We have a nurse manager who seems very demanding. One of those who feels that you should drop what you are doing and run when she calls. It's getting very frustrating for some of us. I mean she even had one of the nurses cussing in the med room about all the stuff the NM had her doing. And this nurse NEVER cusses. I had never heard this nurse say "damn" let alone hear the words coming out of her mouth. She said she couldn't get through her med pass. She was still trying to pass meds from her 1 st med pass. I guess one of the res. was having some anxiety issues, and needed a prn ativan, (which the res. has q 4h) which the nurse gave, but then she was being told to call the dr. and get an order for ativan to give now if needed. And give her a pain pill to. this res is confused and occasionally has anxiety attacks and will usually respond well to alternative methods,like deep breathing exercises, refocusing and will calm down. The NM was insistent that the nurse give her all the Ativan and Norco she can get for her to calm down. When this res has an anxiety attack, she does not go wild, or get loud, she hyperventilates. So we use breathing exercises to help her calm down, most of the time, she just wants someone in there to hold her hand. I know we don't always have the time to sit and hold there hands, but with her. it really doesn;t take much. And the NM would not listen to the nurse as she was trying to tell her that she really doesn;t need to be chemically sedated. When all she needs is someone to breath with her for 5 min or so.
If the NM would listen to what the nurse was trying to tell her. It wouldn't have been so bad,if the nurse taking care of her had the opprotunity to assess the situation herself. and they could have come to that decision together, rather than being ordered to do it.
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We have a nurse manager who seems very demanding. One of those who feels that you should drop what you are doing and run when she calls. It's getting very frustrating for some of us. I mean she even had one of the nurses cussing in the med room about all the stuff the NM had her doing. And this nurse NEVER cusses. I had never heard this nurse say "damn" let alone hear the words coming out of her mouth. She said she couldn't get through her med pass. She was still trying to pass meds from her 1 st med pass. I guess one of the res. was having some anxiety issues, and needed a prn ativan, (which the res. has q 4h) which the nurse gave, but then she was being told to call the dr. and get an order for ativan to give now if needed. And give her a pain pill to. this res is confused and occasionally has anxiety attacks and will usually respond well to alternative methods,like deep breathing exercises, refocusing and will calm down. The NM was insistent that the nurse give her all the Ativan and Norco she can get for her to calm down. When this res has an anxiety attack, she does not go wild, or get loud, she hyperventilates. So we use breathing exercises to help her calm down, most of the time, she just wants someone in there to hold her hand. I know we don't always have the time to sit and hold there hands, but with her. it really doesn;t take much. And the NM would not listen to the nurse as she was trying to tell her that she really doesn;t need to be chemically sedated. When all she needs is someone to breath with her for 5 min or so.
If the NM would listen to what the nurse was trying to tell her. It wouldn't have been so bad,if the nurse taking care of her had the opprotunity to assess the situation herself. and they could have come to that decision together, rather than being ordered to do it.