A coworker made me so mad!

Nurses Relations

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How would love to hear some of the things coworkers have done at work that just make you mad and frustrated.

For example, the other day we had a lady who was clearly terrified of needles. Now we all have patience claim they're scared of needles. But this lady was a little different. She came into the ER clearly in pain and flat refuse to let the doctors draw any blood work, or start an IV.

She had abdominal pain but would not allow us to do anything that involves a needle. Try to figure out a diagnosis for abdominal pain without being able to do any kind of lab work or use any kind of IV contrast.

Now I'm not the first nurse involved in taking care of this patient. In fact, I actually asked to take over care for this patient because nobody else was getting anywhere. After sitting there and talking to her for 20 minutes I finally got her to agree to let me draw blood do doing finger sticks with micro tubes just like I would have a very small child. So I went to gather up the necessary supplies.

Now I am a new employee and was oriented to the ER. My preceptor took it upon himself to walk in and try to convince the lady to let him start an IV. She's already told for people know she would rather leave. She had even said she would rather go home and die then let someone stick her with a needle and she was crying when she said so.

When I got back she was signing the AMA paperwork and leaving and nothing I could do to stop her.

. I've been a nurse twice as long as he has I just happened to be new to the hospital. I think he was wrong and out of line.

What do you think?

Thanks for letting me vent. I really needed it.

I'd be mad. Frustrated. I could handle it with a Dude, really??! and a few well placed F bombs under my breath.

Then I'd move on.

I'm with roser13. Why did she come to the ED?

Specializes in Childbirth Educator, Birth Doula.
I would have been mad. Typical male "white knight" behavior.

Anytime a guy swoops in and tries to save the day, I am sorely tempted to kick him in the shins. It just undermines you and destroys your rapport.

Sorry, guys. You know you do it.

Who even knows if HE knew that she had negotiated with this patient? Or if anyone knew for that matter?

This kind of generalization based on gender is ridiculous. I'm sure you'd be blowing a gasket if it was directed in the other direction.

Sounds like she did not want the help offered. I don't see a lot wrong with him trying to convince her it may be in her best interest to allow an IV, as that was obviously one thing needed/ordered by the doctor.

And she had every right to sign out AMA. She made her choice. What else can be done?

I can't see there was much you could have done with her if she "would rather die than have needles" (paraphrased).

I don't think you need be so mad at your coworker at all; you are getting a bit overly worked up here.

i think you are way off base here. the patient was allowing the lab work, she wanted help, and his pressuring her was totally inappropriate.
I would have been mad. Typical male "white knight" behavior.

Anytime a guy swoops in and tries to save the day, I am sorely tempted to kick him in the shins. It just undermines you and destroys your rapport.

Sorry, guys. You know you do it.

i would have been tempted to aim a little higher. frankly i think he may have done it on purpose because he didn't want to deal with her and knew it would drive her away

.

Before I read the comments, I was sympathetic to the OP's plea.

To me it sounded like she was working to get the patient to trust her by starting with small steps. Sometimes when you gain the person's trust on a little thing, they'll trust you on the big things.

I don't think it is worth getting mad at the other person though. I worked ER for years and we have to move fast and get things done. I'm sure he didn't mean to sabotage your attempts at helping the patient.

Specializes in geriatrics.

Sometimes patients change their mind, and they have that right. There are other places to focus your energy.

This patient was being immature and ridiculous. Why do you come to the ED, repeatedly, to refuse treatment? Even if you *had* gotten the finger stick blood work - eventually the treatment based off that is likely to involve an iV or a needle. Focus your energy elsewhere and stop being mad at someone who didn't do anything wrong.

i would have been tempted to aim a little higher. frankly i think he may have done it on purpose because he didn't want to deal with her and knew it would drive her away

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You have absolutely no evidence to support this position.

I would have been mad. Typical male "white knight" behavior.

Anytime a guy swoops in and tries to save the day, I am sorely tempted to kick him in the shins. It just undermines you and destroys your rapport.

Sorry, guys. You know you do it.

I really don't get the gender spin, do you want me to start spouting generalities about female nurses I work with? Didn't think so.

Also....

Who cares? For cookie cutter abdominal pain the doc is going to want a CT ABD with contrast or at least an ultrasound. Labs via fingerstick are going to be more painful and less effective anyway. If there was an abnormality on labs an IV will eventually need to be placed. I don't have the time to waste convincing a person why needles could help her feel better. Don't come to the ED.

She obviously didn't want any care and was wasting everyone's time, an AMA was the best option. Next person in line please...

Specializes in LTC Rehab Med/Surg.

I don't negotiate with grown men and women who are my patients. I present the plan of care, and they get to choose whether they accept or not.

I think the OP got worked up over nothing.

But then I looked at it a different way.

If I had accepted my patient was leaving AMA, and a co-worker baby talked them into staying, I would be upset. Isn't it the same thing?

Specializes in LTC Rehab Med/Surg.

I rethought the issue. Maybe I do negotiate in order to keep a patient from going AMA, as long as the requests are reasonable to both of us.

However, the no needle thing is not reasonable, and doesn't deserve one extra minute of my time.

Ouch.

Put my foot in it that time, eh?

I apologize.

I was raised with a lot of overbearing guys as a product of my birth religion. It probably still colors my perceptions.

Still, it was wrong of me to generalize. I'm sorry.

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