venue: surgical step down unit (staffed with all RNs)
On a particular day the unit was short staffed and a technician from the emergency room was called to assist with care. The technician was assigned to assist an RN with her heavy assignment. The RN delegated a patients hourly output measurement to the technician and asked him to inform her if the urine output dropped below 50ml an hr. After 4hrs of no communication the RN asked the technician if there were any problems.
He replied “ her hourly output is fine but there is a great deal of blood in the bag”. The RN became angry with technician b’cos he had not told her about the blood. When she questioned his failure to report the blood he said
“ you said to let you know if her output dropped below 50ml an hr, you didn’t say anything about looking for blood, I assumed that you knew that there was blood in her urine”.
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