Vent about nurses

Specialties Private Duty

Published

Certain nurses are just so obnoxious. I came in to work to find that this nurse I work with has done even more to annoy me.

The humidifier tubing is due to be changed once a week, drainage bag twice a week. I changed the tubing on the scheduled day. Come back in to work and she changed it a day later because the drainage bag was due to be changed. But she left the tubing too short so it was pulling on my pts neck. Plus she doesn't get that we will run outif she keeps going through supplies like that. She's so anal, to the point that she documents every shift that there is antibacterial soap and paper towels!! Ok, that's a bit much to me. She has it on the maintenance sheet to check the smoke alarms daily...again, a bit much. But yet, she documents some of the maintenance on the MAR and some on the maintenance sheet. She writes in every month on the MAR a place to initial for changing the gauze and felt the need to get an order for that. Its nursing discretion and already on the 485 for us to do that. We have an order on the MAR to spot check o2 every 2 hours and she has to add on the MAR "document on the flow sheet every two hours"....really?....every case we have we are required to document every hour on the flow sheet and we just record the vs as ordered without all the over kill. She is supposed to do all of the ordering for supplies but doesn't have a clue and we always run out because she doesn't call until we are out of something. The office has told all of us that we aren't allowed to order supplies and that only she can call. She got an order for us to wash our hands and had it documented that the soap was safe to use for the nurses. Again, really? I thought hand washing was a given. She makes the pt get up at the start of the 7a shift even when nothing is going on for the day. She won't let the pt who likes to sleep in get rest. The family stays up late on weekends, holidays, etc and it doesn't matter if the kid was up until 3am because that nurse is going to have her up at 7. She documents the angle every time the pt adjusts the level of the HOB and the pt adjusts the HOB sometimes every 5 min. She even documents what position the fan is in on the floor and at what speed it is running.

Every time I come in to work she has changed something. Great if its a necessary change! But 9 times out of 10, its ridiculous changes. She managed to get the office to agree to leaving the sxn machine unplugged until it dies before plugging it in. I refuse to work with a dying sxn machine. I leave it plugged in and charged because anything could happen. Policy is that the machine is plugged in or charged, but she still managed to get the director to agree. The director isn't a nurse and has no clue. I challenged the sxn machine issue and was told I had to do it the crazy nurses way. I still won't and I continue to document that the machine is charged and plugged in at the end of my shift to cover for myself.

The family complains to me that the nurse is always on the phone with the office about something. No case requires constant contact with the office like the family is claiming. The family says the nurse will give o2 just because when the pox was being turned on, a low number showed for a split second, but the pt before o2 will show a sat of 100% consistently.

Everything is overkill and its driving me crazy!

Specializes in Peds(PICU, NICU float), PDN, ICU.
Start a clandestine campaign with the parents to get rid of her. Engage the assistance of other nurses if possible. Sure it is passive aggressive and not professional or maybe even not ethical but if it accomplishes the goal of normalcy for everyone else concerned, so be it. You certainly won't be getting any help from the clinical supervisor if they are like most CS's. It is not like this sort of culling of the herd does not happen for less legitimate reasons every day anyway. Good luck with this.[/quote']

I've made comments to the mom when she brings it up or if the nurse has done something that can harm the pt. But that could backfire on me.

The nurse also got the RT at the equipment company to tell her what number to keep the humidifier on. So she claimed it was an order. But with trachs it needs to be adjusted based on the secretions. Plus its drier in the winter than the summer. The pt doesn't need 100% humidity from the humidifier when the windows are open and its raining. That actually happened yesterday.

OP it's possible we work for the same agency. The "goals" some of the nurses get very creative. I am often left scratching my head. It's not rocket science. They are spelled out on the 485.

Certain nurses are just so obnoxious. I came in to work to find that this nurse I work with has done even more to annoy me.

The family complains to me that the nurse is always on the phone with the office about something. No case requires constant contact with the office like the family is claiming. The family says the nurse will give o2 just because when the pox was being turned on, a low number showed for a split second, but the pt before o2 will show a sat of 100% consistently.

Everything is overkill and its driving me crazy!

I think your reaction is the "obnoxious" one. (Is she the obnoxious one or is it her actions that you find obnoxious?) On the quoted above, are you colluding with the family against your colleague? What do you say when they complain to you? Remember, there are thress sides to a situation, your side, her side and the truth.

When will people learn that confrontation is not such a bad thing when handled properly. If you have a problem with your colleague, take it to her at a good time, otherwise find a mediator.

Start a clandestine campaign with the parents to get rid of her. Engage the assistance of other nurses if possible. Sure it is passive aggressive and not professional or maybe even not ethical, but if it accomplishes the goal of normalcy for everyone else concerned, so be it. You certainly won't be getting any help from the clinical supervisor if they are like most CS's. It is not like this sort of culling of the herd does not happen for less legitimate reasons every day anyway. Good luck with this.

Purely Hypothetical.

Say, you had someone (a daughter, favorite niece or someone) on the volleyball team and she had a player that was trying her best but just not up to your person's standards. Would you advice that she clandestinely work to get the girl off the team?

Could you stand to tell her anything else?

Again, purely hypothetical.

Specializes in Peds(PICU, NICU float), PDN, ICU.

I think your reaction is the "obnoxious" one. (Is she the obnoxious one or is it her actions that you find obnoxious?) On the quoted above, are you colluding with the family against your colleague? What do you say when they complain to you? Remember, there are thress sides to a situation, your side, her side and the truth.

When will people learn that confrontation is not such a bad thing when handled properly. If you have a problem with your colleague, take it to her at a good time, otherwise find a mediator.[/quote, ]

I think your comment is very negative. I'm not teaming up with the family against her. When she does something right or has a good idea, I am all for it. It would be great if she would "fit in"and not cause so much damage. It can't be a case of three sides to a story if I'm saying what she is writing...that's in black and white. I've talked with my supervisor, but in PDN that doesn't matter because until the family complains nothing gets done. I can't be the obnoxious one when she is the nurse people are complaining about.

Specializes in Peds(PICU, NICU float), PDN, ICU.

Purely Hypothetical.

Say, you had someone (a daughter, favorite niece or someone) on the volleyball team and she had a player that was trying her best but just not up to your person's standards. Would you advice that she clandestinely work to get the girl off the team?

Could you stand to tell her anything else?

Again, purely hypothetical.

If the standards aren't acceptable or are dangerous, something must be done. That comment sounds like any low standard should be acceptable.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

If I didn't know most of us live in different states I'd swear we all work with the same nutty nurse. A hazard of the specialty I guess.

SDA. .there is no way I would let a suction machine almost die or keep a,humidifier at a pre-ordained number despite changes in secretions or environments where humidity is higher or lower than normal. Hopefully she'll prove to be too much of a pain in the backside for office staff and/or clients before too long!

That note with the orifice measorement totally creeped me out (to put in vernacular language) -shudder-

"She managed to get the office to agree to leaving the sxn machine unplugged until it dies before plugging it in. I refuse to work with a dying sxn machine. I leave it plugged in and charged because anything could happen. Policy is that the machine is plugged in or charged, but she still managed to get the director to agree. The director isn't a nurse and has no clue. I challenged the sxn machine issue and was told I had to do it the crazy nurses way. I still won't and I continue to document that the machine is charged and plugged in at the end of my shift to cover for myself. "

I'm not a nurse. I'm an engineer. I think I can guess why she wants to let the battery completely discharge before plugging it in to recharge.

She probably heard that rechargeable batteries have "memory." If you consistently recharge them when they are only say 50% discharged the battery will start only lasting for 50% of it's expected life. For example if a battery is expect to last 4 hours, but you recharge it consistently when it is 50% discharged, it will begin to last only 2 hours. This is true about some rechargeable batteries (e.g. your cell phone battery). With those batteries you need to periodically let them discharge completely before recharging them.

This is not true about all rechargeable batteries (e.g your car battery). In fact the medical devices that my company sells have the type of rechargeable battery that you do NOT need to let discharge completely before charging.

You might be able to fix this problem if you called the sxn machine manufacturer and ask what they recommend regarding charging the battery. I would be surprised if any batteries for essential medical equipment need to be discarged before recharging. With the manufacturer's best practices in your hand, you might get this practice changed.

Good luck. She sounds like someone who would drive even an anal, nit-picky engineer crazy. :wacky:

If the standards aren't acceptable or are dangerous, something must be done. That comment sounds like any low standard should be acceptable.

Not a question of standards being low or not. If your instinct is to act as suggested, then by all means, do so. You won't be justifying yourself to me or anyone else but to yourself on whether or not the action was acceptable.

You are the standard.

I think your reaction is the "obnoxious" one. (Is she the obnoxious one or is it her actions that you find obnoxious?) On the quoted above, are you colluding with the family against your colleague? What do you say when they complain to you? Remember, there are thress sides to a situation, your side, her side and the truth.

When will people learn that confrontation is not such a bad thing when handled properly. If you have a problem with your colleague, take it to her at a good time, otherwise find a mediator.[/quote, ]

I think your comment is very negative. I'm not teaming up with the family against her. When she does something right or has a good idea, I am all for it. It would be great if she would "fit in"and not cause so much damage. It can't be a case of three sides to a story if I'm saying what she is writing...that's in black and white. I've talked with my supervisor, but in PDN that doesn't matter because until the family complains nothing gets done. .

Fit in? On whose terms? What "terms" does she have to fit in under? Could those just be her quirks that you could speak to her about?

I can't be the obnoxious one when she is the nurse people are complaining about

Is there any possibility that you may be fanning the flames?

Specializes in Peds/outpatient FP,derm,allergy/private duty.

She probably heard that rechargeable batteries have "memory." If you consistently recharge them when they are only say 50% discharged the battery will start only lasting for 50% of it's expected life. For example if a battery is expect to last 4 hours, but you recharge it consistently when it is 50% discharged, it will begin to last only 2 hours. This is true about some rechargeable batteries (e.g. your cell phone battery). With those batteries you need to periodically let them discharge completely before recharging them.

This is not true about all rechargeable batteries (e.g your car battery). In fact the medical devices that my company sells have the type of rechargeable battery that you do NOT need to let discharge completely before charging.

You might be able to fix this problem if you called the sxn machine manufacturer and ask what they recommend regarding charging the battery. I would be surprised if any batteries for essential medical equipment need to be discarged before recharging. With the manufacturer's best practices in your hand, you might get this practice changed.

Good luck. She sounds like someone who would drive even an anal, nit-picky engineer crazy. :wacky:

Thanks for the engineer's perspective on it. . .that thought crossed my mind too - they covered that in vent class. People sometimes get unusual notions that were originally based on a kernel of truth. I even had a nurse tell me that her forgetting to plug the vent in after an outing was actually a good thing because it discharged the battery. Ahhh, no. Anyway I'm in awe of the people who create these machines.

Specializes in burn ICU, SICU, ER, Trauma Rapid Response.

She sounds like nurse manager material. Just wait until SHE is the boss. These people seems to float to the top quickly.

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