The last night I worked over the past weekend, I was assigned two patients in surgical ICU....one little old man (pit tumor removed) was ready for transfer and discharge...he dealt with his roommate by keeping a blanket over his head and sleeping all night....got up by bedside for urination.
I got a terrible start (got the two patients from two different nurses), my other patient was post stop-sign running granny who T-boned my patient on his motorcycle .... he was post cerebral hemmorhage and still casted for a broken leg.....the nurse giving me report said to me, in a loud voice x 3, "you're not going to be able to handle him"....several other nurses around her and I heard her and they apologized to me later - they were appalled that she said that to me...
I thought, honestly, that the RN giving me report and saying that to me was retarded; especially since her report consisted solely of reading me the CT report on the patient...I bit my tongue.
My patient was purely insane: he spent most of the night getting oob to use the urinal; they had pulled the foley prior to shift change...he was not displaying any signs of retention and he refused a one-time straight cath .... he refused monitoring; he refused NBP, etc.
He was alert and oriented and spent the other part of his night moaning about being "fkd" by the accident - he is a postal worker on probation for cocaine use - the accident will cause him to loose his job (I seriously doubt that).
Complain, complain, complain.
What he said to me at one point while I was supporting his back with my left hand and he was leaning on the top rail using the urinal: why are you shaking? I explained I have PD....he then said: GET YOUR HAND OFF ME - IT DISGUSTS ME.
I cannot begin to tell you how hurt I was.
I did the best I could with him the rest of the shift. He refused his insulin at 0600; I called the Doc and let him know.
Piece of work!!!