I work on a specialty med surg floor and I've only been a nurse for six months. For some reason I've been getting a few psych patients each shift for the past month. Some of these patients are fine. Most have always been a handful. I think God is trying to test me :/
The other day I had a situation. The patient I had was talking about how she used to be successful and didn't like the way her life was going for a long time while I was giving her care. Ok, that's fine to confide. Yet, she'd sprinkle in rude commentary, was EXTREMELY nit picky, and would talk trash about the other nurses she had before me throughout all our interactions and she was extremely hot and cold. I killed her with kindness at first.
Then it got to a point where she was extremely rude, telling me how to do my job after I repeated over and over again why I needed to do what I was doing for her. I got fed up and I just blatantly, but professionally said to the patient, "You are being very rude. I am being nothing but nice to you and trying to help you. You don't need to be rude." Of course, she goes on to say, "You're being rude." Yet, her tone was different and not as brash. I said "How?" She said "I called for you three times this morning and you didn't answer me."
I chose not to explain myself because earlier in the day I already told her that I have 5 other patients to tend to and not just her. So I just asked her, "Would you like another nurse?" No response. She continues to rant and rave and then says she hasn't gotten any sleep. I tell her "I'm trying to take care of you and when I'm done doing the things I need to do for your well being, I'll do our best to let you sleep." She voices a few more petty complaints and I ask her again if she'd like another nurse. Again, no response and stays quiet.
Later on, I learn that the patient told a few of my colleagues that she thought I was 'too professional' and that I needed to loosen up. If a patient can talk behind my back and not to my face, its on them. You have an issue, be man or woman enough to tell me to my face WITH respect. I didn't like being treated that way and I literally saw myself going into that room and beating/choking the patient, so I switched the patient with a colleague.
I laugh now at it because looking back at the interactions and the patient's history, she had a SLEW of issues and it had nothing to do with me. I'm learning as the days go on
Otherwise, I love my job and the rest of it is gravy. Experiences like this one will help me handle the next prick that much better.