First Impressions Matter, B**ch!!!! - page 2

:( Yanno, I always try to make a good first impression with patients and their families. It freakin' matters. It sets the whole tone, and it really makes a difference in what kind of rapport you... Read More

  1. by   Mattigan
    Shay-
    You are my HERO for today !!! I've always wanted to refuse. Have big issues with it, too but never bucked their system.I always try to fill out the info myself and put 120.(more like 220).

    I also just put omitted at pt's request or something if someone doesn't want something done.It's not a big deal and while we're on the subject just exactly how many meds are so precisely dependent on weight on an adult level????

    In ER we never take time out during an emergency to hoist them on the sling scale for that EXACT weight.

    I went to a psychiatrist for 6 years and never saw a nurse just receptionist. The doc never knew or cared how much I weighed and he gave me meds. He was fairly intelligent- gave me the eyeball and came up with a usable ballpark figure that was all he needed and my issue wasn't an issue until I wanted to talk about it and then he was so suprised I thought my weight was an issue.
    that I felt okay about it then.

    This is not Nazi America and nurses aren't enforcers. so there.....
  2. by   mihi
    *Mihi makes mental note to NEVER object to a patient refusing the weigh in.*

    Wow - sorry that she rattled your cage Shay! But, you've taught a soon-to-be-nurse a lesson, so something good has come from it!

    Michelle
  3. by   BrandyBSN
    unlike Vegas, I wouldnt hold your purse. Id put a longer strap on it so that you could more easily use it as a weapon to wack her with.

    brandy
  4. by   shay
    Exactly, Nell. It DOES get exhausting, but it's part of the job, folks. Like Susy said, perfectly as always ,
    a nurse has no business passing *active* judgement on that patient
    Exactly. I don't like what a LOT of my patients do. They smoke, drink, use drugs, have unprotected sex with multiple partners while they're PREGNANT. They don't get prenatal care. But ya know what? It's not my position to show them my disdain for them and their lifestyle. Not at all. I ask them how many cigarettes they smoke a day, document it on the chart, and that's it. I had a patient who was veeeeeeeeeeeeeeerrrrrrrrrrrrry high risk for HIV who was pregnant refuse an HIV test. I said okay and left it at that.

    I can have anything going on in my little head that I want to about this person, but it SHOULD NOT SHOW ON MY FACE OR IN MY BODY LANGUAGE OR COME OUT IN MY TONE OF VOICE. PERIOD. EVER. It is rude, it is unprofessional, and it's uncalled for. I can yell about it in my car. I can tell my dh what an idiot I think they are. I can come here and tell y'all what I think.......but when it comes to actual pt./family interaction, I suck it up and put on my game face. It's part of the job.

    Refusal is a right. So many people forget that. I have patients who apologetically refuse things, and I correct them and tell them no need to apologize......it is your right to refuse anything....that is in the patient's bill of rights. Why is this such a difficult concept for some to grasp???????
    Last edit by shay on Sep 10, '02
  5. by   shay
    Brandy you slay me.
  6. by   SmilingBluEyes
    I remember, when I was pg w/child number one, not only did we have to weigh in front of a million people, but they used to shout the weight across the room to a nurse taking the numbers down. Then they would yell: "is your bladder full? if so, please go pee in that cup for us?!

    Like we were F----ing monkeys or something! I UNDERSTAND frequents weights, but to humilate me by shouting my numbers all over for ALL to hear???? UMMM I DON'T F----ING THINK SO!!!!!!!!!!!!!!!!!!!!!!!! I am SO w/you on the one, shay, baby!!!!!!!! GROWWWWWWWWWWL! Oh and yes I DID turn this in as AN I.G. complaint (inspector general in the USAF)! UGH the NERVE!

    And w/my next child, NO ONE did ANYTHING Like that AGAIN, we were weighed behind a screen and interviewed confidentially in a room w/just a NURSE! THANK YOU VERY MUCH! Shay, you don't have to take crap lying down, and I am glad you didn't!
    Last edit by SmilingBluEyes on Sep 10, '02
  7. by   OBNURSEHEATHER
    OK. So you're ttc. You plan a visit with your shrink to clarify if any meds you may be taking would be safe to continue during this venture, or a future pregnancy. And a set of vs and a weight are necessary why?

    I've been to my share of shrinks, and I was never once vitaled or weighed. Crap, I never even saw a nurse, just a receptionist. I just don't see the relevance. Unless you're trying to demonstrate a trend in mental health related to weight?

    Heather
  8. by   caroladybelle
    My most hated questions is the "When was your last period"

    How the heck do I know?

    I'm in at the shrink, or being seen for an ear infection, and I know I'm not pregnant. (Can't have a disease without being exposed......). Sorry, I don't write my period down. Why is it always the first question out of the MD's mouth?
  9. by   Q.
    Shay, was this at your shrink's office or an OB or PCP or what???
  10. by   OBNURSEHEATHER
    Susy:

    Originally posted by shay
    And ftr, it was a PSYCHIATRIT'S OFFICE I was in...............................I HAVE NEVER IN MY LIFE BEEN ASKED TO WEIGH AT A PSYCHIATRIST'S OFFICE.
    Heather
  11. by   Q.
    Well asking LMP is pertinent, I think. I know, I am a 'tard when it comes to that. I say something like "2 weeks ago"

    It's all part of the assessment. If a doc DIDN'T ask my LMP I'd be concerned about how thorough he/she is.
  12. by   Q.
    OH....thanks Heather.

    THAT is really wacked. Although, wondering if it's because of Shay's hx perhaps......that she asked for a weight?

    Again, it doesn't matter. The nurse has a right to attempt to collect the data just as much as Shay has a right to refuse.
  13. by   sunnygirl272
    i have also within the past year gained the nads to refuse...no, to politely decline, to be weighed..used to always do it, usually with my back turned, eyes closed, whatever...now i politely say" no, thanks..you may document that i have declined to be weighed. i am well aware i have put on weight and have enough issues with depression without slapping myself in the face." i won't even get on the scales for my gastroenterologist...if i was having a major flareup, or other acute reason to monitor my weight, i would...but...not gonna happen until then!!!!!



    <high-fives shay>

    and, btw, suzy...her history would be all the more reason to not be expecting her to get weighed...like heather said, a recovered/recovering eating disorder victim should not have scales in the house.

close