Published Jun 17, 2003
shrinkyrn
58 Posts
I am a psych nurse working primarily with substance abuse patients -- who are largely diagnosed with a personality disorder. In my efforts to "do my job" and enforce rules, confront behaviors etc. I ticked some patients off. And subsequently I received "bad" comments on pt. satisfaction surveys. Now that has become an issue on my evaluation. and I am pieved!!! I'm looking for some feedback. I have a day to respond to this c**P. and provide my commentary on my eval. also I have been blindsided by another comment on the eval that was never addressed prior to eval, but it has shown up there. totally out of the blue, that I had NO clue was a problem for anyone.
Freshman RN
75 Posts
I once got a bad eval from a charge nurse because I insulted her boyfriend.
My last evaluation was very good and because of it the DON says " what do you think it means when you get all 5's?" I said taht everyonce in a while I screw up but for the most part I do rather well.
Don't worry to much about the patient complaints, somethimes pateints are kjust super PIA's, I would adress the other though in a "I" way ( I was wondering if you would discuss this with me...)
twarlik
573 Posts
Originally posted by shrinkyrn I am a psych nurse working primarily with substance abuse patients -- who are largely diagnosed with a personality disorder. In my efforts to "do my job" and enforce rules, confront behaviors etc. I ticked some patients off. And subsequently I received "bad" comments on pt. satisfaction surveys. Now that has become an issue on my evaluation. and I am pieved!!! I'm looking for some feedback. I have a day to respond to this c**P. and provide my commentary on my eval. also I have been blindsided by another comment on the eval that was never addressed prior to eval, but it has shown up there. totally out of the blue, that I had NO clue was a problem for anyone.
How strange that your supervisors would give so much credibility to the words of patients with personality disorders. Are these sort of evaluations common? I mean, I've heard of car salemen being evaluated by customer satisfaction surveys, but nurses?!?!
renerian, BSN, RN
5,693 Posts
Seems odd to me as well?
renerian
Teshiee
712 Posts
Unfortunately that is the trend with some facilities. They are pushing that patient/customer satisfaction mess to the point the nurse has to been over and kiss that azz! If it were unfounded I would tell my side of the story in a professional manner.
live4today, RN
5,099 Posts
shrinkyrn ((((hugs)))) I feel ya! :kiss
Yesterday, I had a situation where a patient's family member reported me to the Nurse Manager for "getting snippy with" him.
I simply asked him to move the chair he was sitting in because I tripped on the leg of the chair to get to the patient I was caring for in the bed next to his family member's bed. His family member was not my patient.
I went to talk to my Nurse Manager who reminded me of PR issues arising if we did not keep patient's and their family members happy. Helloooo!!! That statement totally confused me because there were two patients in that room, not just one. The situation was not about me, but about the two patients in the room. My patient deserved to have space around her bed for her family members as well instead of being scrunched up in a tiny space just so FIVE or SIX family members could all be comfy in chairs around their loved one's bed.
I made a big mistake returning to nursing. During the last two years of my (almost) six year sabbatical from nursing, everything that I read on allnurses.com from other nurses regarding how nurses are being treated like "handmaidens" and being totally disregarded because of "The Big PR Issues" in hospitals around the country is true, true, true. I join those of you who complain about it being a major problem in hospitals today.
Speaking of evals......if these are the kind of things I have to look forward to hearing during my annual evals, perhaps it is time for me to say goodbye to nursing again for good. After working my buns off for over 12 plus hours three dayshifts a week doing as much good as I can possibly do for patients, then come to an eval session only to hear about the one to three reports of how some family member didn't like being asked to move his chair, and other things I hear you all mentioning here at allnurses.com, then I will leave nursing for good.
I LOVE BEING A NURSE! It is the hospitals that do NOT appreciate us as nurses by not believing a word we say in our own defense when we have done absolutely nothing out of line or unprofessional towards patients or their family members.
I'm so upset right now about this matter I do not know where else to turn but to you all.
Help!!!
sjoe
2,099 Posts
You can sign your eval "signature signifies receipt, and not agreement, with the above," and then take AS LONG AS YOU WANT to rebut it in writing, along with any relevant xeroxes.
I received a mediocre eval one time because the NM was pissed off that I reported a friend of hers (my immediate boss) for drinking on the job. I sent a registered letter to the medical director of the facility, and both the NM and my boss were forced to throw out their earlier evals and write more appropriate ones in their place.
Remember:
mattsmom81
4,516 Posts
The timing of this thread is perfect as I had family members in my ICU getting under my skin all night, being as obnoxious as they can be. Our NM supports open visiting and 'keeping the family happy' at all costs...
Unreasonable, demanding patients and family sure make our job miserable as nurses. Doncha luv the families who stimulate their sick loved one nonstop so they desat? And then they report you if you object, totally ignoring your efforts to teach them?? And of course the NM will NOT support the nurse....
I also am tired of evaluations based on patient and family satisfaction...our facility is real big on this too. The suckups are the ones who are rewarded.
I'm exhausted from trying to keep everyone happy in this healthcare arena and I feel for ya, Shrinky! I try to tell my story to TPTP when family complain, but nurses' dilemnas are not a priority. We just do the best we can.
I'm not a psych nurse but sometimes I wonder if a lot of these folks we see in the general public today DO have personality disorders...they are so difficult, manipulative, demanding, etc...seems to be a societal problem today that I did NOT see 20 years ago.
Sorry...just had to vent today .
BadBird, BSN, RN
1,126 Posts
I think you stated it perfectly in your sentence that begins "In my effort to...., that should sum it up, I would also add a reminder to your supervisor that Please remember these patients are diagnoised with a personality disorder, I am not.