Patient's Demanding Family *Vent*

Nurses General Nursing

Published

I came on shift yesterday afternoon, got my paperwork together, and was heading down my assigned hall when an RN stopped me and asked me to check on a patient on the other wing. When I get there, of course, it's a MRSA isolation room. I start with the mask and gown and patient's wife yells at me that I'm not moving fast enough. I asked what the problem was.... problem was there was air in his IV and it was beeping. According to her, it has been beeping for half an hour. I'm sure that wasn't the case, but I told her I would let her nurse know and have the nurse come and fix it. She got all huffy and demanded that I fix it RIGHT NOW and asked for my name. I explained that I could not fix the IV as I am not permitted to touch them and that the nurse would be in to fix it. Got stopped in the hall by another relative who demanded I fix the IV. Again I explained that this is not in the nursing assistant's scope of practice and I could not touch it, and I'd let the nurse know. As I was walking away, I heard her saying "This hospital does nothing but pass the jobs off to someone else, and he's not getting appropriate care." :uhoh3:

I found this patient's nurse and told her what was going on. Then I found out that the nursing assistant on daylight was in there at least 6 times to change his bed and do other appropriate nursing assistant care.

I am irked by the comments made to my back because I know that isn't the case. I know my coworkers, and they're not the type to not take care of their patients. My question is should I have been a bit more reinforcing with the explaination that I cannot touch an IV? With my luck, I'll get stuck on this wing tonight and have to deal with this family. I just have a feeling that these are the type of people who are going to complain with a fistfull of hundreds..... But I also don't want to see my coworkers get called on the carpet for this cause they did nothing wrong.

Specializes in Operating Room Nursing.

[i guess being abused by stressed out, emotional people is part of nursing.]

That's a very sad thing to say. I would say that it's only a part of nursing if you choose to let it. Being constantly exposed to demanding and abusive relatives is why some nurses choose to leave the profession and can lead to burnout and stress. I have seen so many nurses just take their crap and let it stress them out to the point where they start venting to me about the relatives.

I have never ever let family members speak down to me or boss me around. When i worked on the wards i would very politely but firmly let family members know when they are out of line. If they don't 'get it' i will let the charge nurse know and have it dealt with there and then. If people yell at me, i just walk off because theres nothing in my job description which states i have to be yelled at. If people get too abusive i call a code black.

I understand that people become emotional and angry but they have no right to treat nurses like crap.

Adult people can understand someone saying that they are not allowed to do something on the job. Most adults would understand if a nurse says "I'm sorry, I can't cut that cast off, I have to get the doc", or "I can't tell you what the report says, but I will find your doctor for you". A nurse cannot perform a doctor's duties, not all doctors perform surgery, A PT can't perscribe medications etc... How is this situation any different? The OP explained that she is NOT ALLOWED to touch the IV's, and stated she would find the nurse. That should have been the end of the issue. Frustration is understandable, but the rude, demanding attitude speaks to the decline in polite social skills in todays society. I am frustrated by things that happen on a daily basis. Do I take it out on someone who is not the cause of the problem and probably can't do anything about it? No, because I was taught better than that. Do we allow our 4 year olds to just throw a complete fit anywhere and everywhere because things aren't going their way and give in to this behavior because they are frustrated and upset? I hope the answer is "no". So if we frown on the screaming, tantrum throwing 4 year old, why should we tolerate a 40 year old acting this way?

I'm sorry this happened to you. What makes me kinda smile is that these folks seem to watch too much TV. A little air in a peripheral IV line isn't going to kill anyone, that's what those fancy ports are for. Can you just imagine the frantic fear as they watch the dreaded "death bubble" gobble up IV line closer, closer, closer....

Some people are just NASTY. No, wait, A LOT of people are just NASTY!

Scrubby

Could you please explain the term "code black". Haven't heard of it.

When I start getting abused verbally or otherwise, I walk away too. In home health, I will call my agency, arrange for the care of the patient if possible, and leave. If the patient can't be left alone for some reason, I will finish the shift, then I don't go back to the case. Unfortunately, my past agencies have not always supported my decisions to leave a case. But if you have to go, you have to go. I won't jeopardize my license or my safety and well-being for anyone, even if it means I end up unemployed.

Specializes in Operating Room Nursing.

A code black at my HCF is for for aggression. I have only called it a few times when i have felt that i have been at risk of violence.

I've reread some of my past posts and i hope i don't sound uncaring. I don't mind if a family member wishes to vent some frustration out on me if it's not personal. If they want to cry on my shoulder that's ok i'm here for them. If they want to ***** about waiting for too long for anything that's fine as well . It's when your treated like it's all you fault when i just get fed up.

Specializes in Med Surg, Hospice.

Thanks again everyone.... I told the nurse that had them on Friday night what was going on to give her a heads up. Last night, I was lucky enough to draw them... the two differences being they didn't give the nurse any crap on Friday night (but then she's very good at NOT taking patient's/family's crap), and last night I only worked half a shift because of low census. Wife wasn't there, and when I went in to get vitals, straighten the room, etc. Patient apologized to me for wife's previous behaviors. (Odd because he has dementia, must have had a lucid moment.) I told him I accepted the apology. I won't stoop to wife's level. Guess I have to wait and see what tonight brings..... :balloons:

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