Conversation between myself and Obsessive, Micromanaging Charge Nurse:
Her, with a distressed look on her face: “What rhythm has your patient in 35 been in?”
Me: “Sinus, sometimes tachy…..oh crap why, did she go into AFib?”
Her: “Well, I don’t know…this strip is just…..”
Me, looking at EKG strip: “Yup, she has lots of PACs and PVCs, with sinus arrhythmia underlying.”
Her: *blank stare* “This can’t be sinus. It’s too irregular.”
Me: *blank stare* “ Well yeah….it’s sinus because there’s p waves with every beat except the ectopy…its just irregular. This is how she’s been. BPs been stable.”
Her: *blank stare* This isn’t right. You need to make the NP aware immediately.“
Me, to NP, who is aware of and constantly annoyed by Obsessive Micromanaging Charge Nurses’s obsessive micromanaging:
“She wanted me to show you this.”
Me: “Because it’s not regular….”
NP: “It’s just sinus arrhythmia. It’s fine.”
Me, to Obsessive Micromanaging Charge Nurse: “NP says it’s fine.”
Her: Well…..you’re going to have to document that strip. I’m not comfortable with it. I’m not putting MY name on it.”
Next day. Obsessive Micromanaging Charge Nurse is assigned the patient in question and asks another senior nurse his thoughts on the EKG strip.
“I don’t understand what you’re confused about. It’s just sinus arrhythmia.”
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