What is your biggest nursing pet peeve?? - page 53

Nurses that are brilliant but do not know the difference between contraindication and contradiction!!!!!!!:rotfl: :rotfl:... Read More

  1. by   RN1982
    My biggest pet peeve is when family members come in from out of state and just assume that because the hospital is in Detroit and is a teaching hospital, it is dirty and unable to provide excellent care which is what I dealt with this morning. Family member asked me if the docs would be rounding. I said "they will be rounding shortly, your relative has two teams of doctors caring for her, her primary team and the ICU team"....She asks "So this is a teaching hospital?"...with quite an annoyed look on her face..Me "Yes, it is as is many other hospitals in the area." Then she looks at the garbage can which is not full and says "So is someone coming to clean the room?"....Me thinking "No we like the garbage full and overflowing."

    I love where I work even if it is in Detroit. It's one of the best hospitals in Michigan.
  2. by   mykrosphere
    nurses who need to have vitals or blood sugars in order to give a med and follow around the overloaded nursing assistant asking what the pts BP or sugar was when they could just take it themselves, especially when the pt has a beside monitor!?!?!
    ***

    im an rn now, but i used to be a nursing assistant, and can appreciate all the crap they do.
    i hate when a nurse forgets/forgoes the basic nursing skills-like helping someone to the bathroom or even taking a blood pressure
    i mean come on!

    im also not fond of people who think i am incompetent because i look young or look young because i am short.
    i know youre 500 pounds, but that doesnt mean i cant give you a boost in bed.
    that sounded weird.

    i also am not fond of nurses who interject on my patient care, because i am new (at the job, not to nursing).
    i think a nurse should do everything she possibly can for the patient, within his/her scope of practice, before calling the doctor about something stupid.
    theres usually a cause and effect.
    im not going to freak out because a patient has a blood pressure 90 systolic.
    i used to work in dialysis.
    thats a GREAT blood pressure!!!

    i also hate all the gossiping among staff.
    i dont care if you dont like someone, and i dont care if you dont like me.
    i dont really care to hear about it either because more than likely, youre also talking sh*t about me also.
    whichever, youre going to not act like that to someones face.
    duplicity at its finest.

  3. by   rnlately
    Quote from mykrosphere
    nurses who need to have vitals or blood sugars in order to give a med and follow around the overloaded nursing assistant asking what the pts bp or sugar was when they could just take it themselves, especially when the pt has a beside monitor!?!?!
    ***

    im an rn now, but i used to be a nursing assistant, and can appreciate all the crap they do.
    i hate when a nurse forgets/forgoes the basic nursing skills-like helping someone to the bathroom or even taking a blood pressure
    i mean come on!

    im also not fond of people who think i am incompetent because i look young or look young because i am short.
    i know youre 500 pounds, but that doesnt mean i cant give you a boost in bed.
    that sounded weird.

    i also am not fond of nurses who interject on my patient care, because i am new (at the job, not to nursing).
    i think a nurse should do everything she possibly can for the patient, within his/her scope of practice, before calling the doctor about something stupid.
    theres usually a cause and effect.
    im not going to freak out because a patient has a blood pressure 90 systolic.
    i used to work in dialysis.
    thats a great blood pressure!!!

    i also hate all the gossiping among staff.
    i dont care if you dont like someone, and i dont care if you dont like me.
    i dont really care to hear about it either because more than likely, youre also talking sh*t about me also.
    whichever, youre going to not act like that to someones face.
    duplicity at its finest.


    when i first became a nurse there was always one that would go check on my residents or walk on my heels when i'd go check in with my residents after receiving report. go check on your own residents why don't you!!! i might have been new but i wasn't an idiot.
  4. by   Atheos
    Quote from happthearts
    To CNA to keep the RN off your back follow this.
    CNA You are your nurses eyes. If you want to be a good CNA take notes of changes on your PT's and hand them to your RN. Be organized like when you get on shift. Toilet your PT's, pass water, get linen cart stocked lay out clothes for Pt who can dress them selves. Set Pt's up in front of sink with wash rag and tooth paste on there bush Its amazing how may dementia pt's can do self care if you set them up. Then do your showers.
    Do this and your days half over. Just making rounds (toileting ,making beds) and answering call lights. If you would toilet your Pt's you will not have the mess most aides have when they goof off.

    My pet peeve is when doctors/nurses/families/administration expects you to do this with all 16 of your patients without leaving them before breakfast at 7 am.

    When your shift starts at 6am and night shift DOESN'T get anyone up...

    And no, I WILL NOT allow someone to brush their teeth while on the toilet having a bm. Ugh...
  5. by   eriksoln
    I cant stand people who promote shift to shift or dept. to dept. fighting. Its so rampant in hospitals. This unit thinks that of this unit, nights hates days, days hates nights, evenings hates both, radiology hates everyone.

    If you listen to some people, the only unit that does things right, EVER, is theirs. And their shift is the strongest on that unit, all the others are morons and bastards. ***, may as well shut down the whole hospital except your unit, and only be open when you can work.
    Last edit by eriksoln on Jan 30, '09
  6. by   rn2bn07
    My pet peeves are when nurses come in the morning, have their coffee and doughnuts and talk about their family for about 20 minutes while I am sitting there watching, tired and exhausted, wondering why do I bother to come in 30 minutes early every time I work? #2. When visitors come in the unit as soon as you start your assessment and ask if I can change the sheets on the pt's bed or check to see if they had a bowel movement, wow, can I check to see if my pt is breathing okay first? #3. Male pt's can be the biggest pest, scared to take pills, whining when getting cleaned up and turned, just my opinion from experience. lol #4. last but not least, when you only have 30 minutes left before your shift ends and your geting prepared to go home and give report, the resident writes two pages of orders STAT and looks at you and says "I'm sorry, I forgot to order this earlier". uuugghhhh
  7. by   eriksoln
    Quote from segalpn
    When I first became a nurse there was always one that would go check on my residents or walk on my heels when I'd go check in with my residents after receiving report. Go check on your own residents why don't you!!! I might have been new but I wasn't an idiot.
    Had one of these as a new nurse. She'd follow me around in the morning while I was trying to get report:

    "I think that pressure ulcer was 3 cm, not 4."
    "I wouldnt have held that med. just because they are going to dialysis (A BP MED!!!!!)
    "Pt. (insert name of frequent flyer pt) wanted to be in bed and you told them they had to stay up to eat. Why not just tell them they cant eat?"

    These are all real examples of her..........ahem, cough, gag,......suggestions that couldnt wait.

    As I became more experienced and got to know people, I found out she was the end all worst nurse ever. Secretary pointed out to me (cause we became friends and she didnt want me getting stung when I took over for that nurse) that she didnt even read her orders, just signed them off so when the person taking over for her came in she could say her work was done. Consults, new labs, diet changes, medication D/Cs.........all missed because she'd sign them off before the secretary even knew they were there.
  8. by   Penelope_Pitstop
    ]Nurses who...
    ]
    ]~ appear to have forgotten how to take vital signs, change linens or walk a patient to the bathroom because "that's a tech's job." (Meanwhile, said tech is turning said nurse's other patients and providing incontinence care, and hasn't even had time to pee all shift).
    ]
    ]~ develop a terrible case of amnesia when it comes to remembering how to answer phones, put doctor's orders into the computer or stamp up a new flowsheet when the unit clerk is busy and sadly doesn't have the ability to be in multiple places at once. (Shame on her!)
    ]
    ]~ refuse to understand how the hospital works. "We're out of Foleys so I couldn't cath her!" (Whilst awaiting the magical stocking gnomes instead of ordering something from storeroom or asking nurses from another floor) or "What do you mean, I have to notify the respiratory therapist that I have a new patient on oxygen? Shouldn't respiratory know that already?" (No, their magic isn't as powerful as the aforementioned gnomes). I've been the new kid in town myself, but eventually these things are learned, unless one doesn't want to learn them.
    ]
    ]~ look down upon me because I am a lowly MedSurg nurse. I have finally acknowledged your holiness, Madam/Mister Specialty Nurse. Should I kiss your feet today or just your butt? And please let me know how you feel after a 12 hour shift with seven patients. Thanks, O Worshiped One. (For the record, I know I don't have the skills to be a Critical Care nurse, for example. I'd not make it in the ICU for twelve hours. But that's not because ICU nurses are better than I am).
    ]
    ]~ ]don't speak Spanish and therefore treat Spanish speaking patients as extra terrestrials incapable of nonverbal communication. I don't speak much Spanish at all, and I speak no Russian yet I've successfully communicated basic concepts without saying a word to Spanish speaking and Russian speaking patients. (And, while we're on the subject, learn to use the freaking language line! Stop acting like you can't care for your patients because of a language barrier!)
    ]
    ]~ as charge, don't assign a tech to the district that includes a preceptor and her orientee. If we aren't taught how to delegate, we'll never be able to do it effectively.
    ]
    ]~ as preceptors, treat you as their slave for the shift and occasionally whore you out to other nurses to perform tasks "for practice." (Even if you're not a new grad and have inserted Foleys countless times already. I think observing once or twice is enough.)
    ]
    ]~ don't perform an initial assessment that is head-to-toe. (I received a patient yesterday, admitted with non-healing leg wound and my report from the express admission unit claimed the patient's skin was warm dry and intact when it was open, infected and weeping).
    ]
    ]~are so quick to rat out a coworker for anything and everything as long as that coworker is not her friend. ("Louisa was wearing socks of two different prints yesterday, and the employee handbook clearly states that breaks uniform protocol. Also, she took 31 minutes at lunch instead of 30 two days ago.")
    ]
    ]~ try to flirt with all of the cute doctors even though they (the nurses) are married. Those single hotties are MINE, matrons!
    ]
    ]I'm kidding on the last one. At least that's what I'm telling y'all.
    ]
    ]*~Jess~*
  9. by   eriksoln
    Quote from BlueHenRN
    ]Nurses who...

    ]~ appear to have forgotten how to take vital signs, change linens or walk a patient to the bathroom because "that's a tech's job." (Meanwhile, said tech is turning said nurse's other patients and providing incontinence care, and hasn't even had time to pee all shift).

    ]~ develop a terrible case of amnesia when it comes to remembering how to answer phones, put doctor's orders into the computer or stamp up a new flowsheet when the unit clerk is busy and sadly doesn't have the ability to be in multiple places at once. (Shame on her!)

    ]~ refuse to understand how the hospital works. "We're out of Foleys so I couldn't cath her!" (Whilst awaiting the magical stocking gnomes instead of ordering something from storeroom or asking nurses from another floor) or "What do you mean, I have to notify the respiratory therapist that I have a new patient on oxygen? Shouldn't respiratory know that already?" (No, their magic isn't as powerful as the aforementioned gnomes). I've been the new kid in town myself, but eventually these things are learned, unless one doesn't want to learn them.

    ]~ look down upon me because I am a lowly MedSurg nurse. I have finally acknowledged your holiness, Madam/Mister Specialty Nurse. Should I kiss your feet today or just your butt? And please let me know how you feel after a 12 hour shift with seven patients. Thanks, O Worshiped One. (For the record, I know I don't have the skills to be a Critical Care nurse, for example. I'd not make it in the ICU for twelve hours. But that's not because ICU nurses are better than I am).

    ]~ ]don't speak Spanish and therefore treat Spanish speaking patients as extra terrestrials incapable of nonverbal communication. I don't speak much Spanish at all, and I speak no Russian yet I've successfully communicated basic concepts without saying a word to Spanish speaking and Russian speaking patients. (And, while we're on the subject, learn to use the freaking language line! Stop acting like you can't care for your patients because of a language barrier!)

    ]~ as charge, don't assign a tech to the district that includes a preceptor and her orientee. If we aren't taught how to delegate, we'll never be able to do it effectively.

    ]~ as preceptors, treat you as their slave for the shift and occasionally whore you out to other nurses to perform tasks "for practice." (Even if you're not a new grad and have inserted Foleys countless times already. I think observing once or twice is enough.)

    ]~ don't perform an initial assessment that is head-to-toe. (I received a patient yesterday, admitted with non-healing leg wound and my report from the express admission unit claimed the patient's skin was warm dry and intact when it was open, infected and weeping).

    ]~are so quick to rat out a coworker for anything and everything as long as that coworker is not her friend. ("Louisa was wearing socks of two different prints yesterday, and the employee handbook clearly states that breaks uniform protocol. Also, she took 31 minutes at lunch instead of 30 two days ago.")

    ]~ try to flirt with all of the cute doctors even though they (the nurses) are married. Those single hotties are MINE, matrons!

    ]I'm kidding on the last one. At least that's what I'm telling y'all.

    ]*~Jess~*
    I'm with you on this one. The ego I see flowing out of critical care units is amazing. Yet, when they get pulled to our unit, the M/S unit, they are lost, end up staying 2 hours late.

    The nursing fields are lateral, specialized. There is no ladder to them. Being good on one unit DOES not automatically show expetise on another. Regulations, rules/policies, expectations and work loads are so different. The best ICU nurses usually cant swim on a M/S or Oncology floor and vise versa. The different specialties are lateral departments, not a ladder of expertise that we get graduated throug if we are good nurses. I know more than a few M/S nurses who would be great in the ICU, but the second they show interest in moving on to something new, administration makes it worth their while to stay. It takes a special set of skills not common to critical care nurses to care for people with chronic illness. Thats why people get railroaded into remaining on M/S units even though they dont want to.
  10. by   andeam
    When I ( a pct) tell a nurse about a patient's declining status and they ignore what I say and later we have to code the patient or send them to the unit
  11. by   Scrubby
    Nurses who take over half an hour for morning tea when your only meant to have 10 minutes. And lunch breaks that go for over an hour. We have several nurses at work who are notorious for doing this, yet no one wants to report them. I have my own ways of dealing with them.

    The other day one of the EN's I was supervising had 30 minutes for morning tea. This really stuffed up morning tea for me because I had to scrub. There was enough time for both of us to have our tea, yet her selfishness meant that I couldn't go. When she came back I said 'Since you've had your 30 minute break already, I guess your only having a 10 lunch break then'. She wasn't happy but knew I wasn't going to budge on it because she could see I was furious with her.
  12. by   LilyBlue
    Set Pt's up in front of sink with wash rag and tooth paste on there bush
    That sounds exceedingly painful.
  13. by   UM Review RN
    Quote from andeam
    When I ( a pct) tell a nurse about a patient's declining status and they ignore what I say and later we have to code the patient or send them to the unit

    Ouch. Guilty. But after that I paid attention to everything you told me, so at least I learned my lesson!

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