Patient demands, "I want a different nurse" - page 2

I have never been told this by a patient. But I have gone in to report & had the day shift tell me in report, "This patient said they did not want you for their nurse anymore." Have you ever had... Read More

    Originally posted by NS_RN
    And....I wish I had the option of saying "I don't want him/her for a patient"!!!!
    Oh, wouldn't that be nice?
  2. by   Texagain
    Actually, this happens with some frequency on my unit- we have alot of long term bedresters (APU). It's not a big deal. We handle it different ways. Sometimes, we are happy to not take care of the pt, and accept it happily. Sometimes, mid-shift, for example, it's just not practical to change. In any case the charge nurse or super investigates and it is almost always the nurse who decides. Once, I didn't want to change, so the super told the pt that all our nurses were competant to take care of her and she'd just have to live with me for a few more hours that day.

    It's more typical that there is a personality conflict as opposed to a skills question.

    Also, it seems our APU's who do that also do it in the NICU.
  3. by   Texagain
    To OBNURSEHEATHER- Hey we are allowed to do that!
  4. by   mattsmom81
    Occasionally a patient gets a burr up their britches, or there's a personality conflict. As charge, I would put in an appearance to try to smooth ruffled feathers...with the nurse present. Sometimes they would iron out the difference themselves. If either party wanted a change of nurse I would accomodate. The staff understood they may be asked to do this for one another at some time or another. Even is the patient is a 'problem' we would do this.

    Very seldom did I find any was there any 'real' problem that needed to go any further than was generally just a misunderstanding blown out of proportion by vulnerable, scared (or arsehole) patients and families. We handled it on the unit unless the family tried to take it further up the food chain.
  5. by   OzNurse69
    Originally posted by NS_RN
    And....I wish I had the option of saying "I don't want him/her for a patient"!!!!
    I do!! I work in gen surg. doing a lot of gastric bypass surgery, & they often go bad, & are usually PITA's to begin with -- so we are allowed to request not to look after that particular pt if we have had them a few times before -- saves on burnout. Makes it interesting when you get to work, request NOT to look after a pt, & then have their family say "why aren't you taking care of my daughter today? We specifically requested that you look after her" !!
  6. by   VivaLasViejas
    I've never had this happen....for some reason, I've always been the one who gets sent in to smooth things over, even before I was in management. I used to work with a former classmate who was probably one of the best clinical nurses that hospital ever had, but her "people skills" stunk on ice. She was forever alienating patients and families, and the house supervisor would ask me to calm everybody down while she tried to find another nurse to take over the patient's care. I didn't mind, but some of these people were PITAs and I ended up taking care of them for the remainder of their stays, as well as the next time they came in because they'd ask for me!! And of course, being in med-surg means never being allowed to refuse to care for a pt.............
  7. by   passing thru
    what's a PITA ?
  8. by   Stargazer
    Pain in the ass.
  9. by   KaroSnowQueen
    Happened to me. Pt's family stated to charge nurse next day, that no one was ever in room with pt day before. Charge nurse had been off day before. Luckily I had charted a BOOK on this pt. The girl acting as charge backed me up, amazingly!!!!!!
    Family had been told pt was most likely terminal and I think was just reacting out in any way they could. For a solid five hour period, some staff member was in the room continuously and it was documented, me - the lowly LPN, the PSA, the RN charge giving my narcotic pushes, the respiratory therapist, the oncologist. Somebody in there all the time.
    But...."No one was in there."
    I said, Good for me. I don't want to have to fool with them and their uncertain grasp of reality. Someone else took them and was in there every minute of the day that day.
    Next day, they didn't want her in there any more either. Didn't pay mama enough atttention. Good grief.
    I say take it with a grain of salt, and think of it as a pain you don't have to go through.

    PS for passingthru P.ain I.n T.he A.$$ = PITA
  10. by   karoline
    Several years ago I worked pediatrics at a university hospital and many of the kids on my unit had a hematology/oncology related diagnosis or some other chronic disorder that required lengthy and repeated admissions. A few times I cared for kids whose parents and I didn't click and they asked for a different nurse. Happened to everyone at one time or another. Sometimes the parents would play one nurse against another to get what they wanted and really took advantage of the nurses. Parents of very sick children are incredibly stressed and often the nurses are the target of their anger and frustration. My first manager was good at not letting the parents have too much control and would tell parents that each nurse on the unit was equally qualified to care for their child. After this manager left the following manager was a different story. Often moms were making out the bed assignments (admissions) for the day and who would and wouldn't be their roommates. Parents were allowed to check the nuring schedule to see who could be their nurse. One time the infant daughter of one of the social workers was hospitalized (repeatedly, unfortunately with leukemia) and the mom would check the schedule and make a list of who would be her daughter's nurse for each shift for the length of time she was hospitalized. Needless to say this caused alot of resentment and hard feelings among the staff. Personally, I was very happy to not be on her "list."

    I left pediatrics eight years ago and do not miss these conflicts one bit. Have worked med/surg since then and have very rarely had this happen. Currently I work on a cardiac and cardiothoracic surgery floor. One night, not long after starting my current job, I cared for the husband of one of our secretaries. He didn't want me to be his nurse the next night because he felt I wasn't helpful enough. Actually the off going nurse led me to believe that he was much more independent than he was. He was readmitted several months later and I steered clear of him. When his wife came to visit she asked if I was his nurse. I told her that he didn't want me to be his nurse previously when he was a patient due to a misunderstanding. She was not aware of the situation and said "well I told him to ask for you because you are the best one."

    One thing I have learned is to not take anything personally and to let things go.
  11. by   mario_ragucci
    For me it's sex thing. Older women reject me on rare occasion because I am a man. There is nothing I love more than to have someone explain they are uncomfortable with my gender. I don't mind, and automatically forgive them and pay homage to their request, but it does seem strange to me. Don't they realize I came out of a mom. I'm not some seperate species. Jeesh :-(
  12. by   P_RN
    Once. Man dislocated knee. Anyway he was supposed to be OOB as much as possible. Wife thought he was in too much pain to get up and said we were "hurting" him..

    Sheesh he was getting IV Dilaudid and taking it like it was water.

    SHE was a paralegal and knew no one could MAKE hubby do anything. She "fired me."

    I was off a long weekend and came back to find he had fired off a PE a day or two later, had expired....and had NEVER gotten OOB.

    Too sad.....he was a nice guy who was totally whipped by his wife.
  13. by   Michelleroth1
    i have had patients ask for a female rather than male nurse.
    I have grown up alot and i understand it can be embarrassing for a female patient to be cared for by a male nurse this worked for them till I was assigned with a male pool nurse whose work was lousy at best ( had to do both assignments and yes I did report him) But the female patient had seen my work before with others and changed her mind. After that she always asks for me she told me I have gentle hands. It was the greatest compliment in the world for me. And the DON was in shock when I mentioned it to her that I didnt need to switch assignments