Iām a first semester senior and last summer took on an externship at my local hospital because Iād never been a tech but had loved my time in clinicals in my first year.
Iāve only been there for four months. First of all, the facility Iām at falsely advertised an externship as a PCT position. Iāve come to terms with it, despite annoyance at not getting more experience and decided Iām just happy to be working in a hospital.
But how do I deal with difficult patients? Itās making me feel like a bad person, worse tech, and that Iāll be a horrible nurse.
Hereās what happened yesterday: I had a patient who was incontinent of both bladder and bowels but refused a pure wick. When I went to check on her, I asked if she was wet. She said no, and I asked if I could check just in case and she agreed. I did and her brief was full, but long story short, she said it hurt too much to roll and she wouldnāt do it. I was trying to be as kind as possible as she started to escalate (thank you for trying, thank you for being patient (she wasnāt being), youāll feel better when youāre clean, etc.). I got her clean, and she said she had to go to the bathroom again. She could get up, btw, but was refusing to. I said okay, do you want to go to the bathroom? She said no, she would fall, and wanted to use the bedpan but yelled at me for poking her with it when she was refusing to roll. Finally, I convinced her to get up to the BSC, but the IV got caught on the bed as she was pivoting so I said hold tight please sit for a sec and got it untangled, and got back to her. During this time, sheād soiled her brief again, and the chux pads. I really needed her up if she wouldnāt roll so she would be clean. She refused to get up for a second time, and I said are you sure I think it would be really good for your muscles and she yelled at me and said āI said no!!ā. I tried to clean her again, bc I refused to leave her soiled, and she flat out wouldnāt roll side to side but she was on one side already. So I got her cleaned, but no matter what I did, I couldnāt get another brief on her. She also started yelling at me saying everything I was doing was hurting her. She was super red, so I applied a thick layer of cream, and she screamed it hurt and smacked my hand away. I told her Iām sorry, Iām really not trying to hurt you, and she scoffed at me and ordered me to get her nurse so she could get some oxy. (Sheād JUST gotten some.) At that point, I just had her lay on top of the open brief, and tucked two chux pads under her bc Iād been in there for over an hour, with 3 soiled briefs and a screaming patient on the verge of tears. I apologized profusely to the nightshift tech when she arrived bc of the haphazard state I had to leave her in, because at least she was clean and cream was on.
I probably couldāve done something better, but I didnāt know what. How do I deal with patients like that? How often do you get yelled at by patients? How do I let it roll off my back?