Until last night.
Last night my rooms became the unofficial frequent flyer unit. To the point that I'm pretty sure the charge nurse was afraid I was going to harm her physically. It was just realllly unfortunate timing, but I literally had three patients whose medical history and allergies I could recite to them as they were rolling in on the ambulance. I'm pretty sure the amount of Dilaudid I gave to any one of these people last night could kill the average horse. In my 4th room I had a woman who would scream constantly at the top of her lungs, until I asked her any kind of pertinent question, which she would then answer in a fucking baby voice. She too, wanted Dilaudid, but her blood pressure was too low so she pretty much kept that whole routine up the entire night. Awesome.
I tried telling the charge nurse that I had suicidal ideation with a plan, but she refused to put me in a psych room and give me a warm blanket and a sandwich, so I just had to deal with my lot. So after running back and forth getting everything one patient requested med-wise, only to be met with, "you forgot my Shasta", only to have her 5 minutes later vomit said Shasta (her 4th, btw) all over her sheets and the floor along with her life saving Kayexalate (I'm pretty sure to make a point about not getting Phenergan ordered), it totally switched to homicidal ideation. Only then did I truly understand the therapeutic part of the therapeutic ignore.
You know how they tell new parents that it's better to go outside and ignore a crying baby for a minute when you're about to snap instead of shaking the baby? Yeah, well. I think that same concept applies to nurses. When you start looking around your room for pillows for reasons other than keeping your patient comfortable, go outside a minute. Maybe scream, or break something. Go to the bathroom. Then come back. The conversation about Phenergan can wait just a minute. It'll be better for you, and your patient. Therapeutic ignore for a minute, and you'll be a more patient nurse.