I work in an ICU setting where we run into quite a bit of conflict, more than the progressive care unit I used to work on anyway. Most of the conflict we run into, are with patients who are drug users/seekers, non-compliance and psychiatric patients. I think the best communication strategy that has worked thus far is not just listening but accommodating. By use accommodation, it allows for both parties to receive at least a small amount of what they want. For example, a patient that comes in demanding pain meds and creating a fuss when not receiving them, the nurse can listen to what they are wanting, discuss with the doctor what the patient wants, and accommodate them. Maybe instead of giving them the all full strength dose of dilauded, they can take a Norco to use through the night, then the doctor can re-evaluate in the morning. Although I understand this may or may not work, it has shown to have a better outcome and shows the patient you are trying to work with them and not against them.

It takes a lot to push my buttons, but I think the most frustrating thing for me as a “Hot Button” would be when people question my ability as a nurse because I 1) am a brand new nurse and 2) look very young. I have had not only patients, but co-workers question me and why I chose to do something the way I did. While we all know in nursing there are many different ways to successfully do something. It is very frustrating being trained with multiple people who show you different ways to do things. I also can’t stand when patients call me out on looking too young or being too new to take care of them. I took the same NCLEX as every other RN here. Although I may lack in bedside experience, I can still give you the care they need and deserve. If there is something I don’t know how to do, I am not afraid to ask for help when needed.