Jump to content


Member Member
  • Joined:
  • Last Visited:
  • 50


  • 0


  • 2,781


  • 0


  • 0


mikala3's Latest Activity

  1. mikala3

    How do you handle narcissist patients?

    That is exactly why I asked...there are times when changing nurses just gets another nurse into a bad mood as well. At least we are talking about patients that are few and far between..if I get one a year I feel unlucky. I just havent yet come across a good way to deal with them. Although calling security on the one that said I hit her was a good call, now her bad behavior is documented not only by me and my witness but by security as well.
  2. I am an experienced nurse and the one thing that I just cant seem to handle is narcissist patients. I dont run into them often, but when I do, I crash and seem to fall for their games. At this one hospital I worked for, we had a program that wouldnt let you see the patient's diet until you answered some basic questions about them. There were maybe 10 including their pharmacy. I didnt have to answer them in detail, like if they had a different pharmacy, it allowed me to mark that their pharmacy had changed and get the details later. So I got a narc who was demanding water and I told her we needed to answer the questions for me to see her diet, but that they would be as quick as I could do them. We got to the pharmacy question and she went off because it was not her pharmacy. I could not calm her down, she was screaming. Luckily someone came into the room and stood beside me (unknown to the patient). In the middle of her fit, she asked for her pain button and I handed it to her. She threw it and as I went to get it, she pinched me. I said OUCH! and dropped her pain button onto her chest and backed up (all seen by my witness). The patient started screaming that I hit her. Luckily, she had not seen the other person in the room who had witnessed the entire thing, so her fake accusations got no where. Security was called and she backed down when she found out there was a witness. So I have started refusing to care for narcissist patients that go after me. Last week, I had one screaming at me that her meds were "late" because it was 10 minutes after 8 and they were due at 8. When I explained that I had an hour to get them to her, she said I was being rude and called our patient advocate. I sent the charge nurse in and I heard her tell him everything was fine, then she got on the phone asking for our manager and an advocate. She then trashed talked me to several other people on the phone loud enough that several nurses asked me about it. I refused to go back into her room and asked for a different patient. I figured at that point, she was after my license and she was going to TRY to get it all day long and it was only 9am. My manager pulled me aside and said I could be written up for refusing to care for her for the entire shift and I said...so write me up, but I am not going back into her room, change the assignment. They also do this thing where they scream at you to get out, then they call you back into the room for something and its a set up so they can cause more problems. At this point, my only tool is to refuse to care for them and I know there has to be a better way. I am not talking about the hard to deal with patients, I dont really have an issue with them, but these are the worst of the worst and they are too demanding.
  3. mikala3

    Case study - what would you do?

    if that guy refuses labs and an iv, i would personally "educate" him every few minutes then document my attempt each and every time. That way when his family sues because he wasnt treated, they lose.
  4. mikala3

    New Grad...Is this typical?

    Our school said that anyone could teach a nurse a skill. Being a travel nurse, I have figured out that some hospitals are better at it than others. I left nursing school having never started an IV because we werent allowed to start them as students. Pretty much my first year, I failed at all of them (knowing what I know now, I didnt have my tourniquet tight enough). After that, I got better. I still blow one from time to time even after a few years experience because I dont have the opportunity to start them often enough on my unit. Most patients come to the floor with two lines, so it's pretty rare to need to start one, but I can do it now. The first few times I cared for a trach patient I asked respiratory to watch me and that was very helpful. Then I got a job at a hospital that loves hands on education and wow, what a difference. I felt like I learned more there in my orientation than I did at my two years at the first hospital.
  5. mikala3

    Patient scents

    So I am a travel nurse, and I finished an assignment a while back and something still bugs me. The patients there had a "scent" that I couldnt seem to wash off. One night, we were in for some very bad weather and being that I am not a northerner and I have no snow driving skills, I decided to spend the night at the hospital. I grabbed a blanket from clean linen and took it to my cubby. The clean blanket had that smell that the patients have. I walked back out to the clean linen area and took a sniff...nothing in the clean linen closet had that smell except the blankets, and they all had it. Now I am not accusing anyone of not cleaning a blanket., just that maybe they didnt seem to be dried long enough and picked up a scent. I didnt think to bring it up to the manager, but she emailed me a few days ago to say that she is going to give the agency I work for another contract and that if I want it to go ask for it. Do you think I should mention it to her? I dont work there now, so I cant go and re-sniff the blankets...again, I am making no accusations, but something the laundry company uses on those blankets (or doesnt use) makes them smell horrible.
  6. mikala3

    Rn to bsn, wgu or uta?

    I also skipped UTA after finding out I had to take History of Texas. I just dont need it in Minnesota!
  7. Sounds like she was just mad at having to clean a patient up. It happens.
  8. mikala3

    Pulled from floor by "Men in Black"

    ps: One of them was a risk manager.
  9. mikala3

    Pulled from floor by "Men in Black"

    They were the hospitals legal team. They gave me their card, my manager was present I have left out details...
  10. I was working, and a group of suited up men pulled me from the floor and asked me questions about a patient's care. Afterwards, my charge nurse said that more than likely there is a law suit in the works and that they had pulled several people including her. That made me wonder what goes on in cases like this? . So if the family sues the hospital would I be required to testify? Is this a common thing?
  11. mikala3

    Is this holding me back?

    I work on a floor where practically everyone is either on dialysis, tons of steroids or both. Nurses on my unit do not start IV's. I have been told that it is because all of the patients are "impossible" to stick. I asked about getting certified to start IV's. I was told that my boss sees it as a sign that you want to leave, and will start treating you like you are a nurse that wants off her floor (she takes it personally). I dont want to start anything with my boss, and I dont want to leave the floor, but I would like to learn to start IV's. I feel it's part of a nurses job. To learn to start one, I would have to spend time with our team that starts them until they feel that I am ready. It would mean being off the clock but being at work. How do you feel about this policy? Would you push to learn the task?
  12. mikala3

    RN's forced to do CNA work

    We are expected to do both, our job and the NA's job if the NA's have to sit. I would DIE to do one or the other. It stinks when I have six patients, four are totals and one has over 30 meds to be given NOW.
  13. mikala3

    MD screaming at RN's in front of patients regularly

    We have a lateral violence policy where I work. It says that things need to be handled in private. If anyone is rude to anyone for any reason in front of a third person, that's a voilation of policy and a write up. Not that doctor's still arent rude, they are. They just do it over the phone.
  14. mikala3

    Bad week

    I am a new nurse. I have today off and still do not want to go back tomorrow. It was too stressful.
  15. mikala3

    Bad week

    I am starting to think that six patients is too much for me and I will never be able to be a good nurse. I just had a really bad week. I had three doctors yell at me. One yelled at me because a patient left the hospital and he thinks I should have known the guy was going to leave (I was in a code when the guy left the floor). I got yelled at for not knowing a patient was scheduled for dialysis when there was no order for him to go. I got yelled at because my computer crashed just as a dr phoned me back and I couldnt give him the info he needed. I even had a patient's family member yell at me because I was doing another nurse a favor. I walked in and gave the patient a shot of insulin. Apparantly "the doctor said she dont need no insulins ever again, she is cured and 197 is a great sugar that dont need no treatments". He walked down the hallway yelling at me while I told him to take it up with the charge nurse, it was already done, I couldnt take it back now. I left work considering quitting. My charge nurse says I am effective and good and she is always saying she is impressed with my work. My Manager walked onto the floor and said she is glad she hired me. But I dont FEEL like they know what they are saying. I feel ineffective, unprepared and honestly like I am ready to yell back at someone. Is that normal?
  16. mikala3

    Feeling awful

    I was working yesterday, and found a nurse I was working with in a total meltdown. She had been overwhelmed all night long, and other people were trying to help her out, but her patient's required a LOT of care. She told me the breaking point was that she made a mistake and had to fill out error reports on herself. It was kinda a big mistake, but I went and looked at her patient, and I would have missed it myself. She was giving meds through an IV and they infiltrated. She didnt know that the catheter in the patient was long, so she was not assessing far enough up under the arm. I looked at the patient, and I would have missed it also, the infiltration was up under his arm. That made me very nervous that I would have missed it too. So here is my question. How do you know things like that? How would she have known that the patient had a different catheter? How do you know "what you dont know"? I am still pretty new and the thought overwhelms me. One of the nurse managers came in and said to her that we all make mistakes, and that she would get through it and sent her off to document. I felt like they were downplaying it a bit because she was so upset, but it made me feel like I could make a huge mistake like that and not know it. Should I say to my boss that I would have missed it too? It is making me question how much I know. (I have been on the floor for 3 months).