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Thursday, November 13, 2014

Cloudy Weather Blues

Has anyone else noticed that with rainy and snowy days people start acting weird?

We finally got snow where I reside and the whole day was bonkers! My mom told me that her clients were strange/off/angry/grouchy/etc all day. It wasn't just a single person or maybe two. No, it was all of them. She's a hairdresser, by the way, and most people feel better when getting their hair done. Am I right?

I had gone to my mental health clinicals earlier in the day and the unit was hot. Oh my goodness! We had at least two major meltdowns on a unit of about 24 patients and several other meltdowns/take-downs on the other units. I am on a maximum security ward at a state mental hospital. These patients are very sick and all part of the legal system for various different charges. I am also on one of the admit units... So people are at their very worst, very sick level before they are stabilized with medication and therapy.

Then, after all of that fun, I decided to go into work on my day off because they were short staffed. ALWAYS A BAD DECISION!!!  Typically when a place (especially a hospital) is short staffed, that means the staff that is there is going to be stressed, the patients are going to be spazzing out (because everyone one was for some reason), and you will be frustrated that you agreed to come in to a very frustrating situation when you should be off. I completely regret it and I only agreed to work 4 hours because I got called in for night shift but I had been up since 0445.

Oh my gosh. Anything that could have gone wrong, did go wrong. First, staffing sent me to the wrong floor. Then I got reassigned and I had to go sit with a patient who was very old and very confused. He had just gotten discharged from the ICU a couple hours before I got there and was sleeping fine... until the nurse decided to move him to a different room while he was still sleeping. Thanks lady. He slept for the first hour and a half until she decided he needed to move right then. She got a Posey bed ordered for him and since he wouldn't get up, she had us use a transfer sheet to slide him into the bed. He woke up and never went back to sleep the whole time I was with him.

At first I asked if she wanted the whole bed zipped up or if she wanted me to leave it partially unzipped because she told me he could go to the bathroom. About 30 minutes after the nurse and the other two people that helped us left, the patient reported he needed to go to the bathroom. I got him up and led him to the bathroom but he turned real quick and went out into the hall. Even with myself and another nurse attempting to redirect him and lead him back into his room, he was too strong and continued into the hall to a sitting area. 30 minutes of nonsense conversation from him and we still could not get him redirected and into his room. The nurse came out and yelled at me for not keeping him in his room and I just took it. She flipped out, called the charge nurse and complained that the patient was not in his bed. After another 30 minutes or so, two nurses, a CNA, a wheelchair, and myself, we finally got him back into his room. He reported needing to use the bathroom again and the charge nurse finally got to deal with the reason he got out of his room in the first place. It took two of them to toilet him. We got him back into bed, got it all zipped up and everything was good.

A little while later, he said he needed to go to the bathroom again. He kept wanting out but I gave him a urinal. He was so confused it took 20 minutes to convince him to let me help him use the urinal. So frustrating. Then when I unzipped the bed to get the urinal out, he grabbed the zipper and fought me to get out. I succeeded just as the charge nurse got to the doorway to see how everything was going. I explained the situation and she just walked away. He asked to go again a little while later and it was a super huge struggle to get him to use it again. This time I kept the zipper up close to the top and only wide enough for the urinal to barely fit through it and just as he handed the urinal to me, he grabbed my arm! It was like a scene out of a scary horror film or some murder show. He hurt my arm so bad that I let go of the closed urinal (it only had a few drops in it) and struggled for about 5 minutes to get my arm free from his grasp and the bed zipped back up.

Several hours later, the nurse finally braved coming into the room and acted like nothing had ever happened. She was all cheery and sounded nice but I have a hard time forgetting when people yell at me. I told her about how he keeps acting all sweet and then becomes aggressive when you get too close and she told me that that information was highly useful and she was going to talk to the doctor or something. I don't understand why she got so frustrated with me for not being able to tackle a patient just to keep him in his room and she continued to belittle me and act all disapprovingly because "she can't handle confused patients" but she expects me to just suck it up and deal with it so that she doesn't have to see him. Why do so many nurses treat me like junk and avoid my patient just because they got a patient who is requiring a sitter? I understand that they are probably upset that they have to deal with a sitter patient, but why does that justify them making me sit with that patient with no break or help for 12 hours? So frustrating.

Moral of the story, don't agree to go into work on a day off when it is cloudy and everyone that you had come into contact with was going off-the-wall that day.

Is this cloudy-weather-induced grumpiness evident to anyone else or did I just make it up?

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