What I am finding out more and more is making sure there are clear boundaries. My patient is clearly a product of bad to zero parenting. He reminds me of that episode of Twilight Zone where the kid has the whole house of adults walking on eggs shells, and if you get the child upset he makes you disappear. My first night my patient 13yr wanted to call his father (in the home) at 3am in the morning. After speaking to him, the patient hands me the phone and the father tells me not to let the patient call him this early in the morning because he needs his sleep for work the next day. (WHAT?) This is after telling the patient he can call father "anytime". I didnt answer then as it was in front of the patient, but the next morning I privately told the father that situation is a parenting issue, not a nursing one. I will not be involved with how many times "patient" calls you.
My patient is AOx3, has MD, highly intelligent, and extremely lazy. He has a gtube running, so I propped him up on a tv pillow turned backward for a 30 degree angle, (he was flat), "patient" complained to his parents, and I "educated" the parents on positioning for a gtube, and Of course I got, well nurse soso didnt do that, (yeah, she need the hours and didnt want to be banished!) I requested a hospital bed and one was sent out 1 week later. Actually they recieved a lot of stuff, new bed, pulse ox, air mattress, bed rail, rail padding and new gtube machine. The mom thought it was christmas, she didnt understand how the insurance company magically knew their needs. (really?) Can we say documentation? This patient coughs in his parents faces, will not turn on his own, has them adjust his pillow (pull it down closer to him) All things he does for me now. Now they want me to discipline him. NOPE not this nurse. They only keep nurses for about 6 months. They wonder why? If patient doesnt like you he says oh, I think she breathes to loud and I cant sleep and poof gone. (This REALLY happened, the parents told me maybe she was a smoker, but her breathing kept "patient" awake at night.) My super is really surprised I am still here. I am not mean, just firm. I updated all weighted meds dosages with drs orders, the parents didnt want to give meds... patient is 150lbs, he was getting meds for a child under 80 lbs. But patient didnt want to take that much... what?? I explained they need to parent, not be his friend. I have no idea why I have not been banished, but is this how it is out there?
Sorry for the lenght but REALLY needed to vent. I keep stopping, tonite I am teaching him how to blow his nose.... I cant make this stuff up... if I need to suction, I wlll but he just needed to blow his nose. He is 13! and has full rom He told me his parents use the bulb (the one for infants) so I got it and we compared, he picked blowing his nose, better results. LOL