I work in a busy ED. Most of the time the patients who come in are scared because they are having CP, have broken something, afraid they're having a stroke, etc...I introduce myself, explain what I'm doing. I talk to them and explain things while I am starting the IV, pushing meds, etc...I don't like just sit and talk to them. I am always thanked for being kind and for explaining things. I've never had patients complain that they have to wait too long for pain meds, etc...waiting on the doctor or on test results yes. I had my yearly evaluation last week and my manager had written down that I am not as productive as the other nurses. He said I talk to the patients too much. Isn't that a part of nursing? I'm not chit-chatting, I'm explaining things and I don't doddle. I didn't know how to reply but I didn't sign the evaluation because I said I had to think about it.