First patient complaint...

Nurses General Nursing

Published

I came into work yesterday and the day shift nurses were talking about how our director came up and chewed everyone for complaints from a patient...no one introducing themselves when they walked into the room, pt complained about some hair left in her bed after being prepped for a cath, nurses telling the pt it was policy that the pt couldn't take their home meds back home with them...etc.

...Then I realized it was the patient that my preceptor and myself prepped for cath! I was still orienting and I have never prepped someone before, so I brought my preceptor along to make sure I was doing it right. She was showing me how to do it on one side and as she was shaving, I kept grabbing the clumps of hair off the bed and putting them in the trash. Then she had me shave the other side, and same thing. There were still some hairs left in the bed and the patient complained about it. I tried to clean off those hairs as best as I could...and I realize it was my fault for 1) not putting down a chux pad beforehand and 2) failing to do a linen change afterwards (and not delegating it as I should have, I had a VERY heavy load that night!) but from what I have heard from other employees, the pt made it sound like there were clumps and clumps of hair left in the bed! Linen change was done at around 0715...pt got up to the bathroom so the new nurse & I changed it while they were up. Shave prep was done at I don't know, 0500-0530? Then a pt was complaining of chest pain so I had to order a stat EKG and get the doc on the phone...and still trying to get caught up with charting everything including meds, initating orders, etc...it was busy for me! And I don't know if they were prepped some more downstairs or what and left more hairs in the bed...but frankly I'm pretty worried!

I had this patient the night before, too, and I was told I was the very first person to introduce myself when I came into the room. Not sure what was going on with the discharge. I'm still on probation (about half-way through now), just had my evaluation last week and was told how I am doing such an outstanding job...that night I worked was by far one of the worst nights I have ever had...and during my evaluation I was commended for handling it professionally and not having a negative attitude about anything, etc....and now this! I haven't heard anything yet, but yesterday our director took our schedule book because she was trying to figure out who was working that night and working when the pt left.

A similar situation happened in the past...Another patient wasn't happy with the care the were receiving and complained that no one came in the entire shift. Obviously with documentation including med documentation, that is not the case. I did not work that night, but everyone who worked that night got talked to...

I have never had a patient complain about me before! And I know this is bound to happen at some point in my career (and it probably hasn't because I'm still so new) but I have not made any med errors and have never had any safety issues with patients. If I need to call the doc, I call. If I'm unsure about calling, I asked my coworkers for a second opinion. I always try to advocate for my patients in the best way possible. I am always polite to my patients - I never talk back to them or be rude to them. I have perfect attendance and always show up early to work...and I'm still worried what will be said to me if anything at all. Day shift nurses were again talking about it at shift change. Came home and couldn't sleep...finally slept for 2 hours...and now I'm awake again and I'm back tonight!

Any advice/reassurance/let me have it? Please...

Specializes in Oncology; medical specialty website.
Apparently our director was talked to by someone higher up (not sure who) and then our director chewed out everyone on day shift...according to them she was very upset about it...but of course this is just what I have been hearing, and it is over different events, not just this one. Regardless, I'm still on edge of my seat... :/

The difference between gossip and reality can be staggering. By the next time you go back, the story will be that you severed the pt. leg while doing the prep.

I made the same mistake when I was prepping an ortho case. I realized it would have been easier to have a chux under the pt. extremity, so from then on, that's what I did. You live and you learn.

If it's absolutely eating at you, you could be proactive and approach your director and just clear the air for your peace of mind. But I really don't think this is something you should be losing sleep over.

The pt. sounds unreasonable. Nasty people get sick, and when they come to the hospital they don't leave their nasty attitude at the hospital door.

Specializes in ER, progressive care.
I can not believe after all the things you have to do as a nurse, redundant charting, meds, orderings tests, talking to MDs, family members and sooooo much more, the Director of nursing is worried about a complaint of hair left in the patients' bed, this is sooooo petty and ridiculous.

I think it's all about patient satisfaction scores :/

The pt. sounds unreasonable. Nasty people get sick, and when they come to the hospital they don't leave their nasty attitude at the hospital door

The pt was fine the whole time. I made every effort to make sure the pt's needs were met. The pt was displeased during the cath prep, but the pt was being "exposed" so I could understand feeling vulnerable. Later the pt was complaining of pain, so I medicated them for pain. Their eyes were slightly wet with tears and they just mentioned it was because of pain. After no pain relief I called the doc and he authorized an additional dose of pain medicine, + some ativan probably because the pt was experiencing anxiety before the cath procedure. That was at shift change. Not a word of complaint from the patient, until now.

You sound like you're doing fine, and again, I think you're worrying a tad too much. Some people are impossible to please and will complain about anything they can think of. The patient should have said something at the time if the hairs were bothering her.

I wish the patient would have. As I mentioned above the patient was (later) upset, but mentioned it was because of pain. And I realize you can't please everyone, but something like this has been bothering me. It's stupid, and I probably am worrying a tad too much, but in today's world (and especially at my hospital) patient satisfaction scores are becoming more and more important. And if a patient is unsatisfied, it makes the hospital look bad, and no institution wants to look bad! I'm just worried about what might be said, if anything at all, or if this will wait until our upcoming staff meeting. Patient disatisfaction has been brought up before in staff meetings. And my director is terrible with calling people out on things. We do report at the bedside and 2 nurses didn't do it, so another coworker mentioned something to management. They were called out at the staff meeting. I was called out because I was "rolling my eyes" which was *NOT* true...even my immediate supervisor in my defense said "I don't think she was rolling her eyes..." but whatever. And I felt REALLY bad, because that was after my very 1st night on the floor and our staff meeting was the very next morning. It was only supposed to be 90 minutes...it was 0955 when I left and the meeting was still in progress!

Last night I had a patient get pretty upset with me because I gave her 2100 meds at 2107.

Just do the best you can, learn from your mistakes, and move on. Sounds like you are doing a pretty good job to me!

Specializes in Hospice / Psych / RNAC.

BTW ... how hairy was this person (LOL!) ... they should be happy you didn't charge them for it, oops you did, anyway; come on. I would have loved that to have been my first patient complaint (we won't get into the doctors one's right now...). My first pc was from a 40 year old tall handsome male in a suit that came to the nurses station and asked quite politely to tell him what meds his mother was on. He wasn't listed on the POA so I informed him about HIPPA in a nice concise way.

He then adjusts himself like a posturing animal and informs me that he thinks I don't quite understand ... that he's the son blah blah. I look at him again and say the same thing and suggest perhaps to ask his father and then I noticed the look in his eye. He wanted to destroy me and the next day I was exactly right. Shoot I hate how I can read people sometimes ... I almost got fired! The guy lied and made up this ridiculous story that I won't even get into. End of story I kept my job but found another. If they didn't have my back in that situation can you imagine when something really goes wrong?

Then there was the time ... oh never mind, you get my drift. Yes, management will act like it's the end of the world. That somehow you have ignited the spark that ends the planet earth. Take it in stride, own up to not being knowledgeable about a chucks or not using one (why didn't the other nurse tell you if she was showing you) anyway you'll be fine.

If you don't learn something new everyday you're not paying attention. Enjoy your life.

Specializes in ER, progressive care.

lol not very hairy, actually! just enough for some clumps...I'm not talking a huge bush here :lol2:

That is ridiculous on what that guy did! Did the anyone question the patient in regards to the relationship? I guess it just shows you how messed up things can be...and in a "customer service-oriented" profession, "the customer is always right" ugh...I don't always agree :banghead:

The nurse showing me (after shaving off some hair) chuckled and said "maybe we should have used a pad!"

Overall, I think this is a pretty ridiculous complaint...hopefully they see that I made a "stupid" mistake and underneath it all have my back. It's not like the pt DIED from this or it resulted in HARM lol. Maybe I will have an answer when I head back into work tonight. Still no e-mail or call...

Specializes in Critical Care.

This happens! You think everything is ok and next thing you know the patient's mad about something and doesn't want you as a nurse and you wondered what you did wrong and how you didn't realize there was a problem. I've had that happen to me and don't make the mistake of asking why the patient's mad as that will only cause more trouble and could make the patient madder and get yourself in deeper.

Some people just are not happy and like to complain. Some patients will refuse several nurses and aids with petty, unrealistic complaints. Also your perception is not always the patient's perception and thinking.

So let this go, next time remember about cleaning up after shaving or whatever you did that was less than perfect. These days many patients think they are at a spa where you are their waitstaff ready at their beck and call.

I had one patient that asked where her nurse from the other day was, (she was off) and made it clear she preferred her because she had taken the time to give her a neck/back rub. I didn't have neither the time or desire to give the back rub, especially the way she sniped at me to make me feel less than welcome. Then she wondered why her family wasn't helping her more when she was stated how she had made the wife feel unwelcome from the beginning so now in her old age when she needed help she had no one and had to pay $5 for a load of wash, etc.

But we got along after awhile and she was very outspoken and to the point and quite funny! But it does hurt your feelings when someone makes you feel unwanted or unwelcome.

On a funny note, I had a patient that liked to joke and I had to take the supervisor's call to which he said you mean "stupidvisor". That made me laugh!

So relax and just do your best. Now if you noticed a pattern of patients angry with your care or not wanting you as a nurse, then its time to do some soul searching of what you can do to improve. Such as do you have a problem with anxiety, anger or burnout and take the necessary measures to improve things such as meds, therapy, etc. This is obviously not your problem though!

Specializes in LTC, Acute Care.
Last night I had a patient get pretty upset with me because I gave her 2100 meds at 2107.

Just do the best you can, learn from your mistakes, and move on. Sounds like you are doing a pretty good job to me!

Yes and I'm sure she was your ONLY patient and the center of your world...lol. So ridiculous; I get so tired of butt kissing. If I have one say something of that nature to me, I kindly inform them that I have a window from 2000 until 2159 to administer their meds in a timely manner. :mad:

Some patients are simply evil, hard to please pieces of BM:)

I've always wanted to say that.

Better the hair was left on the bed, and not dragged by the cath up into his sorry vessels....winding along the vascular system to lodge in some tiny vein, looking like a palm tree , waving in a bloody ocean breeze....:D

GOOD GRIEF.... the guy is a dud patient... no concept of what is really important. Think of him and be glad you don't share a branch in his family tree :D

Used to have this old woman who'd call EMS if she didn't poop every two days-- an ambulance to drag her sorry butt, her stale poop and even more stale personality to the hospital. All of the charge nurses would troll the ED census on the computer to see if she was around, and if any of us saw her, call the house sup immediately, and plead our case to not have to take her. Once she got there (after demanding an NG- seriously, she WANTED a 16 FR hose in her throat- :uhoh3::uhoh3::uhoh3:), she'd also want orange juice... but would really prefer if someone could get her a different BRAND.... oh sure- will get right on that after the guy in the next room hurries up and dies, already... GEEZ :D

Another didn't like the brand of bullion (I'm not sure how "hospital" and "buffet" got mixed up on the sign out front ???? :D

If this is the worst thing you can come up with to do, you'll be a legend !! Hang in there- the likable ones outnumber the duds, thank God !!!

Specializes in Hospice.

I work in hospice, and I get 'fired' by a patient about every 3 months. One of the things I have learned, that helps me not take it personally, is that when someone is sick, they have so much fear, anger, and anxiety, that somehow has to be managed. Sometimes that means I walk in the room and the pt dislikes me, or I do something different than the last nurse, and the pt is just sure I do not know what I am talking about.

This is okay. This is part of life. There are personality differences, and our workplace is high stress for us and those we care for. Just let it go, and file it away as a learning experience.

PS. A funny story about this type of thing- I admitted a 43 year old man from the ICU. Terrible story, very sick, and I knew the minute I walked into his room his wife would hate me. SHe was so angry about everything they were going through, that if steam really came out of people's ears, she would have had that. I did the admission and it went fine, but less than an hour after I left she had called and complained to my manager about me. Well, 3 days later I had to visit him again- she was pleasant and we had a great visit. She could not even remember I was the person she had been SO angry at- that is what stress does.

Specializes in LTC, Acute care.
Last night I had a patient get pretty upset with me because I gave her 2100 meds at 2107.

Just do the best you can, learn from your mistakes, and move on. Sounds like you are doing a pretty good job to me!

Wow! Had something similar happen to me but the difference in my case was the charge nurse got involved and gave me a talking-to for not giving pt the meds at exactly 1000. I couldn't quite believe it! All I could do was bite my tongue and sing hymns in my head...

Hang in there OP, take things like this as a learning experience and move on. Try not pay attention to unit gossip too...

Specializes in Med/Surg, Academics.

You mean your pyxis doesn't double as a time machine?! I can be in five patient rooms at once during med pass, can't you? :lol2:

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