She was obviously a douchebag, but it still bothered me for some reason. I started to think about it when I got home when I realized that is possibly one of the worst things you can say to a nurse who actually does care. It sounds weird, but I would actually rather face a barrage of C-bombs than to have a patient ever say that to me. And I think it's because I see what nurses like that are actually like.
Nursing really is one of those careers where you have to in some fashion, feel a calling to your job and care about what you're doing. You have to care about people and want them to do well. You can do the job, I suppose, by possessing the necessary knowledge and skills to get it done, but if you're not really into what you're doing then you're probably gonna be pretty shitty at it.
We have a nurse on days that's a pretty classic example of this. She's been a nurse for quite a while, she understands what she's doing and why she's doing it, she's not incompetent- but she obviously could care less. She clearly has no interest in her patient's comfort, or even their outcome. It's pretty much expected when I take report from her that I'm going to have to get everyone's pain meds, etc, but this is seriously the douchebag I took report from one day who hadn't started a Heparin drip on a patient with NSTEMI and active chest pain for over an hour because the order hadn't crossed over to our Pyxis yet and it would have generated a report for an unlinked order in her name (i.e. she didn't feel like screwing with the math involved with a weight based drip.) Whenever she sees a call light in front of one of her rooms go off, she actually gets up and walks the other direction. So far she hasn't killed anyone, but if she did I doubt she'd be upset about it.
I guess I really just don't understand this mindset. Why would you get into this profession if you don't care? There are plenty of other jobs out there that pay more and don't require you to clean shit. Especially ER. Why? Why work in on of the busiest and most challenging ERs in the city if you just want to sit on your ass and not deal with people? Even if you don't wanna switch careers, almost any other nursing job is easier than this one.
I'm really feel like if you really have no investment in what happens to your patients then you should GTFO of the profession. Seriously. I don't care if it makes the shortage worse. I would rather double my patient load and get my ass handed to me every night than to work with a someone who would sit at the nurses' station and text while their patient sits in their own waste in pain. There's no worse insult in the world than being lumped in with assholes like this.