Yeah, you can't pick and choose pts. But if there is a situation that is very uncomfortable, hopefully you can talk with your charge nurse and see if a change can be done. A pt change is a pain, so if it is denied...well, that is the reason! LOL!
I get along with most people, and for docs or even other disiplines that don't tend to get along well with nurses...well, I keep it short and sweet with them...and I haven't had a probelm yet, and if I did I have enough knowledge and confidence to stand up for myself in a proactive way. Pts that are being nasty or are not socially correct...(and their families), again short sweet and to the point, pick my times well on education, and stay friendly but professional, but typically for me I have my pts smiling and laughing when I am there...so very rare to have a pt that I can't get to be cheery!