Sunday, August 28, 2011

Defeat

That's the only way to describe work last night. I got pulled for the third freakin time in less than a month. Ok, yes, that's annoying, but the fact that this is twice that it has happened when I'm working three in a row really upsets me. Why can't I freakin keep my same patients instead of having to get used to all new patients, know their history, how to handle them, etc???? Not to mention it makes report and charting a whole heck of a lot easier!!! Here was my night:
Patient 1: cussed at me because we don't serve breakfast at 0330. In soft waist restraint, because she was walking the halls yesterday. She kept telling me she had to get home. I offered her orange juice and graham crackers when she freakin cussed at me. She STILL wanted to cuss at me. I told her I did not appreciate that, I was trying to help her, and I wasn't cussing at her. I was glad she was asleep again for my final round. I was done with her.
Patient 2: actually a pretty decent patient.
Patient 3: had one soft mitten restraint and one soft wrist restraint. The mitten saved me from getting a black eye...literally...because the patient freakin tried to swing at me!! and when i told the day shift nurse that I gave him ativan for that, she said, "Oh, yeah, he does that." Um. Really??? I am supposed to be ok with seriously nearly getting a black eye?? I DON'T THINK SO!! She seriously questioned me giving him ativan and I was left to defend myself. Omg. He also had a PEG tube and was getting feeds every 4 hours.
Patient 4: Very sweet man. I actually made a little extra time for him (where I found the time, Lord ONLY knows!), because he was so sweet and seemed lonely. He was having me draw pictures and he was doing little brain teasers with them and stuff. Well, I do my final rounds on my patients...what a huuuuuuuuge mistake. He freakin wanted to leave AMA at daggum 0653!!! Really?! He threatened to pull out his foley if I didn't do it for him. I had to get the charge nurse and everything at freakin shift change. So, HE was cussing at me as well...while at the same time tellin me how sweet I was. Um.
Patient 5: Sweet little lady. Just had abx GALORE and I was left to get her a new IV that was a week old! Ok, so she's a hard stick...but a woman with freakin cancer..hello...immunosuppressed you idiots! How could they leave that IV in her like that?! Not to mention her hand was starting to swell!!
Patient 6: Another sweet lady..but the family refused to let us put her in restraints. We told them the only way we would not is if the family was in there at all times. Evidently, you have to stress the fact you have to WATCH her while you're in there. She was pulling at her IV. She pulled off her telemetry leads. She also hated drinking much, but her meds had to be crushed and put in nectar. It was crazy difficult to get her to finish. I finally just acted like she was a two year old and said that she only needed to drink a few more sips. Even that was a chore.
It did me no good to SOMEHOW get everything done with 20 minutes to spare. I still left at 0830. It was one of those nights, though, that I have to stop BOILING before I can sleep. I am working on it. I am back again for my third night in a row. I really wish I could just win the lottery and quit work. It is truly miserable. I get told what a great nurse I am and I'm so sweet and yada yada, but the junk I have to put up with is not freakin worth it...especially for the money. I mean gettin cussed at and a near black eye in one night?? Eh, no thanks.

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