Family member complaint. Sorry, long post.

Nurses General Nursing

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I had a patient the other day who kept me hopping. At our hospital, we are required to round every hour, but with most patients, it ends up being more often due to acuity of our patients...especially with this patient. She was on two drips, neuro checks (which WNL), went down for a test, etc.. I am big on patient care, and I took great care of my patient. The entire day family was constantly in the room...lots of family and visitors ALL DAY. At one point, I know there were at least 6 or more people in that room at one time...some were young, loud, in the way children. I managed it well, I maneuvered around them, and I did my job beyond. They were even the type that would tell you how to do stuff, like maybe you should do it this way, get her up this way, etc.. Continued to handle it well. They were nice though, patient was really sweet lady...no problems. Well, close to the end of the shift, one family member/daughter comes to tell me they were going out for a little while to get some food, do we have a bed alarm? I went in the room with this family member, set the alarm (know it set due to loud beep and the light was on). We even made the comment about the beep due to pt was lying there sleeping, and we made comment about "good, it did not wake her". Family member leaves. She witnessed it! About 10 minutes later, the alarm goes off, I run down the hall in no time since I was in another patient's room close by, and the patient had just moved a certain way in the bed, and she triggered the alarm. I reset the alarm, checked and situated pt...everything fine. As things go at end of shift, patient down the hall started having some change in status-increased BP, tachy, arms hurting...assessed her, called dr, got orders with new meds to give her right then IV. I was in that room handling that patient's status when alarm goes off again. Peeked out door, saw there was someone going in room, continued to take care of more critical patient. Well, night shift comes in, I go to finish my charting on critical pt, give report, finish up (had already done final round on other patients as well). I am sitting at desk, daughter of bed alarm pt comes up to desk shaky and mad to complain requesting charge nurse. She states they have been pressing call light "forever" and no one had answered or came to room. Secretary and other nurses at desk stated they had not received any calls from room. Also, she states how ridiculous it is with all us there and us being a smaller hospital than one at before, it was a shame no one came as soon as called, how they were at such and such hospital, and it was a bigger hospital, and they had no problems with someone coming as soon as needed, getting what needed, etc.. Then, she proceeds to say how her father tried to get the pt out of bed to go to bathroom and the bed alarm did not go off. She says "if something happens to my mother, then we will sue your a.... off!" Well, I was upset. We checked call light, found out they were pressing the wrong button (after pressing right one all day long)...problem there fixed. Still upset about bed alarm. I explained to charge nurse and others around that I had set the alarm and reset once as well. I know how to set a bed alarm, especially on a bed that we had at previous hospital I worked at, and as I said before, it beeps loudly and lights up. I do not know who, what, how the alarm was not on. I understand she was concerned about her mother's safety, but they had been taught not to get pt up without assistance (obese, older pt as well) along with other safety measures, plus family was back in room. Then, she complains how they had asked during the previous night shift about getting a BSC. No one mentioned all day about this, did not get it in report either, no order for, nothing. Just F.Y.I.-we were getting the lady up on the side of the bed close to the bathroom with no problems all day. I worked my butt off all day with that patient, rounded more than every hour, had good bedside manner, good patient care (and so did my preceptor/I'm not a new nurse, just new at this hospital...been there a month). There was nothing wrong all day, then BAM! It had me going home feeling like crap...why do family members act like this? And everything was documented by the way. I even told my preceptor that family is leaving to eat, so I set bed alarm. Anyway, some people you just cannot please no matter what it seems. I just worry too much (my preceptor told me not to worry about it or lose sleep over it, that some people are just like that...and she is a great nurse). Also, I am too passive. Should have talked to daughter, but I kept my mouth shut.

Specializes in Cardiac Telemetry, ED.

This experience sounds so typical of an inpatient unit nurse's day. It sounds to me like you did a great job, and it sounds to me like your documentation will speak for itself. Dust yourself off and go forth and keep being a great nurse!

Specializes in Acute Care Cardiac, Education, Prof Practice.

Sounds like a scam to me.

"if something happens to mother we will sue your butts off" yeah ok, and is it convenient the bed alarm didn't go off and the family watched you set it earlier in the day?

There are a lot of people in this economic downturn that think they are smarter than the system and are attempting to "set up" lawsuits.

We had a patient recently who came in with huge breakdown, I mean cereal bowl sized ulcers. We diligently turned her q2 hours, redressed VRE/MRSA wounds and everything. In the end the family, who visited the patient once, complained that we hadn't take care of her. They were sending her back to the same facility that had allowed her to get the large wounds and go septic, while they went back to working on the LAWSUIT against one of her previous physicians. I can't detail it more than that, but basically the worse the patient looked, the better for their case.

Your care sounds attentive, empathetic and very competent. Put them out of your mind and don't ever look back.

Tait

Specializes in LTC.

Good Morning everyone!

I work in LTC and have the same problems with family! We have a resident on Tube Feeding, the speech therapist has been working with him for a long time. He has had swallow studies done, family came in one day yelling because resident was still on the tube feeding while eating. Wanted tube feeding off. The speech therapist decided that he was eating enough to stop hold feeding for a while (and doing good with eating) The next day the family come in and start yelling at the Speech therapist!! Asking why feeding was stopped and why was resident eating food!!!!! OMG! I couldn't belive it. The poor therapist had about enough of the family! And us nurses too (as you know everything is the nurses fault)

I wonder about some famlies

Specializes in Trauma/Burn ICU, Neuro ICU.

Dear Karma,

You can take care of my mom anytime!

Well, devil's advocate here - your preceptor should not have been so quick to comfort you. Not to upset you but there's no guarantee that this won't mushroom. I hope it does not but there's always the potential.

I think I would be inclined to have done the following:

I would have nicely but firmly called a huddle with this family at my first encounter with them. I would have made it clear that I needed good access to the patient at all times and I would not be able to climb over visitors, especially children. I'm there to take care of the sick person, not cater to the whole clan, esp kids who are little enough to be underfoot and get hurt. i know this is the day that "family rules" but if Vito is going to work with a patient, Vito needs clear access to the patient at all times. Vito does not want to hurt anyone, esp little kids, therefore said darlings must be out from under foot.

I would have handed them a written set of rules, I think, for them to ponder and memorize. I would call it "How You Can Help Your Loved One Here in the Hospital" or something like that. It would say the first thing I said above + it would say that they are not to get her up themselves and whatever else I needed to make clear to them.

I would also have been sorely tempted to ask them why they chose my facility if the other one did such a great job.

"You're here now and we're going to do everything we can to help your mom. Here is what I need from you if I'm going to be able to help your mom." I would just tell them the truth. Why not?

I wish you all the best. Keep doing a great job.

You know I am glad that Vito addressed this because I was wondering the same thing about telling the family from the get go that congregating in the room while I am trying to do my job is a big fat NO NO. I don't have any hospital experience yet but during clinicals I would see whole families stuffed into these tiny rooms that would be in the way of the nurses and I would think--Hey--How can anyone do their jobs with all these people.

When I start working I'm doing the "huddle thing" with the family in the beginning--Thanks Vito--I have no problem speaking up--all those people present a safety issue to me--if I can't get to the patient how can I take care of them--Speak up Nurses--as long as you set ground rules in the beginning I think families will find it hard to walk all over you. JMHO

Specializes in ICU, Telemetry, Neuro, Ortho, Med/Surg.
Well, devil's advocate here - your preceptor should not have been so quick to comfort you. Not to upset you but there's no guarantee that this won't mushroom. I hope it does not but there's always the potential.

I think I would be inclined to have done the following:

I would have nicely but firmly called a huddle with this family at my first encounter with them. I would have made it clear that I needed good access to the patient at all times and I would not be able to climb over visitors, especially children. I'm there to take care of the sick person, not cater to the whole clan, esp kids who are little enough to be underfoot and get hurt. i know this is the day that "family rules" but if Vito is going to work with a patient, Vito needs clear access to the patient at all times. Vito does not want to hurt anyone, esp little kids, therefore said darlings must be out from under foot.

I would have handed them a written set of rules, I think, for them to ponder and memorize. I would call it "How You Can Help Your Loved One Here in the Hospital" or something like that. It would say the first thing I said above + it would say that they are not to get her up themselves and whatever else I needed to make clear to them.

I would also have been sorely tempted to ask them why they chose my facility if the other one did such a great job.

"You're here now and we're going to do everything we can to help your mom. Here is what I need from you if I'm going to be able to help your mom." I would just tell them the truth. Why not?

I wish you all the best. Keep doing a great job.

I do not think of you as "devil's advocate". I can take constructive criticism, advice, etc...well. Thanks for your input.

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