Do you consider it helpful or not to be given a Pt’s attitude during a report? - page 5

Or the visiting family members? Do you welcome it or do you find that it prejudice the report (does that make sense?). If you feel that a patients or family demeanor is important to pass along during... Read More

  1. by   tynil
    I'd say it's helpful because then you go into the room knowing what to expect. It might make you a bit prejudiced towards the patient, but also you get a heads up that the patient is upset and from there you can really work on getting to understand why the patient is upset and working towards getting those interventions down for them whether it be pain meds or advancing their diet, etc.
  2. by   T-Bird78
    I'm in a clinic setting, so I relay to the physician if the pt is in a hurry or agitated or had a bad experience last time. We had a pt this week, new pt, and on the registration form pt crossed out M/F and wrote "transgender" on the demographics. We made sure to alert the doc before he went into the room so he didn't address the pt as Mr./Mrs. Last Name.
  3. by   jaderook01
    Quote from DesiDani
    Or the visiting family members? Do you welcome it or do you find that it prejudice the report (does that make sense?). If you feel that a patients or family demeanor is important to pass along during a report, how do you word it?

    Let's say you neglect to mention that a patient makes derogatory comments to you. The family member watches EVERYTHING you do like a FBI probe notes, names, and all. Would that lack of info matter to you?
    I like a heads up. However, I also like to be pleasantly surprised and often am. I generally have a good PR face and attitude and handle alleged problem folks just fine. I've often found it is the same nurses that seem to have issues with patients and families over and over again. Sometimes though, those warnings you get in report are right (sundowners, dementia, the family that wants everything done just so, et cetera). I'd rather know and for it to be wrong than to not know and walk into a true disaster. Forewarned is forearmed and all that.
  4. by   StJohnRiver
    Definitely helps. We do bedside report, but a quick "heads up" outside the room is much appreciated. In fact, that is usually the most important info I can get on a patient. I need to know what I am getting into. Many times I get a patient because I am a male and that patient has been, shall we say, making odd requests or comments about his female nurse. I know he is disappointed when they see me, but I usually have no problems from these patients.
  5. by   RNperdiem
    If done professionally, I want to know.
    These days with open visitation, the families can be at the bedside almost all day and night. A demanding family is like having an extra patient. I would want to know any family or patient behavior issues before I start my assessments.
  6. by   atriRN
    I've been given report on the " most challenging patients and families" and then went on to have a completely pleasant shift with the same people. I think if it's a matter of safety ( for myself or other pts/staff) or a matter of liability ( non compliance with care, turning off monitors/ alarms etc) these things are absolutely important. Just passing along " I think the Pt/ family" is not important and usually just creates unnecessary tension. Every nurse/ pt interaction will be different..Let's face it, not everyone works well together even in the best circumstances. Our job is to provide safe and professional nursing care regardless of our personal opinions.
  7. by   wondern
    I like the holistic approach so...
  8. by   gpsrn
    I like to know if there is something that I should be aware of that could affect my patient or that could affect those who care for the patient. I do try my best to be more cautious of that patient but to also look for what can be done to decrease the attitude or complication
  9. by   vanessaem
    I find it helpful. I don't like surprises. At least I know what I may be in for. However, not everyone's experiences with a given patient is the same. One nurse may tell me that the patient was horrible and when I get them, the person wasn't bad at all. Then again, I've been told a patient was great to deal with and no trouble at all, then when I'm taking care of them, the person is an absolute terror.
  10. by   pandaRN25
    I would expect to be alerted to behavior in a patient, not attitude. More often than not, when I hear about a patients attitude or demeanor, I have a completely different experience than the nurse that reported to me.
  11. by   NightNurse704
    I think it's important to pass on in report. It helps the oncoming nurse to plan her shift. I would certainly want to know if I had difficult patients and family members to look forward to. It doesn't have to be passed along in a judgmental way; a lot of times, the behaviors stem from fear/worry/stress which the patient and/or family are experiencing. But if you tell me difficult family members are coming to visit the patient at 5 pm, I'll know I should provide care for that patient very early in my shift. ;0)
  12. by   NightNurse704
    LOL! That is So true!
  13. by   NurseyMcNurserson
    Yes! I've been hit/kicked/spit on too many times. I'll accept all the warnings I can get.