Patient's "right" to abuse nurses...I need your opinion

Nurses General Nursing

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Hi, everyone. I'm a year out from graduation and have been working my job so I haven't posted or been on in a while, but a topic came up on the job and it just rubbed me the wrong way. I didn't want to ruffle feathers at the hospital so I decided to turn to my peers on allnurses for guidance.

I recently had a patient that really tried my nerves. I'm a super patient person and she made me question why I chose nursing (which I thought would never happen!). She would ask me for pain medication and as soon as I would leave her room she would be on her light again asking for the same thing. She literally rang her light 15 times in 10 minutes. I counted because I would answer her. She did this everyday for at least 3 hours every morning for the 5 straight days that I had her. She was cognitively intact. She wanted to go smoke outside, but needed staff with her and no sooner that she went outside by herself (while I was with another patient) she broke her wheelchair then demanded that I go with her. I only had 8 other patients to take care of, no big deal right? She complained about everything from the food, to the other staff, to the other patients. Her room was next to the nursing station and she would scream my name down the hall while I was charting because I was in her line of sight. I started hating my name just because of the shrill way she would scream it and she did this constantly. If I left to tend to another patient she would scream my name louder. I could hear her screaming for me while I took lunch breaks. She yelled at other patient's family members as they would passed by her room. I got so frustrated I told her we were human beings that should be treated the way she herself would want to be treated and her behavior was not acceptable. I didn't know what else to do or say to her. Eventually, she hit my tech and started smoking in the room and that's when administration said she had to go on the 5th day with me.

I made a sarcastic comment and said, "Can someone take the light and just put it somewhere, she knows I'm coming." The nurse supervisor who was getting off of work said, "it is her right to abuse you." I just looked at her back as she sauntered off to the elevator with my mouth open because I couldn't believe what she just said. I thought a better response would have been, "she needs to have her call light in case she has a need that hasn't been addressed." or something along those lines, but she was serious. I determined at that moment I would not pick up any more shifts because I was begged to come in that day and that was what I got. I felt like the "higher ups" really didn't care about me or my mental well being.

My question is do patient's have the right to abuse us? Am I just being a baby and should suck it up because this is my life/job now? I am really dreading going in tomorrow. I loved my job until I had this one crummy patient. I woke up crying in the middle of the night on my third day with her because I knew she was going to do this every time I showed up. I was fighting back tears for those 5 days at work and I cried once in my car on my lunch break. How do ya'll keep the fire that inspired you to go into nursing from going out?

Please help, I'm feeling sooooo helpless and drained :sorry:.

Specializes in orthopedic/trauma, Informatics, diabetes.

That pt needs to have some sort of plan put into place. Something to the effect that you will be available for routine care in certain intervals.

I work in a hospital setting and it is a little different, but there needs to be boundaries set.

You should NOT have to take that abuse. The person who told you that should have to take over for a shift or two.

Specializes in Psychiatry, Forensics, Addictions.

I have had patients state that they "had the right to abuse staff," but never administration/management. Although, with the pro-patient way that the facility is leaning, it wouldn't surprise me if that became the rule. We deal with chronically difficult patients, often 15-20, for many, many years.

Any pt who assaults/batters an employee should be reported to the police.  Not to Security, not to just a supervisor or manager, although it would be necessary to report to the latter, but to law enforcement.

I don't care if the person is sick or addicted or what.  Other staff and I are not punching bags.  

I would be inclined not to report someone with dementia and I would not likely report someone who hit me accidentally, but no passes for anyone else.  Police don't let people hit them without consequences.  Why should nurses or anyone else allow ourselves to be attacked, maybe injured physically (certainly emotionally)?

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