Intimidated Nurse, Informed Patient, and WebMD - page 2
by rnccf2007 | 3,677 Views | 18 Comments
Just writing to see if anyone else has experienced anything like I did the other night. Had a patient admitted from the ED. Fifteen family members (I kid you not), followed her to our floor and went directly to her room. There... Read More
- 5Aug 17, '11 by NightOwl0624Sometimes it's really hard to get a situation like that under control. I'm not good at it, either. That's where teamwork comes in... there's usually someone on the floor that has no trouble getting people to do what they need to do. I have no problem utilizing these people (charge nurse, house manager, really assertive co-worker, whatever) as I continue to develop these skills.
Don't be too hard on yourself - think about what you should have done better, and move on.
- 5Aug 17, '11 by rnccf2007Yes, but I guess I left out the fact that the patient condoned this, because after we asked the family to leave twice, the patient stated she wanted them to stay. My interpersonal dynamics with the family? I think that I was dealing with some very F'd up people with equally F'd up family dynamics and handled it as best as I could. I now realize that I left a lot out of this post, because I tend to be very wordy, wanted to hear some other experiences, and was trying to get to the point. Apparently, I did this ineffectively. Patient (a & 0 x 3 and ACS) also condoned their behavior by insinuating that I had incorrectly impute her meds on the med rec (actually med rec done in ED), and that I also told her that she was taking a med that she never heard of (gave both trade and generic names). And this is after I went through the med rec with entire family. Fortunately, family had brought all of her script bottles with them. Went through med rec on computer again (one by one, script bottle by script bottle)...guess what, no error. Also, I have been around long enough in life to realize when someone is basking in attention. The next morning, the patient apologized to me for her family's behavior. Told her it was no problem, "they just care about you." That did not stop her from calling her family an hour later on the next shift and saying that she was poisoned because her nurse gave her the wrong antibiotic. Another sad play for attention. Well, from my understanding, only 8 of the family showed up and caused a big disturbance. Security was called and visitors were limited to 1 at a time, excluding those who had caused the disturbance. So...to make a long story short (LOL), I did the best I could and gave this patient the same care that I give to all of my patients, despite the fact that my patience was definitely tried. Peace Out.
- 0Aug 17, '11 by JeneraterRNHere's my annoying situation with WebMD:
What a crappy situation that they put you into! This desperate ploy for attention has to be incredibly annoying. Good luck in the future.Last edit by JeneraterRN on Aug 17, '11 : Reason: Forgot something
- 1Aug 18, '11 by ~*Stargazer*~Ah, yes, a "Basker".
Sometimes, when I feel sorry for a patient because of the crappy behavior of their offspring, I have to catch myself and remember that they learned it from somewhere....
Even if the patient is condoning or requesting that 15 zillion family members be present, you still need to take control of the room and set limits. My facility doesn't have a hard and fast rule about the number of visitors either, but I have no problem implementing a two at a time policy if the situation warrants.
- 2Aug 18, '11 by sameyjaneyAre you sure this wasn't my family?? If I had a dime for every time my aunt told me, "Well I looked it up online and I know I have (insert: bizarre uncommon diagnosis), so I am going to treat myself with (insert: random homeopathic therapies that "anyone" can do at home).
- 1Aug 18, '11 by Thomas RNi agree with one nurse that says that the "intimidated nurse" needs to have established control over the situation and gone from there. the first thing i would have done in that situation would have been to call the nursing or "house supervisor" that person should be experienced in dealing with most situations. first of all get the attention of someone that appears to be giving the most direction. which of you signed the admission forms for your mother or who assisted your mother in helping her during the admitting paperwork. which of the family members will most directly involved in her care while she is here? who will be speaking for your family as a whole? by now there is always one person that seems to be doing all of the talking. ask that person to step outside the room. be calm but firm; "the number of people in your mother's room is keeping us from doing what we must do for her. this is an unsafe situation. we need to move around the room quickly and do some very critical things that are necessary to save her life. i am sure that you understand how a distraction could result in something being omitted. until the room is cleared out we can do nothing more . get the nursing 'supervisor involved immediately.
- 1Aug 18, '11 by netglowQuote from ~*Stargazer*~Sometimes, when I feel sorry for a patient because of the crappy behavior of their offspring, I have to catch myself and remember that they learned it from somewhere....
OMG this! I used to feel sorry too for especially elderly patients with rude and irritating adult children. But on one specific occasion it did dawn on me clear as a bell that many times they did learn it from that tricky, gaming, selfish little old lady or man in the bed. Since then, I don't look at the elderly patients as "angels" like I used to. Some are quite horrible and more than have all their faculties in place and are masters of their "art" turning it on or off depending on who is in the room. They just are now old, and horrible and have probably been horrible all their lives. Man can they get away with stuff now that they are old and society puts that "angel" label on them at first sight. YIKES.
Big lesson for me. Now I expect the elderly to behave just as anybody else. Sans any pathology that might be just cause for poor behavior.