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| No. 60 | 
Dec 16, 2007, 05:59 PM
 Re: Things you'd LOVE to be able to tell patients, and get away with it. Originally Posted by kmcnelly  and if you were this pt, would you like those hours? or better yet, if you were the family and your family member were in the hospital, would you want to only be able to see them from 2-4 or 7-9, on the days when you work from 3-10? I think it's great, albeit an incovinience, that the family is so supportive.
There is a big difference between supportive and being PITAs.
I don't need to be supervised by aged parents, adult children, etc. Who wants to watch their parentbed bath or dressing change?? The patient is my concern, not the family member who wants to know the sugars, why are the meds at different times, and you have to repeat the conversation three or four times because there is no designated family spokesperson.
I don't go to their jobsite and supervise them at work or tell them how to do their job. The hospital room is MY worksite and as such I deserve a safe place to work. Not one where I trip over assorted children, handbags, and left behind take out containers.
 | | Advertisement Sponsored Links | | | | No. 61 |
Dec 16, 2007, 06:00 PM
Re: Things you'd LOVE to be able to tell patients, and get away with it.
What I have actually said to patients: If you let somebody poke studs and rings through your tongue, face, and more private body parts you are NOT allowed to raise a fuss over one little IV needle!
No, honey, contractions don't show up square on the monitor - that happens only from you pushing on the toco when I'm out of the room.
No, I won't talk to your (in)significant other who is at the bar and tell him you are in terrible shape and he should come to the hospital right now. (You picked him, not me!).
To the s.o. - No I will NOT stop what I am doing, take my hand away and explain everything before touching her. That cord hanging out down there trumps your birth plan any day. If I take my hand out, your baby will probably die. I will try to give you an idea what's going on as we are running down the hall with my hand still up there.
I'm probably one of those L&D nurses who makes students shake their heads, but my patients get the best care possible, I know what to do when it "hits the fan" and will forgo polite to both them and the docs if it means getting a better outcome for them and their baby.
| | No. 62 |
Dec 16, 2007, 06:17 PM
Re: Things you'd LOVE to be able to tell patients, and get away with it.
I don't have a problem with supportive family members. What I have a problem with is every relative that congregates and camps in the room, unwilling to leave. I have work to do, and when I come into the room, I can't get through because there's 85 people squashed in the room, not to mention all of their personal stuff all over the floor. Of course, there always has to be one that hovers at the bedside, won't let me get through to get vitals, drop off a water pitcher, check a brief, etc. And there's always at least one that just has to know what the vitals were. They get really snotty when I politely say I can't tell you that when I really want to tell them to MYOB. So yes, I'd love to have the 2 patients per visitor and visiting hours enforced.
I don't mind one person staying over night, but for crying out loud, 2 cots and a recliner in the room for those who won't leave? That's just crazy.. not to mention dangerous if we have to get to a patient in a hurry and we're hindered by stuff and people in our way.
Thank you, Fiona! You truly understand.  | | No. 63 |
Dec 16, 2007, 07:33 PM
Re: Things you'd LOVE to be able to tell patients, and get away with it. Originally Posted by Kylee45 I don't have a problem with supportive family members. What I have a problem with is every relative that congregates and camps in the room, unwilling to leave. I have work to do, and when I come into the room, I can't get through because there's 85 people squashed in the room, not to mention all of their personal stuff all over the floor. Of course, there always has to be one that hovers at the bedside, won't let me get through to get vitals, drop off a water pitcher, check a brief, etc. And there's always at least one that just has to know what the vitals were. They get really snotty when I politely say I can't tell you that when I really want to tell them to MYOB. So yes, I'd love to have the 2 patients per visitor and visiting hours enforced.
I don't mind one person staying over night, but for crying out loud, 2 cots and a recliner in the room for those who won't leave? That's just crazy.. not to mention dangerous if we have to get to a patient in a hurry and we're hindered by stuff and people in our way.
Thank you, Fiona! You truly understand.
I completely understand that one. Had a pt whose wife stayed with him THE WHOLE time. I work on a step down telemetry unit and this lady brought framed pictures, two lap tops with cords,(i tripped over one while trying to do bed side care) a ton of magazines that she laid across the heater, (Jacho loved that one) then she complained when the techs came into the room to do a sugar test. Unbelievable. My recent comment about obese people was not meant to offend anyone, and I never show that attitude towards any patients regardless of how nasty they may be towards me. I just don't understand what happened to old fashion responability? I mean come on, a patient comes in who has awful drug withdrawls and starts screaming and yelling your telling me that doesn't bother you? Better yet he pulls his IV out and pees all over the place. He/she has a serious drug problem and it's put them in the hospital because it's compromised their health. To me, it's the same concept as servere obesity. How is consuming too much food any different than abusing your body with drugs?  | | No. 64 |
Dec 16, 2007, 08:08 PM
Re: Things you'd LOVE to be able to tell patients, and get away with it. Originally Posted by kmcnelly and if you were this pt, would you like those hours? or better yet, if you were the family and your family member were in the hospital, would you want to only be able to see them from 2-4 or 7-9, on the days when you work from 3-10? I think it's great, albeit an incovinience, that the family is so supportive. First, sitting at the bedside 24/7 is not an indication of supportiveness. It is often an indication of guilt based on the poor relationship the family has had with the patient for years. And it usually indicates a family that is a pain in the posterior.
Second, this is a vent thread. It is rude to come into a vent thread and admonish folks for venting.
| | No. 65 |
Dec 16, 2007, 08:18 PM
Re: Things you'd LOVE to be able to tell patients, and get away with it. "The next time you push that button, you lose your call light priveleges for 24 hours."
"No, you can't have my phone number. This gold band here means I'm married, and besides -- why would I want to date anyone who has two baby mammas here at the same time?"
"No, I don't want to see your weenie. Not only is it uninteresting, it's the smallest weenie I've ever seen on an adult male!"
"We can hear your screaming from the desk. We know it hurts. We've explained to you why you cannot have more pain meds now. So Please. Just. Shut. Up!"
"You're a nurse? Great. Then you understand why I can't tell you about your neighbor's lab results, surgery, scheduled tests, etc."
"Cursing at me will not make me any more attentive to your "needs." In fact, it just might make me discover something very important to do elsewhere!"
| | No. 67 |
Dec 16, 2007, 08:32 PM
Re: Things you'd LOVE to be able to tell patients, and get away with it.
yep, ruby's a pro, for sure.
leslie
| | No. 69 |
Dec 16, 2007, 08:36 PM
Re: Things you'd LOVE to be able to tell patients, and get away with it. Originally Posted by Ruby Vee
"You're a nurse? Great. Then you understand why I can't tell you about your neighbor's lab results, surgery, scheduled tests, etc."
those patients and family members who have RN-itis are my favorites! its like, ok, so since you ARE a nurse, you understand this is an emergency room, and there are over 100 or so pts here at any given time, some with life threatening injuries, and you hovering over me while im putting in this IV so i can change moms doodie diaper makes me just want to poke you with it instead, since you ARE a nurse and you should know how to change a diaper. yes, i will be happy to do it. but no, hovering over me and telling me you are a nurse isnt going to make me put the needle down right this very second.
we had a LOL come in once who had an asthma exac. and also was s/p hip replacement 6 something weeks ago. her daughter flipped the "I HAVE A MASTERS DEGREE IN NURSING" card to everyone in the ER. ER doc wrote orders for soma, norco, xanax and demerol and Med surg had a bed so we got her up to the floor quickly.. about 1930. at 2200 rapid response called to the room, pt unresponsive.. when ER staff arrived chg nurse asked the ER nurse what she had given her, and the answer was nothing, just Normal saline. well the nurse on med surg had given her drug cocktail at around 2100. i guess her daughter, the almighty nurse, forgot to tell the nurse on Med surg that she already gave mom her meds at 2000 because she thought that the pharmacy didnt send them up fast enough. mom ended up on a vent. sheesh.
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