Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,793 members! Join today to network with other nurses, laugh, share, and much more.
| Advertisement Sponsored Links | | | | No. 21 |
Nov 05, 2009, 05:47 PM
Re: How to deal with those family members who are "nurses"?
stressed or not, some people just like to boss others around. It is hard to draw the line between customer service and dealing with people who actually make your work more difficult. I think you did well and in no way do you need to apologize for not being in the room 100% of time or giving him 1:1 care.
This family reminded me of the grandma who insisted I give baby IV Tylenol so as not to wake him up again (first time being when CNA took temp and it was 103). I know she was concerned, and I had to spend precious time with her that could have been more productive elsewhere. ARGGGGGGGGGGGGG
| | No. 22 |
Nov 05, 2009, 05:51 PM
Re: How to deal with those family members who are "nurses"?
Anybody could wear scrubs. I'm not sure that is a criteria.
I also loved something someone else said that true nurses are always
relunctant to admit so- I've found a few who were not so eager. Probably think it gives them away | | No. 23 |
Nov 05, 2009, 08:49 PM
Re: How to deal with those family members who are "nurses"? Originally Posted by mamamerlee We just had a big discussion thread on this same topic. It's really not a matter of the family member's background - it's usually a matter of loss of control. If there are actual visiting hours, you can ask security to enforce them when they get difficult.
I always tell the staff that I am a nurse; my family member has probably already told them. My nursing knowledge has literally saved the lives of two of my family. When my then-fiance' was getting Levaquin and kept getting red all over, I begged them to stop giving it to him. They wouldn't listen, and the next time he got it, his BP dropped - and I turned off the drip and demanded a doctor. They stopped the med.
When my dad was desatting, and SOB, I noticed that he had only 10cc - TENcc's of urine output in 20 hours. I loudly demanded a doc immediately - and a few hrs later he was back on a respirator and the balloon pump.
He hadn't been able to cough up a huge mucus plug, and went into near-total organ failure.
There are other stories I could tell you - too many, unfortunately - and it makes me so sad that I feel I have to be so watchful for my loved ones.
When I was just recently in the ER for my own issues, I overheard a nurse giving blatantly wrong information to a patient in order to get her to agree to a test. I piped up with a question. I saw a nurse recap a needle in the air - no one-handed scoop kind of thing. I should have called for a supe, but I was too tired to intervene.
I hope I have been a better nurse than the examples I have given here. The ER things were in the past 3 months, by the way. I'll give you the benefit of the doubt and allow as how you were under stress when your loved ones were in the hospital -- but it's not up to you to intervene between a patient who is a stranger to you and the patient's nurse. In fact -- and I'm sure you already know this -- it's a HIPAA violation. As for the needle recapping incident, grow up and get over yourself. You don't have to be so watchful for "your loved ones." Sounds as if you simply like being in control. | | No. 25 |
Nov 05, 2009, 11:27 PM
Re: How to deal with those family members who are "nurses"?
I usually dont tell people i am a nurse anyway but some of the nurses i have met have been nasty. not sure of thier motive, i try and do the best i can with my patients and give them the best care that i possibly can. The nurse who emptied out the canister was wrong in doing so. Baths and blankets ice chips are nice to provide for patients but i hate when like one of the posters said you are running to someone with tubing and iv bags they have to wait. thats why as nurses we had to take so many questions on nclex on prioritizing. My mother was in and out of the hospital with cancer for 6mos and i never thought that the nurses were doing a bad job i didnt badger them for the chart etc. i understand that this is thier family member and they love them but some people really do cross the line and its up to the nurse to set limits
| | No. 26 |
Nov 05, 2009, 11:36 PM
Re: How to deal with those family members who are "nurses"?
I remember when I was a patient in a far-away hospital, I sneaked and read my bedside chart. Inside it was a note that read "patient is a nurse". I had not told them, they had read in on my data sheet, I presume. I did not want them to know, but honestly they treated me with such respect and gave me wonderful care. They knew they didnt have to talk to me in lay-man' terms, they could tell me in medical terminology and I could understand it.
I now work homehealth and I had a patient whose "friend" was a retired nurse. she hadnt worked in years. But she found fault with everything I did. She went as far as to call my director to complain about me and request another nurse. Come to find out...the family had NO idea she had done this and was asking where I was. Honestly, I was glad to be out of that situation. I tried my darndest to include this friend in every precedure/teaching I did, but she just had to be the "better" and "smarter" nurse than I. When I worked in the hospital, I had family members do the same...claim to be a nurse when in actuality they were a nurse's aide....ticked me off. They tried to argue the most rediculous things because they didnt know (thought they did).
Its hard to deal with scrutinizing family members. BUT if you compliment them and include them in conversation and tell them how lucky the patient is to have them by their side, try to befriend them, offer them comfort, etc, they will usually come to like you and appreciate you. Most people just feel "lost" in the situation. I try to be a nurse to the family as well as the patient. I explain everything as I do it, I tell them why if Im asked, I explain meds if Im asked, etc. Then I tell them how its wonderful that they are interested and ask questions.
But with some, nothing you do is good enough but just remember..ALWAYS REMEMBER that you are intelligent and dont let anyone make you feel inferior. All nurses do things differently. If a family member is a nurse, she may do things differently, which does not mean her way or your way is wrong. I would definitely set limits when something they do is affecting your work, such as emptying the gastric container.
And FYI, I measured gastric contents the same way as you, especially if there was more than the large suction syringe would hold.
| | No. 27 |
Nov 05, 2009, 11:37 PM
Re: How to deal with those family members who are "nurses"?
I also usually don't admit I'm a nurse either. I don't like to make them nervous. But my husband who has medical problems always pipes up to tell everyone.
As far as the blanket. Why couldn't she have grabbed one since she seemed willing to do everything else? I've seen that nurses are busy and gone to get one myself.
| | No. 28 |
Nov 06, 2009, 02:39 AM
Updated
Nov 06, 2009 at 02:51 AM by nursel56
Re: How to deal with those family members who are "nurses"? Originally Posted by mamamerlee We just had a big discussion thread on this same topic. It's really not a matter of the family member's background - it's usually a matter of loss of control. If there are actual visiting hours, you can ask security to enforce them when they get difficult.
I always tell the staff that I am a nurse; my family member has probably already told them. My nursing knowledge has literally saved the lives of two of my family. When my then-fiance' was getting Levaquin and kept getting red all over, I begged them to stop giving it to him. They wouldn't listen, and the next time he got it, his BP dropped - and I turned off the drip and demanded a doctor. They stopped the med.
When my dad was desatting, and SOB, I noticed that he had only 10cc - TENcc's of urine output in 20 hours. I loudly demanded a doc immediately - and a few hrs later he was back on a respirator and the balloon pump.
He hadn't been able to cough up a huge mucus plug, and went into near-total organ failure.
There are other stories I could tell you - too many, unfortunately - and it makes me so sad that I feel I have to be so watchful for my loved ones. When I was just recently in the ER for my own issues, I overheard a nurse giving blatantly wrong information to a patient in order to get her to agree to a test. I piped up with a question. I saw a nurse recap a needle in the air - no one-handed scoop kind of thing. I should have called for a supe, but I was too tired to intervene.
I hope I have been a better nurse than the examples I have given here. The ER things were in the past 3 months, by the way.
We all know the ER doesn't permit much privacy, but you violated that privacy by acknowledging that you heard it and are aware of details of the conversation. | | No. 29 |
Nov 06, 2009, 03:19 AM
Re: How to deal with those family members who are "nurses"? Originally Posted by nurse2be09 Thank you so much for your reply! I didnt want to "rock the boat" by asking her where she worked, what school she went to, etc.
I understand her father was sick, but I wondered why she wasnt just in the "family member" role, considering if she was a nurse herself, she can see both sides of it. I understand all too well what's it's like to see a family member in the ICU, although you've see plenty of pts, it's nothing like seeing your own flesh and blood. So, I certainly understand her frustation. I think you'd have been justified in saying, "How about you? Where did you go to school, what's your degree, your experience?" In a gabby, non-threatening sort of way, of course. Just conversation.
But I just couldnt understand the "criticizing" of my care, although I'm a new nurse. I tried not to let it get to me, but it did upset me. If she is a nurse, she understands how it feels to be new, at one point in time. It doesn't matter, she's now the dtr of a patient. She's not in nurse mode. She was awfully rude to behave the way you described, dtr, nurse, whatever or not.
As far as suctioning goes, this pt was getting oral care q 4 hours. I guess I had an issue with her dumping the canister in the sink (we take the entire canister to the dirty utility room and replace it with a new one), then cleaning it out and writing a date on it. She was NOT at her job, she was a family member of a pt, so I think that kinda crossed the line, in my opinion. You should have told her what you told us, minus the line-crossing part. BTW, it's "graduate", not "gradual". Can't blame her for doing a little suctioning or mouth care - it keeps her busy and, if not contraindicated, what's the harm? But it sounds like she did mess up your residual measurement/replacement and she needs to know not to do that - no emptying the canister without asking you first. Explain why - nicely. I don't know how you guys can take families like this. I thank God I don't have to deal with this much at all. | | 240 members
2,106 guests 2,346 | 46 | | | 1 | | | 13 | | | 2 | | | 10 | | | 17 | | | 11 | | | 16 | | | 16 | | | 42 | | | 14 | | | 21 | | | 23 | | | 20 | | | 24 | | |
Nursing News