How do you respond to rude patients?

Specialties Emergency

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How do you respond to rude and complaining patients? I took an earache patient back the other night who waited in the waiting room for 12 minutes before being called back. She stormed to the room yelling about how much pain she was in and how long she waited, and that she never comes to the hospital, "especially this one.", etc. (Hello....it says right on the chart when your last ED visit was....ah hem...6 weeks ago.) In the 12 minutes that she waited to be seen after registering, I was seeing a head trauma patient, that I was working on getting back to CT. I'd been yelled at by a patient a few hours before (not even my patient, but she stopped me in the hallway) about how she was still in so much pain, she'd waited forever, and she didn't even know if she had a nurse, etc. so I was not in the mood for this treatment again, especially when I was dealing with a head trauma patient and this earache is yelling about waiting 12 minutes. GRRRRR!!!!! Oh, and I had pneumonia, but still came to work because there was no one else to work night shift. And she's yelling at me because her ear hurts! How do you deal with the rude and grouchy patients?? What do you say to them? You'd think they'd be grateful that someone is there trying to help them. It just infuriates me to be treated this way and feel like I can't say much back to them.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
I just wish there was a way to make people understand being rude and nasty, treating staff like pond scum is not doing them any favors.

Good, solid, fantastic nurses and techs and docs are walking away from healthcare, ER's primary care ect because rude, demanding jerk people are more prominent. Why does it always seem to be the level 4-5 pts and visitors?

Every time the thought of leaving has crossed my mind, nursing in general, it's because of this.

What will people be left with? Cold, uncaring, rock like people who will be going through the motions, and you or your loved one might or might not make it and the people 'caring' for you are not going to care one way or the other because they are emotionally removed from their 'job'

Sometimes I just tell them that they don't want to p!$$ off the person in charge of the pain medicine. That makes a big impression on some folks! And then i go to the nurse's station and laugh at them. I don't think there's any real danger of everyone who actually cares about the patients leaving health care. It's the cold, uncaring folk who are more likely to leave because of rudeness.

Specializes in ED Clinical and Documentation.

You are so right. Today's healthcare is focused on press ganey scores and patient satisfaction. I just recently found out that some urgent care centers in my area are giving out gift cards for each customer that complains about the service. Smh!

Now it should be how do you deal with rude management who is coming down on you hardcore because the scores are lousy?

Sarcasm tends to work for me...I kill them with syrupy kindness:sneaky:

Specializes in Emergency.

Whenever I see administration, I go into a pt room and treat the pt. If they catch me coming out of a room, I tell them I have to treat the next pt. As long as they are there, I stay busy. Somehow, I've remained employed for many years using this technique. I can always treat patients for more hours (usually more like minutes) than they are willing to wait for me!! :)

Actually, I don't think I've ever had a talk about my individual scores, and most of the talks have been that the complaints seem to be directed towards the providers, not the RNs. So, I guess I've been fortunate to not have too many of these issues, but I do use avoidance to my advantage when I see certain administrators coming down the hallway.

Sometimes I just tell them that they don't want to p!$$ off the person in charge of the pain medicine. That makes a big impression on some folks!...... .

That's assault!

....And then i go to the nurse's station and laugh at them......

OMGOSH! How mean! This is the kind of stuff that when seen by patients make us all look bad!

Talk about Rude!

Specializes in Emergency.
That's assault!

OMGOSH! How mean! This is the kind of stuff that when seen by patients make us all look bad!

Talk about Rude!

Wait until you've an er nurse for a few years, then come back and re-read this thread. Your perspective just might be a little different.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
That's assault!

OMGOSH! How mean! This is the kind of stuff that when seen by patients make us all look bad!

Talk about Rude!

The patients don't see me go to the nurse's station to laugh at them . . . and sometimes they need a decent dose of reality. Alienating all of the nursing staff is unlikely to get you what you want -- you'll just get someone who goes in, does the care and treatments that are outlined in the plan but doesn't really CARE about you. We get paid to do the care and treatments, but we don't get paid to LIKE you or your nonsense.

I'm sorry you think I'm mean, but telling someone they're out of line isn't assualt nor is it rude. Laughing at/ventilating about patients in the nurse's station is how we all cope and keep from getting burned out. One day you'll get it. Or you won't, and you'll be one of those people leaving nursing claiming it's a miserable profession and the the staff don't support one another. With an attitude like the one you've displayed toward me, you'll probably NOT get the support from your colleagues that I get.

Specializes in ER, Trauma ICU, CVICU.

I explain what I am responsible for (patient care...not staffing, not prescribing medications, not the temperature of the waiting room, not their horrible lives). Then I calmly and assertively repeat over and over until they stop yelling "I am treating you with respect, I expect you to communicate in the same manner". If that doesn't work and they are not dying (which if they are screaming at me they aren't), I just walk out of the room and come back in a couple of minutes when they have calmed down. We have all seen the statistics regarding violence against nurses in the ED. I'm not going to put myself in an unnecessary situation of abuse/harm.

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