What is with the crazy parents?? --vent--

Published

I work in a pediatric ER and I am so sick of all the crazy parents out there. Just the other day I had this little 26 day old come in with a known seizure disorder on phenobarb. Baby was d/c'd from NICU the day before and had a seizure at home... so what do the parents do? Rush the kid to the ER for a "STAT phenobarb level and want to immediatly 'give her a po bolus' of phenobarb." UGH, had to explain to them that giving her a "po bolus" will make her stop breathing! So, we draw the phenobarb level, they won't let us draw anything else because they state the baby is anemic and that drawing another 10th of a teaspoon of blood will push her over the edge (even though we can't draw a CBC to see if she really IS anemic).

So we draw the Level and are waiting for results now, every 5 minutes they come out and ask if the results are back, meanwhile they have "bolused" the kid without our concent--although not as much as they would have if we hand't said something, because they know better since the dad's a pharmacist and the mom is supposedly medically inclined somehow. So we're waiting for the level and the kid has a seizure in the ER, great, just what we need. Baby's pink so we're setting up a little O2 and suction and the sat probe falls off the kids toe, mom freaks, throws her portable O2 tank on the bed dad starts yelling "she's getting dusky" And meanwhile we put the probe back on, the kid's fine. I keep saying, she's fine, she's pink... mom's yelling "I'm losing my child!" UGH, drama.

So then MD orders ativan, which I was soo happy about so that we can prevent this kid from having another seizure and having the parents freak again (asked them if they'd witnessed seizures before, they said yes "at least 6"... but only in the NICU). I go in to push the ativan and they ask, once again, if the level's back, I state that I will check the minute I'm done pushing the med. But no, they won't let me touch the baby until I check. I had had enough at this point, I kinda blow out of the room, I know I shouldn't have, sit down at the computer and nope, not back yet. Mom starts crying at this point, telling me to not be upset. I apologize, push the ativan and leave.

Another nurse does most of the care after this point, thank goodness, because I wasn't sure if I couldn't take much more of these poeple. I try to educate that the kid will have seizures, she has a seizure disorder, but parents are too freaked to listen.

(There were at least 4 other very demanding families there that night, the MD almost lost it too.)

MAN, this was probably the most unwilling, demanding, dramatic family I've ever dealt with. I barely kept it together. I'm kinda ashamed with myself for losing it like I did. But, even the Doctor went into the room and told the parents we were trying to care for their child, but they were making it difficult. How do you get over these families? I just keep my finger's crossed and hope that these people don't come back when I'm on (isn't that horrible). Anyhow, just needed to vent. thanks.

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
I think the original poster has every right to be frustrated, whether she has children or not.

I agree.

Sorry, I'm on the OP's side here. It's understandable that the parents be freaked out and scared out of their minds, but when they take the baby to the ER for help, they need to LET the staff help. They were not letting the staff help. The Pb level was important, yes, but it didn't matter what the level was at that point. The baby was still sz-ing and needed the ativan. And yes, I am a parent.

:yeahthat: and I am a parent (not a nurse yet though). Besides the OP has a right to vent about a tough night.

Some of the wild crazy people are absolutely the hardest to deal with out at triage. Once in the back, you can just smile at them and close the door, and walk away. But at triage there is a certain amt. of time that you are stuck with them, one on one. It has gotten to the point where I absolutely hate triage. Hate it.

Too crazy in the back, you can just station the security guards or have the police outside of their door. and shut their door, and even take the call light away from them.

Is that legal in an ER???

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

Unless there's the special "plug", there's no way we can disable any of our call lights or take them away.

Specializes in ICU.

I worked in the ER of a major pediatric hospital for 6 yrs, and quite frankly, that's why I left. Abusive, irrational, rude parents, worse than these in the OP . Yes, I have children, and yes, my level of empathy is different post children, but that kind of behaviour on any level is frustrating , and unacceptable whether you have children or not.

I didn't want to take it anymore, so I left. And the ER is always severely short because they can't keep people there, I do beleive this issue is a factor in nurses dissatisfaction there.

I think that parents want to run the show because they know that, ultimately, they are making the decisions for their child and they are responsible for what happens to their child. A parent can only put the care of their child in someone else's hands ethically and emotionally, to a certain extent. (Did you know that unnecessary lobotomies were performed on children?)

It's a leap of faith to hand your child over to medical professionals and one that many parents just can't do for a number of reasons. Although my experience of the healthcare system is limited at this point, the knowledge that I do have doesn't make me more at ease as a parent of small children.

Specializes in pediatric ER.

Thanks to everyone that has posted. To set the record straight, I've been working in peds for multiple years (before nursing school I worked with kids ith special needs teaching daily living skills, and before that worked in a pediatrics office (my dad's a pediatrician) as a receptionist). I know how concerned parents of a newborn react (had one mom start crying when I took her newborns temp and it was 101.5... calmed her and she did fine, no problem there), but this was over the top. That's why it got to me. I do not have children, but even the nurses that were there WITH kids were getting really annoyed with these parents, so it wasn't just me. We did call lab to find out when the level would be back, even called them to try and get them to rush it "super stat" and the parents would still ask us every 5 min. These parents definitely were on top of the meds though, I highly doubt that one of them forgot to dose the kid as she'd been home for a little over 24 hours by the time they came in. I talked to the nurse on the floor and these parents had her in the room with them pretty much all night, wanting to have her watch them feed the baby, and watch the baby while they slept (even though she was on a monitor) to make sure she didn't have a seizure. I really think it was just a wake up call at home that this kid still had seizures despite the phenobarb. And they were so focused on the phenobarb because that was the only thing they could control.

I agree with one poster who said these parents were in essence mourning the loss of their healthy baby as they now have a child with a lot of medical needs. I was also reflecting on the anemia comment, being in the NICU with these one pound babies, they probably heard the staff talking about the little guys getting anemic from blood draws, not something their baby would be at risk for, but they heard it nonetheless.

One more thing, with the way these parents were acting, everything I said went in one ear and out the other. I couldn't do teaching, I couldn't even attempt to calm the parents (as I did when they first came in) because they were so emotionally charged. I just kept saying, I'm sorry your baby had a seizure, but we are trying to help her. I guess they didn't even pick up on that. Oh well, maybe I'll learn from this and be a better nurse down the road.

Specializes in NICU.
Did you actually read my post or just get cross because I asked if she had any children? I was trying to explain that parents can be irrational when their children are sick-they are not all nurses.

I've worked in the NICU for eight years. Of course I know that parents can be irrational when their children are sick. That doesn't mean that I can't understand the original poster's frustration at the fact that these parents brought their child to the ER for treatment and then refused to let the ER team actually TREAT the baby. Stopping a nurse from giving an IV anticonvulsant to a seizing baby is a major interferance with treatment!!! The original poster has every right to be frustrated when she was unable to do her job, as ordered by a physician, because the parents refused.

It's one thing to want to control the situation when one's child is sick. It's another to prevent others from doing what's medically best for that child. Irrational or not, these parents stepped over the line.

There is a fine line between trying to have some control of the situation and actually interfering with the medical treatment of your child. I think that line was crossed by these parents. I mean, come on, they gave medication right there in the ER after being told not to. That is interference.

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You took the words out of my mouth. My priority is the baby first, parents second. A lot of families go through similar stresses without becoming like the OP's parents. I don't expect perfection, but it is possible for a parent to control themselves to a certain extent and it's necessary. I feel sympathy for them and expect a certain amount of freaking out, but I don't accept them interfering with medical care.

Specializes in hospice/ER.

Analee23,

It sounds like you really wanted to help these people. It doesn't matter how nice you are, or how much you want to do a good job and you understand where they're coming from. It is sometimes SO hard to not get frustrated with them. Ha!

I hope you managed to leave the room for long enough to complain and say a few choice words Ha! It's so nice to know everyone else has been through all this stuff. It helps you have others to compare to these people..well, at least they're not as bad as ..... or.. these people are worse than..... I don't think it matters how much you can "understand" them sometimes.. there's only so much a person can take... lets be real!

We all want to be the understanding, nice nurse, but some nights it just seems like the patients are out to get you. Ha!

I'm sure you've recovered by now and are your usual wonderful, Florence Nightingale self... :-)

Specializes in RN, BSN, CHDN.
I've worked in the NICU for eight years. Of course I know that parents can be irrational when their children are sick. That doesn't mean that I can't understand the original poster's frustration at the fact that these parents brought their child to the ER for treatment and then refused to let the ER team actually TREAT the baby. Stopping a nurse from giving an IV anticonvulsant to a seizing baby is a major interferance with treatment!!! The original poster has every right to be frustrated when she was unable to do her job, as ordered by a physician, because the parents refused.

It's one thing to want to control the situation when one's child is sick. It's another to prevent others from doing what's medically best for that child. Irrational or not, these parents stepped over the line.

I am not going to get into an argument with you. I am not unsympathetic to the situation at hand. I am bowing out of thread gracefully as it is not my intention to annoy people.

Specializes in NICU.

i was going to say, hey, that family moved to VA? i think i took care of that kid in our NICU in CA. We see it all the time! and i do have kids, and i am sympathetic. to a point..........

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