What offends you (nursing related)?

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  1. What offends you the most?

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Discuss what offends you the most and why it offends you.

Here's a quick poll;

People who shriek freak me OUT.

I have been known to give them the side-eye and ask WTH is wrong with them. Especially when I'm starting an IV. Do you WANT me to stab you?!?

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I was guilty of shrieking ONCE as a patient. I had an huge island dressing on my abdomen after major surgery. The surgeon came in and ripped it off without warning. It took some of my skin with it and bled. I am sensitive to adhesives and blistered for 2 weeks after that.

I really try not to be a bother otherwise.

Specializes in Public Health, TB.

Other disciplines who expect me to contact the provider because either "they are too busy" or "that's not my job." If I had a nickel for every time imaging, pharmacy, PT, RT, or consultants had asked me this, I'd be on a warm beach with fruity drink in my hand.

A lot. But generally what puts me in a bad mood right at the starting gates is when the person leaving fails to clean up a huge literal mess (papers, garbage, whatever, everywhere, etc.) or leaves me a ton of stuff to do that they could have easily done. I totally get a hard day, but there are those people that consistently leave you a heap of **** every time, you know?

Frequent flyers who keep coming back and getting admitted for the same thing because they are totally non-compliant.

Frequent flyers who keep coming back and getting admitted because they just can't manage at home and refuse to go to rehab. I know it's hard but how many times do you need to be readmitted in a short time to realize you just take care of yourself right now.

Frequent flyers who keep coming back and getting admitted for issues that really could be taken care of as an outpatient and the doctors who admit them.

Dialysis patients who come into the ER in critical condition repeatedly because they skip two weeks of "inconvenient" dialysis, and then leave AMA as soon as they are able to walk/ breathe again!

Specializes in Pediatrics, Emergency, Trauma.
Dialysis patients who come into the ER in critical condition repeatedly because they skip two weeks of "inconvenient" dialysis, and then leave AMA as soon as they are able to walk/ breathe again!

Sounds like a death wish to me.

Sounds like a death wish to me.

Nope, not at all -- they definitely want to go on living; they just don't want to have to have dialysis. So they skip sessions and then want the rest of us to "fix it" when the inevitable starts happening. I work on the psych consultation liaison service of a big medical center, and have seen lots of those cases over the years (we get consulted for "noncompliance," like we have some magic wand we can wave and change them, same as with the alcoholics who come in over, and over, and over, and over again and are (gasp!) still drinking).

I don't mind people using really bad judgment and making really poor choices about their lifestyles and health. It's a free country; if they want to skip dialysis, or drink or eat or smoke themselves to death, that's fine with me. I just wish they'd have the courage of their convictions and, when they start to crump, stay home and let nature run its course, not run to the hospital (again) and say, "Fix me! Fix me!" (So they can go back to what they were doing before as soon as they're discharged.)

Nope, not at all -- they definitely want to go on living; they just don't want to have to be dialysis. So they skip sessions and then want the rest of us to "fix it" when the inevitable starts happening. I work on the psych consultation liaison service of a big medical center, and have seen lots of those cases over the years (we get consulted for "noncompliance," like we have some magic wand we can wave and change them, same as with the alcoholics who come in over, and over, and over, and over again and are (gasp!) still drinking).

I don't mind people using really bad judgment and making really poor choices about their lifestyles and health. It's a free country; if they want to skip dialysis, or drink or eat or smoke themselves to death, that's fine with me. I just wish they'd have the courage of their convictions and, when they start to crump, stay home and let nature run its course, not run to the hospital (again) and say, "Fix me! Fix me!" (So they can go back to what they were doing before as soon as they're discharged.)

You're right. :(

Specializes in ICU, Postpartum, Onc, PACU.
You know you've just compared how deserving of respect the challenges of being severely disabled vs running a very busy office are? And come down in favour of the busy office?

How I read it is that when the same pts are consistently late (no matter length of time), the office gets screwed up big time. A the very least, the inconvenience of trying to reschedule or shuffle other pts who WERE on time around, everything's made harder (especially in this litigious society) by the pts who were late, or their caretakers, demanding to be seen without rescheduling or wanting the office to move other people around to accommodate them.

I didn't hear anyone complaining about people occasionally being late, or a few times a year, but the annoyance goes both ways and if someone's a "repeat offender", I can see the frustration. Especially when then confronted by a late, irritated/angry person who's wanting everything to revolve around them (literally) at that time.

You can't have the office without the clients and respect is a two way street.

xo

Specializes in ICU, Postpartum, Onc, PACU.
Huh. I have never been late for an appointment, usually 20 min early, and I have never gotten back to the rooms until AT LEAST 30 min AFTER the set appointment time. Then another 30-40 min before seeing the Dr. for 5 min. Doesn't matter if the appointment is in the AM or PM. I say nothing, but it is irritating.

Now, you are saying all those times are because someone else was 10 minutes late, and you guys went into a panic??

How would you ever cope with having an admission in the middle of your shift, but still have to get everything done on time??

You cope by NOT leaving on time or leaving stuff for the next shift to complete, depending on the complexity of the admit. I don't hear anyone saying that they're "panicking" because someone was 10 minutes late, just explaining the chain of events that follows.

On a GOOD day, when everyone's on time and no one takes more time in their appointment than they're supposed to....oh wait, that's a pipe dream cause that hardly ever happens in a busy practice.

If they would leave 15-20 minute window between pts that would help (I also go through the same thing-waiting longer than I was meant to-every month at my appointments so I know the feeling), but for some reason, most offices schedule back-to-back without leaving any wiggle room and then if someone's late, things are thrown off for the rest of the day; even into the next day sometimes, depending on the rescheduling.

xo

Specializes in ICU, Postpartum, Onc, PACU.
Nurses that refuse an assignment in huddle because the patient is "difficult." So basically they want the patient assigned to someone else so that someone else has to deal with them. I mean I have witnessed someone come to the point of tears over an assignment ....or when you get report and you are told all the bad thibgs about a patient and their attitude and then you end up having an awesome day with said patient. I never complain or try to switch assignments because i have seen it backfire and the new assignment ends up being harder...I figure you win some and you lose some, but its 12 hours out of your life so just deal with it! Now if the assignment is not safe thats one thing.....oh and when a patient is refusing care or they're non-conpliant and you have other critical patients, but you have to spend 30 minutes convincing a patient to not go AMA...my questions is, well why are you here?

It's usually difficult to accommodate those requests on the floor, but if there's someone coming on that wasn't there the night before (so not getting "their" pt's back) and you've been abused physically and/or verbally for the past 2-4 nights, I don't see the problem. If you're all there to do the same job, then what's the harm in everybody taking a turn with such an exhausting pt?

Most places I've worked, that's the norm, because it makes everyone happier and not dread coming to work for that reason. I see nothing wrong with spreading the "love" around

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