rnccf2007 4,837 Views
Joined: Jan 10, '11;
Posts: 214 (52% Liked)
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Amen! Could not have said it better.
Yes, 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.
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 are no restrictions on the number of visitors or time of day in my facility r/t the "ultimate Hilton experience" for our patients. We politely asked them to leave the room twice, so that we could assess the patient and hook her up to the tele monitor. They were either deaf or chose to ignore us. We then hooked her up to the tele unit while trying to bare her breasts as little as possible as sons, daughters, and grandchildren looked on. I found this quite bizarre. As I was doing the admission assessment, two of her sons who were 6 feet + got in my way and stood almost chest to chest with me and refused to move out of my way until I said "excuse me" twice. And...if looks could kill. Having worked with the public in various ways including the criminal justice system, I am not easily intimidated. To be honest I was getting really irritated. I was then grilled for over an hour about orders that the doctor had written (he had talked with the family in the ED and explained the plan of care) , asked some very strange and detailed physiological questions, and was educated on how to properly administer BP, DM, and cardiac meds. It was obvious that my inquisitors did not have a clue and were attempting to appear self-important and informed while making complete asses out of themselves. As this was happening; both the bodyguards were playing with their cell phones, and I did not think much of it, because texting and multitasking appears to be an American (and probably foreign) obsession. I left the room to get the patient a blanket and the CTA assigned to this patient said, "Wow, it's amazing how ignorant people are....what they did to you...they were harassing you as they were looking up information on WebMD." I had to laugh, because I was completely unaware. I guess I am the fool, since I went to college to wipe butts and continue to advance my education and pay student loans, when all I had to do was go on WebMD and get my education for free. I am all for an educated and informed public, but seems that there is a growing trend to self diagnose. There are some real horror stories out there r/t this. If people feel that they are their own best physicians, nurses, or other healthcare worker they should stay at HOME!!!! ... The doctor was still on the floor. I went back into the room and politely told the family that they doctor and WebMD would be in shortly to answer any questions.
Not sure if it was just because of your age. That aside, in my opinion, the most dangerous nurse is one who thinks they know everything. What is even scarier is a nursing student who thinks the same.
Actually why I want to get out of bedside nursing. Seems that I spending more time dealing with patient issues and family dynamics. Don't mind it. But yesterday spent most of my time dealing with this and almost missed a critical lab result. Too much is being placed on the bedside nurse.
Been doing this for almost nine years. Used to love bedside nursing and was certain that I would never leave...this is what I have always wanted to do. Now, however, I often wake up in the morning and want to cry when I have to go to work...because of many of the things you site in your post. Looking to get out of bedside nursing...kind of breaks my heart.
I think the difference is....that is all they are dealing with.
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