ALL Nurses should have to be a REAL patient

Nurses General Nursing

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I am a nursing student. I was also unfortunately a patient a few weeks ago. My appendix decided, while I was in class, that it didn't want to be near my intestines anymore (I know this because I fell over in my chair and passed out, in class, during a "Pay attention" speech).

ALL of my nurses were FANTASTIC with the one exception. Isn't there always the one?

I went in on a Monday, had surgery late Wednesday evening, and I had obvious nausea issues. My doctor ordered IV Phenergan (I won't get into that). As some may or may not know this SHOULD be diluted and pushed slowly. (Insert Sigh because you all know what the next statement is going to be).

My friendly little nurse comes in with a syringe (mind you I came out of surgery less than 1 hour prior and still fairly loopy). I was in and out of sleep until THE BURN. I jumped and yelled "ITS INFILTRATING" she snapped back "NO IT"S NOT" I told her to remove her needle and herself from the room... One of the nurses from the IV team comes in and takes one look at my hand and says "YEP, infiltrated" (INSERT pain, agony, and hand that was swollen for 5 days).

Through the IV nurse filing some paperwork I later found out the nurse not only did this but also did not dilute the Phenergan. The risk manager called my home and let me know the nurse was being made to retake her IV class. I injected they may want to consider a patient relationship class.

Anyways, my point is I think nurses who have been patients, in my opinion and experience, have a different way of addressing patient issues. If I offended anyone with that comment it was not meant to it is just my experience.

Specializes in icu, er, transplant, case management, ps.
Oh, no! Absolutely not! I just mean that you see things differently. It is kind of like trying to explain to someone what an apple tastes like if they never personally experienced one. I would NEVER say just because someone hasn't been a patient they don't know how to give exceptional care. I just think it gives them a different set of eyes to look through.

As far as the nurse in question, I feel, again My opinion, had she experienced someone not listening to her when she was in pain and telling someone she was in pain, I think she wouldn't have barked quite so loudly and tried to keep pushing in the Phenergan

(Placing on battle helmet and armor)

Move over, I am putting on that helmet and armor as well.

I suffer from asthma. There are times when I cannot break an attack at home and must go into the ER. I generally go to the same one and know most of the nurses, who just call up R.T. for a neubulizer, hook me up to a monitor, check my vital signs, draw blood and start an IV. Several months a go I had an experience I hope is not repeated. And I must add, I would never have done what I threaten to. A nurse came in, while I was puffing away on my peace pipe, and told me she was going to start an IV. I commented I hope she was good at difficult sticks because I am very hard to get a line into. She stick the needle in, went thru the vein and drew back, wiggling the need under my skin in attempt to find another vein. I asked her to please stop, she was hurting me. She ignored me. I asked her nicely, in a slightly higher tone of voice, to please stop. She ignored me. The third time I yelled, telling her if she didn't stop immediately I was going to slap her. The last request worked. It also brought two other nurse and the ER doc into the room wanting to know what was the matter. The doctor told me he would start the IV and he promised not to hurt me, which he didn't.

I think that all nurses and doctors should have to experience some of the painful procedures that patients have to go thru. I now feel embarrassed that I use to tell patients that the ng tube I was passing, was small and it didn't hurt. Well, now I know, it can hurt, it is not a little tube, it feels like a garden hose and I couldn't keep swallowing because I felt like my wind pipe was being chocked off. We all have learned to tell patients that something does not hurt, when it can. And we tend to ignore their moaning and carrying on because we think they are exaggerating their discomfort. A number of us tend to view patients who complain about painful procedures as babies. Sorry, I am not a baby. And when I tell you you are hurting me, you had better believe me. Or I just might dump a pitcher of ice water over you.

Woody:balloons:

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
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I think that all nurses and doctors should have to experience some of the painful procedures that patients have to go thru. I now feel embarrassed that I use to tell patients that the ng tube I was passing, was small and it didn't hurt. Well, now I know, it can hurt, it is not a little tube, it feels like a garden hose and I couldn't keep swallowing because I felt like my wind pipe was being chocked off. We all have learned to tell patients that something does not hurt, when it can. And we tend to ignore their moaning and carrying on because we think they are exaggerating their discomfort. A number of us tend to view patients who complain about painful procedures as babies. Sorry, I am not a baby. And when I tell you you are hurting me, you had better believe me. Or I just might dump a pitcher of ice water over you.

Woody:balloons:

No need to wear armour suit, I'm not going to attack. I certainly however didn't learn in school, nor from my preceptor to tell patients an obviously painful procedure doesn't hurt, especially an NGT. Maybe I'm old school. Is that what they are teaching nowadays?

I feel like I'm torturing a patient when I insert one. But we have a little talk (if they are alert) that it is going to be painful and miserable and they feel like they are going to gag, but they need to concentrate on swallowing and just try to get through the worst and hang in there no matter how bad it gets. If they scream for me to pull it out then I pull it out.

Having not experienced an NGT personally doesn't make me any worse at putting them down than someone who has.

We do need to listen to our patients, emphasize and when they say stop, to stop.

Specializes in Utilization Management.

I've been a patient and it has helped me to see things from the patient's perspective a lot better. It doesn't make me a better nurse, just a more compassionate one.

Some examples of my experiences as a patient:

  • Barium enema in a teaching hospital to a teenager. Says it all.
  • Sigmoidoscopy. See above.
  • NG tube that curled up in my throat after violent retching, making me feel like I couldn't breathe. I didn't care that I got dirty looks for pulling it.
  • I had straight Phenergan pushed into a vein in my hand following surgery and it didn't hurt at all. I blame the anesthesia for my drunken correction to the nurse, to wit: "My God, you're an ICU nurse and you don't know that you push Phenergan diluted with 10 cc's of saline??!"
  • In an ER for back pain, one nurse pushed undiluted IV Demerol and Phenergan so fast I darn near passed out, never mind the worries about infiltration.
  • Had an office "nurse" (I don't think she was a nurse) dig around in my arms for a lab stick so long that it was weeks before the bruising went away. When she finally admitted defeat, (refusing to hear me when I said she needed to stop) they had to send me over to the lab (a few miles down the road) to get my blood drawn. Twenty minutes on a warm pack and the lab tech got me on the first try. I never go to a doc without drinking a gallon of water before I'm NPO now.
  • Morphine is so subtle that I could swear it wasn't working, then suddenly the pain is gone and I'm waking up after a two-hour nap. Weird drug.
  • Nothing feels better after a bloody procedure than getting cleaned up, or getting a drink of water, or getting that first meal after a cath. God bless that nurse (an RN) forever for cleaning that bloody mess up; that warm soapy water did more for me than a PCA.
  • I had no idea I had so many rib muscles and that chest tubes could make them all spasm at once, causing me to feel like they were being ripped apart. Kudos to the nurse who got me some pain meds immediately. But to the RT who had no idea what was going on and insisted that my spasms were due to refusing the nebs - :trout: . (No, I don't want to take deep breaths, Mr. RT. It'll trigger muscle spasms, please let me get some pain meds on board before the neb treatment, Mr. RT. His response: you won't need pain meds if you take your breathing treatment. Idiot.)

Specializes in icu, er, transplant, case management, ps.
I've been a patient and it has helped me to see things from the patient's perspective a lot better. It doesn't make me a better nurse, just a more compassionate one.

Some examples of my experiences as a patient:

  • Barium enema in a teaching hospital to a teenager. Says it all.
  • NG tube that curled up in my throat after violent retching, making me feel like I couldn't breathe. I didn't care that I got dirty looks for pulling it.
  • I had straight Phenergan pushed into a vein in my hand following surgery and it didn't hurt at all. I blame the anesthesia for my drunken correction to the nurse, to wit: "My God, you're an ICU nurse and you don't know that you push Phenergan diluted with 10 cc's of saline??!"
  • In an ER for back pain, one nurse pushed undiluted IV Demerol and Phenergan so fast I darn near passed out, never mind the worries about infiltration.
  • Had an office "nurse" (I don't think she was a nurse) dig around in my arms for a lab stick so long that it was weeks before the bruising went away. When she finally admitted defeat, (refusing to hear me when I said she needed to stop) they had to send me over to the lab (a few miles down the road) to get my blood drawn. Twenty minutes on a warm pack and the lab tech got me on the first try. I never go to a doc without drinking a gallon of water before I'm NPO now.
  • Morphine is so subtle that I could swear it wasn't working, then suddenly the pain is gone and I'm waking up after a two-hour nap. Weird drug.
  • Nothing feels better after a bloody procedure than getting cleaned up, or getting a drink of water, or getting that first meal after a cath. God bless that nurse (an RN) forever for cleaning that bloody mess up; that warm soapy water did more for me than a PCA.
  • I had no idea I had so many rib muscles and that chest tubes could make them all spasm at once, causing me to feel like they were being ripped apart. Kudos to the nurse who got me some pain meds immediately. But to the RT who had no idea what was going on and insisted that my spasms were due to refusing the nebs - :trout: . (No, I don't want to take deep breaths, Mr. RT. It'll trigger muscle spasms, please let me get some pain meds on board before the neb treatment, Mr. RT. His response: you won't need pain meds if you take your breathing treatment. Idiot.)

I can honestly say, once they passed that garden hose I didn't have any complaints with the nursing staff, during the twenty-one days I spent in ICU. They were caring, gave me my pain medication, IVP in my arterial line, when I asked for it. Gave me mouth care every two hours, repositioned me every two hours, and cleaned the poop in my bed without making any rude comments. In fact, all but one, were super nice, even after they learned I was a disabled RN.

One even called my daughter for me and let me talk to her at 2. The only problem was she didn't tell me it was 2AM and neither did my daughter. I was so embarrassed when I found out. But she just laughed and said I was pretty upset when I made the request and thought it was more important to make the call and let me settle down, then to tell me in was 2 in the morning.:uhoh21:

I did have a bone to pick with the doctor that put my arterial line in. She kept telling me to stop moving my jaw. And I kept trying to tell her I suffered from tardive dsykensia(?) and had no control over the movement. When I had to go to the OR to have it replaced two weeks later, I prayed she wouldn't be the one doing it. She was and she apologized for not understanding my problem. And this time she put me under so my jaw would stay still.

I have had some good experiences and I have had some very bad experiences. And most of the bad ones were over issues of control. The nurse assuming all of the control and me having none.

Woody:balloons:

Specializes in ICU, SDU, OR, RR, Ortho, Hospice RN.

Ouchies I hope you are well on the way to a full recovery. :monkeydance:

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