Only two things that I can honestly think of, Zebra.
The first (and most important) is total noncompliance with fluid and potassium/phos. restriction.. and by that I don't mean those who allow themselves occasional treats (as i know I surely would!) or who try, but seem to have a difficult time. No, I mean the few who truly ignore everything you try so hard to do to encourage them to help themselves in this area. Where it goes in one ear and out the other.. totally. The ones who CONSISTENTLY come in with 6-8 kg. of fluid..and not over a weekend, either ! (and then complain of cramps, etc., when you try to remove at least MOST of it as you know you'll never get it ALL.)
The other (more trivial, but yet annoying) behavior is the impatience re "is it time for me to comce off yet"?
While we all certainly understand how difficult it must be to sit in that chair for 3-4 hours, they KNOW (after how many years now?) :chuckle the sound of the "time to come off alarm".. then there's the impatience when they are through holding their sites and you are tied up with a bleeder or some other incident, and they start getting grumbly. etc. Granted we DON'T have many of these, but occasionally, this does rear its ugly head.
But the worst seems to be those who are in the waitng room, waiting to start their tx. on 2nd shift. Granted, they have set appt. times.. BUT... depending on what occurs on the FIRST shift, there is no guarantee that they will get on exactly at that set time. The chair they are assigned might still be occupied by the previous patient who can't get their B/P back up.. or could be having serious bleeding and will have to hold longer.. there are patients who might have been brought in LATE by their taxi or other transportation (happens a LOT).. and therefore started later.. and will also come OFF later. All these things some patients just don't seem to understand.. or want to (?)
And it is not like we haven't explained NICELY over and over and over again.. it's like "it's all about me" and don't try to explain, I WANT to be impatient and complain.
What happens is that this puts a tremendous amount of pressure on the staff, and believe me, we are under enough pressure as it is, from all that has been occuring onthe morning shift already..(tearing down the machines, cleaning them, and getting them all set up again, testing... while getting patients off, and ready, and out the door.)
Just SO MUCH is going on during turnover, that the stress levels are already through the roof. To then have a patient start peeping through the door or behind the drawn curtain (in our case) and pacing around.. or worse, start getting everyone in the waiting room going... this is more than we can handle at times. Our patient KNOW the routine... they them SELVES have been the one to hold another up on occasion through no fault of their own.. so it boggles our mind at times when they just don't seem to "get" it.
We can't run any faster, we can only work with one patient at a time..
I can't be at two or four different places at one time. I can't get the next person on until the first one is DONE. Shew !!!
Truly, that's about the worst frustration I can think of. The "impatience" aspect. And how it stresses us out even more.. and stress can cause a dang good nurse to make errors. And we sure do not want THAT !
I do appreciate you asking. As I said, we have a pretty darn good group of patients, and other than what I mentioned above, can't really think of much else.