I can't give report to this nurse anymore !!

  1. Hi everyone ! So this may come across as ranting but I am fed up with a nurse I have had to give report to recently and I need some advice! So I work in an icu and I have been off orientation for about a month now so I am still very new , but I know report is one thing I have down pat . But when I give report to this nurse , I know I will be there at least an hour past my shift and I can't take it anymore . Everybody fights over who has to give report to her and I always lose because I'm new . She will just not let you begin report until she's gone through the entire room and inspected it with a magnifying glass and normally she will start her patient assessment while you're standing there waiting to start as well. She will then open the computer and go through every single order and question me on it , then scroll through my assessment and tell me things she doesn't agree with in it. She also asks very irrelevant questions at times. I understand she is trying to be thorough but literally nobody else does this and it takes a full hour to give her report . Since I'm new and kind of naturally quiet I don't know how to speak up, or if I'm wrong and this is acceptable practice . I also don't want to cause any kind of problem or make her think I'm incompetent or be talking about me badly but I cannot stay an hour late every time I have to give her report . Is there something I can do? If you have been in this situation what did you do? Sorry for the long rant I'm just very frustrated ! Thank you !
    •  
  2. 30 Comments

  3. by   brownbook
    This is pure evil. Is there some way to talk to your charge nurse or unit manager? Simply tell your "boss" that when you give report to nurse Nancy she interrupts so often and questions every order that you get out late. Are you clocking out late? Getting paid for overtime? Your manager should be concerned about that.

    If your "boss" isn't especially helpful.

    She can't stop you from giving report, she can't stop you from talking! Just start giving report in a loud persistent voice. Do you give report at the bedside or at the nurses station?

    Ignore her interruptions, ignore her questions. Keep giving report. Or for any question smile politely and say, "It is in the chart you can look it up when I leave." or "I don't know,you can look it up in the chart when I leave." and continue on with your report.


    PS It is easy for me to sit here at my computer and tell you what to do. I know it is harder in real life.
  4. by   NurseLanie_TN
    I'd give her report at the nurses station. If she walked off from the report, well I do believe I'd tell charge so my a$$ would be covered, and then I'd clock out and go home.

    If she's a staff nurse then "chart review" is not her job. It's just her job to do her review not go through your charting.
  5. by   amzyRN
    I would tell her you have 5 minutes to tell her what you know and everything else is on the computer and you have to leave. If she doesn't accept this, tell her it feels like an interrogation rather than report and that is unprofessional. If you don't put your foot down now, this won't end. Nursing is 24 hours and the next nurse has to pick up where you left off. Electronic charting allows for essential information to be easily accessed by the health care team and you can direct her to that. I've had similar experiences as what you describe with this nurse and I refuse to tolerate that anymore. After 5 years in nursing, I refuse to tolerate those kinds of passive-aggressive nurses, that like everything spoon fed to them or like to make other people feel like they haven't done enough for the patient, or show that they know more than you. At this point don't be angry at her for this, if you don't put your foot down, the anger should be at yourself.
  6. by   caliotter3
    Take your problem to the supervisor. That is what they are there for.
  7. by   JKL33
    Quote from Student2017555
    She will just not let you begin report until she's gone through the entire room and inspected it with a magnifying glass and normally she will start her patient assessment while you're standing there waiting to start as well.

    I'm so curious to know what she does if someone begins talking without permission, seriously! I can't even read that without a smile creeping forth. People like this can be fun.

    As mentioned, this is easier said than done - but you can't let yourself feel awkward about putting a stop to this, because you are not the one with the problem. And guess what - - this other nurse darn well knows that already. So whatever she feels about what happens next, is her own problem to deal with.

    That's not to say that "attitude" is required here. Be pleasant and professional at all times.

    First and most importantly, be completely prepared with a concise report. When day shift arrives to the nurse's station and has a moment or two to get organized, approach with confidence and say good morning and let her know that you'll be giving report. Body language is key here. Don't sidle up to her reluctantly. Chin up, make good eye contact, move briskly. She should know from your body language that "today is going to be different". Pleasant, but definitely different.

    Start with a patient who is awake. Knock on the door, enter, and introduce this nurse to your patient. Do your SBAR with as few pauses as possible. If she interrupts you just pleasantly say, "That information is in the chart" and continue with your report. If she starts messing around with passive aggressive activities as if she isn't paying attention, I would keep right on talking - even if she puts her stethoscope in her ears and/or starts doing a physical exam or decides to inspect the room. At the end, say your good-byes to your patient and walk out. If she doesn't follow you >> "I'm ready to give report on the next patient" or, "I'm heading to 21..." (next room number). Do not re-enter the room, though. If it's a legit issue, say, "we can come back to that." The point is to not let her call every single shot. Her pattern must be interrupted.

    I know it's rough, but the only reason she is able to do this is because others enable it.

    I would not leave the department without giving her report. It's not safe for patients, and besides she will make a federal case out of it and you'll be the one who ends up in trouble.

    If she completely brings the report process to a standstill and won't budge, I would leave the room and call the manager, charge nurse, or supervisor and ask how to proceed. If this actually happens, I would do whatever it is that they recommend (within reason), and then fill out your facility's "incident" or "safety" report or whatever you call it, and document the refusal to receive report, who you informed, what they recommended, and that you followed the recommendation.

    Good luck!
  8. by   Penelope_Pitstop
    I have nothing constructive to add, but I'm wondering - have you ever received her report? I am very curious as to how that experience is!
  9. by   LaurenceM
    Quote from Penelope_Pitstop
    I have nothing constructive to add, but I'm wondering - have you ever received her report? I am very curious as to how that experience is!
    And when you do receive report from her, make a sacrifice for a day and do the exact same thing back to her x 10. Test every button, valve, or adjustable piece of equipment in that room and tell her its an "environmental safety check". As shes giving you report, ask her to wait as you test if the pt's bed can slowly raise all the way up...... then all the way down. Then one up her by opening up the computer, telling her about all the things you disagree with on her assessment, but also mention how you can see why she can have those opinions, making sure to explain all of the reasoning for both points of view.

    LOL. I'm not really recommending you do this, although I would.
  10. by   TriciaJ
    Great advice. Testing the bed is my favourite idea. The only thing I have to add: every time you do get off late because of her shenanigans, make sure you bill your employer for every nanosecond. Do not work off the clock. When you report this nonsense to your manager, let her know how much money this is costing her.
  11. by   NuGuyNurse2b
    Speak to your supervisor. Bedside reporting is simply that - bedside reporting. She does not do her assessments during it, she is only taking report from you so she can do her job. Yes, bedside reporting encourages accountability on tasks not done, etc., but it's not intended to be punitive or critical. That is where she is mistaken.
  12. by   martymoose
    Quote from LaurenceM
    ask her to wait as you test if the pt's bed can slowly raise all the way up...... then all the way down.


    That one made me LOL, Ha. the beds we have would add 10 mins to report alone .

  13. by   martymoose
    and if they are on telemetry,make sure you review the telemetry for the whole shift. any alarms, etc.

    I think its incredibly rude that she does her assessments while you are giving report.ughh.
  14. by   BedsideNurse
    Environmental safety check!! That's hilarious!

    Quote from LaurenceM
    And when you do receive report from her, make a sacrifice for a day and do the exact same thing back to her x 10. Test every button, valve, or adjustable piece of equipment in that room and tell her its an "environmental safety check". As shes giving you report, ask her to wait as you test if the pt's bed can slowly raise all the way up...... then all the way down. Then one up her by opening up the computer, telling her about all the things you disagree with on her assessment, but also mention how you can see why she can have those opinions, making sure to explain all of the reasoning for both points of view.

    LOL. I'm not really recommending you do this, although I would.

close