Families, are they getting more demanding? - page 4

The LTAC where I work has, lately, been getting patients that come with demanding family members attached. I.E. we have one patient that is unresponsive, and the wife insists that he gets morphine... Read More

  1. by   Rnandsoccermom
    One of the sups I work with once told a demanding patient that the RN's on the floor each had 9 patients and there were 62 patients in the building(LTAC). Each pt. required time from the RN.

    She then explained to him that he was well aware that she did not have 62 RN's for 62 patients, and that one RN per one pt. was not required by the state on a regular floor. She then told him that if he required a private duty RN he would need to pay for one.

    He didn't bother her again. Same sup told another pt. "you have put the call light on 17 times in 12 minutes, the RN's are documenting this and we are obviously not meeting your needs and I suggest you ask for a care conference so we can meet your needs. What is it that you needed 17 times in 12 minutes?" The woman was quiet for the rest of the night.

    At this LTAC at least they support us in reminding pts. and family of their responsibilities when in a hospital.
    Last edit by Rnandsoccermom on Jan 16, '07
  2. by   GardenDove
    Quote from Tweety
    I wouldn't know. I'm not as old as you. :roll
    And don't you forget it, bucko! Now sit up straight and mind your manners!:chuckle
  3. by   tatgirl
    Quote:
    Originally Posted by wooh
    But did we get out of waitressing?

    ROTFLMAO...great point wooh! I read this and just remembered a favorite instructor I had had this saying actually..." the only difference between a nurse and a waitress is that you have to feed them".... I forgot all about it until I saw your post....that was great! I got a laugh on that one!!



    Waitresses dont have to worry about being sued lol.... I work in LTC and we have a couple of residents who seem to think that they are the only residents that we have to take care of. One will hit the call light and then call the nurses station demanding "service" sometimes I feel like telling him if we wants service the local IHOP is down the road lol. I am not a waitress, I am a nurse. I didnt go to nursing school to be treated like a maid......... grrrrrrrrr


    Wendy
    LPN
  4. by   NurseyBaby'05
    Families are a big reason that I work nightshift. There are some that stay overnight, but it's nowhere near as bad as dayshift. Sometimes I miss out on some family/pt education, but usually not. The family members that do stay are usually the ones that genuinely want to help the pt, not just b**ch and look good just for showing up.
  5. by   CoffeeRTC
    Quote from Rnandsoccermom
    One of the sups I work with once told a demanding patient that the RN's on the floor each had 9 patients and there were 62 patients in the building(LTAC). Each pt. required time from the RN.

    She then explained to him that he was well aware that she did not have 62 RN's for 62 patients, and that one RN per one pt. was not required by the state on a regular floor. She then told him that if he required a private duty RN he would need to pay for one.

    He didn't bother her again. Same sup told another pt. "you have put the call light on 17 times in 12 minutes, the RN's are documenting this and we are obviously not meeting your needs and I suggest you ask for a care conference so we can meet your needs. What is it that you needed 17 times in 12 minutes?" The woman was quiet for the rest of the night.

    At this LTAC at least they support us in reminding pts. and family of their responsibilities when in a hospital.
    I would love support like that from the DON. We have so many families like that in our LTC. 2 nurses for 48 pts (3-4 CNAs) and you all know how we are getting more unstable pts in LTC
  6. by   JeanettePNP
    Quote from asoldierswife05
    This is very distressing for me as a new grad. My education prepared me on the basics of nursing practice and we touched on the major points of every body system. But when you or your loved one is in the hospital, you can focus on JUST that problem. Pt's and their families get on websites like
    WebMD and do hours of research, and sometimes they know more about the disease/condition than I do. They ask questions that I am not prepared to answer, they question the doctors, and they are intensely suspicious that the staff is not competent. It can be very frustrating.

    I want my patient's to be informed and health conscious! I want the families to be involved. But sometimes I feel as if they are challenging my knowledge or just waiting for me to make a mistake. I love my patients and I would NEVER do anything to harm anyone or pretend that I know what I am doing if I really need help, but I don't know everything and patients/families need to realize this.
    I don't think you need to be distressed. You know what you need to know as a nurse. You aren't required or expected to be an expert in every disease process known to man. If patients have questions about their specific diagnosis or treatment you just refer them to the doctor. It's more annoying to deal with a doctor/nurse who thinks they need to show they know more than they do. I'd rather deal with someone who knows his/her own limitations and is willing to admit that they don't know something and need to do more research. Too bad some people don't respect honesty and humility.
  7. by   casi
    Quote from TriageRN_34
    I have actually asked people the old "A/O" questions when they start ordering me around like I was a maid/hotel employee. They are shocked when I start asking them to tell me the date, president...and I say "oh, I was checking on your orientation because I thought you weren't aware you are in a hospital for a moment there"....
    LOL!
    Triage, I want to be you when I grow up... if I grow up.
  8. by   hollyvk
    Quote from TriageRN_34
    I have actually asked people the old "A/O" questions when they start ordering me around like I was a maid/hotel employee. They are shocked when I start asking them to tell me the date, president...and I say "oh, I was checking on your orientation because I thought you weren't aware you are in a hospital for a moment there"....
    :roll
    Very good!

    HollyVK
  9. by   jo272wv
    First off the customer service is fine to a point, it does make us focus on comfort to our pts, but hospitals have taken it to the extreem as a way to get pts to return to that certain hospital (money based). How can we encourage and force pts to work on doing their own adl's after surgery, make them walk to increase bowl mobility, keep their scd's on to prevent DVTs and make them wait until time for pain meds so they do not get decreased respritory problems, when they complain to managers and we as nurses are not given the chance to explain our rational. We had a mother of an out of state Doctor on our unit, he called and ordered us to do a CT scan on his mother, we explained that her doctor would need to order this scan, he reported us for being rude, which was far from the truth. The nurse taking care of her received a verbal warning for being rude and not giving good PR, even though the nurses overhearing the phone conversation went to bat for her.

    I kind of wonder if it was ever a good idea to let families stay 24 seven with the pts. Did this contribute to them taking the nursing role and second guessing the medical staff, but on the other hand, when I have a pt that needs constant monitoring, families do help out considerably so I can take care of all my pts.

    costomer service is, has always been, and will always be about money, as long as we care more about revenu over what is really best for the pt, we will have to deal with families second guessing our care.
  10. by   santhony44
    Quote from SCRN1



    As to the bringing in fast food, I really wish that wasn't allowed. I've seen so many do this and eat in front of that poor NPO patient. Then, they'll leave their mess for us to clean up.
    That's when the patient needs to smack the family member up side the head. :lol_hitti

    A short course in 2x4 etiquette!!

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