Without getting into details (because you never know who's reading this thing
) I have to share a complaint about a resident's actions following a patient's death.
I had a patient expire the other morning (totally expected). The doc came in to do the pronouncement, and then became argumentative and confrontational with the family when they raised a legitimate question. They reacted with emotion but without raised voice or confrontation. Without details, I can tell you that his actions were a little abrupt and could have been easily seen as disrespectful of the deceased.
Later, when I emerged from the room the resident confronted me asking me what was wrong with them. I told him they had just lost a family member and were grieving :uhoh21:. He didn't like that idea, said that they were being inappropriate and then told me that he should have booted them out of the room and called security. I tried but could not make him see that his actions were not therapeutic ("But I said I was sorry for their loss"). He even told me that he had pronounced someone else earlier in the night and the family was "fine". I told him that different people grieve different ways but he didn't accept this, nor did he accept the fact that the family had been very appropriate all night long. He felt that he had done everything right and that they shouldn't have challenged his authority.
This happened a couple of days ago, and I haven't been at work since, so I haven't been able to access my email or the reporting system. Plus, this happened at the end of my shift, so I didn't have time to discuss with my charge nurse. I will be going to work tonight and I plan an extensive follow up with the notes that I made that morning once I got home. I have been a nurse for almost 11 years, and I've never seen anyone this insensitive to a family.
Thanks for reading my vent. Hopefully doofus isn't on tonight!
Nov 30, '06
This was so confusing. I thought you were talking about the deceased's roommate resident in a nursing home. Finalloy figured it out, though.
The Resident is probably quite young, was probably tired, not experienced with death, maybe thinks the family was criticizing when all they were really doing was trying to understand and come to grips with losing their loved one presumably.
Lots of professionals are not capable of talking with people. They feel challenged and criticized, even if no challenge or criticism is meant. Try to keep out of it as much as possible.
You are not responsible for the doctor's development and someone will probably try to blame you for the whole mess in the end. Only half joking. Hope all goes well.
Last edit by TrudyRN on Nov 30, '06