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

Nurses Relations

Published

Some of the patterns I can think of in types of people that irk me at work:

CO-WORKERS

Houdini – “code brown?” Hides in nearest cubby, preferably with a locking door.

The absent MD – “yeah, whatever you think. Can you put that in as a telephone order?” gets paid five times your salary while you do their job.

The cell phone addict – half day working, half day texting (also tends to be a Houdini)

The old-school MD – wants to order Tylenol in grains. grumbling about how it used to be, pecking away at the keyboard with index fingers, eyes shooting from monitor to keyboard. they will get it done… eventually

The phone snarler –$150k in student loans for a job they hate. Capitalizes on elitism. You, random person on the phone, are their prey.

The benefit milker – need I say more?

The over-glorified RNdelusional everyone here is stupid… except me.” Spends less time actually working and more time trying to find a problem with other peoples work. finds the most condescending way to point out an error.

The work dumper – Feels entitled with their seniority. Takes advantage of the passive orientees while they flip through catalogues and watch TV, hoping this new slave doesn't develop a spine.

The futile administrator – “here’s my solution," E for effort

The over-stepping CNA – wants all of the glory, possesses none of the qualifications. Tries to delegate to RNs, has been “working on my nursing degree” for a decade.

The drama queen/king – oblivious to the fact that you’ve got work to do. Tends to catch you while you have no escape route. Can’t understand why you wouldn’t want to stick around and hear about their juicy little nugget

PATIENTS:

The med seeker – always nauseated, always in pain 10/10, loves their IV drug cocktail.

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.

The puppetmaster – Hitting the call button like its Jeopardy! And they’ve got the answer every 5 minutes.

add more if you can think of them. I'm sure there are some I left out.

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.

Specializes in LTC, Psych, Hospice.
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....

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 lady partsl hemorrhage in a 12 year old? The second most common?" "What percentage of women actually follow the Friedman curve when in labor?"

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 lady partsl hemorrhage in a 12 year old? The second most common?" "What percentage of women actually follow the Friedman curve when in labor?"

Oh my.... this one sounds awful !!! :)

Specializes in Telemetry, Med-Surg, ED, Psych.

Angel of mercy/god calling higher ups - They always bring god and altruism into every conversation but lack perspective of the real world and everyday life. "Nursing is the work of Jesus - Why then, My dear, Are you asking for a raise?"

Nursing Cheerleaders - They come in and smile and always feel happy about work. Smile and the world smiles with you mentality. They are almost ALWAYS seen behind the desk or in a corner office. When nurses day comes, they tell us to march on and continue the fight.

I live for drugs patients - Seen this alot with sickle cell crisis patients -Usually has a PCA pump, Fentenyl patch, PO Norco and a flurry of sedatives, muscle relaxants, and other cns depresants. Pain level is NEVER below an 8 and they are always in pain no matter what. Let me be HONEST okay - talking on the phone, Ipod, Ipad, TV, laptop and eating left and right is NOT 10/10 pain - Come to the burns unit or the ER and I will gladly show you what pain really is.

Plastic - Usually a female charge nurse with more Botox than Joan Rivers, fake smile, fake clothes, fake everything. Talks nonstop about her marriage to a business executive, her wealth, nice cars, expensive home, beachfront weekend house, and shopping at Louis Vuitton. Tries to make herself seem real important - In reality she is a gold digger and a future victim of domestic abuse

Specializes in Telemetry, Med-Surg, ED, Psych.

Hey Bro/Dude I'm not gay, but...- Type of closeted gay patient "str8-acting" comes into the clinic for HIV/STD testing. Dressed up in skater clothes (Volcom, Tapout) and is trying waaay to hard not to check out other guys. Always says he has protected sex with girls but is there cause he lets a guy take care of him and he think he has AIDS. Test results come back and he has HIV - finally confesses to what you already know from the moment you saw him - If it was Christmas morning he likes to recieve presents.

Specializes in Telemetry, Med-Surg, ED, Psych.

Keepers - Patient will often be completely shocked that nurses working the night shift DON'T sleep on duty. They also assume that because you are collecting meal trays means that you want some of their food - you can finish it if you want. They also think that you have all the time in the world since all the patients are asleep....you just sit there eating bon bons

Foreign legally blonde - They will use there foreign herritage and launguage to evade work responsibilities. They know perfectly well how to do the work but will often assume the cultural barrier lingo so they can do the least amount of work.

Specializes in Med/Surg, DSU, Ortho, Onc, Psych.

Ever had the Feng Shui ones come into hospital? They're really fun:

Nursed an older lady who's timid hubby was in the room after her orthopaedic surgery. EVERYTHING had to be in a certain place - furniture, flowers, you name it - for this woman to gain her 'chi' or place in the universe (I don't know much re Feng Shui sorry and don't care). I was moving a table back in it's place, cos it was in the way of the door whilst she was giving orders where to place it EXACTLY, when I said WITHOUT THINKING: ' We haven't got time for this!' Hubby was shocked anybody would talk back to his overbearing wife, and I said something like we are here to see you get better and have as little pain as possible - gave the general nursing duty & patient care spiel.

Then later she had BOTH us nurses in there and was getting the other, younger nurse (who I think was scared of her), to re-arrange furniture - I gave up after she was settled and left the room. That woman was a manipulating, cantankerous old cow IMO.

I felt like saying: you need to attend to the Feng Shui of your body, cos ur waaay overweight and smell REALLY bad. How her hubby could go near her, I have no idea to this day. You culd smell her b4 you could see her. She cared more about moving furniture around than using anti-perspirant!

I have actually seen a ghost. Not so much the manager...

I am just kidding, I have had the privilege to work with some great managers. They don't last long. The old staff that do a crappy job hate them and the administration who are willing to keep the old staff that do a crappy job because God forbid anything ever change hate them. So they have to have a backbone of steel and even then can't seem to last long.

THE 'THANK GOD YOU ARE WORKING WITH ME NURSE': your coworker who is willing to help out, capable, competent, and with any luck has a wicked sense of humor. May be few and far between, but they are the reason I can still come to work. Because they remind me that I truly am part of a healthcare TEAM.

JUST BECAUSE I WENT TO MEDICAL SCHOOL DOES NOT MEAN I AM A HIGHER CLASS CITIZEN THAN NURSES: the doctors I have had the privilege to work with who treat nurses with respect and acknowledge that sometimes the nurse knows best. I even worked with a doctor who told pt's "You should ask the nurse that, as she has more experience with that particular piece of your case than I do". Amazing!!!

So I have some good positive ones to add...

i would love to work with you! just about the only person who has a positive outlook..got to admit that all the negative ones are extremely funny though! :)

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