Hi! New to AN, long time lurker, first time poster.
I recently had a patient who had an elective joint replacement. The patient used a Victoza pen at home which was unavailable to us the first night after her surgery, then her family brought it in. I spent some time getting the order straightened out (she said she took 18 mg), then brought it in with her evening meds. She said, I don't know how to do it, my husband always does it for me. Husband had left for the night at this point.
Errrmkay. After some Googling with the charge nurse, we figured out how to attach the needles, dial up the right dose, and give it. You know... on the fly nurse's station training. We printed instructions, highlighted the relevant parts, and I went in to the patient and said, if you don't know, then let's learn! She got nervous and said oh no, I can't. After a few minutes of back and forth I said... well okay, today I'll show you then tomorrow night you can do it yourself. We went through it, she got the Victoza, verbalized understanding, no problem.
Next night: I'm back, husband is there. As soon as I came in (hi! I'm GoScubaRN and I'll be your nurse again tonight) he was upset about the Victoza. Among other things he said:
-I've been giving her shot for two years
-She's not going to learn here, she'll learn at home
-Don't force the issue
SO! After I explained my rationale to him (which was, she had to get her Victoza, you weren't here, the patient didn't know how to do it, I didn't know how to do it, the charge nurse didn't know how to do it, and it would be beneficial for her to learn how to use it anyway, since it is her medication) he insisted on giving her the shot. It's not as though my feelings hurt, but I definitely felt railroaded. The patient, meanwhile, is in the background going, she (me) was only trying to help. Etc etc.
So I'm wondering. The husband made me feel like a jerk, despite my explanations. I was trying to foster some independence here. I mean really, those pens are pretty easy to operate and it wasn't like it was sliding scale insulin or something like that - after doing it once I think I had a good grasp on it. He was just so forceful about it. My question to AN - was I right to drop it, or should I have been more pushy? I'm having conflicting thoughts about it.