I had this issue the other day with the adult daughter of my elderly stroke pt. She was so passive aggressive , annoying, rude and over bearing.
She wanted me to call a code stroke overhead when he mother couldn't get a burp out after lunch. I fixed the burp situation, if u will, but she criticized me and oh so helpfully web MD educated me every moment I was in there. I am putting both shifts mildly cuz I feel a stroke coming on myself just thinking about it.
So im from Nj but now work in tx. What I would say if I was back home would not fly. Some of these old southern belles dont like the taste of their own dish when i serve it back to them, if u will.
Also passive aggressive ppl are my nemesis. I consider myself assertive most of the time.
Master the art of answering annoying people as you are heading and walking out the door and then proceed to close it for " privacy". Don't be mean. Gets you nowhere.
Don't ever say you had something along the lines of more important/ priority. She came right back at me and said " oh that's odd I didn't hear them call a code blue in this hall" GRRRR WTH. lol
I say something along the lines of " oh wow sorry that took a bit I just had 3 fires In a row I just put out! Ha-ha, how can I help you now?"
If that doesn't work and they are belittling me or rude, I call em out.
" the way you're speaking to me is unacceptable . It may look like I'm wearing pajamas to work, but I am your registered nurse and expect to be treated and spoken to like the well educated professional that I am, with the same respect I give you. so that said ,would u like to try saying that again?"
They are usually flustered and realize I won't be taken for a fool. If the problem doesn't resolve, tell your charge and or manager, document!!!! And request a different assignment next shift. My director said it is professional to acknowledge and accept when their is simply no therapeutic nurse pt relationship and the care if suffering, either that patient or your others. Some pts are rough but respond better to someone else. Sometimes it really isn't you it's them.
I hate to say it , but I handle my patients the way I envision dealing with my future children. I am firm but funny, always thinking of their safety and my time, tell them why matter of factly when they ask and always throw a splash of guilt and fear in the mix if my not so subtle joke failed to send my message.
Example ) post cabg pt refuses / ' forgets" to practice his incentive spirometer.
"Sir! No one told me what a rebellious soul u are. Why have I not seen you practice your breathing? I know it hurts but we can work through the pain easier than pneumonia.....you don't really want me to have to tell your surgeon you haven't been following his treatment plan, right? * insert comical pouty face and then quick smile and put it in their hands*
Bottom line is that humans are blessed and flawed by being autonomous . if they aren't following the plan let the DR know to see if there is an alternative instead but it isn't your job to keep someone's bipap on for 12 he's straight. You have stuff to do for people who enjoy getting well :-)
Kill em with kidness then wall away baby.