Things You'd Like To Tell Visitors . . . . and get away with it - page 6

the other "things you'd like to tell" threads have been so great -- how about one more? to the daughter of today's patient: i understand back pain, believe me. i've had the surgery and was off... Read More

  1. by   SoundofMusic
    "Visiting hours are OVER now"

    Wish I could say that -- but alas, it is 24/7 visiting hours are our facility. They are free to come and go as they please, literally LIVE at the hospital for as long as their loved one is there.

    Doesn't matter how many are there. Doesn't seem to matter if theyr'e annoying OTHER patients, though, in the same room. I don't get this.
  2. by   Fiona59
    Quote from CanuckStudent
    Don't MDs prescribe morphine 'off label' as a respiratory depressant for already compromised terminal patients to hasten death? They will increase the amount if the patient is 'restless'.

    Or am I misunderstanding?

    I'm sure lots of people request extra morphine for their in-laws.

    Up here, it's fairly common to see morphine written q4h and then q1h prn in addition to some loxapine q1h prn. We all know why the order is written that way, we just don't tell the family, because sure as sh*t one distant relative will question the order and tell us we are trying to kill the patient and tell us to hold the morphine. We had one old soul who was begging to die and his brother (who he hadn't seen in three years) decided he knew best and wanted to go to the hospital ethics board about the "overuse" of morphine.

    Frankly, I alway want to ask those winners where they got their medical education...
  3. by   SoundofMusic
    To the visitor of a patient that comes up to the nurses station grilling me about a patient that isn't my patient, demanding to know when the doctor is coming, what the results of the tests were, and when they are going home...

    "Sorry Ma'am but I don't know who you're talking about, he's not my patient and I'm busy so go away and leave me alone!"
    Yes. I can't tell you how much this happens. Why can't people GET that they have a nurse DESIGNATED TO THEM for the day -- that each and every nurse is NOT their nurse?

    I have had people get down right rude and snotty with me about patients I've never even seen before.

    I swear people check their brains at the door of the hospital when they come in to visit!
  4. by   perfectbluebuildings
    DON'T snap your fingers at me to get my attention, or make "tch-tch"ing noises at me as I walk by in the hallway... I am a human being, not a dog! Use the call light in the patient's room!!! (if it's an emergency I can understand... but this SO was not!!!)
  5. by   heron
    Quote from CanuckStudent
    Don't MDs prescribe morphine 'off label' as a respiratory depressant for already compromised terminal patients to hasten death? They will increase the amount if the patient is 'restless'.

    Or am I misunderstanding?

    I'm sure lots of people request extra morphine for their in-laws.
    You're misunderstanding. So as not to derail the thread, check out the forum on hospice nursing or do a search on morphine and the dying patient.
  6. by   leslie :-D
    Quote from CanuckStudent
    Don't MDs prescribe morphine 'off label' as a respiratory depressant for already compromised terminal patients to hasten death? They will increase the amount if the patient is 'restless'.

    Or am I misunderstanding?
    Quote from talaxandra
    Though usually not explicit, most legal systems have a principle consistent with the Doctrine of Double Effect. You can give a potentially lethal dose of narcotic of your intent is to relieve pain, distress etc, even if death is a foreseeable consequence. You can not give a potentially lethal dose of narcotic to kill someone. even in palliative care the concept is symptom relief. If the intent was speeding up death we would just give potassium.
    canuck, read about the double effect doctrine, as mentioned in talaxandra's post.
    it is all about intent.
    yes, many doctor's will increase morphine dosage for restlessness or any other signs of distress...
    with the intent to relieve duress.
    and, hastened death is an unintended effect but still happens.

    never, never, never is it given w/intent to hasten death.

    leslie
  7. by   nursej22
    So how long and how much meth does it take to get your teeth to look like that?
  8. by   Virgo_RN
    Don't talk to me. Just because I am sitting behind a desk and wearing scrubs does not mean I know who your Mom is, where her room is, how she's doing, and whether she can have a pain pill. Now shoo!
  9. by   Virgo_RN
    You see this telephone I'm holding up to my ear? I'm not just chit chatting with my BFF! The person on the other end is the physician for my patient who just went into SVT and is not tolerating it. So please, quit talking to me. I'm busy. I'm sure if it was your Gramma in SVT, you wouldn't be interrupting me while I'm on the phone with the doctor. Please show the same courtesy to others.
  10. by   Virgo_RN
    If just one more relative asks me what time the stress test is tomorrow, my head is going to explode.
  11. by   Ruby Vee
    "oh, it's nice to meet you. it is so great that you took time out of your busy schedule of selling drugs on the street corner to come in and visit grandpa. no, grandpa's roommate doesn't need "a little something to take the edge off." nor does grandpa."

    "that's sterile saline, ma'am. it's what we use to do your husband's trach care. i rather count on it being sterile, and if you're drinking from the bottle it is decidedly not sterile anymore. no wonder his trach has all that lovely green drainage! and if you didn't like the taste of it the first time, why did you drink from the bottle again today? and why did you lie to me when i asked you about it after watching you drink from the bottle?"

    "no, sir. i cannot keep your baby mamma from visiting while i let "all your (rhymes with witches)" in to cough up your "share of they money." and does your wife know about all of this? she seems like a fairly nice lady."

    "well, sir, i think it's extremely intersting that your wife keeps the remote in her vagina so you can't watch tv when she's not around. and i agree that she doesn't need it in there while she's in the hospital, but *i'm* not fishing it out of there!"



    Last edit by VivaLasViejas on Jun 25, '09 : Reason: thinly veiled profanity.
  12. by   talaxandra
    In what universe is it more efficient to come wandering randomly down the hall to ask the first nurse-shaped person you see a question about your relative and their care instead or pressing the buzzer? Oh, you did not want to bother the nurse. But you seem so happy to come bother me... I am not his nurse. I have no idea if he can have a drink/when the doctors willbe by/what the lab result was/if he an go back to bed now. No, I can not find out for you. I have my own patients. Go back to his room and press the buzzer for the nurse who is looking after him.
  13. by   talaxandra
    ruby, i loved all your responses but had to say:
    Quote from ruby vee
    "well, sir, i think it's extremely intersting that your wife keeps the remote in her vagina so you can't watch tv when she's not around. and i agree that she doesn't need it in there while she's in the hospital, but *i'm* not fishing it out of there!"
    ewww!

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