please do not interrupt my lunch to tell me that my patient (who is being watched by a cna while i eat) "doesn't trust" me and that you think he needs ativan. he's been asking for it all day. he's been diagnosed with paranoid delusions -- of course he doesn't trust me. and he's got a well documented history of alcohol and benzo abuse.
if, while the patient is attempting to bite the cna and kick me, i call for you to help me, please sign off your facebook account and come help me. i understand that you don't feel like working, you think bedside nursing is beneath you and you're expecting to get a hot new job far from an actual patient any day now, but it's just wrong to be perusing facebook while a patient is assaulting your co-workers.
please do not come to the med room where i'm trying to extract my meds from pyxis to tell me that my paranoid, delusional benzo addict is asking for "a big glass of water" when there's a big sign above his bed proclaiming his npo status.
the fact that the patient thinks you're his doctor does not mean that you know more than i do. believe me. he's crazy, you've been off orientation for less than a year and i've been a nurse for five years longer than you've been alive. i've seen this a few times before, and believe me he will not improve his behavior, as you suggest, if i'm "nicer to him." not giving him water when he's npo, not giving him the ativan that was specifically d/c'd and not releasing his wrist restraints is being nice to him.
wish i could say that. but then i'd be accused of "eating my young." so i'll just vent here instead.
