The more I think about a comment that my coworker made to me, the more ticked I get!!

[raindrop]

I am going to brush it off, but it's crap like this that makes me hate going to work...

She is a day nurse, BTW. I have given this lady report 3 times in my 8 weeks of working here.

I was finishing up my charting this morning after a long 12 hour noc shift. She came up to me, all smiles, totally fake....sat down next to me and said...."Can I tell you something, and please don't repeat it." I told her yes....

"I figured out why you give me bad reports. It's b/c YOU get your reports from Amy S. I felt so bad last week after I realized that. Amy S never gives good reports, she flies by the seat of her pants. So be aware of that. I wish there was something that I could do to get it across to her"

Ummm, so I think this was her way of telling me to give a better report in the morning to her? I don't think this is a nice way to approach someone, do you???? And I give decent reports.......but this lady drills me. Wants to know so much info in report that IMO, isn't related to why the patient is here now........

[YellowFinchFan]

Personally, my style is to say: "Thank you for that information. I'll let Amy know that you feel that way and maybe together we can figure out a way to get you a better report."

And anytime someone starts out a conversation with "please don't tell so-and-so I said this..." I like to cut them off and say: "I can't make that promise - if you tell me something, I'm going to go to them and verify it, so if you don't want me to share it with them, you'd better not tell me."

It works for me - your mileage may vary.

:yeah:

I just loved your post! Great Advice!

Nurses like the one she described are bullies - they think they are "hiding" it well by being oh so helpful.....

Once you figure out their game you'll be able to give it right back to them - cause believe me THEY are NOT perfect!!!!

[MzMouse]

Some people expect to be spoon-fed everything in report and that's not going to happen. I used to work with a nurse who could drag out report until past when I was supposed to leave for the morning. Question after question...and if she had a few days off, look out! You couldn't get away from her.

I wouldn't worry about it, your coworker sounds like a snide little troublemaker. Some people just like to make waves and cause drama.

[YellowFinchFan]

As for crappy reports, you do the best you can in your 12 hours. The other day I got report on a patient..."he had adenoma and a bowel resection" That was it. I didn't get anything else. Luckily, he was a pretty stable ICU patient. Not vented or on any drips. Wasn't even told that his K was low and it was supplemented..had to look that up myself because I would need to draw repeat lytes.

Lastly, I am SICK AND TIRED of giving an autobiography of each patient I take care of. Not all nurses are like this. Some are. One newer nurse wanted every single lab and xray result, stuff that I wouldn't get report on and would have to look up. The last time she requested that I told her to look it up herself if she is so concerned about it. I'm only concerned about the 12 hours I take care of my patients.

I always tell people I train that you really can't depend on "report" because some people will "forget to tell you " about the 4 sec pause on the monitor or that the patient has expressive aphasia...etc....I tell them they are responsible for their 12 hours and they must know the patient, assess them for themselves....look up their labs;/orders/meds and any other info (like speak with the MD about the 'plan of care' ) etc....When I get a report that makes no sense (or the nurse can't tell me WhY they are here) I do my own sleuthing and look up all the tests/results H&P etc....

Most of the lazy nurses have left in the last few years....because the new mgt wouldn't put up with them!

[VegRN]

There was a nurse that I hated giving report to. She was an older nurse and made her 20+ years of experience and nursing expertise known to everyone.

One morning, I had moved a patient from bed 11 to bed 1. I changed the name in the telemetry monitor but not on the flowsheet and MAR. She came in and immediately started complaining about the labels on flowsheet and MAR not being changed.

I said, "I thought in nursing school that we were told that we are suppose to look at patient identifiers like Id numbers and their name before giving meds, instead of looking at bed numbers. You know what Paula, there's always something wrong when you come in"..

As for crappy reports, you do the best you can in your 12 hours. The other day I got report on a patient..."he had adenoma and a bowel resection" That was it. I didn't get anything else. Luckily, he was a pretty stable ICU patient. Not vented or on any drips. Wasn't even told that his K was low and it was supplemented..had to look that up myself because I would need to draw repeat lytes.

Lastly, I am SICK AND TIRED of giving an autobiography of each patient I take care of. Not all nurses are like this. Some are. One newer nurse wanted every single lab and xray result, stuff that I wouldn't get report on and would have to look up. The last time she requested that I told her to look it up herself if she is so concerned about it. I'm only concerned about the 12 hours I take care of my patients.

I work in an acute care hospital, level one trauma. Our patients are sick sick sick. I do want to know about dx, allergies, medical hx, a systems assessment, how they get around and communicate, whether they have family present, what their tele looks like (whether their has been anything out of normal), abnormal labs and treatment for them in the last 24 hours, how the last shift went, what I need to do in my shift in the way of labs, treatments, tests etc. Now, I can find half this information on the plan of care, the other half I must ask the nurse giving report. And wouldn't you know it, the nurses that get pissy about me "asking too many questions" are the ones that aren't too detail oriented and consistently miss things.

Now, mind you, I give all this information in my report and it does not take that long. I vary between 2-4 minutes which I think is reasonable.

[MedicalLPN, LPN]

I got a little annoyed a few nights ago when I recieved report on one patient that consisted of "Admitted from ER today with pneumonia" when the patient was actually an ICU downgrade that had been in the hospital for 2 weeks. Then on another patient the report I recieved was "I don't know anything about him, I've only had him since three, have a good night!"

Gr...

[RN BSN 2009]

this woman sounds like a borderline in action!

[RN1982]

I work in an acute care hospital, level one trauma. Our patients are sick sick sick. I do want to know about dx, allergies, medical hx, a systems assessment, how they get around and communicate, whether they have family present, what their tele looks like (whether their has been anything out of normal), abnormal labs and treatment for them in the last 24 hours, how the last shift went, what I need to do in my shift in the way of labs, treatments, tests etc. Now, I can find half this information on the plan of care, the other half I must ask the nurse giving report. And wouldn't you know it, the nurses that get pissy about me "asking too many questions" are the ones that aren't too detail oriented and consistently miss things.

Now, mind you, I give all this information in my report and it does not take that long. I vary between 2-4 minutes which I think is reasonable.

Yeah I work in an acute care hospital that is also a Level 1 trauma. Our patients are sick sick sick too. When I get report I just want to know why the patient is here, tests in the last 24 hours, abnormal labs, vitals, their rhythm, incisions/wounds..etc. There is nothing wrong with being detail oriented. I just hate when some nurses expect you to tell them the results of every CT scan/xray the patient had from admission. Some patients have been there for over a month, sorry not looking back that far.

And I also hate being interrupted when I'm giving report. Sometimes I just want to say, "be quiet, i'm getting to that in a sec".

[CABG patch kid, BSN, RN]

I was just talking about this subject with a fellow new grad the other night. It is very frustrating as a new nurse when another nurse comes along and asks a million questions about things in report that either A) you were just about to tell them if they'd shush for a minute or B) they insiduously imply that things weren't done on your shift that should have been done because you work on nights and have all the time in the world!! Of course I am probably being a bit oversensitive about this because there are nights when I run my butt off and still don't get anything done, but as long as my patients get all their meds and treatments, get all the care they need, orders are noted, charting is done, etc etc, they could try and be a bit more understanding when not every single part of the admission paperwork is done. And when I'm giving report, they should not expect me to know every single stinkin thing about the patient!! I do the best I can, I have no problems with my shift being lenient to me as a new grad but sometimes a few day shifters aren't so lenient.

[NurseCard, ADN]

See, this is one of the things I loved, loved, loved, about my psych job. Report on *most* of the patients consisted of "this is so and so, they are 20 years old, they are here on an MIW, and they had a calm shift". That's if the person didn't act out or anything.

Plus it was taped report. The entire report on 20+ patients usually took anywhere from 10-15 minutes, tops.

[mother/babyRN, RN]

I would approach her and mention you were thinking about what she said but you are more interested in what she didn't say. You could ask for specifics and then let her know that if she has any concerns with your reports she should talk to you directly. If she approaches you again tell her thank you for her interest but you think you are doing ok....

[locolorenzo22, BSN, RN]

we have one of those...she'll look up labs or INRs etc...when it hasn't been impacting you all shift. You didn't give any blood thinners, their labs aren't criticals, and nothings impacted me on this 12 hrs....sure you're INR was off yesterday morning...but they don't even have another one in the system for the patient yet.....

Just realize that something will always be wrong...and kill em with kindness.....or a bedpan upside the head.

[RNperdiem, RN]

Don't make a big deal about this. Shrug it off and move on.

If you are new, I do understand how criticism, even implied criticism hurts. As a new grad, I would brood for a long time over criticism.

Nurses just vary in the amount and detail of a report they prefer. You will learn who likes the bare minimum and who likes a more in depth report.

Personally, I prefer a detailed report. After a proper report and a check of the doctors' orders, my shift is off to a good start.