Where I work it is the job of the respiratory therapist to obtain all blood gas samples on the floor. Most nurses are not certified to collect ABGs although if they want to get certified they can, by taking a test and doing a minimum of 5 ABGs in the presence of an RT to sign them off. Now I usually love love love the RTs at community X, but after this weekend, my patience has run dry. I had 3 patients this weekend with respiratory problems and 2 of them were on and off the bipap and needing multiple ABG samples. The patients needed it! The physicians ordered it! And the RTs gave me crap all weekend. One day because the MD ordered ABG today, the RT did not collect it until 10pm at night!
I am really sick of it. Now they all “do” their job in the end, but why do I have to be abused? Why do I have to call over and over “begging” them to do their job? Why do I have to be on the receiving end of negative attitude and nasty comments?
Why does the patient have to be “coding” or near it for the RTs to take this stuff seriously? And even then I still try to work as a team and when the results are back they do not even want to know about it! I understand that they short staffed and have lots of patients and they have to prioritize but HELLO! My patient in early resp distress with abdominal use for breathing and cyanotic nail beds that can not even talk is more important than the neb treatment to the chf patient that probably does not need it on the other end of the hallway is not more important than the ABG my patient needs now to determine how bad off it is.
I even offered to call the House MD to obtain my samples for them but of course the offer was declined. Maybe I will work on getting certified so my patients do not have to WAIT.
I guess I am just going to have to be the bitch nurse in order to get what I need done for my patients, and I never intended to be. That is what it comes down to.