Seeking Constructive Feedback

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I have been an EMT and have also worked in an emergency room since 2007. Over time, I became the go to person for hard sticks in adults, babies and difficult to access patients. Even though I am very good at IV's, we all have our bad days were we are not able to get an IV even if the vein jumped out to help us! Everyone has their own technique and ways they like to start a line (sitting, setup, locating a vein).

Last evening while starting a line, the patients nurse (who is extremely nice) was telling me which vein to access, how to access it, how to hold the needle, tried to put the tegaderm on for me , tape the IV, etc. Internally I almost lost it. She then proceed to grab my hand and tell me "the way I like to do it is once I get a flash, I remove the needle and float the IV in". What? ?I understand you don't know my skill set, but you never insert yourself and surely don't hoover over and grab someone's hand unless asked. Needless to say, the vein blew. So then she says to me, "o well we can go into another room and practice". I politely said, "no that's OK, I don't need practice". I felt bad because I didn't say it in the most nice way, but I was very irritated and annoyed. She is literally hovering over my procedure space telling me how to start the IV!

So my question is, for those who have experienced working with someone new on shift who don't know your skill set, how do you politely let them know "Thank you, I know what I am doing, now back off" but yet be open to way they might do things?

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Specializes in school nurse.

Maybe " Thanks. It's always nice to hear somebody else's hacks/tricks. I've been doing this for (fill-in-the-blank) years but once in a while I just hit some bad luck."

I think it establishes your experience without alienating the co-worker.

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Specializes in OB.

Good grief, if she wants to micromanage that much, she's welcome to do it herself!

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That's what I wanted to tell her, but I was trying to be a team player. One thing I try not to be as a clinician is the person who says "well, this is how I normally do it." Well then YOU do it!

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Specializes in New Critical care NP, Critical care, Med-surg, LTC.

I think Jedrnurse had a very diplomatic response. It does seem a bit unusual (and annoying, I'm sure), that someone would ask for assistance and then feel it was appropriate to try to micromanage the person helping. 

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Specializes in retired LTC.

Funny thing - I rarely ever liked someone to watch me do the actual stick. I usually just told them 'being watched makes me nervous'.

I was pretty decent with IVs being the rare CERTIFIED nurse working on 11-7. Had LOTS of practice.

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12 hours ago, TECHTORNHOPEFULLY said:

she then proceed to grab my hand and tell me "the way I like to do it is once I get a flash, I remove the needle and float the IV in".

"Well, there's your first problem..."  ?

Anyway...I can't see myself being in this situation. I would've headed it off long before anyone touched my hands. Either my help is needed or it isn't and I would be direct, though without any intention of being rude. Example:

She: "Put it in the [forearm/hand/AC]"

Me: I'm going to find the best looking site that I can get on the first try

Etc.

If anyone suggested to me that I would be attempting the "float the tip into the soft tissue of the arm" technique I would be real lucky if I didn't say, "I will NOT be doing that."

This is all just so inappropriate that I would try not to be rude, but I would be direct in a way that someone might find rather blunt.

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Specializes in Occupational Health Nursing.

No words are needed at all. Just show up and show them how efficient you are in your work. 

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Specializes in Psych (25 years), Medical (15 years).
On 3/9/2022 at 7:50 AM, TECHTORNHOPEFULLY said:

So my question is, for those who have experienced working with someone new on shift who don't know your skill set, how do you politely let them know

"Thank you, I know what I am doing, now back off"....

....newbie!"

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"I was called in to help with a difficult IV access. There must have been a mistake - let me know if you're unable to get it and I'll be happy to come back."

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Specializes in Med nurse in med-surg., float, HH, and PDN.

I'm actually no good at hitting any veins, but if someone tried to take hold of my hand WHILE I was doing a procedure, I'd be most likely to say, "QUIT!" and move my body to move her body away. I realize that's not constructive help, but ... that would be my response. Or maybe, "Thank you, but don't touch anything!"

Putting her hand(s) down in the field could contaminate the procedure. It's almost beside the point now, but was she wearing gloves? 

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"Thanks for offering to help, but I've worked in the ER 15 years and am known as one of the better sticks around here. I'm not looking for new techniques when mine works so well!"

I think that would actually be a good conversation to have the next time you see her before even entering a patient's room.

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