allnurses | Nursing Community for Nurses & Students - page 102
More Trending Topics...
Nightingale-Inspired Nurses' Week Celebration

Nightingale-Inspired Nurses' Week Celebration

by sideshowstarlet - During my graveyard last night, while looking for something else, I found a not-yet-flying flyer in the boss's office detailing plans for the upcoming Nurses' Appreciation Week (May 6-12, 2016)....

Time of Death 10:40. Wait, What?!

Time of Death 10:40. Wait, What?!

by Brenda F. Johnson - The words drifted around the room as everyone stood quietly engrossed in their own thoughts. The air conditioner rattled then chilled air touched my shoulders prompting goose bumps all over my body....

National Nurses Week - Seven Days of Giveaways!

National Nurses Week - Seven Days of Giveaways!

by allnurses - Are you one of the lucky ones who looks forward to being showered with praises and gifts the entire week long? Or are you like many nurses who are like the kid who is always hoping to receive some...

Nurses Week 2016 Freebies

Nurses Week 2016 Freebies

by allnurses - Nurses Week 2016 is upon us. One week that celebrates all that we do, give and provide to our patients and families. AN wants to help you take advantage of all the freebies and special offers...

Small Pill - Big Results: Aspirin Shown to Reduce Risk of Colon Cancer

Small Pill - Big Results: Aspirin Shown to Reduce Risk of Colon Cancer

by Brenda F. Johnson - In our modern world, medicine is one of the largest expenses for patients. Many patients cannot afford their medicine so they go without or don’t take it as often as prescribed. It is nice to see...

More Articles...

Most Liked Comments

  • 38

    You had a patient that presented to the ED stating they had attempted suicide. You seem to think that because his drug screen came back negative, he doesn't have a psych issue. Just the fact that he went to the ED and said he had attempted suicide should be enough for you to assume a psych issue.

    Then your behavior toward him caused him to escalate from ignoring you to screaming and punching himself in the head.

    You stood there and mocked him by saying he was pathetic and his behavior was terrible. How did you think that would de-escalate the situation?

    Other staff had to call security for a patient who had been calmly talking to his friend until you started lecturing him and demanding he respect you.

    What part of this interaction do you think you handled well?

    Yes. His behavior was inappropriate. He is not the professional. You are.

  • 20

    Quote from hwknrs
    Obviously his mother has never told him this is wrong and I beleive that SOMEBODY needed to let him know this is not right.
    Yes, somebody needed to tell him. You are NOT that somebody.

  • 20

    There's a time and a place to have someone face the consequences of their actions. This wasn't it.

    By setting up a you-against-him atmosphere, and lecturing him in front of his mother (did you really think she was going to thank you? That's a family dynamic you aren't going to get close to unraveling in an acute care setting), what you did was ensure that he wasn't going to tell you anything, and mom was going to request another nurse.

    You say he wasn't really trying to kill himself. Maybe not, but something happened to induce the behavior. That's what the Psychiatrist and counsellors are for.

    Believe me, over the years I've had rude, obnoxious, and snotty patients and family members. I've practically shredded my tongue at times holding reactions in. Yes, he was rude and disrespectful. Sounds like it's pretty much his MO.

  • 17



    Not a great situation!

    Sometimes we have to be mindful of our own pts and families and the different backgrounds and situations that they come from; when it comes to an admission where a psychosocial issue is at the forefront, you even have to take pause before diving in.

    I agree about the cellphone issue, however, the eye contact could've been feelings of shame or embarrassment; along with other internal and external issues resulting in maladaptive behavior that we have nothing to do with us.

    My issue is from your own post:

    Quote from hwknrs
    Tonight I got a 20 y.o. pt from the ED who came in saying he tried to harm himself by benzo OD. A&O drug screens neg. I went to his room to check vitals and get his admission history done. He was talking to his friend and did not stop to respond or even acknowledge that I had entered. he complained that he wanted to be released ASAP in the AM and that he didn't even have his cell phone charger with him. When I asked for his emergency contacts he sighed and rolled his eyes at me then went back to talking to friend. Then mom came in from the hall. Pt then started playing with his cell phone and would not make eye contact. Just incredibly rude and snotty. I asked him to please put his phone down, show some respect and make eye contact so we could get this done
    The bold and

    At that I told him it looks as though he has a lot of growing up to do and said that this is unacceptable behavior how he is acting towards me. I reminded him that he is here because of a choice he made and not to get smart with me as I'm trying to help and it's not my fault that he's here.
    There could've been a more levelheaded response for addressing his needs, even if they weren't the priority; you response interpreted to him (even though he was wrong) was dismissive; then to reduce what was the cause of his behavior and his admission was also dismissive.


    Words and tone are important; sometimes we have to remain even keel even when others are being nasty.

  • 16

    OP, you mocked a mentally ill patient. You also do not know how the mother has handled him in the past. If you spoke that way to my child, my silence would be from surprise (in a terrible way), and requesting someone else would be reasonable and justified.

    And before anyone here jumps me saying I must be a parent who coddles poor behavior, my children are disciplined when they are blatantly rude. If I don't feel the need to do that in front of others, you wont see it, nor should you have to. They would apologize appropriately the next time you come in the room.

  • 15

    Quote from hwknrs
    Tonight I got a 20 y.o. pt from the ED who came in saying he tried to harm himself by benzo OD. A&O drug screens neg. I went to his room to check vitals and get his admission history done. He was talking to his friend and did not stop to respond or even acknowledge that I had entered. he complained that he wanted to be released ASAP in the AM and that he didn't even have his cell phone charger with him. When I asked for his emergency contacts he sighed and rolled his eyes at me then went back to talking to friend. Then mom came in from the hall. Pt then started playing with his cell phone and would not make eye contact. Just incredibly rude and snotty. I asked him to please put his phone down, show some respect and make eye contact so we could get this done He rolled his eyes & sighed ugh fine is that better. At that I told him it looks as though he has a lot of growing up to do and said that this is unacceptable behavior how he is acting towards me. I reminded him that he is here because of a choice he made and not to get smart with me as I'm trying to help and it's not my fault that he's here. His mom then told me that I shouldn't be talking to him that way that he just tried to kill himself (which he really didn't) and I should be more understanding. I said that's what I'm trying to do my job and no matter he still should not be so rude. It's not ok for him to be talking to me like this. Then pt started screaming at me sayin you ***** you don't know and punching himself in the head. I stood back and watched and said this is pathetic how you are acting this is terrible behavior. Other staff heard him screaming & security was called. I then left the room and family requested another nurse and acted as though I was in the wrong. What do you all think? I just felt that his behavior was awful and inexcusable- needed to be brought to his attention that this is not the way to behave.
    Bolding is mine...

    Judgmental much? Sorry, wrong approach/response. Telling someone their behavior is unacceptable is one thing (I have done that), telling them they need to grow up, not cool.

    Whether or not he was acting pathetic, not your place to label his behavior.

    I have walked away or simply stopped talking until I get their attention.
    You will be lucky to not be reprimanded. Maybe it was horrible night for you, or maybe the ER is not for you. But you need to reflect on YOUR behavior.

    People act how they will, you have no control.

    How you respond is totally within your control.


Visit Our Sponsors
close
close