I am still a baby nurse and just recently began working in a Neuro ICU. I previously worked in an Intermediate care unit for 7 months at a comprehensive stroke hospital and had confused patients often. I am am having a hard time adjusting to the neuro icu. I have been off orientation for 2 weeks and am struggling because I don't think I like it. When I accepted the position, I was expecting strokes, tumors, etc. Patients that were truly sick and needed care. This is not what I am seeing. The majority of our patients are minor strokes and most of them should be on the floor. I hardly see vents or drips. The patient I am having the hardest time dealing with is a confused frontal lobe glioma patient. She does not meet icu criteria and is actually a med surg patient but has been placed in the icu because her son works for our cooperate headquarters and she gets "VIP" treatment. Well, for me that was the first trigger. I believe all patients should be treated equally regardless of the "status". I feel as though this is abusing the system and occupying an icu bed that should be held for a truly sick person. She will not stay in bed and is extremely confused. Her husband gets aggressive with staff and threatens to "call the supervisor and president" because he is listening to what his confused wife is telling him. The doctors have doped her up so much that she is hard to handle. She does not sleep through the night, abuses the call light, pulls at her lines, crawls out of bed and will not comply to nursing staff. I am really trying not get frustrated but I am seriously at the end of my rope with patience for her. Are there any suggestions that anyone may have to help me not get so frustrated and handle the situation in a professional manor? Even for in the future? I don't want to be that jerk nurse that refuses a patient but I also don't think i will be able to provide the best care because of all the circumstances.