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... Read More
Sep 3, '12The 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!
Sep 3, '121) 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!)
Sep 3, '12Dead 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.
Sep 3, '12Quote from AeternaI'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.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.
If a caller is screaming obscenities or cursing, I will hang up without hesitation.
Sep 3, '12Manipulators who attempt to intimidate by using my name at least twice in each sentence. They are often, but not always, the male significant others of female patients with minor or vague symptomatology.
Sep 3, '12GI bleeds. Especially with dementia patients.
Borderline personality disorder.
Overbearing, demanding family members.
Sep 3, '12Quote from hey_suzMe too.Learned helplessness, and staff who feed into it... give me trach blobs any day over that.
I also don't like peritoneal dialysis patients. Mostly because they always have a bunch of other co-morbidities and seem to always be on contact isolation.
Families who have issues & don't talk to each other, thus I get phone calls two to three times a day, from up to five different people, all wanting updates.
Sep 3, '12Teach pt. Suctioning makes me want to hurl. Pts. Who feel the need to show me what they coughed up like I do not believe them.
Spine pts pain control issues.
Lazy pts. Who will not get up and would rather pee on themselves then use the bedside commode.
Pysch pts. For obvious reasons.
Sep 3, '12Quote from imintroublePoor souls. I know it is terrible.End stage COPDers. After steroids, O2 and nebs, not much you can do except sedate them or watch them gasp for air.
Sep 3, '12Patients that need to be in a nursing home that are in an assisted living facility. I don't hold it against them, in fact one of my favorite patients falls into his category. But when they are beyond our level of care, it not only makes the job harder, but more dangerous for everyone involved. The workers are risking injury because we don't have the man power, trining and equipment to properly ambulate them if they are dead weight, and there is an added risk to the patient.
Sep 3, '12Quote from AltraUgh, I hate this, too. We once had a patient whose wife, upon meeting a new nurse, would go on and on about how they "know people who are high up there" in the hospital administration while looking at you pointedly.Manipulators who attempt to intimidate by using my name at least twice in each sentence. They are often, but not always, the male significant others of female patients with minor or vague symptomatology.
I honestly don't care who you are or who you know, you're going to get the same level of care as everyone else.
Sep 3, '12Quote from JZ_RNI hate the ones who tell me that they're nurses. And when you chat with them, you find out that they're CNAs or unit secretaries or housekeepers. I also hate the ones who tell me that they're nurses and you find out that they went to nursing school years ago, never passed the NCLEX and are currently managing a bar somewhere. I hate them because they think they know so much more than they actually DO know, and you cannot convince them that they're wrong about A or B because they KNOW they're right. It's very difficult to do any sort of teaching to someone who already knows everything!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 need to run like a wile monkey or screech like you're dying, I assure you that if you were dying you'd have no time to yell like that.
And let's not get started on the drug-seekers!
Sep 3, '12Trachs are terrible, seriously. All of the secretions! And the smell in their rooms. Like you're camped out inside their lungs.
Post-op Whipples are the worst. Just shoot me. Every complication can and will happen with these patients. It's heartbreaking and very frustrating.
I hate it when you've barely introduced yourself to the patient and family member and they drop some big wig's name "Do you know Mr. So-and-so?" ...I know that he's the CEO of the hospital...let me guess, you're best friends? Give me a break!