I snapped

Published

Well,

I have just completed the most hellish evening of work I have ever done in my years of nursing. I went of the deep end, and I am feeling just totally disgusted with myself, I dont even know if disgusted it the right word, but I thought I had better come here and vent in the only place where I can find people who might understand. I am just sick and beside myself.

I will give you all the scene.

I go to work at the same facility I have been assigned to for the last three months...long term care. I am in a good mood despite the fact that I have learned that I will be working with a nurse that I really cant stand....we will call her "Bertha".

I have never worked alongside "bertha" , she normally works 11-7 and relieves me, she is also an agency nurse. I have little tolerance for her because she annoys me....she talks to much about crap I dont care about, and very often feels the need to ask questions during report that are irrelevant and will get snippy when you get annoyed with her, or feels the need to disagree with you on some point .......usually an irrelevant point. She is the nurse that works night turn because she cant hang on the other shifts.......she works agency because she cant hang on to a permanent assignment.....you know the type. She feels she knows it all, and yet has managed to be fired from several positions and is stupid enough to tell you about it. Always putting her two cents in when usually her two cents isnt worth two cents. She is nice, friendly, but annoying as all hell. I for some reason have very little tolerance for her.

Now , I gave ya the low down on Bertha. It is me and Bertha and yet another agency nurse working the floor. I hate it when the whole floor is staffed agency....its not fun, just another thing to cause me stress. The other nurse...we will call her "Sally", is newer to the facility and is not overly familiar with the in's and outs nor the patients. I know I have my work cut out for me.

All goes suprisingly well thoughout the evening, Bertha only manages to annoy me once early on in the shift by putting her nose up my ass. It was a minor annoyance, and it annoyed me more than it should of. I have had a quiet night, only one problem with a brittle diabetic resolved early on, and spend most of my night avoiding bertha and giving some TLC to my patients who have been somewhat neglected by the CNA who is finishing up her third double in a row and obviously has no desire to attend to the residents anylonger, so I have spent most of my evening filling pitchers and getting people comfy and settled in for the night which is fine by me and it makes me happy to do so, yet in the back of my mind I am slightly annoyed that CNA's are allowed to work so many consecutive doubles. Many seem to love this, they bust ass for two or three days and have the rest of the week off, though latley I have encountered many that choose not to but thier asses and cry about how tired they are while they spend their paychecks on their many days off.....this could be a whole other thread.

Anywho! on to my nightmare, it is the end of the night, and one of Sallys residents makes his way up to the desk and begins to ***** because he never got his meds.....this is his game, he does this all the time especially when he doesnt know the nurse...he thinks he can get away with it but we are on to him. He is nuts, aaox3, but nuts, likes to cause a fuss now and again. I tell him that yes sally gave him his meds he disagrees and starts calling us stupid and other names and what nots, hollering and fussing. I tell him repeatedly to file a complaint in the office in the morning and go to bed there is nothing he can do about it now and his name calling and rudeness arent appropriate. This goes on for about ten minutes...he bellows I tell him to go to bed. Then he puts the icing on the cake and calls sally a stupid "N" word.

I have had it and make my first mistake of the evening.

The guy is in a wheelchair and cant walk so I go behind him to wheel him back to his room because I have now heard enough.

I get behind him and start wheeling and he starts yelling and grabbing at me...this is no big deal to me and I continue to wheel him off.

BERTHA decides he should be left there, and is now yelling at me to leave him be. I am angered by this and ignoring her, I continue to take him back to his room. BERTHA decides she is now going to try and prevent me from doing so and comes around the desk and down the hall....and holds down his chair continuing to yell at me to leave him be........This is where I completley snap out and behave in a manor that is so unlike me it is frightning.

I actually grab Bertha by the arm with a death grip and glare at her ....I am trying to stare her to death. She naturally tells me to let go of her arm.....and I look at her and say......and I am so ashamed to admit that I said this......I say "back off or I may beat the shit out of you". Clearly I have flipped my lid. She looks at me in shock, I let go of her arm and she heads for the phone naturally and calls the supervisor who is not in the facility but lives a block away.

I continue to take Mr. Nasty back to his room and he, as I knew he would, brings himself back out into the hall but keeps his mouth shut for the rest of the night.

I head off the floor to take in a smoke cause I desperatly need one at this point. I happen to run into some CNA"S outside that overheard Bertha on the phone with the supervisor. They told me that they could tell that the supervisor couldnt believe what bertha was telling her and they asked me if it was true...did I infact say that to her.......I regretfully admitted that I had said what I said. I still cant believe I did that.

I will be waiting for my phone to ring tomorrow....the agency will be calling I suspect. Although this dear Bertha is good for making many unfounded complaints, perhaps this one shall be blown off....I dunno. All I know is I wigged out tonight and I cant figure out why. I have never snapped on anyone like that in my life, I sit here wondering if I should call her and apologize....she is working a double.....pr would it make matters worse.....she could end up talking endlessly to me on the phone and piss me off all over again.

I dunno, I just know that I wont find sleep tonight as for I will be trying to convince myself that I am not insane and dont need mental help.

The thing that initiated my snap was the relentless verbal assault launched on myself and the staff by a resident. I tend to wonder, where it is that the line gets drawn. How much do we as nurses have to take from families and patients? Was it so terribly wrong for me to remove that man from the nurses station or should I have left him rant and make obscene comments at us all night? Shoudl I have beat the shit out of Bertha anyway?:eek: :D :devil:

Someone out there give me some words of wisdom....I am hoping that one of you can tell me that I am not alone in my snapdom...that others have momentarily snapped as well and went onward.....no problem. We all snap out on occasion right? Perhaps I need to snap out more often?

hey, Mario......

a bobo blow up doll.......cool....

hey, anybody remember the "damn it" dolls made for cancer patients......are they still out there......

how bout a damn it doll for nurses.............

that way we could leave each other alone, just have to have a supply of damn it dolls........

horizontal violence, bullying in the workplace, downward violence, upward violence

what about peace and teamwork.....

micro is very micro

The situation described is lateral violence at its worst IMO.

I do hope you will seek some anger management assistance or some counseling, as I read your post I seem to get the opinion you are looking to 'blame' this situation on everything and everybody but yourself. You could have walked away from this, but you chose not to.

We are expected to be able to control our tempers. We're professionals. I am truly surprised at the responses I am reading on this thread. This will be the first time i truly disagree with a train of thought expressed on this forum. I'm glad I haven't worked with many people who behave like this,...I only recall once, and I immediately resigned and reported the lunatic nurse to the BON, as she was out of control.

Get some help, Sundowner. Don't believe the people here who have said "it's OK". It's not, and please...posters who inferred it IS OK, get a grip. I repeat, you COULD have walked away from this situation very easily and chose not to.

Now...I'm a hospital critical care nurse. If what I read above goes on normally at LTC centers, all I can say is no wonder they can't get decent help. :(

Hi Sundowner,

I just wanted to say that I am glad you are going to your doctor about this and hope that they are able to provide you some answers and help.

Everyone "freaks" out sometime and even though your actions were not the right way to handle the situation you should be commended for admitting that something is wrong here and wanting to get to the bottom of it.

I also wanted to say that even though Bertha is "annoying" and she did enter into a confrontation she probably felt that her actions were justified. I mean, if you can imagine that she enters the scene in the middle of your story and think about her perception of what was going on you might better understand where she was coming from.

From her Point of View she probably saw an over worked / irritable nurse in a confrontation with a patient, who was pushing the irrate resident back to his room against his wishes. She probably felt that she had to act as a patient advocate by keeping you from moving him.

That's no excuse for her grabbing you but she may have been quite angered and upset by the "scene that she saw".

There are a hundred different ways this incident could have ended "if only, I had done this - and she had done that" but unfortunately it escalated and this is the way it played out.

From the general tone of your messages I get a feeling that maybe you weren't quite happy there nor with the work that you were doing. Maybe it is a good thing that you will not be returning there.

A good saying is "You did what you knew, and when you knew better, you did better."

Good Luck to you,

Originally posted by mattsmom81

The situation described is lateral violence at its worst IMO.

I do hope you will seek some anger management assistance or some counseling, as I read your post I seem to get the opinion you are looking to 'blame' this situation on everything and everybody but yourself. You could have walked away from this, but you chose not to.

We are expected to be able to control our tempers. We're professionals. I am truly surprised at the responses I am reading on this thread. This will be the first time i truly disagree with a train of thought expressed on this forum. I'm glad I haven't worked with many people who behave like this,...I only recall once, and I immediately resigned and reported the lunatic nurse to the BON, as she was out of control.

Get some help, Sundowner. Don't believe the people here who have said "it's OK". It's not, and please...posters who inferred it IS OK, get a grip. I repeat, you COULD have walked away from this situation very easily and chose not to.

Now...I'm a hospital critical care nurse. If what I read above goes on normally at LTC centers, all I can say is no wonder they can't get decent help. :(

Gee, did l miss a post somewhere??? l do not recall anyone stating this incident was "OK".....l saw acountability on behalf of Sundowner...and remorse...l saw many posts of disagreement on how the situation was handled including several from Sundowner......l see someone who made a mistake and admitted it and found a ''safe'' place to vent feelings and put it in perspective and get CONSTRUCTIVE feed back...after all, if this is a one time incident and uncharacteristic of the perpetrator...how does making someone feel worse about the situation help?...she was already diciplined by the employer....We can say someone is wrong without finger wagging...and l think this was done eloquently by most posters.....after all.....what is that saying about casting the first stone?????????LR

Specializes in LTC,Hospice/palliative care,acute care.
Originally posted by Sundowner

RNPD,

Some of my biggest issuses as of late have revolved around what we as nurses have to take as far as abuse. I have no problems with the confused smacking me or being nasty, it is out of their controll, but families and oriented patients have become increasingly more abusive towards us and it is getting out of hand. I understand their anguish, but most of them could give a rats azz less about ours. It seems as though the world is aware of the nursing shortage, and it somehow in every aspect is taken out on us. This is where the danger lies, this is where the problem is. Those patients and their families know what we are under and they choose to not care and expect us to do for them what we could normally do for them if we were staffed right.

What I just ADORE is the patient who is now in long term care, and has two daughters that are nurses and they sit with him all day and all night long........but wont lift a fricking finger. They call you off the floor for every little tiny need. They know you have a time window with meds but insist that mother dear gets her pills at exactly five, Unless its a pain med then you should be able to sneak it in in that hour window you have. They cant seem to rub the lotion on moms feet or back....not a script...just their favorite lilac scented moisterizer that mom loves and makes the room smell nice....they need the cna to do it...or worse they dont like the cna and feel it should be a licensed person to put the cream on. WHAT THE FU8K! How many times have you heard a family member or patient call the staff names? Stupid is the word I have been hearing alot latley.....or my favorite....."where did you get your license?" I actually had a nut case ask me that question when I told her I didnt have an extra tv remote for her dear hubbys tv. (he was in a vegitative state and couldnt use it anyway). The lack of respect and understand towards us is obscene.

I know exactly how you feel-an unfortunately in most LTC's administration makes us cowtow to these people(especially the pretty private for profit places) no matter how bad staffing is.I think you need a break from it-you do sound a bit burned out and you don't want to flip and do something that could jeopardize your license.I see no problem with the nursing staff setting limits with this type of pt and their s.o.'s and thankfully I work in a facility that backs it's employees 100%.Our DON and our administrator has told more then one totally unreasonable family that "We can assist you in your search for placement for your loved one in another facility that you may find more suitable" Scented lotion is a nice touch-but that cna is needed to feed or change a resident(someone else's mom or dad) down the hall-your mother will get her rub down when she is turned-or with her h.s.care...etc.. We need to advocate for all of our residents,staff and ourselves...and if taking a stand jeopardizes your job then you need to come work with me....after your vacation,of course.As far as the Bertha situation-she physically stopped you from proceeding down the hall with that resident.I understand the point that has been made about physically moving him-yes he has the right to complain but not to disrupt the whole unit and I would have done the same thing and had he been ambulatory would have had security or an orderly step in and persuade him to remove himself from the area...You DON"T have to take that kind of abuse-IMHO>Ya should have slapped the taste right outta her MOUTH.......lol
Originally posted by l.rae

Gee, did l miss a post somewhere??? l do not recall anyone stating this incident was "OK".....l saw acountability on behalf of Sundowner...and remorse...l saw many posts of disagreement on how the situation was handled including several from Sundowner......l see someone who made a mistake and admitted it and found a ''safe'' place to vent feelings and put it in perspective and get CONSTRUCTIVE feed back...after all, if this is a one time incident and uncharacteristic of the perpetrator...how does making someone feel worse about the situation help?...she was already diciplined by the employer....We can say someone is wrong without finger wagging...and l think this was done eloquently by most posters.....after all.....what is that saying about casting the first stone?????????LR

Yup. right on L. R. :cool:

Originally posted by Mattsmom81

Now...I'm a hospital critical care nurse. If what I read above goes on normally at LTC centers, all I can say is no wonder they can't get decent help.

What did you say Mattsmom81... I must be reading a little too much into your words "no wonder they can't get decent help" because as a LTC nurse I am just a bit offended by that statement.

I guess there are never any incidents in hospitals, right? And if I worked in a hospital then I'd automatically be classified as decent help... Now you listen up... I'll tell you something about decent help... I was readmitting a diabetic patient who was in the hospital for only 3 days. As I was doing a skin assessment I note that she had a purple bruise on her side and both of her heals are black! BLACK!

Incidentally this was not the first patient I had readmitted with pressure ulcers on their heals. Does anyone have any idea what might be the outcome for this patient? How could she have gotten this way in only 3 days... Neglect, that's how!

Decent help... You give me a Break!

I take pride in being a better than decent LTC nurse!

Sure I guess as Mario said, as the nurse you could send an aid home for doing a less than adequate job... That would've really made for a great night wouldn't it! You better have good documentation about what they weren't doing and some back up help to do their work... I mean if you have an aid working a 3rd double then you probably can't afford to send anyone home or the patients will get No care...

A better idea would be to acknowledge how hard they are working and to give them a hand as you did, then hold them accountable for their work.

In my experience, you develop a much better working relationship if you show them that you respect them and you care, and it will have a definite impact on the quality of care delivered to the patients.

You gotta work with all kinds of people and sometimes you help to develope them into a good worker... What is the key word here? Experience!

Sundowner, you really strike me as a caring thoughtful person not someone prone to violent outbursts... Don't let a few people here convince you to seek therapy for an isolated incident. As members of the human race we have lots of emotions...

Besides, people like Bertha try to push your buttons and it is difficult to find the appropriate words and actions when a situation arises. Sounds like Bertha got just what she wanted, a rise out of someone and you gained a valuable learning experience!

Mattsmom,

I understand how easily misinterpritations are on boards like these. It is so very easy for one person to achieve a different message from a post than another person would.

It seems as though you felt from my postings that I attempt to blame someone els for my behavior, but I assure you that I certainly do not. I have hashed this incident over and over in my brain and never once did I come up with any reason to justify my actions. I have simply been trying to understand why I did what I did.

Last year I spent four days in t he hospital due to an allergic reaction to a spider bite. The four days that I was there were hell and I was stressed to my limits. Let me tell you that I requested tylenol on my second nights stay for a headache........six hours later it was brought to me.....The K--pad for my foot....never happend though it was ordered....a frickin pillow arrives for me the next morning after I requested it......bloodwork that was ordered....never done.....had to get it on my own after discharge. Of course my insurance company sent me home cause THEY felt I needed discharged. If I were elderly, I would have been sent to LTC to recieve my three more weeks of IV antibiotics. The problem then you see would have been that I would have been stuck on a floor in ltc with a bunch of acute pts that have been discharged from the hospital well before they should have.....all of whom are stressed out enough already because they got such crap care from the hospital. Now who takes the brunt of their anger? Its not the hospital nursing staff who turns them out so untimley and never treats the whole patient, just the acute specific problem/problems that lands them there.....no.....it would be us. Now, don't misunderstand me, this is not at the nursing communities fault....this is strictly business...money making business at the expense of peoples saftey and lives. Tonight for example, I admited a woman who is on a heprin drip and required pt inrs drawn Q2.......we are not equipped to do that....but the money machine rolls on and someones wallet is fat, and she was in this facility for no more than six hours and should have had 2 draws....when I left she had only had one done and we were waiting for the lab to come and get the other.

Please try and refrain from speaking poorly of LTC when you have no idea what goes on and what we go through and what we have to deal with when we get sent one of your neglected train wrecks.

I think we all are aware that the situation I described earlier with Bertha was just incredibly wrong. I didnt post here to somehow obtain justification for the incident from my peers, or be told I was right, I posted this here to obtain the viewpoints and feedback from my peers, vent my frustration at myself for what I had done and perhaps a little empathy from the people I know would understand. I posted this incident in the hopes that I would gain the feedback from my peers that would give me insight and inable me to see different views of the situation and help me learn from it. I also thought that perhaps the incident would be of some sort of value to us as nurses, perhaps we could all learn from. But I guess over in critical care these problems or potential problems would not exist for the critical care nurse is exempt from the stresses of LTC...where all the good help is. Those patients and their families start with you and they end with me. 80 percent of the time, we are their last stop, there is no going home, they know this and reality sets in and their stress is tenfold, we deal with the guilt ridden family, the angry patient.....you see half of it if even, we get the real shit. Dont put yourself up on a pedistal, because in my eyes we are all in the same crapping dingy of a boat that is barley afloat. Not your fault and not mine.

Your stresses are completely different than they are for us LTC folks, and untill you see first hand whats going on out there dont throw those stones.

OH, and I think that one might get the idea that posters here have defended or condoned this behavior of mine simply due to the fact that most of us have wanted to very badly at one time or another....beat the crap out of a co-worker. I used to often take V.O. slips and put certain nurses that were getting on my nerves names on them and write an order as follows "admin slap to the face Q2hrs and prn". I would give them to my supervisor to take them off. She would chuckle when she came across them and we would dream that it could be done.

As far as me and therapy go.......I dont think so. My therapy begins and ends here. You may wish to check the horse you are riding on.....if you look closely I think you may note that it isnt so high off the ground.

The incident that took place is not the normal in Ltc. I still cant decide exactly what provoked me so. Was it the facility or Bertha or a combo of both. There was alot of tension in that place. The point is moot now anyway, it is done and over. It may make you all feel better to know that I did schedule myself an appointment with my Dr. to have my hormone levels checked!

Am I burnt out? No. Am I disgusted and distraught with how corperate companies make life altering decisions for people that need healthcare? Hell yeah. They are pushing the envelope big time and I often wonder when its gonna break.

Will I contiune to work and do my best to provide people with quality care despite the stuffed shirts. You bet.

OH....I almost forgot the most important thing!!!

I wanted to thank you all so much for helping me put this all into perspective. Each and every one of you have really helped me out here with your understanding and insight. YOU guys rock!

I really hesitated to post this incident because I was just so ashamed of myself, but then I thought whats a little shame among my peers? LOL! I decided it would be good to post my nightmare and get outside perspective, I was right.

Thanks so much gang for helping me sort this out, I am so glad you are all here!

What have we learned???? dont threaten to beat the bejesus out of a coworker, even if she is an azzhole! Invest in a b0-bo doll instead.

Specializes in Med-Surg Nursing.

Sundowner,

You are welcome! I find that this board is a very good and cheap form of therapy and stress relief. There is almost always somebody on the boards who's had the same or similar experiences.

Good Luck!

Kelly:)

Sundowner, You Go Girl!

Wow, Talk about a verbal face slapping... I only wish I could've said it so eloquently!

Thank you for providing me with the learning experience!

I got 4 hours sleep last night for being ticked at the self righteous attitudes of some of the posters on this board with regards to your post... Now today I go in and get report from my own version of "Bertha" hmmmm how will I handle the situation... I think the first thing I'm gonna do is walk in and just SLAP her right across the kisser! LOL just kidding...Ughhh I gotta get ready!

I am so proud of how you've handled the posts on this board with your last post!

Very nice response Sundowner.

LTC is a different breed of cat, and I speak from experience. I was a night shift supervisor in addition to having 12 years' experience as a CNA, and one year as an LPN. I've worked all shifts, as both staff and agency in LTC.

One more piece of info: In our state, you couldn't have sent the overtired CNA home; we have to keep staffing levels up, and the facility couldn't give a hoot how many doubles she pulled, or how many rounds she did, as long as they had a WB (warm body).

So my responses were based on experience with LTC. You sound like a fine nurse. Get some rest, do some less stressful work (when I'm totally "fried" I like to do Hospice for agency--it's one-on-one care, and I get paid pretty good for it), check out your thyroid, Fe, and blood sugar, and get back as soon's you can, cause you're definitely needed! :kiss

and oh, one more thing....

amed003.gif

don't let 'em run all over ya!

(I'm just noticing, this is the 3rd place I've posted this silly smilie....purpose is to make us SMILE....ok????)

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