Thursday, June 19, 2014

How to deal with Problem People

This is a perfect example of the Trouble Maker nurse from administration who interviewed me for the in-house transfer.

She performs at change of shift, when the place is too noisy and chaotic for anyone to pay attention to her.  This is the first thing she points out in her complaint to the Director of Nursing, "When I attempted to make the nurses aware of this problem, they all ignored me and refused to discuss the matter."

She targets a patient with borderline personality disorder.  She then declares to the staff that the patient has borderline personality disorder, as if we did not notice, and presents the long list of the patient's complaints about the staff, with the typical honorable mention to the one staff member who was wonderful but fell from the pedestal for failing to do one thing of thousands for the patient.

In this situation, she chose a 30 year old man.  He does not speak- selectively mute.  He communicates his demands by writing them on a piece of paper.  He does not begin writing until he has the staff member in front of him, and then becomes upset when the staff member cannot wait for the list to be written.  He talked upon admission, but soon stopped "because the staff did something to upset him," according to Trouble Maker Administrative Nurse.  In addition, he stopped walking and uses a wheelchair provided by some unsuspecting staff.  Trouble Maker nurse wants full body scans, neuro consult, and speech and physical therapy started immediately.

I myself have observed him walking without difficulty in his room when he thought nobody was watching, which is reflected in my nurses notes.

The problem with catering to the demands of someone who behaves like this is that you can't ever satisfy him.  You can meet his every demand, and he will still be upset because he now has more demands for you to meet, but you are paying attention to someone else or you are too exhausted by him to meet the next batch of tedious and illogical "needs."

I am not sure how to handle Trouble Maker Nurse.  It seems like she craves attention, but especially needs to make trouble for other people.  She does not get loud when ignored; she stops talking and leaves.  But that's not the end of it.  She then contacts many people about the patient's horrible condition and the lack of care exhibited by the staff- and then gloats as the fallout hits.

A big, mean, nasty nurse was on coming on duty.  He is also energized by conflict and gets loud.  He screamed at Trouble Maker Nurse, "You don't know what you are talking about."  He then turned to the patient, rocking back and forth in the wheelchair, and hollered, "Tonight, you are getting out of that wheelchair for good."  He then grabbed the wheelchair while he hoisted the patient to a standing position.  He sent the wheelchair flying down the hallway while he shouted, "It's a miracle!  He can stand!"  The patient was so angry that he started yelling and cursing at the nurse.  "Another miracle!" the nurse shouted.  "The mute cripple can stand and speak!  Hallelujah!"  He then screamed at Trouble Maker, "Take that back to your bosses.  I will tell them that you wanted this capable young man to become permanently disabled."

She walked away.

The big nurse declared, "And that is how you deal with such people."


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