Example 1
Me: XJ, could you please come over and help Narin with the transfer of patient for scan now?
XJ: (turns out & walks off, ignoring)
Me: XJ! Narin needs your help right now.
XJ: (turns back and shouted back at me) WHAT DO YOU EXPECT ME TO DO?! I AM VERY BUSY NOW! (walks away again...)
Example 2
Me: XJ, you did this procedure the wrong way.
XJ: What do you mean?
Me: This thing should be done using xxx method and in xxx way. The way you did it is wrong, not aseptic. Will cause infection to the patient.
XJ: WHY ARE YOU ALL ALWAYS PICKING ON ME?!
Me: I am not picking on you. I am trying to teach you the right to do things around. You are new to the ward and to S'pore practice, so people have to correct you when you do things not right. You have to learn from your mistakes.
XJ: YOU ALL ARE ALWAYS FINDING FAULT WITH ME! NO MATTER WHAT I DO, YOU ALL MUST ALWAYS HAVE A SAY IN IT! (stomps away...)
Example 3
While handing over of report...
Me: Who re-cannulated the patient? What happened to the old cannula?
XJ: (Blank stare)
Me: Do you know who re-cannulated the patient and what happened to the old cannula?
XJ: I don't care...
Example 4
XJ splashes water on floor on purpose in bid to 'flick' water out of the cup...
Me: You know you shouldn't do that? The ward is filled with patients. By splashing the water on the floor, you create a hazard for a fall to happen. What if a patient falls? Moreover, in the ward we also have pregnant staff, can you imagine what would happen if they fall?
XJ: Never mind, it doesn't matter... (walks off)
Example 5
XJ created a medication error, she administers a high dosage of insulin when a patient is due for operation and is kept fasting from 12 midnight the night before, therefore causing a dangerous dip in the patient's blood sugar level, requiring immediate medical intervention...
Me: XJ, I think you owe KW an apology for the mistake u have made.
XJ: I don't understand why I have to apologize to her?
Me: Well, she was supposed to 'take care' of you this morning and due to both your negligence, you created an error by giving the insulin. Now, she was the one who counter-signs your administration of insulin, so in the eyes of the law, you both have committed an error and if need be, both of you are punishable by law. So, you have indirectly dragged her into your mistake. Understand? Anyway, she is very upset about this matter and is crying in the pantry. Perhaps, you would like to apologize and comfort her later?
XJ: Why should I? If she is such a crybaby and enjoys crying at such a small matter, it is still of no use if I apologize to her?!
Me: Ok, fine. If you don't feel obligated to apologize to her. I would prefer to you to at least do proper documentation of the incident in the patient's casefile. This would ensure staff on the preceding to take special note of her blood sugar level. As you written English is not very good, I would suggest to write down what you are intending to write in the casefile on a piece of paper as a draft and let KW vet through it before you pen it down into the casefile.
XJ: (blank stare)
Me: Do you understand what I say?
XJ: OF COURSE! I AM NOT AS IRRESPONSIBLE AS WHAT YOU THINK! (continues to do her things...)
3 comments:
PRC? how did she even become a nurse in the first place??
Well, she was a nurse in china before coming over to Singapore. Her husband is apparently 'stuck' in china doing TCM sinseh.
According to some other nurses, she is like some middle ranking nurse in China. So when she comes to Singapore and needs to start from scratch, she feels like her pride has been torn down into pieces.
Item No.5, can you pls pls pls report her to the authority before she indirectly "killed" someone.
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