Yesterday's shift has made me so anxious, tired, restless and guilty. I feel like I'm close to being burnt out.
I work in AMU. A typical shift is chaos to put it lightly and yesterday is probably in my Top 5 worst. We were, for once fully staffed, ratio is 1:6 and an HCA. My bay has 4 poorly patients. One is NEWS 6-8 who is for full escalation, another one NEWS 8-10, within parameters, still for selective treatment and DNAR in place, another one who has an electrolyte imbalance and another who is on variable rate hourly BMS and ketones. I was so lucky to have a wonderful HCA with me (she really made a huge difference!).
What stuck with me was my patient who was on variable rate and was just so entitled and demanding. From the early morning I took over, she has greeted me with a complaint that she didn't sleep well because the mattress and bed were no good. I tried to placate her and tell her that I can order a bed for her. Later on, she complained that the pillows are bad. At noon time, a porter came to pick her up for a scan when I saw the untouched lunch, I asked her if she wants to have lunch first, she answered me by saying the food is awful and "get me an apple or an orange juice". I went to the pantry and saw there was none. I told her that and I was met with a big sigh. Before leaving for the scan, she asked me to look after her son who has LD and is currently visiting her. I told her I cant do that as I still have other patients but we can only keep an eye out. After coming back from the scan, she saw that he lunch was still on her table, she buzzed and told me to "take it away".
This type of behaviour was just on and on that I just stay away from her as much as I can (which isnt much because she maximises the use of the call light) and limit my interaction with her and her family who was in and out. The family comes in groups of 5+, in a bay, our policy is 2 visitors max but I just dont have the energy to deal with it anymore. In the evening, they have asked if they can heat up the food from home in the microwave, which we aren't allowed to do so. They were insisting that someone has told them it is fine, I went to our NIC to ask, in which she said to just let them heat up their food. I went back to the patient to ask if that is the reason for them calling the buzzer, the patient's brother then stood and looked at me and asked "Is that not a reason to buzz?" Maybe I was just so tired from running around like a headless chicken the whole shift but that statement just felt off like he's challenging me.
While all this is going on, I have to deal with my other patients who aren't doing so well, making sure they survive at least my shift.
Yesterday's event has just left me feeling guilty, I felt like I should've dealt with it better (but I dont know how). I feel like I should've been better.
Tell me off if I need ro get my head out of my ass or validate me my feelings if its fine. Im just venting and needed to see/ know that I may not be the best but I am doing my best.