Huge Problem IRL

So I was at work the other night. Jan 3, I was one of the INT-In the ER. Well this night unlike any other happened to be a slow night maybe only 20-40 patients in the ER, I was sitting at the front desk on the PC searching Sythe like any other night, when a homeless women walks into the ER screaming of sharp pains in her abdomen. From there I went on to bring the women into the ER's Triage rooms where I called for a General Surgeron Consult, which this was in the middle of the night so I was going to have to wait about 2 hours for the OCP to get to the ER.
Wile doing my Triage paper work, I asked the women had she had any sexual intercourse in the last 5-10 weeks. She replied to me "not that I know of" therefore i went onto the next question. From there I went on to taking her BP and everything else that is required on a Triage Transcript. I then went on to checking the women abdomen where I saw the purple discoloration to the left and right of her lower rib cage, which made me call down for a CT of the ladies pancreas. Suddenly the women began to bottom out her BP dropped 80/50 Diastolic. She plunged into cardiac arrest. Me being a Student I went on to push the (Code Purple) to call all standby Doctors and Nurses to the ER's, by the time they all got there I had been doing CPR for about 30 second's. Keep in mind im Unauthorized to give patients any medicines I can only perform CPR and Triage. Therefore when the women went into cardiac arrest my only option was to watch her slowly die, or start and continue CPR, when the Doctors finally arrived the women was near death, the OCP walked in the room droopy as if nothing was going on and yelled at me, Get out !!! I then said sir I believe you need to push 23 of Epi. (My first Mistake) . He replied have you been through medical school. I said "no sir" he yelled again get out !! I then yelled back at my Attending Physician OMG Continue CPR, when we both turned our heads back to the patient we were covered in blood that had shot out from the Women Vaginal Area, by this time there was nothing we could do for the women she was gone, from there I stood in awed. I believe I did all I could do but I should have done more.

Now my question:

I was relieved that night and told to go home and not come back until further notice. Today I was called back to the Hospital to find I had been written up for:

Failure to Triage as Trained to Do So - The women was pregnant. My attending said I was rushing and did not see that the women's stomach was pouched. (He wasn't even there and did not answer my page) 30 Day suspension

Failure to Obey Resident: He said I screamed at his Nurses and failed to leave the Room and it hindered his work which is why the women faded away.

Failure to Obey Proper Protocol- I failed to page my Attending as soon as the women entered the ER. ( Where the hell was the on call Physician)

Failure to Report ER (Possible Surgical Patients) Minor TTL

Failure to Abide by M Code (11343) Alert all Attending staff of CT

Failure to Abide by M Code (11232) Failure to notify Attending of Proper Triage Call

Failure to Abide by M Code (23989) Wait for consult before finishing Triage. Or calling for any Medical staging ( When I called for a CT) I really believed it was in the women best interest.

Well anyways with all of that I received a 30 day suspension and they suspended my Triage License.

I am going to appeal these decisions to the board because I feel that I did everything by the book and everything in my power to help the women, can anyone see where and if I went wrong anywhere ?

The hard part is not to receive my Triage License again I have to do another 90- days of Basically sucking my Attending Dick and holding his pocked to be certified again. + 44 More hours of training.

 

Maybe you should stop browsing Sythe in a hospital and actually do your damn work. If I knew a doctor was browsing a gaming internet forum while on duty at a hospital I'd send in a complaint...

 

Im not a MD im a Student and there were Nurses doing there jobs its just what we do. And thats way besides the point.

 

Huh, am i missing something here :x? He didn't ask for that lol. He asked what would be wise to do in his situation.

OT: If you are 100% confident that you were doing the right things, then you should go for an appeal. It's kind of a complicated problem you have :/. Can't really give you anymore advice.

If I were in your shoes, i wouldn't be able to handle it. Taking that kind of responsibility is not my thing lol(working at ER & threating patients).

 

You could argue that you were in the right. But the fact you didn't leave the room as soon as he told you to do so will probably be enough. Someone qualified who knew what they were doing was going to save someones life and instead they had to tell you to get out, more than once.

 

Well I figured as soon as he entered the room as all the other attending do, whenever they see someones BP plumitting they usually all do they same thing push EPI, in which he failed to do. So I said it, it seemed like I was trying to save the patient more than that drunkard idiot. Even the ER nurses seemed to have selective amnesia.

 

you answered your own question sort of

You are not a MD, just a student.

If told to get out, you get out without trying to 1up the doctor infront of his staff/peers. If he had fucked up without you telling him what to do or yelling for someone to do the CPR; it would have been on him to answer, now you are the scapegoat, wether you like it or not.

 

Well we are also told if action is needed on behalf of the patient best interest to save there life under (M Code 67567) go based on learned actions. Only if the patient is unresponsive. If i argued that then it would have given me the right to proceed in giving the women epi or overriding the OCP authority because he didn't respond to my page but yet he responded to the CODE Purple. I guess what i am trying to ask is am i am totally wrong or and I partially wrong.

 

You are in the wrong here, don't even try to appeal it, why?
He told you to get out of the room, you didn't, that is enough for him to win the case, and you are just a student ( I'm guessing you are lying and you are 13 years old anyway ), and he is a doctor, i wouldn't even appeal if i was in your shoes, waste of time.

 

This.

Don't bother appealing. You weren't going by the book because clearly you didn't listen when told what you needed to do. So yes you were at fault and the 30 day suspension, I think, is the least amount you could of gotten. Because you could have been suspeneded indefinitely.

So be glad you only got 30 day suspension.

 

Well considering you thinking im lying has nothing to do with the topic id say you didnt read the argument.

Ok maybe you guys didn't actually read the whole argument. Im not appealing that I was not in the wrong Im appealing about the OCP attitude whenever he walked in the room, he had aggression toward me as soon as he walked in as if by paging him I was in some way annoying him. Take some time and look at all of the things I was written up for, is actually all of that warranted or can you see a bit of hate in it. I do know that disregarding my superior in a time of trauma is grounds for termination but I never said I was not in the wrong for that. I actually signed my write up for that but I refused to sigh the others.

 

Consider this whos going to believe you over him. You, who made such a huge mistake and are going to blame his "attitude"? or him the guy whos a actualy trained and when to med school? I read the whole thing, and you just said you were appealing this decision because you think you did everything by the book, not because this guy showed constant aggression towards you. He was aggressive because you were doing something you shouldn't have been and if he allowed you to continue then he would have been written up. Think about it, a mistake was made, you honestly think he's going to get blamed for this?

 

I read everything Nerfed, and your arguments won't stand if you appeal, you made a mistake not listening to a superior, he was trained to do so and you weren't, I read everything and it mostly doesn't make sense that you even freaking go on Sythe from Medical, bad mistake on your side, be glad its only 30 days.

 

Well I actually go before the board on the 8th so ill see where it goes from there. Actually I really was just looking for other people opinions and you never know there is always really good advise coming from sythe which is really why I posted it here, i am a member here which is why I brought my problems here, now if you have a problem with that take it up with the support mod, but anyways thanks for the feedback, and of course I have already consulted with my IRL friends about this and other like my parents but you never know thats people who are close to me sythe is worldwide.... keep that in mind.

 

Your time as a student is to essentially learn, and how do you learn without mistakes? Your suspension is probably just a learning curve, revise what you've done and then never make that mistake again.

If you feel you did everything by the book, you've nothing to lose by appealing it.

 

I spoke to my Attending a few hours ago he said he is not mad at the fact that I spoke up, he said he was sort of upset at my tone infront of his Residents, he also said he will speak in myfavor at the board meeting but my write ups stand firm.

 

It was good of you to talk to him about what happened. Having him on your side at the board meeting should definitely improve your chances of putting all of this behind you and moving on. I would definitely admit to the mistake in this situation though, because if you still stand by that you did everything by the book, I don't think it would go over well. He did say the write up stands firm.

 

Update- Well im on suspension now. The board decided not to suspend my license so thats a ++ thanks for all the feedback guys. Ill be back to work in 22 days.

 

This is it for me, you wouldn't be in as much trouble if you'd obeyed the doctor who walked in, now, because you didn't, you are a scapegoat.

 

If you did everything by the book then yes, i think you're right.. The fact is you tried to save this womans life.. There's nothing better than that. I'd appeal.