There have been times patients that have their PCA pump DC'd that 2-3 hours later they are pissed that they cannot get more pain meds and I have had them just go off on me for not being able to give them the type or amount of meds they want and they fire me. In the last 2 years that type of situation has happened 3-5 times to me.
Also one thing I have tried hard to be mindful of is that patients have said I am "all business" so I have made concerted effort to slow down, make eye contact and listen, on other occasions (that I have now corrected) I steadfast on teaching information when Pt wasn't ready. These are issues I have successfully addressed.
This recent dismissal was from a 17 YO Pt that in report I was told that she was a real *****, so I have to say I was nervous. I was also told that she was arguing and bickering with her mother and "stay the night boyfriend" all night.
We went into the Pt room for introduction, I asked if I could get anything for anyone ... all "no". An hour later I entered with morning meds one of which was lovenox shot for tummy, Pt started whimpering, they crying "no, no, no," I was ready to chart "Pt refused" and mom stood up came to bedside for daughter and said "you have to have it." Mom proceeded to to console Pt,
I pulled up gown, warned about cold alcohol wipe, the warned about pinch, then warned "small stick." Pt continued to whimper and cry thru process as mother comforted.
I asked as always if I could get them anything, mom said no. I left the room reminding them to use their call light if I can help.
The next trip I made in the room was an hour later. Pt per doctor order was a Q2 turn. The PSA and I went in to log roll and pillow support the Pts hip, Pt began whimpering and crying no no no again. Mother questioned why this had to be done, I explained that the doctor want to prevent blood pooling, pressure sores etc. Mother agreed we rolled the Pt.
An hour later my charge RN came and told me not to go back into the room that the mother said I wasn't caring enough and that they wanted a new nurse. This always devastates me. Because this impacts my coworkers, my charge RN, and messes with my head because I am constantly rethinking every move, word, and gesture I have made while caring for the Pt.
This was all on Wednesday, by Friday I was called into my bosses office. She decided to formally write me up. She had spoke to the Pts mom and apparently when I gave the lovenox shot I wasn't caring enough and that's why they wanted a new RN. As I saw it mom was consoling the daughter, as I have also done as a mom. The RN would give the shot, I console, they leave.
My boss also filed something with HR (I will ask more on next shift), and is now sending me to a care and compliance class. I asked what I could have done differently as I explained the lovenox procedure and she had no advise and added she may not have done any different.
I have gone from deeply sad (diff not to cry for rest of shift, cried all the way home) to angry! Why write me up when I actually did nothing
WRONG vs should have done ... whatever. If on edgecant give a corrective measure should it be written up. I get that this is happening too much for me, that I need/want more insight to handle this stuff better . . . but write it up? Confused? Making me physically sick, and on edge as I approach my next shift.