What's the reason for a RN to be snippy to a new post op pt. ?

Nurses General Nursing

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OK. I don't want to fluff any feathers. I'm simply trying to get an opinion to experienced nurses and try to see this from the nurses point of view. I'm a nursing student so my POV is still very different from that of a seasoned Nurse and I understand this fact.

My mother had surgery today. She was scheduled to have a Hysterectomy and a Tummy Tuck. Her Hematocrit was too low (25) to do the tummy tuck so she just had the hysterectomy and will do a tummy tuck in roughly 6 weeks when she has healed and hopefully brought her iron back up. She has lost tons of weight and kept it off through diet and exercise alone. She quit smoking after 20+ years as well. Needless to say, this was a big day full of ups and downs for her and the whole family. (myself, dad, sister and brother)

Once she got to her room 2 hours post op she was doing as well as can be expected. She was of course in and out of it but pretty much knew what was going on. My dad, sister and I were there in the room. My sister had planned on spending the night with her and helping her with anything she needed. I was helping her with positioning, drinking fluids, answering any questions she or my dad had. My family has always believed that family involvement is very helpful to the nurses and we have always wanted to do as much as we could knowing that nurses are extremely busy and their time is precious. That all being said. My mother's nurse was less than enthusiastic that my mom would get talkative with her, my mom simply does this out of nervousness (esp with people she just met). I told the nurse I was a student and just about to graduate. I could make sure she did her incentive spirometer, kept and eye on her O2 sat, and let her know if we needed anything. Well, there were only 2 chairs in the room. We were all fine with one of us standing and being busy or just simply standing looking out the window during quiet times. My mother however was a typical mother and insisted that there was a third chair in the room. I asked the CNA, my sister also asked the CNA. We were told no problem and she would bring one back when she found one. Two hours pass and my sister and dad go to eat. When they come back my mom, once again in and out of a morphine nap, insisted there be a third chair. When the nurse came to the room my mom asked for a third chair very sweetly with a raspy dry voice. The nurse, in a not so nice tone said she'd try to find one. Moments later, she came back and said "Well here you go but just so you know now the room next to you has to be without a chair because of you. I hope you're happy".

Of course her tone didn't sit well with my mom, dad, or sister. I brushed it off and said she probably has a big workload and is tired. Then a couple hours later my mom was starting to have more pain that she thought she should. I know that the nurse needs to hear from the pt. herself the description of the pain so we called the nurse. Well, she was less than happy to have to discuss this with my mom and simply just said "well I gave you Toradol so any pain you have you just have to deal with"

To me, this is very uncompassionate care. I understand that nurses see a ton of different people, pt's as well as their families. But for my family, this wasn't a daily thing. This was a stressful and difficult day physically and emotionally. My mom and dad don't do this everyday, they paid a lot of money via insurance as well as out of pocket. Of course my mom was upset and didnt' feel comfortable with her nurse. I really wanted to go speak to the charge Nurse about it but I didn't, I left it alone.

Is my family wrong in feeling that this was very unprofessional as well as uncompassionate or as a nurse is everyone supposed to just bow down and be glad you even came to their room and answered the call?

Specializes in ICU/Critical Care.

Why are you creating another thread about this subject? You got various opinions and some you didn't like so now you start another thread? You need to get over it and move on. Or complain to administration. I'm not saying what the nurse said was right. Sometimes as HUMAN BEINGS we let our emotions get the best of us and I'm sure that is what happened to her.

It was a room for extra furniture (beds, chairs, and IV poles) for the floor. I asked a former classmate that just so happens to work on that floor. It wasn't the chair that was an issue, again, I don't understand why people can't see past that....it was her demeanor and attitude.

There is a time and a place for assertiveness.

I was shocked to see what others would say honestly. I guess I identified most with the posts that said there is never a reason to be that way towards a pt or family whether they're annoyed.

Maybe I titled the post wrong. My apologies.

Specializes in psych, addictions, hospice, education.

It's never justified to be snippy out loud or in actions...although you can THINK anything you like!

Specializes in ICU/Critical Care.

Get over it. You are just a nursing student. You may think it's all peachy being a nurse but you don't. Please come back in a couple years when you've had families breathing down your neck over a non-issue item such as a chair when you have patients to see and meds to pass. We are all human and have our bad days. no one ever said what the nurse said was right.

Why are you creating another thread about this subject? You got various opinions and some you didn't like so now you start another thread?

difference in this thread, is that op is asking "when is it justified to be snippy..."?

op, even now, you are seeking validation that you (as a family member) were right and the nurse was wrong.

as others have stated, if it's gnawing at you that much, put in a formal complaint.

sheesh.

leslie

Specializes in ICU/Critical Care.

This issue is old. The OP could have spent her time constructively by placing calls to the nurse's manager instead of complaining here. I'm sure by now the issue would have been resolved.

Maybe snippy, like beauty, is in the eye of the beholder.

well if you don't want to discuss it you don't have to read or post. That's the great thing about the internet. I started another thread because it's asking a different question...again...if you don't like it don't read and respond. It's that simple.

I understand being HUMAN BEINGS...but we have to realize that our attitudes and moods are a part of how well our pt does. Do you get upset when someone that is taking care of you whether it be in the grocery store or restaurant or what not , isn't personable or even rude? I bet so.

perhaps my post has made someone else think twice about how they want their pt's to respond to them.....for that simple fact....I'm ok with fluffing a few feathers.

With all that being said I would like to say that I respect each and every one of you as a Nurse and a woman. I know this is one of the toughest professions there is. Thank you for all you do for mankind.

momofqc, i am not endorsing the nurse's actions.

in my original post, i stated it was inappropriate...

and whether we (as nurses) support such shabby behaviors or not, it is still going to happen.

from hereonin, if you truly believe that a nurse treated a pt poorly, then you grieve it (in writing) to the nurse mgr.

if you are so inclined, you have every right to bring the offending nurse aside, and share your concerns (as another poster did.)

if your story is accurate, then yes, the nurse was insolent.

we should never take our stressors out on the pt.

however, if a pt/family does get out of line, you as a nurse, have every right to enforce strict limit-setting.

big difference betw that particular intervention and being downright rude.

you have sooooo much to learn.

and while you reworded the title of your thread, it would still benefit you to read what these vet nurses wrote.

we can learn from almost anything...

and sometimes we are best served by keeping our ears open and mouth closed.

best of everything to you.

leslie

Specializes in ICU/Critical Care.

I've never sniped at familes before but I sure have enforced the rules such as chairs and visitation and bediside stays over night. I do it in the best interests of the patient not because I'm mean and heartless. People misconstrue that often because they don't understand what our job entails. When I take care of a patient who is profusely bleeding from their chest, I want to be able to focus on them until they are stable, not the family. When the patient is stable, then I will shift part of my focus to the family.

leslie,

I agree with everything you said. Everyone can learn from every situation. I know that in nursing I have soooo much to learn....if I didn't then I wouldn't need to continue my education. The great thing about the internet is you can get insight from many different perspectives. I know I've gained insight from the vet nurses perspectives and I'm sure at least one person reading this gained insight from a different perspective. This can only make us better human beings.

Specializes in Cardiac, ER.

I have spent the last 3yrs on night shift in a busy ER trauma center. I must admit that I have been "snippy" on occasion, and honestly felt it was appropriate for the situation.

IE,...19yr old male pt "just minding my own bussiness when these two dudes jumped me". It's 3am,.the pt is very intoxicated and 3 teenage girls show up with 4 children under 3yrs. The ER is packed, 40 in the waiting room. All 3 girls are also obviously intoxicated, pt has already been to CT (neg) and been sutured and cleaned up,...sleeping off the ETOH so he can get home.

Girl#1 sitting quietly at bedside,....girls 2 and 3 along with 4 small children decide to get comfy on a hall bed. Two of the small children are running up and down the halls. I need that hallbed for a pt. The kids aren't safe running the halls. I walk by the hallbed to ask a nurse about an empty bed for an ambulance that is 2min out.

Girl #2 on hallbed (whom I wasn't even looking at) stated very loudly "go ahead and make some noise kids, if we P&%# them off enough they'll let us F***** get out of here". I ignore her and cont my conversation with the other nurse. Girl #3 adds to the loud trash talk.

I very calmly turned and explained that A) you guys need to lower your voices and watch your mouths B) you need to go to the waiting room because you're on a bed I need for a pt.

Both girls consider this a challenge,..spouting off about "right to freedom of speech" and other nonsense. They both threatened to "kick my little white A$$" because of course they have rights. This got ugly real fast and of course security was there in two seconds with guns. Yes I got snippy. Yes they deserved it. No, I don't feel bad about having them arrested and hotlining them for having 4 small children in a car while they were intoxicated!

Asking for warm blankets when I'm busy gets a totally different response BTW:rolleyes:

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