First, my regular screen name contains part of my actual name, so I created pseudo-screenname for this post. That said... I have absolutely had it with a coworker pushing my buttons and really can not take it anymore. When I came on board as a new employee a year ago (with many years of experience in another nursing field), I got along with her just fine. It isn't anything obvious. First, she is extremely passive aggressive. Then we had an issue earlier when it became apparent that she had been managing to get everyone else to medicate her patients. We sorta resolved that by refusing to do it for her once the rest of us got on the same page (except for the less assertive peacekeeper types). But her behavior seems to be worsening. For the past few weeks, she would just walk up and start checking my charts behind me, second guessing me about my patients, asking me for my opinion (and other's too) and then telling me why that wasn't wanted, and a whole slew of other crap. Monday I needed to call a doc to get something for a guy who was screaming in pain from a cluster head headache. He had been treated an hour earlier with Demerol/phenergan for back pain from a procedure-the med is what triggered the cluster h/a. His h/a med was at home and I just needed to get him comfortable enough to d/c. He was screaming and rolling to and fro on the gurney. I picked up the phone to page the doc and she snarkily said..."he's been medicated, just send him home". Now, if I had asked her opinion, or if it were the same pain as earlier, I might have been tempted by this, but that wasn't the situation and it irked me. So I put down the phone and reviewed the chart again. She asked what doc had said and I ignored her because I did not have anything nice to say. Instead I went into the room next door, called him and got a toradol order. Done, patient improved and discharged. Tuesday, I almost managed to get thru the entire shift without too many issues then it hit the fan. Without too many details, she did not like it that I would not sign that I received a patient from phase I who had been received by another nurse. The other nurse had not signed as receiving her and I had taken over the case when that nurse left. I was the discharging nurse. I signed only as discharging. We started to get into it over this. We started bickering. It was the end of a tough, busy shift. I ended up walking of to vent to our nurse manager rather that to continue to bicker in front of our few remaining patients. When I calmed down and composed, I returned. She said, " You better not have been in there complaining about me 'cause we don't do that here". Yup. I said, "What are you gonna do if I was?" End of our conversations for the day and she went home then since she had been off for about 30 minutes by then.