Tommy's nurse woke me up for help because they had tried to get a blood pressure on him (which he hates) and he got upset. Since he had just woken up, he had thick secretions and then he was coughing and upset on top of that. His pulse ox is blaring like crazy. She tried to suction but she couldn't get him clear. I got up to help and told her that we could do a breathing treatment and it would help calm him down. She said yes, it was time and they had paged respiratory, but there was no Xopenex on the floor.
Finally, the RT gets there. I looked at Tommy's pulse ox and its blaring, but well within his limits, so I said "why is is pulse ox going off?", The RT mouths off sarcastically. "Beeecause his oxygen is low?" WTH? Then she suctions him and I can hear he has a clear airway. His sats are great for him and she grabs an ambu and starts bagging him, Hard! Tommy is turning purple and I ask her why is she bagging him??? She ignores me and starts the neb. After 5 minutes, she yanks it off and hooks his O2 tubing back up and leaves! Xopenex nebs take a good 10-15 minutes!
Tommy starts desatting like crazy after that. He is obviously distressed. I suction once and check his O2. It is set at 30% and he is supposed to be 35%--higher if he's distressed. That crazy RT HURT my child!
As soon as I found out what she'd done to his O2, I called his nurse to the room and told her to find out who she is, report her to her boss and to NEVER let her near my child again! I told his nurse that the RT doesn't know who she's messing with. As long as my child is a patient in that hospital, the nurses, doctors, techs, and yes the RT's work for me. And I will fire you. End of story!
His nurse is in the process of writing up a report right now. She just pointed out to me that the RT never introduced herself to either of us. Word spreads fast around this place. Tommy is a special case and has lots and lots of regular caregivers here that will not tolerate their little guy being hurt. Let her try to get past me in Tommy's door way. It will make the national news.