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I Have No Words

Posted

I had a pt. who kept pulling out IV's and needed one at shift change. I attempted twice but wasn't successful. I was always taught you only attempt twice and then you get someone else to try because it's not fair to the patient. Pt. was begging me to stop. I told charge nurse I wasn't successful, and I put supplies in the room so that she could try. Meanwhile I gave meds to another pt. Charge nurse asked for me to come help with IV but when I went in the room to help she was already giving report to another nurse. I just gave report to the day shift nurse and let her know I was unable to get IV on pt. As I was leaving work, charge nurse said "You're just gonna leave knowing your pt needs an IV? Go and help the other night shift nurse start that IV." She said this in front of the nurse I had given report to. Then she belittled me again in the room when I was helping the night shift nurse with the IV, saying "yeah she was just gonna leave when this pt. needed an IV". I have never been so humiliated. What do you think of this situation?

Pretty cowardly to express her displeasure with you through snide comments to third parties. Not professional or nice.

headofcurls, BSN, RN

Specializes in Critical Care. Has 5 years experience.

She was very inappropriate.

SaltineQueen

Specializes in School Nurse, past Med Surge.

You need to find your words so that next time this person is so inappropriate you can assert yourself & let them know.

And help, how, exactly? You'd tried and couldn't get it...it happens. Did she expect you to open packages for the oncoming nurse? That's ridiculous.

Edited by SaltineQueen

workinmomRN2012, BSN

Has 9 years experience.

Nursing is a 24 hr job! Whatever you dont finish gets passed onto the next shift. Unfortunatly the only way to shut down theses "bullies" is to call her out. I've done this exact same thing when I couldnt get an IV, ask another nurse on the floor/call ICU to get one of their RN;s to get the stick or it just gets passed to the next RN. She was clearly bullying you! You did what you were supposed to do-asked other RN.

Nurse SMS, MSN, RN

Specializes in Critical Care; Cardiac; Professional Development. Has 10 years experience.

That was ugly and inappropriate. I suggest the next time you see her, you pull her aside and express to her that if she has "mentoring advice" to offer, you would appreciate the professionalism of it being done privately.

Bullies tend to cave when called out. Remain cool as a cucumber, but don't let it go unaddressed.

Sour Lemon

Has 9 years experience.

2 hours ago, AlmostThere19 said:

I had a pt. who kept pulling out IV's and needed one at shift change. I attempted twice but wasn't successful. I was always taught you only attempt twice and then you get someone else to try because it's not fair to the patient. Pt. was begging me to stop. I told charge nurse I wasn't successful, and I put supplies in the room so that she could try. Meanwhile I gave meds to another pt. Charge nurse asked for me to come help with IV but when I went in the room to help she was already giving report to another nurse. I just gave report to the day shift nurse and let her know I was unable to get IV on pt. As I was leaving work, charge nurse said "You're just gonna leave knowing your pt needs an IV? Go and help the other night shift nurse start that IV." She said this in front of the nurse I had given report to. Then she belittled me again in the room when I was helping the night shift nurse with the IV, saying "yeah she was just gonna leave when this pt. needed an IV". I have never been so humiliated. What do you think of this situation?

It wasn't the nicest way to communicate, for sure ...but personally, I would have stayed behind until dismissed by the other night shift nurse.

I'd see it as somewhat rude to go home while she stayed behind working with my patient. Beyond that, she may have had loose ends of her own that she needed to tie up and could not because she was helping with my patient.

I'd thank her and ask if there was anything I could help her with. If she said she was fine and shooed me away, then I would leave and feel perfectly okay about it. 😉

29 minutes ago, Sour Lemon said:

It wasn't the nicest way to communicate, for sure ...but personally, I would have stayed behind until dismissed by the other night shift nurse.

I'd see it as somewhat rude to go home while she stayed behind working with my patient. Beyond that, she may have had loose ends of her own that she needed to tie up and could not because she was helping with my patient.

I'd thank her and ask if there was anything I could help her with. If she said she was fine and shooed me away, then I would leave and feel perfectly okay about it. 😉

Yeah I get what you're saying. I just didn't even realize the other night shift nurse was even attempting the IV on my patient until the charge nurse called me out because no one had told me.

HippyHappyRN

Specializes in Grad Nurse. Has 2 years experience.

51 minutes ago, AlmostThere19 said:

Yeah I get what you're saying. I just didn't even realize the other night shift nurse was even attempting the IV on my patient until the charge nurse called me out because no one had told me.

I find it odd that she put the task on another nurse that you asked her to help take care of. She was the one who put that task off on someone else and then placed blame with you when you were unaware of that happening.

CanIcallmymom, BSN, RN

Specializes in school nursing. Has 6 years experience.

Pretty unprofessional and rude of her. Definitely mention it. I might even do so in front of a witness, but like others have said...maintain your composure and be cool as a cucumber.

I find it odd that you would be expected to stay to "help" with an IV insertion? I have only ever worked in the ER at the hospital level, though, so there were literally ALWAYS tasks like that that go from shift to shift. I guess I don't understand the dynamic that you're expected to have a neatly wrapped bow on your patient for the next shift.

7 minutes ago, CanIcallmymom said:

I guess I don't understand the dynamic that you're expected to have a neatly wrapped bow on your patient for the next shift.

I think the issue was that it wasn't the day shift nurse attempting the IV it was another night shift nurse staying over to try. I would have stayed and helped because I'm pretty sure the other nurse wanted to go home as much as I. Still no excuse to be mean.

Edited by Wuzzie

CanIcallmymom, BSN, RN

Specializes in school nursing. Has 6 years experience.

27 minutes ago, Wuzzie said:

I think the issue was that it wasn't the day shift nurse attempting the IV it was another night shift nurse staying over to try. I would have stayed and helped because I'm pretty sure the other nurse wanted to go home as much as I. Still no excuse to be mean.

Ahhh gotcha. That makes sense then. But you're right.

NurseSpeedy, ADN, LPN, RN

Has 18 years experience.

Most places that I have worked there has been a two stick rule, unless you are the hard stick nurse (say IV or PICC team). She did not say anything to you until shift change that she had an issue with making the attempt. She can either attempt it now and if she had some loose ends that you could tie up for her then great-trade off-but how she handled it was in called for and you thought she was handling it.

Personally I have worked day shift a lot in the past and would have sometimes 5 out of 6 patients that needed new sites when I came on. I would get told, “you have IV team during the day”....um, no that was dissolved a few years earlier. I would appreciate at least trying to get someone else from their shift attempt during that shift before leaving me with 5 sticks before I. Even finished report, but nursing is 24 hours. Plus, if you’ve already blown two of my choices of where to place a site sticking them a third time Is likely to just take up another site I may have been able to choose and now cannot use.

If it happens within an hour of shift change I get it, but I don’t think all 5 of 6 sites stopped working or got pulled out at once. I have a feeling the oncoming nurse may have complained to the charge nurse about not having access and she passed it back to you. Cowardly, yes, but your IV may not be the only one passed along to that day nurse.

Edited by NurseSpeedy

JEM1974, RN

Specializes in LTC, QAPI, IP. Has 15 years experience.

That nurse was out of line. First, should never reprimand in front of other patients or staff. Not that you needed to get reprimanded......She sounds like a bully. I agree with another poster that said to prepare your words and have a professional, but clear response for next time this happens. Stand your ground.

KalipsoRed21, BSN

Specializes in Currently: Home Health. Has 13 years experience.

On 3/5/2020 at 9:34 AM, AlmostThere19 said:

I had a pt. who kept pulling out IV's and needed one at shift change. I attempted twice but wasn't successful. I was always taught you only attempt twice and then you get someone else to try because it's not fair to the patient. Pt. was begging me to stop. I told charge nurse I wasn't successful, and I put supplies in the room so that she could try. Meanwhile I gave meds to another pt. Charge nurse asked for me to come help with IV but when I went in the room to help she was already giving report to another nurse. I just gave report to the day shift nurse and let her know I was unable to get IV on pt. As I was leaving work, charge nurse said "You're just gonna leave knowing your pt needs an IV? Go and help the other night shift nurse start that IV." She said this in front of the nurse I had given report to. Then she belittled me again in the room when I was helping the night shift nurse with the IV, saying "yeah she was just gonna leave when this pt. needed an IV". I have never been so humiliated. What do you think of this situation?

You need to let her know that her actions were unprofessional. It is NOT acceptable to criticize you in front of patients or other staff. Furthermore, while you can see, due to a lack of communication, how she may have misinterpreted your actions. SHE also failed to further communicate with you which lead to a miscommunication for BOTH of you. Had you acted in the same unprofessional manner she had you may have felt it pertinent to point out to other staff and patients that you had let her know her IV expertise was needed AND had obtained the supplies needed and placed them at the bedside, but that the charge nurse just sloughed off this responsibility to the on coming shift. What at *unt.

RN-to- BSN, ADN, RN

Specializes in SCRN. Has 7 years experience.

WOW!, what a pity nurse!

Ask HER to come in with you after giving report, since you asked her for help earlier.

Katie82, RN

Specializes in Med Surg, Tele, PH, CM. Has 39 years experience.

On 3/5/2020 at 10:34 AM, AlmostThere19 said:

She said this in front of the nurse I had given report to. Then she belittled me again in the room when I was helping the night shift nurse with the IV, saying "yeah she was just gonna leave when this pt. needed an IV". I have never been so humiliated. What do you think of this situation?

Sadly, we all expect Charge Nurses to be mature, clinically proficient professionals. Isn't true, is it?

Agree with other commenters, you have to handle this in the moment. If you tried twice and then notified the Charge then you did what you needed to do. You can't let this kind of thing slide or else it will become the way they treat you. Ask her in the same tone and in front of everyone why she didn't stop what she doing after you asked her. Tell her nursing is 24 hours and this patient is pulling out IV's. Could you call an MD and get them something to calm them down? Sounds like the docs have to review the med list and either tone down on meds or ramp them up to get continue the therapy. Don't tolerate that. Stand up for yourself and ask some honest questions. It will get you called in your managers office but you should ask your manager what good the Charge Nurse is if they are unwilling to assist. Thats their JOB! Especially if they don't have a patient assignment. Remember you're a nurse, you can get a job anywhere, NEVER feel trapped. If they keep pulling antics like that, find a better job and don't look back. Don't feel loyalty to the manager, the Charge answers to her also, so if you have had words with the Charge and still have to deal with this nonsense, then escalate up the chain of command and if still no resolution, then begin the process of leaving. Either a transfer or a new job. No one should treat you that way, and you shouldn't be completely responsible for confused patients.

Remember to document all the patients activities in the chart so that way when the MD comes in pissed because meds or therapy was delayed, they can see it was because patient was a hard stick and liked to pull out IV's. If the person is AOx4 the definitely document patient refused, leave a note, make a phone call and move on to your other patients. You don't have the luxury of putting up with that kind of nonsense on a medsurg floor where you're responsible for other people.

Besides, some nurses like to get to work early so they can whine and aggravate the previous shift Charge into giving them the assignment they want so sounds like you might have been screwed by your co-workers that already know the patient and decided they had had enough of them. In any case, your CN's JOB in part is to support you. If that isn't happening it's not on you, simply document that you tried twice, notified CN (by name) and follow policy. No one can touch you for following policy, and they won't screw with you when you show you can document their bad behavior. They won't like you but screw them, you are their for you and your family, no their popularity. I hope that helps. Sorry you got punked but don't let that slide next time. They will find someone else to punk instead of mouthing off to you. Don't be embarrased about sticking up for yourself. The CN didn't even try so why would they complain about you when you did twice? Probably because the CN knows its their responsibility and they don't want to do it.