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types of co-workers/patients to be aware of. HOW DO YOU DEAL WITH THESE PEOPLE?

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The Scared Out of Her Pants Student: Nursing student reading post on AN praying God, please don't let me fall into any of these categories when my day comes!

This is me!! :)

The "I have a question" doesn't ask if I have a minute RN: New to the floor, sees you heading towards a room with dilaudid in your hand and launches into "ok so I have this patient and..."

This will probably be me.... sorry in advance!!!

"The intimidated by the nurses" patient: Too scared to say anything or ask questions because the nurse is inching her way out the door, and you don't want to hold her up. Too scared to push the call button because she will think you are annoying. Too scared to ask for pain meds and/or tell her the pain meds already given are not effective because she will see you as a drug seeker. Too scared to take up for yourself even when you ask for help breastfeeding, and she suggests she just bring you a bottle instead.

This used to be me....

The bum – saying the s-word in the ED earns them 2 weeks of hot meals and warm bed. $1000/night on the backs of tax-payers.

Feed him, care for him, and be thankful his life isn't mine.

Kudos!

Bruin's Mom

Specializes in Med-Surg, Psych.

Is that the same LPN that is constantly complaining about RN's and feels some what shafted because they do not make as much money but clearly know as much if not more than all of the RN's combined? This is also the one that for some reason just cannot quiet seem to find the time to go back to nursing school because he or she is too busy going to the club getting drunk and making sure everyone knows about it on monday. They seem to have quite a bit of baby momma/daddy drama too.

Waiver: This is in no way a jab at LPN's. There are many many great ones out there. If youi happen to be an LPN who finds this comment offensive, I probably AM talking about you!:lol2:

Beautiful, absolutely beautiful!!! Yes they are the ones and if any LPN reads this and is offended go back to school, quit getting drunk and stop the baby momma/daddy drama..........or better yet, quit nursing!!!:D

Let me clarify "the bum," because it's a certain brand of bum that I'm referring to.

This is a "homeless by choice" person that routinely shows up in ED, crying wolf so that they can get a psych admission. They have spent their lifetime pushing limits and know exactly how to get what they want. So they get admitted, get opioids and ask for their pain meds in combination with their anxiety/nausea meds. They are demanding and manipulative throughout their stay. When they are discharged, they go to he next hospital,stay two weeks and the next, stay two weeks. Then they come back to you. Their lie gets them a continuous high at a huge expense, using resources for people who are truly in need. Not ok.

Be glad my life isn't theirs? I am. Continue catering to this crap? No thanks.

canesdukegirl, BSN, RN

Specializes in Trauma Surgery, Nursing Management. Has 14 years experience.

Tater-I'm with you there! I saw a 'homeless' person begging at the intersection the other day. You know, the ones that carry the signs that say "Homeless and Need Help. God Bless". The smallest details catch my eye, and I saw a set of keys hanging out of this homeless person's back pocket. Hmmmm.....

When does the manipulation end?

"The gives way too much unecessary information in report nurse"

The nurse who will, while the patient is coding during change of shift will give you information and start with "The patient was at home, eating when.... then go into the details of their sacral redness, but it takes atleast 20 min to find out why the patient was just coded for 15 min.....

Amen!!:yeah:

Is that the same LPN that is constantly complaining about RN's and feels some what shafted because they do not make as much money but clearly know as much if not more than all of the RN's combined? This is also the one that for some reason just cannot quiet seem to find the time to go back to nursing school because he or she is too busy going to the club getting drunk and making sure everyone knows about it on monday. They seem to have quite a bit of baby momma/daddy drama too.

Waiver: This is in no way a jab at LPN's. There are many many great ones out there. If youi happen to be an LPN who finds this comment offensive, I probably AM talking about you!:lol2:

No offense taken...I see it everyday, in LPNs who think themselves better than RNs, & RNs who fancy themselves MDs!:D

the "I'm better than LPN's/CNA's/anyone below me" RN- have had everything in life handed to them, wouldn't know how to change a bed, turn a patient, feed a patient, or where to get the wipes for a "mess" if their life depended on it. Only became an RN to say they are such. Usually refers to those "below" them as "hey you". Has been known to page those of lesser value 5 times in 10 minutes while they are elbow deep and running around like a chicken with their head cut off trying to meet pt needs just to tell you that they need you to get so and so off of the potty chair so they can give him his meds.

the "We are all equal" RN- the nurse who knows that the hospital would fall apart without LPN's/CNA's and treats them like human beings. Doesn't care to help out with anything, and has been known to say "I did that for you while I was giving him his meds, I knew you were busy".....my favorite kind :)

the "I'm better than LPN's/CNA's/anyone below me" RN- have had everything in life handed to them, wouldn't know how to change a bed, turn a patient, feed a patient, or where to get the wipes for a "mess" if their life depended on it. Only became an RN to say they are such. Usually refers to those "below" them as "hey you". Has been known to page those of lesser value 5 times in 10 minutes while they are elbow deep and running around like a chicken with their head cut off trying to meet pt needs just to tell you that they need you to get so and so off of the potty chair so they can give him his meds.

the "We are all equal" RN- the nurse who knows that the hospital would fall apart without LPN's/CNA's and treats them like human beings. Doesn't care to help out with anything, and has been known to say "I did that for you while I was giving him his meds, I knew you were busy".....my favorite kind :)

just be careful being kind, u can get a red flag or staff who suspect u are diverting meds! I used to as charge run and give pain meds for really busy nurses, after reading about some of the things that can go on, I'm going to help in another capacity....However I'll still give the prn BP med or tylonol, recheck a temp for ya!

Nola, me too! You're in good company

oh gosh, me too!LMAO!!!! :lol2:

JeneraterRN

Specializes in OB, Med/Surg, Ortho, ICU. Has 3 years experience.

Tater-I'm with you there! I saw a 'homeless' person begging at the intersection the other day. You know, the ones that carry the signs that say "Homeless and Need Help. God Bless". The smallest details catch my eye, and I saw a set of keys hanging out of this homeless person's back pocket. Hmmmm.....

When does the manipulation end?

I hear you guys on that one, too. A recent article in one of our local papers found that someone on a corner with a sign made $40,000 a year doing so (which I'm certain he declared when he filed his taxes). He probably would have kept on at it if someone hadn't seen him getting in to his car after a long day at the corner.

Ok, so here's my negative one (I posted a positive one earlier):

The moocher:This person is always in need of an alcohol swab here, a saline flush there. Worst of all, they can mooch your time. "Hey, I'm in the middle of this dressing change, and I forgot the hypafix, could you grab me some? Oh, and if you aren't too busy, could you place an IV in 114?". Everyone forgets something once in a while, or needs help, but these are always too disorganized to complete a task efficiently.

I hear you guys on that one, too. A recent article in one of our local papers found that someone on a corner with a sign made $40,000 a year doing so (which I'm certain he declared when he filed his taxes). He probably would have kept on at it if someone hadn't seen him getting in to his car after a long day at the corner.

I know this is off topic, but this story touches my heart so I'll share. When I was 18 I worked overnight cashiering at a truck stop (scary, I know!!) anyway, as you can imagine we saw everything!! Including various homeless people that would come in for a warm/cool place to sit. One man that often came in was super quiet but was friendly with another lady that worked there. After about a year of me working there, he came in and was chatting with my coworker and pulled out a HUGE wad of money. I was surprised not only because he was homeless, but because I thought it was quite dangerous for him to be on the streets with all that in his pocket!

Anyway to make a long story somewhat shorter, I asked my coworker about him. Apparently she has known him for years (met him while working there). He was very mentally ill. His family got a check for him every month, and kicked him out on the street. My coworker had been trying (unsuccessfully) to advocate for him for a long time. She would bring up his situation to the "powers to be" but nothing was ever solved. Turns out that most of the money he got while on the streets actually went back to his wicked family. He died the winter after I left the truck stop.

I know not every situation is like this, but 1 in 4 homeless people have severe mental illnesses.... Just food for thought :)

FLAME RETARDANT: no I'm not trying to say that I think a guy begging on the streets then driving off is mentally ill. Again, I just thought this was a touching story an wanted to share since the subject had been breached. Also, I'm not trying to "call out" the post I quoted... It was simply the last I saw before I wanted to post something on the subject so I hit quote :p

The clueless nurse u wonder to urself how on earth did they get a license.

The need to be put out to pasture nurse can't keep up with their pt load

The slower than molasses nurse everything takes 5hem so long to do

The speedy gonzalez nurse always in a r4rush works at a hurried pace

OMG - i love this!

i have to admit, i was a houdini on occassion (when I was a CNA), but nobody ever noticed because i would hide in the bathroom to check my phone/check on my children once everything was caught up. don't ask me WHY i felt like i was doing something "bad" even though i was supposed to get two fifteen minute breaks that i never, ever took! in fact, i felt like "the bugaboo" because i'd always have things caught up and go around to nurses/patients saying, "do you need anything?" and not wanting to take a lunch until everyone (even though they were paid 3x as much as me) had taken one first.

i've been on the CNA/RN spectrum. i had a college degree when i got my first CNA job so i was laughing inside when i came across a holier than thou nurse who thought i was a "cna who has been working on my nursing degree forever" lol.

anyhow, i've experienced all the types you mentioned and that was hilarious! thanks for that.

The "more story than you need" RN: She calls you over to waste a narc and has to tell you a 15 minute story about the patient, her weekend, and something random about her dog.

The "I have a question" doesn't ask if I have a minute RN: New to the floor, sees you heading towards a room with dilaudid in your hand and launches into "ok so I have this patient and..."

The post CT, bedridden patient with diarrhea who needs to be cleaned every time a squirt comes out:God love them I know life is rough right now, diarrhea sucks, and I fully understand your need for help, but aside from a rectal tube you need to give me at least 15 minutes between clean-ups my dear.

the "report them to my manager every time they forget to report a sat of 77 or do vitals" reminds me of....

"the snitch" - who runs to the manager over everything

and...

"super nurse" - who tells everyone about their declining patient or code blue, but always leaves out the aide who alerted them to the sat of 77 or who hit the code button bc they in fact hadn't checked on their patient in 2 hours.

sorry, but i started out as a CNA and i had a college degree when i held that position so i know some of the "tricks of the trade" and i'm very grateful to/protective of my aides. i always mention that "jennie" came and told me that "mrs. smith" had a BP of 78/50 which led to me...etc...

i can't tell you how many times i went to nurses when their patient's were declining (and one time when one was dead and called a code blue) and they'd talk about it for days without mentioning that they hadn't been in the room in FOREVER and i was the one who RAN down the hall. i also can't tell you how many times i overheard or through conversation with others caught nurses blaming things on me that i didn't do in order to save face. it's the same exact thing that doctors do to nurses. they're "caught" in doing something "wrong" or NOT doing something right so they blame the next person in the chain. it happens ALL the time and it's disgusting.

Hospice Nurse LPN, BSN, RN

Specializes in LTC, Psych, Hospice. Has 15 years experience.

The social worker that loves her low paying job:[/b]. Our social worker should have the title of miracle worker.

Love, Love, Love my social worker. Ours is a miracle worker, also.:yeah:

These are patients...

The Leader of the Cult of Supreme Colon Consciousness: calls EMS if no bm in 2 days, gets to ER and demands an NG. Nurses surf the ER list on computer every night to see if she's there and argue with the supervisor over who had her last, and whose turn it is to put up with her....puts other geri-gastric obsessors to shame.

Too Fried From Drugs to Know He's Not Getting Drugs:- IV pump beeps 'occluded'...patient looks up dazed, but immediately smiles and dozes off as you irrigate with SALINE.

Retaliation Rehab Comic: comes back to drug/alcohol rehab center after pass to do routine drug screen and comes out of BR with cup of urine...unscrews cup lid and drinks contents...howls as med nurse nearly pukes and he brings a 6 oz apple juice can out of his pocket :)

OK- nurses/staff

Retaliation Rehab Med Nurse: med nurse barely recovered from prank from retaliation comic calls dietary to come up with poop colored mashed potatoes for said patients' good-bye ceremony (said patient eats them happily)

Acid Reflux in Scrubs : comes to floor for shift scanning the supplies, and barking to charge nurse to get things replaced - not knowing that they're on the way...causes seasoned nurses to buy Maalox in bulk and keep it in their cargo pockets by 30 minutes before this nurse is scheduled to show up....Acid Reflux in Scrubs is a legitimately great nurse- skills are incredibly respectable... interpersonal skills are up there with any deceased dictator. Same nurse yells at CNA to NOT turn patients- if it's going to be done right, she will do it herself. Don't like her, but really respect her...

The Syringe is a Syringe RN: worked LTC until closing unit turfed her to neuro...draws up insulin in a 3cc syringe... when asked how many units it is, she just looks blankly (I swear I was there!)

Too Fried to Know She's a Nurse: asks for help to move a patient in bed...you push lever to lower the head as she is groping for something, muttering about lowering the HOB- as it's going down....

Work in Progress

Specializes in Med/Surg, L&D.

Statistics Happy Nurse

Shows how superior her intellect is by stating and questioning everything in terms of obscure statistics. "What percentage of people have a spinal headache following a botched epidural?" "What is the most common cause of an unexplained vaginal hemorrhage in a 12 year old? The second most common?" "What percentage of women actually follow the Friedman curve when in labor?"