What patients/behaviors/illnesses/injuries do you HATE the most? - page 7

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

  1. Visit  biblepoet profile page
    1
    I think psych pts. Are hard to deal with on the normal floor because we are not equipped for it. LOCKED units or protocols for it. We are stuck with their behavior along with the five other pts. Noone to keep them safe because our techs have 10 other pts.
    Miss Lizzie likes this.
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  3. Visit  PeepnBiscuitsRN profile page
    5
    From when I worked cardiac/general care:
    --Manipulative middle aged people, women in particular. They have everything wrong in the whole world and whine and whine and whine about it. They NEEEEED orange juice because they have a SENSITIVITY to apple juice, and an allergy to milk (they diagnosed it themselves, the allergist said the test was negative, but they KNOW it was false negative because they truly have an allergy to milk!)

    --The people who still have 10/10 pain after the highest dose of Dilaudid IV alotted was just given.

    --Dementia patients- now hold on...I know they can't help it. I'm sure it's a torture to have to deal with having it, but when that flippin bed alarm goes off for the 66th time in 30 minutes I feel myself going from nicey nice nursey to frusterated mommy of two young children who are not entirely of the age of reason yet, and I know yelling at this 86 year old to "get back into bed RIGHT NOW, or I have to give you a consequence" is not going to fly.

    Currently in Postpartum:
    The biggest one that has started to get under my skin is this: wealty to high middle class suburban couples with 5 paged detailed birth plans that MUST be followed to the T. Who take the whole "empowerment" thing like 60 miles too far to the point where they feel the need to "educate" me, the nurse about what is a necessary intervention versus an invasive intervention that is going to ruin their baby forever and ever. Who seem to think that if I take the baby to the nursery to weigh them (because I can't just grab the scale at 0000 and take it to their room when 7 other nurses need it for 20 other babies) that I'm secretly rubbing my hands and plotting to give them the HBV vaccine, the Vitamin K, and the E-myicn ointment and throw in a circ on top of it all, because I'm an evil hospital nurse and everyone knows that hospitals are cold, heartless, sterile environments where we don't have a CLUE about childbirth. Blah blah blah blah.

    And on the flipside, OB's who will pull any excuse out of their fannies to do a section or talk a lady about of a TOLAC.
  4. Visit  Mandychelle79 profile page
    1
    Quote from VictoriaGayle
    Yes the majority of nuses don't seem to be psych nurses. But I think I've seen similar sentiments from psych nurses in the past, and I've seen psych nurses who seem to hate psych patients. I was just wondering if this is typical.

    I understand we can be annoying. My mom is a saint for putting up with me! I've just been wondering about this for a while.
    I am a psych nurse. I love most of my patients, but I will gladly trade assignments with someone if I have someone with a borderline diagnosis, if another coworker deals better with them. Luckily on our unit, we know which group seems to do best with which staff member and try to split up accordingly. I typically get the paranoid or homicidal psychotic patients, which is fine by me, love them.
    VictoriaGayle likes this.
  5. Visit  Tarabara profile page
    1
    I cant stand patients who wont do anything for themselves and expect me to do every little thing like move something 2 inches to the left when their arms arent broken!

    Also not really fond of detoxing patients

    Psych patients can be very difficult. I would like to think I'm fairly understanding with them as I have close family members with psych issues but its hard because you cant reason with them. With most patients you can explain your reasoning for doing things and they'll understand but you cant do that with some psych patients.
    opossum likes this.
  6. Visit  EarthwormRN profile page
    2
    This is a fun topic. I enjoyed reading everyone's least favorites.

    Mine would have to be, the dementia patient who is still able to walk, but not safely, who will get up every couple minutes and set off the alarm. Sit down, I will say. Other people will say, just take him for a walk, he just wants a little exercise. Sure and then after his walk, he will continue to stand up and try to walk on his own again. Soooo frustrating.

    Then there's the really bad PTSD patient who has a "made up" history of living through the holocaust and every person who walks by is trying to kill her and then cremate her body. Imagine trying to explain that to innocent visitors...

    The patient who is incontinent and obviously has a UTI who clenches her knees closed so tight, that you can't get a straight cath in her for a urine sample...

    Besides those three, I've got a pretty good tolerance. Also, I've only been a nurse for less than a year so I'm sure I'll come across worse. haha
    Miss Lizzie and giveface like this.
  7. Visit  Aurora77 profile page
    2
    Quote from Been there,done that
    Borderline personalities. 30 years in the profession and I can say borderlines can and will give you the worst shift of your career.
    So true. I had one of those a couple of months back. I told my coworkers if most of my patients were that way, I'd quit nursing. It was the hardest two days of my short career.
    Miss Lizzie and JMBnurse like this.
  8. Visit  monkeybug profile page
    5
    "I think I might be pregnant, and I think I might be in labor right now." Did you not feel something moving around inside your body for the last 4 months? "Yes, but I thought it was my kidneys shifting." 99% of the "I didn't know I was pregnant" claim is absolute crap. They DID know they were pregnant, they just choose not to deal with it. Drug addicts who come in positive for benzos and opiates and THC and everything else, and then ask "Is that going to hurt the baby?" when you are hanging mag/pit/ampicillin. I've actually said to one, "Not nearly as much as the crack you've been smoking." That leads into the bigger pet peeve, which is when a pregnant woman asks if something I'm giving her will hurt the baby. I really want to say, "Oh yes, your doctor just adores getting sued, so he's always ordering things that hurt babies, just for s&*ts and giggles." Lady, you are in a labor and delivery unit, most of what we do is geared towards getting a live baby without brain damage out of your body, NO I'm NOT giving you something that would hurt the baby.

    People that come in positive that they are in labor that get absolutely irate when we tell them they aren't dilated and try to discharge them. "Why won't you let me have my baby?!?!" I am letting you, you just aren't doing it.

    Women who want to be induced at some unholy early point, like 32 weeks, because they are so tired and miserable and just can't take it anymore, whine whine moan moan. When you point out the problems that a 28/32/35 weeker might have, you always hear about their sister's cousin-in-law's bff who had a 21 weeker that did just fine and is now a Rhodes Scholar and got to go home 2 weeks after delivery, and we're just being soooooo meeeeeannnnn because we won't "let" them have their baby.
  9. Visit  Esme12 profile page
    1
    As an ED nurse ......I hate eye injuries. Not just a black eye but globe ruptures, penetrating injuries...eyes creep me out. AND bugs...I hate bugs.......any one who has creepy crawlers creep me out.

    The rest? ... A piece of cake....
    Miss Lizzie likes this.
  10. Visit  roseonye profile page
    1
    i hate c.diff. that smell just lingers.
    Miss Lizzie likes this.
  11. Visit  DroogieRN profile page
    3
    >Overdoses, attempted suicides -- not for me. I have compassion but not patience for that. Other psych issues, not so bad. >"I don't take that at home." "I take that at night." "I take a different dose." "I take x, y and z. Why am I not getting x, y and z?" -- Gee! Maybe what you were doing at home wasn't working out so well, seeing as how you're in the hospital now and all. >Don't mind trachs but not a fan of any other situation ending in -ostomy. >Families. Especially when 13 people call about one patient and want the same info over and over. "Can you designate a spokesperson?" "Well, except for Tillie and Raymond and Geraldine and Homer, because no one is speaking to them.">Super morbidly obese patients. Please don't flame me. I am kind and provide the best care I can. But it is so hard to keep them clean and dry and positioned properly when they weigh 600+ pounds. Pretty infuriating when I hurt my back providing care and they want to yell at me because they have to have skim milk instead of whole for breakfast. I am human. It ticks me off.>Collecting stool samples for tests. I'd just about rather rip off my baby toenail with little pliers.>I's and O's. Hate gathering them. Hate. Oh, and insulin gtts -- right up there.
    Last edit by DroogieRN on Sep 4, '12 : Reason: IPad isn't keen on paragraphing.
  12. Visit  Bezoar profile page
    0
    Re: multiple postings regarding whiney middle aged female patients...

    Awright, enough with the misogynistic overtones here...that's a large part of the reason women often get inadequate diagnosis/treatment of MI symptoms. Also, according to one study, women are more likely to be given sedatives for pain, while men are more likely to be given pain medication for pain (www.partnersagainstpain.com), and according to an ABC news article, "...pain is not always an equal opportunity burden: women are more apt than men to suffer from chronic pain and experience more severe and longer lasting pain.Moreover, research shows that men and women also respond differently to pain medications and an increasing number of studies suggest that the fundamental biology of pain and pain relief differs between the sexes." Pain Relievers Work Differently in Men and Women - ABC News
    Add to that, the fact that women's anatomy provides a unique pathway for various and sundry viral, fungal, parasitic, though most often bacterial infections, access to her internal pelvis, where they can fester for years before becoming symptomatic, causing scarring, adhesions, etc.

    OK, off my soapbox...my least favorite patient was the man who murdered his wife and two daughters on a friday evening, then turned the gun on himself, succeeding only in blasting out his right eye. He was brought in to my floor in the hospital, where we had to care for him without benefit of any sort of guard, as the state did not want to charge him, or they would have had to assume the burden for his medical care. They were waiting for federal charges to be brought on monday morning. We did not know what to expect from him (having just murdered three "loved ones"), and we did not know if his wife's family might try to come in to "even the score."
  13. Visit  giveface profile page
    0
    Quote from Bezoar
    Re: multiple postings regarding whiney middle aged female patients...

    Awright, enough with the misogynistic overtones here...that's a large part of the reason women often get inadequate diagnosis/treatment of MI symptoms. Also, according to one study, women are more likely to be given sedatives for pain, while men are more likely to be given pain medication for pain (www.partnersagainstpain.com), and according to an ABC news article, "...pain is not always an equal opportunity burden: women are more apt than men to suffer from chronic pain and experience more severe and longer lasting pain.Moreover, research shows that men and women also respond differently to pain medications and an increasing number of studies suggest that the fundamental biology of pain and pain relief differs between the sexes." Pain Relievers Work Differently in Men and Women - ABC News
    Add to that, the fact that women's anatomy provides a unique pathway for various and sundry viral, fungal, parasitic, though most often bacterial infections, access to her internal pelvis, where they can fester for years before becoming symptomatic, causing scarring, adhesions, etc.

    OK, off my soapbox...my least favorite patient was the man who murdered his wife and two daughters on a friday evening, then turned the gun on himself, succeeding only in blasting out his right eye. He was brought in to my floor in the hospital, where we had to care for him without benefit of any sort of guard, as the state did not want to charge him, or they would have had to assume the burden for his medical care. They were waiting for federal charges to be brought on monday morning. We did not know what to expect from him (having just murdered three "loved ones"), and we did not know if his wife's family might try to come in to "even the score."

    Honey, if the shoe fits, wear it. Lol. And, it is a statistical fact that I think 75% of borderline PD diagnoses are in fact female, possibly higher.
  14. Visit  giveface profile page
    0
    Quote from DroogieRN
    >Overdoses, attempted suicides -- not for me. I have compassion but not patience for that. Other psych issues, not so bad. >"I don't take that at home." "I take that at night." "I take a different dose." "I take x, y and z. Why am I not getting x, y and z?" -- Gee! Maybe what you were doing at home wasn't working out so well, seeing as how you're in the hospital now and all. >Don't mind trachs but not a fan of any other situation ending in -ostomy. >Families. Especially when 13 people call about one patient and want the same info over and over. "Can you designate a spokesperson?" "Well, except for Tillie and Raymond and Geraldine and Homer, because no one is speaking to them.">Super morbidly obese patients. Please don't flame me. I am kind and provide the best care I can. But it is so hard to keep them clean and dry and positioned properly when they weigh 600+ pounds. Pretty infuriating when I hurt my back providing care and they want to yell at me because they have to have skim milk instead of whole for breakfast. I am human. It ticks me off.>Collecting stool samples for tests. I'd just about rather rip off my baby toenail with little pliers.>I's and O's. Hate gathering them. Hate. Oh, and insulin gtts -- right up there.

    That is so true. Obese patients get most upset over dietary restrictions as inpatients, not medical or nursing care. Of course, obese patients still deserve excellent care.

    I had to deal with insulin gtts once, OMG! so complicated. It was for a alcoholism, DM, and obese female case. She almost died that time from DkA, was on the sliding scale insulin gtts for like 5 or 6 days, just to be discharged home and die at home from the same cause like 9 months later, and she was in her 50s, and we all worked like dogs to save this women, too bad. My father has an expression, "You can't help everthing that lives."
    Last edit by giveface on Sep 4, '12


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