Content That ShifraPuah Likes

Content That ShifraPuah Likes

ShifraPuah 2,209 Views

Joined Jan 5, '06. Posts: 76 (51% Liked) Likes: 108

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  • Dec 12 '11

    Tell me everything you want me to bring you - the first time. I got too much **** to do for you to to decide when I bring you diapers that you need apple juice, and then pads, and oh by the way, can you change my sheets?

  • Dec 12 '11

    You are a grown man. Act like one.

    You're not my only patient. Nor are you even close to my sickest patient.

    If you can reach your mouth, you can wipe yourself.

    Nope, I can't give you your pain meds an hour early. I'd call and have the order changed but you fell back asleep the second you finished your sentence.

    You're HIV positive and your family cares for you...to the point of cleaning up your bodily fluids. Maybe you should tell them of your diagnosis.

  • Dec 12 '11

    Those types...I'm sure there's a true condition or process underlying all that drama, but a rapid care is not the place to have it addressed, nor is pulling the "poor pitifuls" at a hospital. Had a few like that at my last clinic, they'd come in c/o being to the point of one foot in, but it kinda didn't wash when you'd seen them the weekend previous, riding the mechanical bull at the local country/western bar.

  • Dec 12 '11

    Yup....

    Had a patient who was so "crippled up" with her fibromyalgia that she couldn't do anything for herself, wanted us to hold her tissue to her nose so she could blow, wipe her backside, hold her drink, etc., and wanting every narcotic in the house. Would get mad when I -- per our policy -- diluted it and pushed it 1 minute per mg. Couldn't figure out why her normal saline kept running out faster than I thought -- turned on the camera in her room, and Miss "I can't do anything with my hands, poor me" was hopping OVER the bed rail, and reprogramming her IV pump to run at 500 cc/hr, thinking she'd somehow get a buzz off of NS!' She'd scramble back over the rail, and then after the bag was empty, start yelling, "Nurse!"

    So I showed the MD the video, who ordered her IV saline locked and her meds changed to PO. She AMA'd out, and we got a call from the next hospital down the interstate -- she'd walked to the store on the corner, called 911, and told them to take her to that hospital, and was doing the "poor pitifuls" again -- except she forgot to take off her bracelet from our hospital; we, of course, couldn't tell them anything without her permission. So they told her they couldn't treat her without the records from us to know what drugs she had in her system, and they called us back and said she threw a huge fit and stomped out, so they wouldn't be needing her records. Don't know where she went, but I hope she stays there.

  • Dec 11 '11

    Sir, I am trying not to kill you with medication. If you don't start breathing I am going to have to REVERSE that medication.

  • Dec 11 '11

    Quote from Cjann25
    Patient: I neeeeed pain medication (in mumbled jargon with eyes half closed)

    Nurse: But sir, you appear very drowsy and can't keep your eyes open long enough to tell me how badly you require pain medication

    Patient: Suddenly pops eyes wide open and clears up speech long enough to say, "No, I feel fine, I just neeee........" then falls back asleep

    Nurse: Ok sir, well I'm going to let you rest now, but when you're awake and coherent enought to complete a full sentence, we can re-consider some IV narcotic pain medication

    Patient: But I'm in paaaaiiiin!!!!!!!!! zzzzzzzzzzzzzzzzzzzzzzzzzzzzzz

    Oh, the humanity!

  • Dec 11 '11

    Patient: I neeeeed pain medication (in mumbled jargon with eyes half closed)

    Nurse: But sir, you appear very drowsy and can't keep your eyes open long enough to tell me how badly you require pain medication

    Patient: Suddenly pops eyes wide open and clears up speech long enough to say, "No, I feel fine, I just neeee........" then falls back asleep

    Nurse: Ok sir, well I'm going to let you rest now, but when you're awake and coherent enought to complete a full sentence, we can re-consider some IV narcotic pain medication

    Patient: But I'm in paaaaiiiin!!!!!!!!! zzzzzzzzzzzzzzzzzzzzzzzzzzzzzz

  • Dec 11 '11

    "Back so soon?"

    To the patient presenting to rapid care for the second time in less than a week, c/o back pain, s/p surgical procedure. No, he hadn't followed up with either his primary or his surgeon as we instructed him to.

    And his response to me walking in?

    "Oh, it's you. I thought we'd get to see someone else this time."

    So, sure, come back in and hope for a new face that WILL give you pain pills for something that could be a surgical emergency/complication (he specifically requested them last visit). You'll get the same answer from me you did last time. If you think it's due to the surgery, call the surgeon. If not and it's your bad back that you've had for years, follow up with your primary, like I laready told you. WE DO NOT TREAT CHRONIC PAIN HERE!

  • Dec 8 '11

    The issue of modesty from the last posts is an extremely personal thing.
    'Using a little humour' is not in some people's natures. One of my gf's who was like a 35 year old virgin (married now) was very, very modest & religious, and she took offence to any leering or suggestive remarks. She would get very upset re these sorts of remarks, even if they were made in fun from people she knew (or kinda knew like work mates).
    I think the time for females being OK with that sort of stuff is waaay past, and rightly so.
    We may laugh, but I've nursed older people who have told me stories about themselves & their grandmas who bathed with clothes on - always. Being naked is almost unheard of in some cultures. One lady told me if u were caught with ur clothes off to bathe (and people didn't bathe much in the old days, no or very little access to clean water) you would be whippped. They whipped obedience into you, she reckoned.
    Perhaps it's the men that need re-educating, not us on how to behave properly. I know many people make inappropriate joke cos they're nervous or it's how they've been raised in their family, but it's got to the point where it's now unacceptable, and if they can't learn that, they will always have complaints made against them.
    And people who tolerate it are saying yes it's OK to treat me with disrespect of in a degrading way - even if it wasn't meant that way, it's just not on anymore.
    There is no way I would tolerate any patient degrading me in any way. Security would be called then the police, with no hesitation or thought.

  • Dec 8 '11

    Wow! I thought from the tone and huffing that this thread was from the yellow pages, and I was right.

    What's with the royal 'we' ?

    Did you know you can deflate a situatuion by giving little laugh and saying , "oh, put that thing away; I see those things all day long." (Whether you do or not)

    I think "flaunting his endowments in your face" was an expression rather than a literal description; a little wagging ain't the same as an assaultive circumstance, at least most of the time. It's pretty passive-aggressive, which is not to say it couldn't tip toward aggression, but generally speaking, in a hospital situation you don't find the extreme range of that activity. A good, long look right into the patients eyes ( especially if done over the top of your glasses) will often curtail a patients randier inclinations.

    When I did home-health I had to make daily visits to pack a post boil I&D behind the pts scrotum /in front of the rectum. Nothing dignified about that: he positioned as if in gyn-stirrups and held his equipment up and out of the way while I removed packing and repacked/dressed it. Pt. said it was such a relief to be rid of the boil and the pain it caused that he didn't mind anything as long as it was meant to get him healed.

    If you ever have a patient act out in a totally inappropriate manner up-close-and-personal,, grab it and SQUEEZE and yell "FIRE!" because 'fire' gets more attention and is immediately understood as an emergency.
    THEN you can file charges.But get yourself out of danger first.

    And speaking for myself, just because I talk about something in a post in one manner, don't make the assumption that I'm not professional on the job. I've been told that my warmth and humor really takes the tension out of the situation; I am appreciative of the awkwardness of many of the things nurses must do to and for others who are for all intents and purposes, complete strangers to us, as we are to them. I have empathy and utter respect for the shared human existance it's full scope and range,

  • Dec 8 '11

    Obviously, the individual patient determines the use of humor and to what extent. For those with perma-broom up their butt, they get the Victorian treatment....

    For those who respond to humor, it HELPS. It's all individualized- NOT black and white... I LOVE humor when I've got to do something unpleasant...and that's during some lousy hospitalization stuff. When I was charging, humor helped a LOT in 'breaking the ice' and getting the "human" back into the "clinical" stuff. It acknowledges their fears and feelings- without immobilizing them- when they're the kind who respond to it

    I'll take NSIME for a nurse, with some humor over someone who looks like the lemonade was too sour and the prunes not enough to clear the pipes. JMO

    WHY do things always end up as absolutes - then when the "proclaimer" has a gray area, it's acceptable? (not necessarily referring to this- just a trend w/differences of opinion).


    And FWIW, I've been assaulted- like 6 hours non-stop with the guy shot in my bedroom by police- so please don't equate assault with a naked guy in the same room.... just sayin'

  • Dec 8 '11

    Weird.
    I guess I've dealt with all of 'em in 40 years and it's hardly a case of preference....
    I had to help a 70 yr. old man take a shower and he was SO shy he got into the shower, sat on the shower bench, closed the curtain, and removed his clothing, handing them out to me one piece at a time. He cautioned me NOT to open the curtain and I told him I would not, "but you know, if you've got something I haven't seen in 35 years of nursing, I sure would like to see it."
    He held the curtain and peeked out with just his face showing, and I smiled and shrugged. He said, "You've never seen ME!" he smiled. I said, "And it doesn't look likely I ever will." After that we had the routine down and he knew I wouldn't breach his sense of pesonal modesty.

    Back when nurses still did the shave-preps on the floor, prior to a patient's surgery, there was a swaggering kind of guy who needed to have something done requiring being shaved midline to midline left, nipples to knees. His nurse was extremely shy and absolutely dreaded having to prep him, so we switched part of our assignments, and I got to do the prep. I think the patient was not scared, but he certainly didn't relish having the family jewels shaved. I told him I understood it was difficult to expose the tenderest part of himself to a complete stranger holding a sharp object,( because he was all manly bravado, I sensed he would be more comfortable with a little humor.) I said, "well, let's start at the center-piece and get the worst over with first; you seem pretty hairy so I brought 6 fresh razors; this is going to take a while." We then proceeded with the prep, joking and laughing our way through it hysterically. When I came out, finally having completed my task, the nurses at the desk greeted me with raised eyebrows and one of them said, " You weren't supposed to have so much fun!"
    Who said it was FUN? I just wanted the whole thing to be not traumatic for him and to acknowledge the awkwardness, without being stuck in that state for the entire hour it took to get the job done.
    I don't care if the guy's modest or forward, I'll meet him where he is and go from there.

    I AM A PROFESSIONAL ; DO NOT TRY THIS AT HOME."

  • Dec 7 '11

    My MiL would be right behind you 100%, and she would add, in her cute little Southern-spitfire way, " That's right, Honey, you TELL"EM and I'll stand here and pat my foot!
    It's very scary that some folks don't even have a clue about the BASICS!!!

  • Dec 7 '11

    It's sickening how some of parents treat their kids.

  • Dec 7 '11

    Ma'am, your room which consists of you, your husband, and your 2 y/o has been branded the "stinky room" by basically everyone in the ED.
    Do you think that perhaps that contributed to your child's infection with a white count of over 40,000??

    I know you don't want her admitted, but if we can't even trust you to wipe her butt (not even correctly - how about at all!!!), how can we trust you to give her medication? Do you know what sepsis is? No? Huh - I'm surprised that you don't.

    I've had enough dirty - and I literally mean that - dirty sick children with slob parents lately, I want to scream, "What the heck is wrong with you!!!!!?????)

    <rant over>


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