No more visitors EVER! - page 4
Well I had a hell of a night in OB, a sullen rude labor patient even after the epidural, and whining about keeping the moniter belts on- yes they HAVE to be there. Her SO pissed and moaned about it... Read More
Jul 28, '02I could go on & on & on about this, my favorite ***** topic!!! When I first started woking in ICU, I had my first visitors encounter when my patient's ventilator was alarming. I entered the room to find the patient's daughter (with about 15 onlookers) turning knobs on the vent. When I flipped out, she grinned & said, "Oh don't wory, I'm an EMT!" I wanted to croak right on the spot. In fact I think my exact words were "take me Lord, I have seen it all!" Anyway, whoever said management has created an entitlment atmosphere couldn't have said it better. These people truly think they are there to be waited on & *****/moan about the dippiest things. These complaints (in my experience) are stupid & vague but boy does management jump on it right away! You'd think someone lit a fire under their azzes. They'll haul you in for a ream out faster than you can spit. But if you want to discuss something relevant to patient care, take a number & expect to wait. They honestly don't give a crap. I agree that letting the suits spend time with "open visitation" would change a few minds. Oh well, I can dream can't I?
Jul 28, '02i love the line that one hospital i worked at insist we tell our patients." do you need anything I have the time." since when do we have the time i think the CEO needs to come down out of his tower and see the real world!
Jul 28, '02scripts rear their ugly heads again? no one is ever gonna make me read from a script in doing patient care. if they do, i am outa there. ugh! and, canoehead, you have my heartfelt sympathy and understanding. this seems to be the "norm" in OB anymore. It makes you NUTS!
Jul 30, '02After dealing with the biggest PIA son all day, the pt's husband (and PIA's father) shows up and says (and I quote) "Has my pain in the a$$ son been bothering you? Just tell him to shut up and kick him out of here. I'm serious!"
My only question was- could you put that in writing please?
Jul 30, '02Oh, boy! My faaaavorite work-related gripe!
My hospital *used* to announce on the overhead paging system when visiting hours were up. That sometimes did the trick to flush out the spectators, but there were the occasional twits who were selectively deaf when it came to the announcement. Funny that they hear the code, trauma, and team pages and quiz us about them, but they seemed to miss the one telling them to beat it.
Turns out that the suits (the nursing big-wigs included) decided awhile back that this practice was not in the best interest of our patients, and not very customer friendly. But having to entertain guests at all hours while they're sick is better for them?
I'm surprised that no one has mentioned the other downside in regards to lax visitation rules - the abundance of unrully children on our units. UGH! Had one the other night running about barefoot , and picking her toes while watching the TV (which she'd turned the volume waaaaay up on) in our waiting area. Excuse me, but this isn't home. And where are her parents? Little ones crawling all over the floors, not only in the patient rooms, but on the carpeted hallways (imagine the microbes in that carpet, and we wonder why our little ones get sick). People bringing in coughing kids during cold and flu season to visit gamma, who happens to be in with a nasty case of pneumonia, nevermind that BIG sign posted in numerous spots in the hospital (front door, by the elevators, etc.) telling them to leave anyone under14 at home. Children belonging to the MRSA of multiple wounds pt contantly running in and out of the isolation room and helping themselves to the pop in the patient refrigerator... The pt, ironically enough, was a nurse herself. you'd *think* she'd know better.
I could go on and on....
* falls off soapbox, readjusts tiara *
Jul 30, '02hey? i didnt even read the whole thing, or anybodys reply.........but my heart has hardened for more than one reason....i agree screw em all........they can sit and rot, what did anybody do for me or you?
Jul 30, '02my favorite is when 11 family members set up shop in the (average) living room size waiting room all day (you know, bringing pillows, books, etc...), and just take the place over...
it's all about me!!!!!!
**invented soapbox, threw away the tiara years ago...now it's the crown!**
Jul 30, '02We have Planetree in our hospital and in case you haven't heard of it, it basically means wait on pts and families hand and foot. We have NO visiting hours whatsoever. People can come and go as they please. And in case anyone wonders, Planetree was started by a PT, not a healthcare worker.
Now, I'm all for pt's having visitors, especially if it means they will do the little errands I don't really have time for, like water pitchers. And I have seen people get better when they have visitors. I've also seen them suddenly take a downhill slide and become "so sick" for no apparent reason. And when I have to wade through 15 people to get to the bedside to do my pt care, well, we all know about that.
One night, after I stayed over because we were busy, it was my 3rd 12 in a row, I had a very nice pt with a very rude visitor. I had to change out the IV pump, which of course was in the corner behind the BSC and next to the bedstand. After much pulling and tugging and rearranging, I finally pulled the first one out and got the second one in. THEN I had to play with all the IV tubing (IVF and heparin, plus an ATB). All this with the visitors standing there staring at me, and I could definitely smell ETOH on someone's breath. Then, the visitor with the smelly breath said "Do you even know what you are doing?" I turned around and looked at him and said "EXCUSE ME????" Usually this will cut nasty remarks right off at the pass. But no, eldrunko repeated himself. "Do you know what you're doing?" I put all three tubings down on the bed and turned to him and said. "I am back here trying to manuever large pieced of equipment in a space less then 2 feet wide. Would YOU like to come back here and do it?" Suddenly, big mouth didn't have anything to say. I felt sorry for the pt as she was obviously embarrasses, and I just talked to her right along as though nothing had happened.
If I had followed Planetree protocol, I would have said "It seems as though something about your loved one's care is concerning you. Would you like to talk about it?" Yeah RIGHT!!!
Jul 30, '02Originally posted by mark_LD_RN
i love the line that one hospital i worked at insist we tell our patients." do you need anything I have the time." since when do we have the time i think the CEO needs to come down out of his tower and see the real world!
I have time when *I* think I have time... not when some stuffed shirt, lounging on his boat up at the LAKE tells me I have time. This does not mean I don't try to be cordial and helpful with everyone... but when I DON'T have time... I sure as heck don't want to be told I'm to say it anyway... :: hmph ::
Jul 30, '02have been a nurse for twelve years but a patient only once (nephrectomy-- and the nurses wouldn't bring the morphine and I was so swollen I couldn't wipe my own ass)-- had my kids at home with a nurse midwife. You guys are forgetting that these patients aren't sick--and remember your Maslow's Hierarchy of Needs--these people are well enough to want extra pillows and a manicure, for cryin' out loud. That's the part of nursing so many of us have trouble with--I call it waitressing. Pretend you're working for tips. It feels different when YOU'RE lying in bed
Jul 30, '02This is why I like ICU's...with set visiting hours, and patients ARE sick (preferably intubated and Diprivan'd). I just LOVE tossing unruly visitors out!!!
We still get the icewater and pillow fluff routine occasionally, but it's more controlled in ICU Thank God!! MedSurg or OB today would drive me TOTALLY NUTS with today's 'entitled' population.
Jul 30, '02Wanted to write of a recent satanical visitor event in our ICU but thought better of the specifics. This psycho might see herself and implode. There is nothing like a NURSE who knows some ropes to make your and administrations life HELL. Yes she was a "Registered Professional Nurse" and she wanted "Professional Courtesy" much to the obvious detriment of the patient and his care. Thank God everyone, docs, adm, and staff banded together in the patients best interest and stood their ground (and catered a bit too). In any other profession security would have taken her out back my the nape of the neck , but in Nursing, we had to remain polite, not get angry (not supposed to be human I guess) and listen to her rant and rave and cause confusion, commotion and stir everything and everyone up for days first! Just why is that?
Jul 30, '02I always love it when we get the family member of accusing the staff, " He hasn't been washed all day," Meanwhile this pt is is incontinent of urine and stool and had probably been washed 50 times already. Or the ones who come in and check under the sheets for god only knows what. We used to have a guy who would come in and take pictures of his mothers g-tube site. Or the family members who come to the nurses station in the middle of a code and say, " My mother never got any fresh water today," Also, what about the hospital employees who have relatives as impatients? I noticed they feel an entitlement to do as they please as well. I remember once there was a dying cancer pt who had the entire WORLD in his room. His wife was crying because he was in pain, yet the nurse couldn't get to the bedside to give him his morphine because there was a crowd there gawking and leering at this poor man. Also, there were about 10 small children running around buck wild, raiding the pantry, eating other pt's food. You should see what they did to the visitor's lounge. Not to mention that every 5 minutes a different family member would appoach the nurse and ask the same question that another family member just asked. This poor nurse had 10 patients that day. I think I would have had an aneurysm, had I had to deal with that.