Is it something in the water? Inappropriate/rude patients.

Who knows. I suppose a-holes have to get sick too.

I try to nip it in the butt as soon, and as hard as permitted, but sometimes nothing will work for these people.

That's very frustrating. As if you don't already have enough stressors at your job.

Lately I've had a run of patients who act out and it bothers me for a moment but when I return, they apologize. That apology melts my heart and I'm so happy to see that patient in a more sympathetic light. This used to not happen to me because I took everyone's crap and consequently patients walked all over me. Once I learned that I was allowed to be firm and set limits, it was a total game changer for me.

Let's hope it's just a rough patch! If it makes you feel any better, I've had a month-long pattern of AMAs! I'm afraid that management is going to start to point the finger at me.

We have a new standing order with one of our regulars who is a whiney a-hole/sexual creep. You have to walk in the room and kick him in the face. I think it helps knock some sense into him, IDK I am going with the doctors on this one though.

Well, Dudette, there has been a full moon in the last week.

Being a male has its disadvantages and its advantages, one of which is that I can usually burst into a room and say " what on earth is going on in here?" when I hear an NA or nurse being abused by a pt, and it usually stops right there. The abusive pt is usually blank faced or drops their jaw, and realizes that what they are doing. Is it RIGHT that some people respond to a male as an authority figure immediately? No. Is it USEFUL that they do? Heck yes, and my sisters in nursing often take full advantage of that.

Another issue is some patient's covert racism, of which they themselves are often not fully aware of. They may be treating our Filipina nurses terribly all day long, then suddenly I go in there and they gush about what a great nurse I am, even though I'm doing nothing differently than the other nurses- other than being white and chit-chatting with them. Many of these patients do not have a good ear for any accents , are not very tolerant of anything unfamiliar, and I hate to say it but they are more comfortable with someone more like them. Again, I sometimes come in to smooth things out when cultural differences are disrupting the harmony of our unit. I'm no better than anyone else, but I know how to take a situation like this and turn lemons into lemonade.

And then, of course, there are some people who are just going to be bitter, angry people long after they recover from illness. that's the path they are on in life. It doesn't have to be your path. Just stay objective and look for any opportunity to build rapport and hear what the patient is REALLY saying: "I'm miserable, I'm angry, I don't know how to cope". And remember, there are many medication s/e or interactions, and medical conditions, that can lead to "irritability" or akathesia, and maybe some of those are at work. And remember those DSM-IV personality disorders? They're out there... psych eval is something many people will not consent to or want, but you can offer it in a nice way.

Sickness is no excuse. Yuck.

Sickness is no excuse - but sometimes it's a reason. Just sayin'...