of her problems stemmed from her insane personal life; I didn’t have any fears about her ability to react and handle an emergency should it have arisen. Our original night nurse was wonderful — a combination of competant and responsible and not-insane that made me comfortable to be around her.

After DramaNurse left, we had a couple of very temporary nurses, one of whom we dismissed ourselves because we didn’t need her and one who came to orient and then fell off the face of the earth. Finally we got a more stable situation, AnnoyingNurse, who drove me absolutely bonkers but who obviously enjoyed playing with Dorrie and who Bob found tolerable. And so she stayed. After a while we rearranged my work schedule so I had to spend as little time with her as possible which improved things a good deal.

But she was still annoying. I decided that I would try not to write about her on the blog because I didn’t have anything nice to say, but she seemed like a very nice person — just one who grated on me. And she still did not project the air of ease and comfort that would have made me (both of us) feel able to leave Dorrie alone with her without Bob or I supervising. Since both our workplaces have been so accomodating, this wasn’t necessary, and so she remained.

Until last week. I am still not sure what exactly happened; the explanation we were given was entirely inadequate and did not fit the actual events. She came to work acting oddly, but not so oddly that I couldn’t pass it off as her usual irritating qualities. Then things got very very weird. The OT came and the nurse said she needed coffee, so I let her leave to go get some. Except she came back without any coffee. Puzzling. She said a few strange things and was acting bizarrely enough that the OT this week told me she had been very uncomfortable with the behavior she witnessed. Enough that she had considered calling the nursing agency and had spoken to someone at her work about it.

The OT left and the nurse began to make Dorrie’s lunch. It looked unmixed in the bottle when she brought it out and then she spilled a great deal of it trying to pour it into the bag for the pump. She wandered (and I do mean wandered) off to wash her hands off while I cleaned up the mess and actually got the feed started. I found that a lot of the food was still in the bottle and still more of it was left in the jars in the kitchen, as she had done a very poor job of getting the baby food out in the first place.

She returned and sat down on the mat next to Dorrie, saying nothing (unusual — she is a chatterbox). She sat there sort of patting Dorrie for a while while I watched getting more and more weirded out by her behavior. Eventually she decided to change Dorrie’s diaper. And here’s where the weird took a turn into freaky. She seemed to have lost the ability to control her hands. She pulled at the diaper tabs ineffectually for minutes, unable to figure out how to get them to close. Eventually, with the diaper still unfastened, she began to try and pull Dorrie’s pants back on. At that point I jumped in and fixed things, then asked Bob to come home. I didn’t know what to think. I asked her if she was okay and she was able to answer — she said she was fine. (Obviously untrue!). I thought she might have been having a stroke, but her speech was clear.

She began to try and read Dorrie a book and was stumbling through that when Bob came home. He had trouble getting her attention. At that point I was too freaked out and went upstairs for a couple minutes. Eventually, Bob and she decided that she would go home because she was worried about the ‘power being out’ (power had been lost in some neighboring towns). She managed to exit the house and make it to her car. It took her a while to get into the car, but once inside she didn’t seem to have trouble driving away. We were nervous about letting her drive and discussed if we should alert the police. In the end we didn’t, we just called the nursing agency.

In any case, after much discussion and the aforementioned inadequate explanation, she is no longer on our case. I’m pretty concerned that she’s still apparently working. There is absolutely no doubt in my mind that in the state she was in, she could never have replaced a trach and might not even have been able to fix a more minor problem like the circuit coming apart.

So now we will see what sort of new nurse we get.



5 comments

  1. Elana:

    K – Hate to say this but she was either drunk or high. That’s also why you’re not getting an explanation. The agency is liable. I really hope the nursing situation improves, but I have a feeling the real problem is the nurses at these agencies are woefully underpaid and the cream of the crop go elsewhere. :(


    (March 4th, 2010 at 6:10 AM)
  2. Anne:

    That sounds awful! I tend to agree that short of some kind of stroke, it sounds like she was high on something. I hope the new nurse is far improved.


    (March 4th, 2010 at 9:52 AM)
  3. mom:

    @Elana – I’m completely sure that’s where the best nurses are going. Why have such a wild schedule, work 5 days a week with poor benefits and low hourly wages when you could work at a hospital with a higher salary, ok benefits and probably more stable shifts? The only reason would be if you for some reason need to be -very- flexible in your working hours, or are too unreliable to be hired by a hospital.

    @Anne – I’m afraid both of you are right about the high business. I don’t doubt prescription, but grr. Of course we have no proof other than our and the OT’s observations.


    (March 4th, 2010 at 2:51 PM)
  4. dad:

    Just one amendment to mom’s story (since she wasn’t in the room for this part of it): the nurse did not leave on her own, I actually asked her to leave. That was the point where she said, if I remember correctly, “At home maybe I will have power.” My first thought was that she had totally lost it, and that she was talking about getting her mental state (her “power”) back, but eventually I found out about the power outages that day and realized she was speaking literally.

    In any case, I’m pretty sure she wasn’t drunk, because there was no smell of alcohol around her, but I’d say she probably was high. I’m willing to give her the benefit of the doubt and say that I think it was probably prescription, and taken for a legitimate reason, so I do not think she willfully did anything wrong. All the same though, if that was the case, as a nurse she should have been aware of the effects of the drug she was taking, and known that she should have either gone home or just stayed home in the first place. It is one thing to be dedicated enough to your job to go when you are not at 100%, but it is another to go when you are so non-functional that you are actually a hazard.


    (March 5th, 2010 at 5:48 AM)
  5. GrampaPaul:

    Yikes!


    (March 7th, 2010 at 12:44 PM)


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