What patients/behaviors/illnesses/injuries do you HATE the most? - page 3

I'll start with people who say "I went to nursing school" Okay, but are you a nurse? I need my meds today. Also I can't pay for them. Moms who let their kids run wild and scream. I get that stuff hurts, go ahead and cry. No... Read More

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    Dyalisis. period. Watching the blood circulate through those tubes is bad enough. Add the smells go the cleaning solution on top of the fact that I can smell the blood and I want to hurl.

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  2. 3
    Hmmm, what an interesting question!

    Ok, I will start by saying that in general, I really enjoy interactions with patients on a human level (when I have the time to actually listen to them). But, there are certain diagnosis that after my years of nursing I have identified as "oh, no, not another ....":

    1. GI bleeds - the smell of blood exiting the body from the top or the bottom is something I cannot get used to plus the busywork of resuscitating an active GI bleed is just overwhelming when you have a second critical patient to take are of.
    2. Spine surgery patients - very hard to control pain.
    3. Contact precautions -- time just magically disappears each time you enter that room...

    I used to be intimidated by trachs, but now that I have enough experience managing vents and trachs, I kind of enjoy suctioning (is that really coming out of my brain!?).
    I have always LOVED wounds, of any type and still do.
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    I have worked with trachs off and on for over 2 years. They still scare the dickens out of me. I always think worse case scenario. I don't know why.. I know it isn't rational, but yep the fear is still there. I try to make the best out of all patients.. Some are better than others, but I try to take family situations into account. We all have our dysfunctions.
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    1. ETOH withdrawal patients

    2. Families in denial.

    3. Neuro patients - strokes, spinal surgeries, spinal trauma, head injuries (mainly because these nearly always are accompanied by #2 above)

    4. People who sit on their call light for things like "I am done with my tray"
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    1. Bipolar patients (manic phase) -Just can't deal with them and don't want to. They torture my nerves.
    2. Family members of actively dying patients who bring their messed up family drama to the deathbed.
    3. Family members of OB patients who bring their messed up baby-daddy drama to the bedside.
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    Not here just yet! (starting in the fall) but I think I know what type will bother me the most: Patients I can not make feel better. I hate seeing patients in pain. People in denial (patient or family) and I hate to say this but old people make me terribly uncomfortable. (kinda reminds me of my late greatgrandmother.))

    Everything else if just entertaining to me. Yes even the screaming druggies.
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    The normally AOx3 who becomes confused (usually pain meds) & you cannot reorient. Had one recently who became incensed that he had a personal alarm on that he wasn't aware of, we were "bugging his home", & he was going to sue everyone for being on his property. Your normal everyday baseline confused is usually not so bad.

    Hearing in report that your patient has "anxiety issues". Often for me the pt won't really be that bad, maybe just a little needy, but then sometimes it's someone that is a complete basket case that is convinced they are dying or can't even make simple decisions for themselves for fear of making a bad choice ("Should I turn? It might make it worse...which way do you think I should go?) Trying to decide whether to take one pain pill or two is a monumental decision!
    pseudomonas, NF_eyenurse, and JZ_RN like this.
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    1) End stage lung cancer. They never end well. I've seen people having to tolerate pit bottom O2 sats for days, struggling for breath despite 100% oxygen. I've seen people hemorrhage from severe hemoptysis. It's awful.

    2) Fresh strokes. I'm not even trained to deal with them (all the necessary assessments and protocols associated with them) because our specialized "stroke unit" usually takes them but if the stroke unit is full, then we occasionally get a fresh stroke. I just don't feel comfortable with them >_<

    3) C. diff. Do I need to explain?

    4) Psych cases. I'm not cut out to be a psych nurse. I just don't have the patience for it. And, like strokes, we have a psych floor that psych patients usually go to, but if it's full, we occasionally get a psych patient *sigh*

    5) Crazy families. I had a woman keep me on a phone for 20 minutes, discussing her husband's (a patient) meds and his clothes and how we weren't taking proper care of him...and he wasn't even my patient and she knew it! She just wouldn't let me go, even to find her husband's nurse.

    6) Lazy doctors. For example, one will have me called overhead on the speaker's so he can ask me to look up the patient's lab work. It's right in the chart in front of him or if it's not, it can easily be pulled up on one of our many computers, which he knows how to use (I've seen him on one!)
    opossum, Mom To 4, and NF_eyenurse like this.
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    Dead bowel. It can stink up the lounge, even though the nearest OR is at least 50 feet away behind a closed door. Little hard eating lunch in that- at least the people in the room have smeared benzoin on their masks and have a slight filter.
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    Quote from Aeterna
    5) Crazy families. I had a woman keep me on a phone for 20 minutes, discussing her husband's (a patient) meds and his clothes and how we weren't taking proper care of him...and he wasn't even my patient and she knew it! She just wouldn't let me go, even to find her husband's nurse.
    I've cut off these types of callers without any hesitation. When they're blathering on about the perceived wrongdoings and want to keep me on the phone at an inopportune time, I'll interrupt and firmly say, "Let me find this patient's nurse so (s)he can talk to you further. Please hold." Then I'll place them on hold, even if they are still talking.

    If a caller is screaming obscenities or cursing, I will hang up without hesitation.
    DroogieRN, Rosenhammer, not.done.yet, and 11 others like this.

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