I understand the push for "customer satisfaction" but I think that the following situation is taking it too far. A few days ago we had a patient on the floor who was in constant pain. She had MS PCA, Ativan, Phenegran for her pain/anxiety/nausea. The doctor had ordered a bed alert put on her because she was so unsteady from this pain and the pain meds. Well, she was with it enough to insist on going outside to have a cigarette. We explained that #1 she would have to go out in a wheel chair and that no one could take her out at this time, we were all busy (imagine that). #2 she was a huge fall risk and couldn't hardly stand up without tipping to one side, so we didn't think that she was up to the trip #3 she had a MS PCA, which we don't really allow to just freely float outside of the building #4 her doctor DID NOT want her to leave. We babied her, gave her all the meds she could have, bent over backward to try to please her. But, she was adamant and we called the house supervisior to take care of the situation. Well, house went in to talk with patient. SHe comes out and says that one of us needs to stop taking care of the patients and take this woman out to smoke. NO surprise to anyone I'll bet. But, the story gets more interesting when we find out that the patient doesn't even have any cigarettes. So, the house supervisior buys some from a staff member. BUT, the patient wouldn't accept them because they weren't menthol. So, house calls everyone in the hospital that she knows smokes to find menthol cigarettes to buy. I was so mad that I couldn't even speak, except to say "we appreciate the support
) Her response was that this woman might write a letter to the editor or something. Isn't there a line between patient rights and doctor/nurses orders/knowledge? I guess now we have to give the patient whatever they want and we have to reinforce their bad habits/behavior. UUGH!
Mar 11, '04
This may just be me but ----I would have told the house sup, since she/he had enuf time to talk to the patient about her "right" to smoke, he/she has the time to do the walking. In all that time spent talking to that patient, they could have been down the elevator and outside making customer service that happy reality the sup wanted. Right?????
I have patients to care for. Maybe I would be written up , (likely), but I would have stood my ground.
That was assinine if you ask me...and way out of line. I don't walk patients down to smoke. Either they are well enough to do it themselves, or they sign AMA to do it. I don't go. I have too much to do to indulge an unhealthy habit for ONE person, at the cost of my OTHER patients' true medical/nursing needs.
Stand for something, or fall for anything. That's the old saying.
Last edit by SmilingBluEyes on Mar 11, '04