She was yelling and refused to leave the room. My Dad went to the ER this past Tuesday for severe diarrhea and possible exposure to a parasite in the water supply in the town where we live. (Yes, I give him bottled water, but can't get him to stop drinking out of the tap!) As has been my experience with this hospital system and their hospitalists, they did not follow his medication regimen. Dad is 91, has aortic stenosis, high blood pressure and orthostatic hypotension. As long as you don't "mess with his meds" he is perfectly fine. This time, I had to pitch a fit over the phone to get them to give him his night meds, even resorting to the "don't make me come back there" speech. These people do not listen! As it turns out, they found out I was right about the regimen, and his BP went too high. Instead of calling me and telling me, they gave him a dose of clonidine which should have never, ever been given to him. I found out about this about 12 hours after the fact when I was told by the doctor who started the conversation with "in the interest of full disclosure". They told me he was stable, which I knew he was not. Even though his BP readings were normal per their standards, it was not for Dad and usually a screw up like this takes about two weeks for him to fully return to normal. I took him home anyway (figured it was safer for him) and monitored him closely. Unfortunately, his BP was not recovering to the level it needed to be for him and his BP was running way too low and his BP specialist said to take him back. This time we went to a different location of the same hospital. He needed to be admitted and I would only agree to it unless a very precise treatment plan was developed and after I had requested hospital administration had been included at my request.
Everything was fine until his night nurse didn't want to stick to the treatment plan. It was going to be done her way. Meds first, BP second. NOPE!! She had an absolute emotional meltdown when I refused to allow her to even review the medication before the BP. What is the point unless you know what the BP is which will determine what meds to give?
Nurse started yelling. When I asked for the hospitalist she said no that I wasn't going to accuse her of anything and I wasn't going to tell people what she was doing. I wasn't going to accuse her of anything at that point, but I was going to have the doctor review the treatment plan with her since she wouldn't hear of it from me. She kept repeating the "accuse me" rant and I asked her to leave since she was still yelling, and she refused. By this time, another nurse had come to see what was wrong and it just continued to get worse. The charge nurse came in an allowed the night nurse to continue to yell, continue to tell me no, I could not see the hospitalist, no I couldn't see the administrator, no she would not be changed as my Dad's nurse. The charge nurse was allowing the yelling to continue in my Dad's room.
She acted like a nurse who has been on the hot seat before and was one straw away from from getting into some serious trouble, at least at the hospital. I made the mistake of calling her "this lady" and she yelled, "I am not a lady, I am a nurse!"
Should I file a complaint with the state board of professional registration? This action could potentially affect her employment anywhere, so I want to be very careful. However, this woman needs some serious something if she is going to behave like that in front of a patient. The hospital is on the hook for a charge nurse for continuing to allow her to be in my Dad's room.
Thanks for all the responses I hope to get!