Quote from wrkoutgirl
::angryfire I am sorry to see that pts, families, and sometimes doctors abuse nurses and we have no support. I would like to know if we have the right to refuse to be assigned of to continue to care for a pt who is verbally abusive and constantly using vulgar language as well as screaming. I have come across pts who are disrespectful, rude, and sometimes fresh. I usually tell them "stat" that this behavior will not be tolerated. Now, there is a pt in my floor who I admitted a week ago. He was rude and hostile. I was sharp with him and I was lucky that he did not curse or scream on my time. He and his family have abused my coworker for the last 3 days. His family comes in to the RN's station shouting their demands, degrading and humiliating the nurse. He apparently has thrown things across the room to NAs and constantly using the F and the S word.
I have always stood up for hostile and abusive doctors, pts and families. I have never come across one of this. I would like to start a campaign, committees to protect us nurses and simply get the right to be treated, as any other human being deserves, with respect.
Can one be suspended or fired for refusing to continue caring for a pt like this in the middle of the shift? Thank you for any feedback you could give me.
While I understand the ANA rights for nurses. but the reality of our jobs is quite different. Sure if you are unsafe, and threatened, you need to make sure that you are safe. We are public servants, whether we like it or not. Can you imagine if ED nurses refused to treat difficult patients? You really can't refuse an assignment for several reasons, it could, on some level, be construed as abandonment; it's not fair to your co-workers, who would then have to take the patient,and they would resent your behavior-if you refuse, then they have to take that assignment and finally it is an unfortunate part of our job. It is unrealistic to expect to never have a difficult patient, and we all have to take our turn. Sure, there are limits, such as hitting and so forth, but generally, foul-language and rudeness tend to be managed.
But that being said, on our ACCU, our charge nurses tend to try and place the no-nonsense nurses with the best people skills and the thickest skins with patients like these; some nurse seem to have a knack dealing with people like these-we've had one recently, and while everyone takes a turn, there are several nurses who "handle" this foul-mouthed, leering, crude and grabby patient expertly; and they are willing to do it. At morning meetings these nurses are recognized and generally given a round of applause for their "sacrifice". Our charge nurses are also excellent at handling diificult families; we do have a policy if a family is loud and disruptive, they will be asked to leave, or go to the family room. Now, if we could just get hazard pay...