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 can develop with your patients.
I had a special consult today in my recent quest re: possible ttc. The office nurse, the ONLY nurse btw, was a total rude, snotty little twit. This was a visit regarding which antidepressants I can and can't take during pregnancy. It was a one time consult, damn it. It had nothing to do with my physical health, no meds were going to be prescribed, NOTHING. MERELY A CONSULT OF THIS PARTICULAR DOC'S MEDICAL OPINION. NOTHING ELSE.
Office b**ch tells me as a part of her duties, each pt. gets BP/P/R and WEIGHT............................................ ...........
Folks, my DOG doesn't even know my weight, okay? I don't weigh for ANYBODY. I DON'T CARE WHO YOU ARE. UNLESS MY MEDICATION IS WEIGHT BASED, YOU WILL NOT KNOW MY WEIGHT. PERIOD. END OF STORY. So I politely tell her I will decline weighing, and she looks
at me, up and down, pursed lips, and says, "well, we do have women who just don't look, you know."
I wanted to smack her. I am immediately on the defensive. I have weight issues, okay, and I don't effing need her crap about "there are women who don't look." I wanted to say, "I'm sorry, B**CH,
WHAT PART OF NO DON'T YOU UNDERSTAND????!!??" I told her NO again, and she proceeded with my vs. I was sooooooooooooooooooooooooooooooooooooooooooooooooo oooo put off by her. I was just clawing at my purse, thinking a million different ugly things about her. When searching through my purse for my insurance card, I MADE SURE TO WHIP OUT MY NURSING LICENSE WHILE "SHUFFLING" THROUGH MY THINGS IN MY WALLET in hopes she'd see and know that she was not only being a snot to a patient she didn't know from ADAM, but to a FELLOW NURSE.
REFUSAL OF TREATMENT INCLUDES BEING ABLE TO REFUSE CERTAIN PROCEDURES, AND BEING WEIGHED IS ONE OF THEM. WHY IS IT SO HARD FOR ALL THE OFFICE NURSES OUT THERE TO UNDERSTAND THIS????? I RESPECT MY PATIENTS' BOUNDARIES, WHY DO THESE PEOPLE GET SO PISSY WHEN I REFUSE TO WEIGH??? IT IS NONE OF YOUR FREAKIN' BUSINESS WHY OR WHY NOT I WEIGH, I SAID NO, NOW BACK THE F OFF.
Look, people. All you students and new nurses especially........PLEASE REMEMBER..........your patient can refuse whatever he/she wishes unless their is a COURT ORDER stating they are incompetent, and there is someone acting in their stead, OKAY??? Do not get all rude and snotty if someone refuses treatment. I had a patient yesterday that signed out AMA for familial reasons. Was I rude to her? NO. Did I disagree with her decision? YES. Did I reflect that in my treatment of her? NO. I told her, respectfully and politely, the risks of leaving, and encouraged her to return to the hospital if she has any further problems. Part of nursing is learning how to CONTROL YOUR OUTWARD APPEARANCE. You can be frustrated or put off. You can not like what someone is doing. But damn it, they teach you in nursing school (at least they taught MY class) how to *******' watch your body language and facial expressions so as not to MAKE YOUR PATIENT FEEL UNCOMFORTABLE.
Please be aware of how you're coming off. It MATTERS. It MAKES A DIFFERENCE. BODY LANGUAGE, FACIAL EXPRESSIONS, AND TONE OF VOICE SAY A LOT MORE THAN THE WORDS COMING OUT OF YOUR MOUTH. Please, people. Remember this.