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?
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?
"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...."-Sundowner
I am curious as to why a patient who is so unstable as to require a heparin drip would be discharged from the hospital to a LTC facility. Is this common? Also did you mean to say that aPTTs needed to be drawn? PT/INRs are used to check for Coumadin.
I agree with a lot of what you have written Mattsmom, although I seriously doubt that I would have been able to walk away from someone throwing something at me! That wouldn't have went over too well! I'm seriously not sure what I would have done....but I know if it was on a bad day...well..I don't even want to think about it.! Although I disagreed with grabbing someone's arm...I do believe the action being discussed...was one that Sundowner knew and understood was wrong!
And yes you're right...disliking that nurse or anyone...doesn't give anyone the right to touch them inproperly! But I just think this had more to do with the stress she was under, (not excusing anything here). But I have said things I truly regret afterwards....and God help me me because...it might just happen again. I'm a very emotional being, and I just think some people handle things differently...no matter how professional they are. I can think of many times, when I wish I had reacted differently to a situation.
There is another thing I do agree also with. I do think that by actually letting the situation get out of hand so far as to place her hands on someone, it might be a good suggestion to think about some anger management. I have had to deal with anger management, and believe me I'm a long ways away from the hot head I used to be. That is...if anyone who's read my posts in the middle of one of my ummmm debates ...I have decided to call them...can actually believe that..:chuckle! Nursing has also been a help to me...in controlling what I say, and do. My lips are constantly being bitten into..:chuckle!! But there are times, when I should just let things go, rather than speak my mind! And that is one I'm still wrestling with!
"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...."-Sundowner
"I am curious as to why a patient who is so unstable as to require a heparin drip would be discharged from the hospital to a LTC facility. Is this common? Also did you mean to say that aPTTs needed to be drawn? PT/INRs are used to check for Coumadin."
They try, RNPD, they try; you should see some of the patients we've had to deal with. All is takes is a real putz in admissions and you're stuck.
Additionally, a lot of these folks are starting Coumadin prior to DC home, and so the heparin runs until PT/INR levels are therapeutic--depends on the doc. They could also want a heparin level, of course.
However, none of the facilities I worked in ever took anyone on a Heparin drip, due to the extremely slow lab response. That is, they would draw at 6 am; we'd get "stats" back the next day.
We had many people on TPN, though. :eek: And you can't refuse the patient if you're in charge of the whole building, ya know?
Mattsmom,
No one here has disagreed with you in the fact that the actions taken by myself were wrong. The anger that you sense does not come from that opinion as for we are all in agreement, it comes from how you have stated it. Aparently you have read this thread twice and still are under the impression you may be the only one here who has a sense of what is right and professional despite my last post where I thought I very clearly explained myself and my reasons for posting hereas well as the responses of others, and yet you still seem to believe that YOU have somehow posted here from atop your white horse and gave us all a lesson? We were most certainly wrong and you were the first one to point that out.....BRAVO! you are the supreme nurse.
This has shed some light into exactly how it is that you found yourself dodging a rolodex.
Bravo sundowner----it amazes me that more nurses don't snap with all of the abuse being dished out. After all, we ARE human.
Maybe I have no right to be voicing my opinion, but I had to leave nursing 7 years ago after sustaining injuries to my hand and then to my back and knee two weeks later (while working on a high risk psychiatric unit). When I was backed into a corner and threatened with a serious injury, that was the last straw for me.
As depressed as I felt over having to leave the profession I had loved and practiced since 1966, after reading some of the posts on these threads, maybe it was better that I couldn't return to nursing. Sorry that sentence was so long, but I think you all know where I am coming from. Do I miss it? You bet I do.
I truly feel sorry for the nurses of today, and admire all of you for hanging in there. :)
Mattsmom just what was said to make you think someone is "projecting blame" on you? Blame for what? For the situation with Sundowner and Bertha?
What people have a problem with is your comment, "all I can say is no wonder they can't get decent help. "
Where's my rolladex when I need it!
And there also seemed to be a bit of a holier than thou attitude in there too...
Now I am curious as to just what did you say to that nurse to get her or him so angry that they threw something at you!!!
With words I can inspire some to do greatness, with words I can cause others to throw a rolladex at me...
Someone got so pissed at you that they threw a rolodex?
Now this thread is moving right along!
It's topical to the thread.........go ahead.
Do tell!
And please..........nobody make assumptions of fault or cast aspersions unless unrightiousely provoked.
Think about all the hurt that may be avoided if someone has a forum to express thier anger and see how it affects other people before they put it into practice.
Maybe with a discussion of the circumstances you may side with Mattsmom and handle that situation better the next time(you know it will) it happens to you. Maybe with a discussion and an open forum to lay the truth out there, Mattsmom may see a way to handle that situation diferently.
Mattsmom's oppinion does seem to be the only dissenting one, but a thread is just a bunch of fluff without a difference of opinnion(someone may even disagree with that!) and we need to attempt to see it from both sides.
Anyhoo, I would like to know what circumstances led up to the "rolodex thing"
Perhaps I have let my personal feelings enter into this conversation....and for that I apologize.
We all have been in situations we wish we had handled differently and this is one of mine. I am sorry if I came off 'holier than thou'.. I do not aspire to be that kind of person....I was truly surprised at what I perceived as anger in some posts (granted it is sometimes hard to read emotions in print accurately)
The comment I made about nursing homes may have come from a bit of prejudice on my part because I was doing an agency shift at a LTC center when the 'rollodex nurse' unleashed her fit of anger at me. That was my ONLY venture into LTC so I wondered if a little different standard of behavior existed there, I guess! No offense to those who do LTC, I know it takes a special nurse to do LTC.
And no, Peeps, since you're curious I did nothing to deserve a projectile rollodex....nothing in my mind anyway....I heard this nurse muttering to herself, then she began to throw things around the desk, and suddenly the rollodex became airborne....she worked herself up all by herself and the other nurse on duty told me later she did this frequently. I found out later she was on probation for it...she was unstable and needed help.
We all 'reach out limits' in our personal and professional lives at times. And yes, this is a good place to vent. I hope you will all forgive me if I was out of line....I have very strong feelings about violence in the workplace, and was trained by military nurses so I do tend to like things 'just so'. :)
Peace all and I hope you will all accept my apology! :)
I snapped,,,,,,,,,, but not at any of nurses or cnas,,,,,,,,,,, Working assisted living,,,, I find the 8 hour employees,,,,, maintainance,,,, housekeeping,,,,,, activities,,,,,,, don't even realize, ,,,,,, we have 24/7 work,,,,,,,,, They come to nursing complaining this resident,,,,, has bowel movement on toilet,,,,,,,duhhh,,,,,, this one is hoarding,,,,,,,, duh,,,,,,, PEOPLE this is why we have a job!!!!!!!!! They irritate me to death!!!!!!!!! Put suggestion in ,,,,,,,,,, those departments should work shifts,,,,, and know that we have our residents for reason,,,,,,,,,,, they need us,,,,,,,, if they didn't would not be living with us,,,,,,,,,
It's an ongoing battle,,,,,,,,,,,, Moon,,,,,
hapeewendy enters and plays the role of hapee medium......
personally I see both sides here, And I reallllllly think that some words in various ppls posts have been grossly misinterpreted and made personal when they probably were not meant in that way.
sundowner, I have no doubt in my mind you are a wonderful caring nurse, great patient advocate and that you get along with most of your co workers just fine, but my friend you are not a robot, you come complete with feelings,emotions and a big old heart, so like the rest of us , your emotions will come thru even when you try not to let them.
having said that, I do agree with mattsmom in that nothing justifies sundowners behaviour, and that she should infact speak to someone about what happend and how she responded, I dont mean a pysch person, or counsellor or anything , but it is a good idea to speak with your supervisor or boss or someone else you feel you can trust. I understand that bertha was a pain in the butt and she was WAY inapropriate on her actions as well, however from the initial part of your first post you did seem to pre empt the fact that trouble was going to happen by talking about how bad things were going and your feelings about bertha before the incident took place.
as someone who was on the recieving end of working with an emotionally unstable nurse (I'm not for one second suggesting that you are emotionally unstable sundowner, so dont think that!) I know what it is like to want to rip someones head off in retaliation for something they have said/done to realllllly anger you, but the fact is, you dont do it, and the fact that you lost control, even momentarily suggests that you might need some help , or at least someone to vent to or talk to.
I hope that you continue to post here and get support because this board is a great way to do that and get a feel for what your fellow nurses think, We all care about you, otherwise we wouldnt have responded.
all the best
Wendy
ps - great name choice on the bertha thing there, I totally had an image of a scary nurse ratchit type (I humbly apologize if any of you are named bertha, I am just kidding)
mattsmom81
4,516 Posts
Sorry to disagree with so many. I must say as I reread the original post, I still feel the same way.
IMO there is no excuse for acting out on the job...now granted, BOTH these nurses were wrong, but the fact that we don't like someone doesn't make it OK to jump in the fray...no matter 'who started it...my aren't we childish? ) and reciprocate ...either physically or verbally.
I dodged a rollodex that was thrown at me once by an out of control nurse. I walked away, called my DON, de-escalating the violent outburst. I think that's the best way to handle these things...but that's my opinion.....as Peeps said, perhaps we SHOULD provide boxing gloves...
Do we all get irked once in awhile? Of course. Doesn't give us the right to forget we're professionals, IMHO.
Those who are stressed to the breaking point can seek help on their own, or they can wait until it is mandated. I would choose the former.
Getting angry at ME for giving my response on a public forum is unlikely to help either. Those who are angry at ME (yeah, project the blame a little more) ...well, go ahead if it makes you feel better...I've been in the game a long time and berlieve me I can take it. :)
Peace! :)