I need to vent about work related happenings. As some of you know, I am a clinic nurse. Sometimes it's fun to think that my work is interesting but sometimes it sucks because my practices clash with those of my colleagues who happens to be midwives (Note: No hint of discrimination here, thank you very much). I am the only nurse hired as of the moment because I function as a private duty nurse for my bone connector of a boss.
Just this afternoon, I was tapped to help out at the Delivery Room since we have no patients. During the episiorrhapy, the OB asked me to give 1 ampule of Methergine via IV push. After about 30 minutes after the procedure, I assessed the patient before rushing back to the Ortho office because there's a patient. I palpated that the uterus isn't that contracted and that the patient still bleeds.
Afterwards, I came back and read the OB-Gyn's post-delivery orders, indicating that I should give 200 mcg of Methergine via IV push. Since I know that the uterus isn't totally contracted, I know that that is what the drug is for. So I monitored the patient's blood pressure before giving the drug. And that's it.
Then my colleagues made such a fuss about me giving the drug. They told me that I overdosed because I already gave the Methergine during the episiorrhapy. WTF?! And if that is the case, why is everything on the post-DR orders applicable to the conditons after delivery? No one in their right mind would write intra-DR orders on post-DR orders. And considering that there's still bleeding a few hours postpartum and the uterus of the patient isn't well contacted.
I don't like fussy and this is the second time. First they made a fuss about how fast the IVF of a former patient was consumed even if I explained that I regulated it according to the order and that the rate of infusion is usually affected by the position shifts of the patient...and now this.
This is total mindfuck. I hate this.