Eat Before You Get Here! - page 10

WHY is it that as soon as people step one foot into the ER, they suddenly are overcome with hunger and thirst? Now I can understand if the patient is admitted and has been there all day and has eaten... Read More

  1. by   lpnstudentin2010
    Quote from sweetsounds
    And now I say "take a breath..."
    So was your comment constructive or a complaint?

    i was saying that while YES some patients do indeed just complain and ask for anything they can possibly get (and expect it IMEDIATLY) there are sometimes legit reasons.

    I have SEEN the demanding ones. I have had them as roomates. The ones whoes VISITORS nothing can satisfy them, demand extra tvs and turn them all up really lound despite their child (I go to a childrens hospital) crying in pain and they do nothing to soothe them, and the roomate (me) having her head wraped up from having it operated on. I know that those patients are out there, which is what made me be DETERMINED to NOT be one of them.

    I am usually fortunate enough to be on wards that have low patient nurse ratios (I am usually on the neuro floor though last time i was on the transplant/short term stay ward) so the nurse can spend that little extra time doing it for me. However, i do realize that it might take time to get it. things come up with other patients.

    The only times I have been mad being kept waiting was when i wet the bed because my nurse did not get there in time to un hook my iv and help me to the bathroom, however after the 2nd time it happened that day i found out the person at the other end of the call bell was not telling my nurse that I needed to go and they got mad, and started checking on me a couple of times an hour.

    I am sorry that i got mad at you but I felt liekyou were insinuating that I am one of those patients. I try my hardest to NOT be. I hold all my requests (minus bathroom) until either the nurse or tech makes rounds and ask for all of them at once, so that they are not constantly running to my room for every little thing.



    ETA

    I also just realized that I used kitchen 2 times in my original post. There is the kitchen that you order the meals from, then there is a little kitchen with snacks for the patients on each ward. That is the one that i get the saltines from, and if i was not hooked to an iv i would happaly go get it myself.
    Last edit by lpnstudentin2010 on Dec 22, '08
  2. by   Footballnut
    I feed patients if it is what they need (like hypoglemic reactions) or if they have to wait a long, long time. If you come straight to my ED and ask for food I will generally tell you that it will be only a couple of hours and often we need patients to have an empty stomach for one reason or another.

    In the memorable past, one of my frequent fliers asked for food (one of many times, had been fed many times but he needed to leave this day). I told him, kindly, "George this is not a restaurant." He asked if he could sleep on the stretcher for a while. I told him "George, this is not a hotel." He asked for a cab and I told him we were not a cab company. I did give him a bus pass though. It was the best thing for him that day. He has moved on to another state, wonder what he is up to now. Are you feeding him?
    Last edit by Footballnut on Dec 22, '08 : Reason: added
  3. by   time4meRN
    Quote from TerraRN
    WHY is it that as soon as people step one foot into the ER, they suddenly are overcome with hunger and thirst? Now I can understand if the patient is admitted and has been there all day and has eaten nothing. But I don't understand how when someone comes in at 10:30 at night they IMMEDIATELY ask for food and drink because they haven't eaten all day. They have had the entire day to eat.Its not my fault that they didn't eat at home. I don't know how many signs are posted stating "no eating or drinking until evaluation is complete". Then again we have I don't know how many RESTRICTED AREA signs and people ignore those too. The other day I needed to use a bedside table but there was a tray on it so I asked the young lady if she was finished. And she said(snottily)" THAT was lunch. I didn't even GET dinner, yet." She was NOT an admitted pt. Matter of fact she was discharged an hour later. Does this happen everywhere? :uhoh21:

    I know, one of our doc's is thinking about doing a study. ........ Dorito's or Fritos as an antiemetic. Seems there are some pt's that have " really bad vomicin" , so bad infact that waiting their turn is just too much for them. Firtst they try to alleaviate this terrible sickness by cussing out the triage RN, then, once the snack machine is spotted they seem to gravitate to it, put money in the slot , buy Fritos , consume a bag or two, then.... to our amazemet, their nause is cured. Usually just in time to be able to consume large doses of Percocet. If ist wasn't for the amazing effect of these snack products, our pt's may never be able to take the percs. So, I would like to give a harty "shout out" to the Frito Lay Company for their help with the n/v pt's in our ER waiting area.
  4. by   ThrowEdNurse
    I HATE it when people pass up the McDonalds to come see me in the ED. All I have are saltines and maybe a can of Ensure. If you refuse those, then you are not "starving to death." Also, it's going to take a minute for you to starve to death considering you weigh about 350 lbs and I am confident you will not die from lack of caloric intake if you have to wait until dietary brings down whatever lukewarm sludge they throw together and ship to us whenever they damned well please. (What makes you think I have ANY control over them or any desire to have any control over them or the time to effectively communicate with these people, I don't know....) I haven't had time to eat all day either, so I don't particularly feel sorry for you as you have gotten to lay in bed, your urine isn't cramping in your bladder due to the foley, and you've had narcs. I, however, woke up @ 0530 today, drank a muscle milk on my way in, and have saved several lives on an empty stomache while working through a migraine that probably hurts me more than the "abominable pains" that you came in here for today. No, being "diabetical" doesn't mean you get fed whenever you want. If you at anytime were compliant with your insulin, then I may think twice. However, we have these fancy machines that analyzed your blood I took earlier and it showed your glucose is 379. So, I feel safe betting that your insulin from last year when you last got it filled is still sitting in your fridge untouched behind a gallon of full sugar Sunny D. Ergo, good luck getting me to call the cafeteria and nag for a tray for you, as I also need to call pharmacy and beg for the meds I ordered for the psych pt 1.5 hours ago, again, call the floor and beg a nurse to take report, again, and call CT to see if they are ever going to scan you so you can GO HOME and feast on your regular dinner of fritos, cheetos, ding dongs, ho-ho's, twinkies, and kool-aid.

    Yes, I do feel better now.

    I think the whole I need to eat as soon as I arrive in the ED thing is somehow related to the if I am strapped to a spineboard I am going to need to urinate within 4 mins of arrival to the ED.
  5. by   Looking4Seaglass
    Quote from ThrowEdNurse
    I HATE it when people pass up the McDonalds to come see me in the ED. All I have are saltines and maybe a can of Ensure. If you refuse those, then you are not "starving to death." Also, it's going to take a minute for you to starve to death considering you weigh about 350 lbs and I am confident you will not die from lack of caloric intake if you have to wait until dietary brings down whatever lukewarm sludge they throw together and ship to us whenever they damned well please. (What makes you think I have ANY control over them or any desire to have any control over them or the time to effectively communicate with these people, I don't know....) I haven't had time to eat all day either, so I don't particularly feel sorry for you as you have gotten to lay in bed, your urine isn't cramping in your bladder due to the foley, and you've had narcs. I, however, woke up @ 0530 today, drank a muscle milk on my way in, and have saved several lives on an empty stomache while working through a migraine that probably hurts me more than the "abominable pains" that you came in here for today. No, being "diabetical" doesn't mean you get fed whenever you want. If you at anytime were compliant with your insulin, then I may think twice. However, we have these fancy machines that analyzed your blood I took earlier and it showed your glucose is 379. So, I feel safe betting that your insulin from last year when you last got it filled is still sitting in your fridge untouched behind a gallon of full sugar Sunny D. Ergo, good luck getting me to call the cafeteria and nag for a tray for you, as I also need to call pharmacy and beg for the meds I ordered for the psych pt 1.5 hours ago, again, call the floor and beg a nurse to take report, again, and call CT to see if they are ever going to scan you so you can GO HOME and feast on your regular dinner of fritos, cheetos, ding dongs, ho-ho's, twinkies, and kool-aid.

    Yes, I do feel better now.

    I think the whole I need to eat as soon as I arrive in the ED thing is somehow related to the if I am strapped to a spineboard I am going to need to urinate within 4 mins of arrival to the ED.

    Oh my gosh that is sooo funny and soooo true. I was beginning to wonder if I wrote this myself in my sleep or something....hahahahaha, made my day.
  6. by   Footballnut
    Hmmmm, based on some of the requests I get from other floors about stuff that they can get elsewhere in the hospital, I am surprised THEY are not asking me to feed them too. Also, how many times have you scrounged in the lounge and found a bagel and some fruit or something, brought it victoriously to said hungry patient, only to have them say "I'm not hungry for THAT!" Too bad.
  7. by   Anagray
    So very true. The other day I walked into a room of a patient to get vitals (never have been to this room before) and his 40 year old son, thinking he was really hilarious (fool), said out of nowhere: "Hi. I need a steak, mashed potatoes and a coffee." I answered without a delay: " well, then bring some for me too!"
    I, frankly, felt insulted. I am wearing scrubs and a badge. Do I look like a waitress to you?
  8. by   indigo girl
    As one of the shrinks on our unit would say, "this is not the Ritz Carlton!"

    I usually ask the demanding ones, "do I look like a waitress?" Since I am wearing a long white lab coat over my street clothing, they have to admit that I don't, then they apologize for treating me like one. No offense to any wait staff!
  9. by   Looking4Seaglass
    Yes, this frustrates me as well. Another one is the families who attempt to bring food back to the room even though a sign with a big cross bar slashed thru it states no food or drink. Thy get huffy with you when you try to enforce the rule. I always suggest they eat it down in the vending lounge down the hall. We've sent people out of the ER arena when they bring food back. It can be quite a problem. Why do people think it's okay to bring food in anyway.....if you haven't eaten, go eat and come back. As far as the patient's go. We do have a refrigerator with prepared lunch meat sandwhiches, pretzels or jello/cookies packaged for patients waiting long periods of time in the ER. What gets us are the frequent visitors who just go to the frig themselves as they know where it's at.....The nerve!
  10. by   mmutk
    Ohh an don't forget the ones who have to pee as soon as they get here. Like they have been holding it for the last 6 hours until they walked into thier ER room, just so they can leave to pee.
  11. by   RetiredTooSoon
    Quote from TerraRN
    Does this happen everywhere? :uhoh21:
    The time I spent in ER, mostly as a patient, I didn't hear a lot of requests, other than patients who were there an extended period of time (6-8hours) or those waiting on an admission.

    As an ER patient, I've asked for food a few times, always when hooked up to Heli-ox for a vocal cord disorder. For some reason, being on that stuff makes me ravenously hungry, even if I'd eaten just before leaving for the hospital. The first couple of times it happened, I did ask for a sandwich. Normally they would not give patients food unless they were an admit or diabetic with a long wait time, but I guess it was the puppy dog eyes mixed with the perfect Donald Duck voice that won her over. If I had to be treated now, I'd bring a granola bar or something small enough to fit in my purse with me.
  12. by   chicagobsn
    I had a pt come in tonight with, "big toe pain" and in TRIAGE stated, "how long til I get back there, Im HUNGRY!" I informed the pt that you will not be allowed anything to eat until you are medically cleared to do so by the doctor. A few long hours later after coming out of the box, Im rushing to a code and the same pt tried to stop me and tell me hey you..Im still hungry can I get some food now!! I looked at the pt and said go back to your room, we dont do that here.

    It gets worse, so after the code, I checked on my other pts, and there the pt was "starving to death" and upset because pt was being discharged with the dx of "big toe pain" Yup, discharged pt without slapping the feed bag on first.

    Ahh-gotta love them horrible customer service scores.
  13. by   Pawz_Beakz
    Yep, something to eat, drink and we tend to think the WARM blankets are something they come in for as well!

close