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It drives me nuts when....

Posted

Specializes in Peds(PICU, NICU float), PDN, ICU.

Finish that sentence. Could be clinical, could be every day annoyances.

I'll start. It drives me nuts when nurses pull the rings to open the binder/chart. It breaks them and then the rings stay partially open so paperwork falls out. That's why the little tabs to open them exist. With our binders, its one tab to pull to open them. Its more work pull the rings anyway! I guess it goes back to basics...if you have to force it, you're probably doing it wrong. Kind of like the nurses that force the gt extension until it doesn't lock because they force it to turn past the point it should.

Elektra6, ASN, BSN, RN

Specializes in Home Health, LTC, subacute. Has 16 years experience.

......the staffing mgr calls my cell phone when I am working and then when I don't answer calls the client's house phone. I mean if it's not urgent leave me a message and I will call you back. I hate having to interrupt patient care to talk to you about working next Tues or whatever. It's rude to the client.

SDALPN

Specializes in Peds(PICU, NICU float), PDN, ICU.

......the staffing mgr calls my cell phone when I am working and then when I don't answer calls the client's house phone. I mean if it's not urgent leave me a message and I will call you back. I hate having to interrupt patient care to talk to you about working next Tues or whatever. It's rude to the client.

I thought that was just me. How about the email after that? Just to make sure. It just makes them look like they have too much time on their hands in the office. I had a supervisor get mad that I didn't answer the door one day. I was changing a central line dressing which takes a lot of time the way this one was done. I had a sterile field and wasn't walking away. It could have been a Jehovah witness or door to door salesperson at the door. No way!

chiandre

Specializes in EDUCATION;HOMECARE;MATERNAL-CHILD; PSYCH. Has 25 years experience.

...health-care providers are taking personal calls at the bedside or eating at the bedside. It is gross and disrespectful.

SDALPN

Specializes in Peds(PICU, NICU float), PDN, ICU.

...health-care providers are taking personal calls at the bedside or eating at the bedside. It is gross and disrespectful.

I posted this in the PDN area for PDN related stuff. Some of us must eat at the bedside since insurance requires us to be in the same room as the patient and we don't get breaks. We also take calls. Its a different world from the hospital.

smartnurse1982

Has 7 years experience.

I know it may sound silly,but it is annoying to me when some nurses show up 30 minutes before my shift ends.

It is distracting because i cannot talk and write my notes at the same time.

middleagednurse

Specializes in nurseline,med surg, PD. Has 50+ years experience.

It drives me crazy when mom texts me after hours to ask why I didnt fold the laundry. Maybe because your child was SICK and I was taking care of her?

OrganizedChaos, LVN

Specializes in M/S, LTC, Corrections, PDN & drug rehab. Has 10 years experience.

It drives me crazy when mom texts me after hours to ask why I didnt fold the laundry. Maybe because your child was SICK and I was taking care of her?

That's why no matter how much I got along with the family I never ever gave them my personal number. I didn't need them texting me with stuff like that. Ugh.

smartypantsnurse, LPN

Specializes in Peds PDN, Med-surg. Has 1 years experience.

Hmm... I can think of so many things lol.

Here are a few:

When parents call (family provides a cell phone to keep in touch w/ the nurses) 10 min before the shift ends to get a "mini" report on the patient while I'm trying to change pt's diaper/clean up/finish charting. This is especially frustrating considering they already make us fill out a sheet basically stating how the shift went. If there's a problem I'll call you!!!!!!!!!!!!!!!!!!!

When supplies get put in ten thousand different places and you can't find what you're looking for.

Nurses who think they're God's gift to the nursing profession and make sure you're aware of it.

Nurses who write passive aggressive notes to each other and gossip about one another to the agency and family.

Families who gossip about nurses to other nurses.

Families who change the way they want certain things done five million times (and I'm talking petty things like how to organize the kid's backpack).

kiszi, RN

Has 9 years experience.

....parents complain about this issue or that issue constantly but then refuse to follow the doctor's advice and/or (gasp) medicate for same issues

mluvsgnc

Specializes in pediatric. Has 1 years experience.

It drive me nuts when:

*the parents aren't on the same page regarding patient care. Mom says to do it one way, dad says to do it another- communicate, people!

*I'm trying to get my toddler SMA pt. (who only communicates with eyes) ready for school and mom is giving her choices for EVERYTHING- which socks? which shirt? which shoes? What color medicine first? etc. I understand giving choices, but there is a time and place (and 15 minutes before the bus leaves is not the time).

*sloppy/subjective charting. Nurse charts "pt. shows s/s pain" and leaves it at that... what?? "pt. unhappy" and leaves it at that- what?? How about AEB...... I personally chart as if an insurance person is going through the note with a fine toothed comb. And please follow up with the effectiveness of interventions- how were the lung sounds after suction? How did the pt. tolerate this or that?

mluvsgnc

Specializes in pediatric. Has 1 years experience.

And I agree with SDALPN about the eating. In PDN I have to be able to jump up at a moments notice to follow my mobile pt. who has his feed (pump in a bag) attached to his GT and is on the move. I have to be right there to intervene when his self harming behaviors are present. I cannot leave the side of my ventilated pt. who requires frequent nasal, oral and trach suction (q 5-10 minutes). I have eaten my lunch (noting that requires a fork, lol) on the floor, in the bathroom (while clt. in drained tub), and almost always at the bedside. The only other option is to not eat (which has happened as well, but not by choice. Once the dog ate my turkey san :( ).

JustBeachyNurse, RN

Specializes in Complex pediatrics turned LTC/subacute geriatrics. Has 11 years experience.

Nurses take incomplete orders and expect others to verify. Same nurse never transcribes orders to the MAR (oh all my cases someone else always does it...)

Tylenol q 4-8h PRN pain (um dose? Route? Formulation? Rectal Tylenol and PO/GT/JT Tylenol are not the same dosing)

Incomplete documentation seemed in pain (really how so? What did you do about it? Did it work?)

Nurses seeking parental favor to get hours. Even asking if another (senior) nurse is getting fired so she can have the hours. Telling the parent they are taking my shift (I'm a senior nurse) the next day when parent texts me in a panic asking if it's true as they were expecting me. I just responded my schedule has _____. Don't ask me if other nurses are in trouble or getting pulled off the case so you can have more hours. I will just refer you to the case supervisor. ( hint don't **** off the siblings' babysitters as they are good friends with the parents and will tell them everything you said and did. And mom is not afraid to call the office and report what the sitters observed.)

Don't tell nurses you will fight them for hours. I have more experience and can do other cases, take my hours and you will quickly find out why the senior nurses are in the parents' favor. ;)

Gossip with the mom. Go ahead. Especially if you do more than listen. Know mom talks about you too.

Don't pre pour meds for me. Worse no labels on the mystery syringes & solutions. This happened. Mom let me know with a sly grin that you wanted to be helpful. I cannot legally use unlabeled unknown medications or solutions. Helpful is setting up for the next day and stocking supplies. Not wasting medications.

What's worse is when the nurse indicates that s/he wants your hours/job and then the client gives it to them on a golden platter and the agency does absolutely nothing about it. Of course, the client has already told you how the other nurse complies with every fraudulent action that you refused to do, and is oh, so, very, very, this that or the other. The exact opposite of what the client complains about them during any other conversation. Talk about two-faced. You get a headache from keeping up with the client's lies and complaining. And what happens when you tell the unemployment department all of this? The agency gives them some kind of lie to insure that you can not draw unemployment.

Another one: the staffing coordinator, clinical nursing supervisor, or the Director of Patient Care Services calls the client when they know that you are on duty, and engages in a sensitive, perhaps derogatory, conversation while you are present, without bothering to either call you first, or asking to speak to you, to discuss the matter. (You can hear or figure out the topic from the client's end of the conversation). This solidifies in your mind, your perception, that it is your nursing administration, not just the client, that has no respect whatsoever for you.

middleagednurse

Specializes in nurseline,med surg, PD. Has 50+ years experience.

That is very disturbing and unprofessional.

CloudySue

Specializes in Pediatric Private Duty; Camp Nursing. Has 6 years experience.

Question... what exactly is a "senior" nurse? Is that a term used by the agency, or do you mean you just have more seniority within the company or with the client? Or are you merely referring to age? :roflmao:

JustBeachyNurse, RN

Specializes in Complex pediatrics turned LTC/subacute geriatrics. Has 11 years experience.

Question... what exactly is a "senior" nurse? Is that a term used by the agency, or do you mean you just have more seniority within the company or with the client? Or are you merely referring to age? :roflmao:

Semi-official term used by agency to describe nurses who have been on a case for over a year, receive priority in scheduling hours for the case, and are qualified to orient and precept (preceptors are training new to peds or new to PDN nurses for a minimum of three 8hr shifts vs orienting--just giving case overview & facilitating a meet & greet). Our office uses the term senior for qualified in multiple cases , highly skilled and competent to precept and orient. Most senior nurses are qualified for the "transition team" (open a new case with clinical supervisor, assist developing plan of care, and work the case for a few weeks training/orienting/precepting nurses to work on the case). Not all nurses primary on a case are senior nurses.