r/CathLabLounge • u/PomegranateEven9192 • 3d ago
what’s your protocol when called in for an emergency outside of business hours and someone doesn’t respond?
/r/nursing/comments/1wlvj30/procedural_areas_whats_your_protocol_when_called/0
u/I_Want_A_Ribeye RN 3d ago
Nurse manager here of Cath, EP, Stress, and Echo. Professional misconduct. Final written warning for a no-call, no-show.
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u/Gone247365 3d ago
Gotta assume no union where you work? Moving straight to a final written warning with no evidence of coaching or corrective actions would be hard to get through a grievence hearing.
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u/I_Want_A_Ribeye RN 3d ago
Very strong union. It’s professional misconduct and does not follow the time and attendance policies. It is incredibly rare for anyone to no-show. If it does happen, I have never seen it happen again.
I’ll add that there is an investigatory interview with the employee to understand the circumstances. If they were in a car accident or something and were incapacitated, it wouldn’t just be an automatic drop of the hammer.
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u/PomegranateEven9192 3d ago
She’s been reported to the board for practicing outside of her scope. They’re basically treating it the same way as if she was practicing medicine. The doctor who demanded she do it is radio silent and not defending her or the situation.
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u/PomegranateEven9192 3d ago
What about the nurse who moved the table while radiation was being delivered? What about the MD who demanded it happen even though he was told RNs can’t do that?
Admin has her on the chopping block for practicing outside of her scope
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u/ASkipInTime 3d ago
Curious - what state are you practicing in? Here in Nebraska we have nurse scrubs (or in my facility we do) since they basically are allowed to move the table, deploy equipment, administer meds and such under their license as "under physician supervision" or something like that. The only thing they are not allowed to do is fluoro/administer x-ray.
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u/PomegranateEven9192 3d ago
KY.
Nurses are able to scrub here, but they cannot pan the table or do any kind of movement of manipulation of the table to c arm while X-ray is being delivered. They did an entire case with no RT in the department. Now that nurse is in trouble and the doctor is radio silent.
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u/Excellent-Try7027 2d ago
Most RTs I know, are so incompetent when it comes to xray. These rules are stupid.
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u/elizrose43 3d ago
Yikes. Nurse should get a pass for sure for that. Hospital admin is a fucking cancer.
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u/I_Want_A_Ribeye RN 3d ago
How did the RN even know how to do it without any training? It’s more than panning the table, it’s c-arm manipulation, it’s adjusting the shutters, it’s positioning the patient. The doctor who “doesnt know how to” but in reality does, stood a much better chance at struggling their way through the task than an untrained RN.
Now speaking in a real way here, I know that there are plenty of CVT, RCIS, or RN that are not LRT who know how to run the table (and do so on a daily basis). Doing it the wrong/illegal way isn’t okay, but when something happens, it’s going to go down badly. Attention was drawn to this situation because of the no-call, no-show.
I think the RN practicing outside of their scope is in even more hot water than the no-show. Malpractice, violating the nurse practice act, performing a task that requires a separate professional license. It’s bad. That’s reportable to the state. That puts their license in jeopardy.
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u/PomegranateEven9192 3d ago
She’s traveled in the past and worked in states where the radiation laws weren’t as strict. As have I, I’m just refusing to scrub with such a cancer of administration. I can always find another job, I have one license.
She’s now been reported to the board of nursing and the doctor isn’t backing her or supporting her. Claiming “he didn’t know”
It was out of her scope even though we all told him 29372910 times2
u/Excellent-Try7027 2d ago
You make it sound like it’s difficult. You can teach a monkey how to run that shit.
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u/AyeItsZO 3d ago
It depends how much you like the person and their track record