I couldn't believe what I was hearing! - page 2
Just when I think I've heard it all from patients' family members... We have a young patient with Downs syndrome on our Med/Surg unit right now; he is very sweet to take care of and has a nice... Read More
Mar 7, '12Quote from classicdameAmen! There are cameras everywhere now, so you know for sure they would be able to prove you tagged them.he probably felt guilty about not wanting to be there. His problem, not yours. I take the passive-agressive approach on these situations because otherwise I would be in jail.
Mar 7, '12Quote from nerdtonurse?AMEN! When my Mother was in the hospital, I did not tell them I was a nurse until I seen trouble and same with my daughter when she was having my first grandchild, I did not want to be one to over step my boundaries. However I did stand up when the situation needed advocation for my loved one as I would for any patient.Yeah, I'd want to smack the moron, too. Goes back to what I tell new nurses -- it's not the patients, it's the families that will drive you crazy...
I have also found that I truely cannot believe how crazy some of these patients families are and patient teaching sometimes go straight out the window
Mar 7, '12A story from the front:
24 y/o pt admitted, with HCT 19, plts 11, WBC 150K, 90% blasts from ER, no known history of cancer. Pt has white CXR, sats 78% on RA. The obvious suspected diagnosis is new diagnosis AML with pneumonia/pulmonary leukostasis, a rather dangerous situation. In an excellent hospital, pt would go to IMU/ICU for Bipap and probable intubation, where there is close observation for when (not if) she goes bad.
RN, however, was in Florida, where the oncologists do not want to share power with another MD, so pt goes to Medical Oncology, where RNs have 6-12 patients apiece on days, and only remote tele. Thankfully the RN has only 6 pts (thank G-d) nd the other RN on the side has 7. RNs insist that pt be placed closest to nursing station (we argued until blue in the face that pt needed an ICU bed) and starting Bipap as pt is difficult to stabilize on other O2. Bipap has a very quiet alarm (management doesn't want the alarms "disturbing" people) that is not adjustable. Pt is also coughing and very nauseated, thus at risk of aspiration. So we leave the door open, to observe and monitor.
I walk by door and find it closed and promptly reopen it. Pt keeps pulling off Bipap as she is uncomfortable, and promptly desats rapidly so we have to keep replacing it. A few minutes later, door is closed. I reopen it. I then catch another pt's vistor closing the door. I explain that the door must stay open.
A few minutes later, the patient concierge comes up, wanting to speak to me and shuts the patient's door. You see the visitor for another patient called her because, she felt sick. Mind you, not another patient but the patient's visitor felt sick. Why, you ask? Because listening to that coughing from "that" room and how mean the nurses were making the pt wear that mask.....it was making her (the visitor) nauseous.
Just to make clear, none of the pts were disturbed, but the visitors hanging out, gossiping in the hall were "bothered".
As my partner and I tried to explain to the patient concierge, PC kept asking if there was anyway we could just move our critically ill pt "farther away". We gave up and turfed her to the manager, and returned to trying to keep our 24 y/o alive.....and reopened the door.
****minor details altered d/t memory and HIPAA.
Mar 7, '12Quote from nerdtonurse?I haven't been at this profession from bedside to management to supervision for 33 years without knowing how to pass the buck with elegance and grace......Good one Esme!
Mar 7, '12Quote from HouTxAnd IMHO, those loud and disruptive patients (no matter what the cause) shouldn't be loud and disruptive, regardless of a private room or with a patient who won't be disturbed. HA! Tain't gonna happen, though, is it? Even if they're loud/disruptive in a private room/with a patient who won't be disturbed, it may still carry over into the hallway/other rooms. Fact.... IMHO, loud and disruptive patients (no matter what the cause) should always be in a private room or with a patient who will not be disturbed by them.
That son who wanted the disruptive patient "away from the normal" ppl needs some attention. His stress over his loved one needs to be recognized and his desire to remove the disruptive patient in the hospital (public OR private) needs to be reality checked to him that there are other patients that need care as much as his loved one. If that doesn't work, refer him to the clinical supervisor/up the ladder. I don't have a problem dumping this up the ladder because I have better things to do with my time... like taking care of the loved one AND the disruptive/loud patient.
Mar 7, '12Quote from bostonbakednurseAs long as we continue to excuse poor behavior, we'll continue to have to put up with poor behavior. Sure there's a reason. I'm sure he is sleep deprived. That doesn't give him a right to be a jerk.I do believe that the poor guy was sleep deprived and concerned about his father's welfare. He just couldn't figure out how to say it nicely.
Mar 7, '12It was an inexcusable vent from a pt's family. It was an attack, pure and simple. What a jerk.
I'll bet sleep deprivation and concern had nothing to do with his rant.
Probably his baseline.
Mar 7, '12The OP wasn't upset because a family member came to her with a concern about his father's need for rest. It was the way he chose to express himself and none of us should be his apologist. I find it ironic that the son chose to point out that it's a public hospital, since public facilities are the very ones that have no discretion as to who they serve. Using public facilities has its advantages; dictating who else uses them isn't one of those. Ideally, the young man would have had his own room, but even if he had, those walls aren't soundproof. It is likely that someone would be disturbed. Yes, it is up to the nursing staff to take every measure possible to ensure that patients are able to get the rest they need, but that's not always possible. When I had my son, a new hospital was being built on the same grounds as the one in which I was recovering. I was awakened from more than one nap by the noise of a piece of heavy machinery. Had I or a family member insist that I be housed where this wouldn't happen, we would have been informed that there was no such room in that hospital and I'd have been invited to recuperate elsewhere, I'm sure. We can only do as much as we can do. That doesn't excuse this guy's bigotry or hateful diatribe. Ugh!
Mar 7, '12Just to clarify, they were not roommates; both of the patients were in private rooms about three doors away from each other. I wish I could have moved them further apart per the son's request, but our unit was full.For what it's worth, I work nights and can say that both patients slept all night.
Mar 7, '12my husband is presently in wound care rehab and has a roommate with advanced dementia. this gentleman was formerly a farmer and owned a model dairy farm. he has a son whose first name is the same as my husband's. he was friends with my dad. when i visit, he
doesn't remember that i've been married 25 years, or that my dad died back in the seventies. he does remember my first name and connect me to my dad because i look so much like my dad did. he always wants to know why charlie (my dad) hasn't been in to visit and my/our best answer seems to be that my dad has been busy. reminding him that he died just upsets him even more.
he cries out and screams most of the night and absolutely nothing much settles him back down. nothing! when it gets too bad, herb goes to the living room area and sleeps in a recliner. that's his solution, but several families have complained...a lot. the nurses just remind the relatives that he isn't being that way deliberately. he's 94 and is confused. they do get him up and wheel him out to the nurses' station where they feed him bites of various things ormake him bacon and eggs. some nights, he milks the cows and delivers baby goats all night long.
i know not to call herb between about 8-9 p.m. because that's when his roomie generally falls asleep. i say, "what's the big deal?"
that may be me someday. who knows? i remind myself he isn't being that loud or sundowning on purpose. wish some others could just realize that. it's called simple humanity or christian charity.