My God, these family members!!

Nurses Relations

Published

They are just killing me. Why is it that so many of them feel so entitled to sit in their aging parents rooms and just boss us nurses to HELL and back, while they sit there, fully able to do much of what we're doing for their parent, but simply do NOT have the time to do when we have other patients and issues to deal with. i MEAN -- can't they get mom up at least perhaps ONCE during the day? Does it have to be a nurse doing it every single time, ten times a day??

I just came off a shift tonight where I literally waitressed all day long, making and fetching coffee and water and 100 millions cups of juice for these patients (because we're always short a tech) -- and a patient's daughter was literally screaming at nurses at change of shift to come in and do something or other for her mother. It was absolutely NOT an emergency. (She was actually screaming -- "Good thing it WASN'T an emergency!!" These people have been on our unit for over 2-3 weeks, running every nurse on the unit ragged. Their mother is far over 80 years old and is only going to head to weeks of rehab after being on our unit. They want a private nurse -- that is what they want and need. But they can't get that on a floor. I think their call light was on for perhaps five minutes, max.

I am just SO tired of family members not understanding what we do -- and our managers from the floor to the corporate headquarters not backing us up to explain it to them. We are simply to treat everyone as our "family members" and go above and beyond 1000 percent of the time. Who goes above and beyond FOR NURSES??? DOES ANYONE???

We have no private space to do our charting, we are like fish in a bowl for these family members. If they see you at the nursing station -- that's it. They are ON YOU like flies. If they don't have a reason to bug you, they will find one. So, you don't get your charting done on time and are left to stay after a shift for an hour.

I am just so tired of it. So burnt out. Is it any wonder why they can't keep nurses for long? I mean -- come on, management -- take a LOOK at what you are doing to nurses nowadays. Put some LIMITS, please, on these family members. It is OUT OF CONTROL. :madface:

And don't forget -- we do all this because We Have the Time. :yeah::smokin:;)

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Specializes in ER and Home Health.
And don't forget -- we do all this because We Have the Time. :yeah::smokin:;)

I actually look at them and say, Excuse me, I cant do that right now. If I don't go to the rest room I will be unable to work for the rest of the day. The truth shall set you free.

Specializes in ER and Home Health.
WHY?? What other option/suggestion, do you have to unify us, and will bring us the clout. and control that nursing desparetly needs?

The statement, "don't unionize" is a fallacious thinking that has been the downfall of the nursing profession. Every other profession that has unionized, has more control over their profession, better wages and working conditions, and far more respect than nursing ever will, as long as perpetuate the feeling that unionizing is bad. JMHO and my NY $0.02.

Linarn, RN, BSN, CCRN

Spokane, Washington

I am sorry, I just do not see this. I am young and proud. Granted I have yet a lot to learn.I am also not unionized. But no one has shown me that unions are the sole salvation of nursing. I think that nursing is an evolving profession. As we live and learn we expand. I just fail to see unions as our salvation. I think that nursing professionals have and continue to expand our boundaries and our respect.

Peace, Love

Specializes in Telemetry, Med-Surg, ED, Psych.
when at work, i hardly get to eat,pee, or drink. after a couple of days, i am definately dehydrated. parched lips,dry skin, and not much urine to have to hold in. it is truely subhuman treatment,and we are not allowed to keep anything to drink at the nurse's station. just in the kitchen or breakroom. but our manager is such a neat-freak, that she throws stuff out, it's unbelievable

i still dont get this mentality. i am a human and i need some water do quench my thirst. i am a large guy and i sweat alot. i keep my h2o bottle there (lid and all) with my name clearly printed on it. no manager will tell me when and where i can have my basic human needs. its not to far distant, that we will not be allowed to use the a/c or heater - i bet my bottom dollar it will happen

LOL -- I see how I started this thread last year, and how it's grown, and I still have more to add.

Came off a unit I floated to yesterday, and was trying to discharge a man w/ his jaw wired shut. Surprisingly, he was doing pretty well, but the IDIOT family members were just obnoxious. Three of them, hovering, literally leaning over the bed, over my shoulder, staring at the discharge papers, demanding I change his wounds before he left, give him his meds, and what have you, running me ragged and sending me off for one task after another, tying me up for 20 minutes in the room. One of them was a medical resident herself, demanding to speak to whatever resident we could page upstairs to discharge him. So ridiculous.

Well, 2 hrs later they call back because they lost the RX the doc gave them at discharge. Well, no wonder as they were all such a bunch of nervous nellies when they left, all talking at once, firing questions at everyone.

If families would just calm down, things would go so much smoother! But they always want OUT, and want to leave in a rush!

Specializes in Med/Surg, DSU, Ortho, Onc, Psych.

Get tough.

Start telling patient's relatives that they can help themselves to drinks - don't you have a patient kitchen where they can get their own drinks? If they can't be bothered, or don't want to go down to the dining room/canteen to buy drinks/muchies whatever, tell them that you have NURSING DUTIES to perform and can't run around after them as well. Explain that your patients won't get quality care if you are distracted all the time. I have told people this and they (grudgingly) accept it, though you have to choose your words with care.

Also write in the nursing notes that you were constantly distracted by so-and-so's relatives, that way, it is documented.

Get all the nurses together and complain to management as well. I agree that we get interrupted too much; we are all too accesible. And many of the queries/complaints doctors and management should be dealing with. But because you are THERE at the time, you are it, and you are somehow expected to wave a magic wand and solve everyone;s problems. Because patient's relatives are in a hospital, they think for some strange reason that they should get special care as well; little Timmy needs his sore leg looked at; Dad has chest pain, can nurse just listen to his heart?; Mum's swollen leg needs a 'second opinion'. I have told all these people for legal reasons, they must attend an emergency department to be properly assessed and don't get sucked in by it anymore.

I do not have any idea how we are supposed to get our duties done. Then if you do say to the NM you were constantly chased after by other people, that is not seen as an excuse.

Also in some units/hospitals I have worked in, the senior nurses are very strict with visiting hours - people aren't allowed to stay after hours no matter what. That is OUR time, not theirs. Can you get management to get stricter with this perhaps?

It makes my blood boil when managers don't do their job by backing us frazzled nurses up, and don't listen to our complaints.

getting family member a drink - get out! As a brand new nurse I had a family member ask me for coffee, this was before I knew I could refer them to the cafeteria. I made the cup of coffee with six or seven packets on instant coffee - she never asked for that again.

I have learned to work with and around families over the years. If they stay they play. The can feed the patient (if needed), help turn and they stay during bath time they are darn sure going to help. I found many really do like being put to good use and the ones who turn their nose up can sit in the waiting room until I allow them to return.

The anxious and sue happy ones are more of an issue. I stay calm, use humor and never let them intimidate me. Any name and number I will provide and I only page the physician when it is a legitimate concern and set boundaries. When it is my patient I am in charge of the care, not the family and that needs to be understood or they can request a different nurse - good luck there!

Over the years in different facilities I tend to be assigned the "difficult" families, because I keep my cool and set appropriate boundaries. I can turn some around and others we just have to tolerate unless they become an obstacle and then security is always an option.

Also, visiting hours are important just because of crazy a$$ family. I do not believe in open visitation because sooner or later you, the patient and the providers need a break from crazy. If you do not have a way to control the environment it will control you.

God bless you dear practicing nurses. Retired early, at age 59--finally fed up w/ lack of administrative support. Miss the hands on care & miss the money, but not the time pressures--there was usually not enough help. I fervently hope the younger generation of nurses are asking "Why?" instead of "How high?" when administration says "Jump."

I'd hope to be an involved, non-demanding family member when the time comes.

Stress and also an ill loved one can be crazy-making. When I was young Mother, I remember asking the pediatrician the "stupidist" question. After it popped out of my mouth I thought--did that question come out of MY mouth? I was so worried about our child that the dumb question just came out.

On another occasion, again when I was young, I know the nurses would appreciate my feeding our infant who was an observation pt. after aspirating formula, but I was SO scared to death about feeding the baby, that I did not go in to visit at feeding time. Irrational, perhaps, but I could not go in. (No, I was not asked to go in at feeding time, though I KNEW I should).

Guess I'm trying to say, some reasons for exasperating or seemingly dumb patient or family behaviors are not overtly apparent or are unable to be voiced. That said, there is no excuse for rudeness or expecting nurses to be servants.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

my mother was probably one of the most outrageous, overbearing and entitled family members ever when dad was in the hospital. i cringed at some of her behavior. barging right into the nurse's break room to make herself some coffee ("well, they offered me coffee" -- two days ago.) insisting upon staying all night and then wanting pillows, blankets, etc. for herself. my sister, who is in nursing administration, backed up all of mom's outrageous demands. until i sat the two of them down and said "we are all here because dad had a heart attack. it's about dad. the rest of us can get out of the way and let these nurses do their job."

my sister never did get it. she told me "customer service is important." yes it is, but patient care comes first. patient care!

Specializes in CVICU, Obs/Gyn, Derm, NICU.
Get tough.

Start telling patient's relatives that they can help themselves to drinks - don't you have a patient kitchen where they can get their own drinks? If they can't be bothered, or don't want to go down to the dining room/canteen to buy drinks/muchies whatever, tell them that you have NURSING DUTIES to perform and can't run around after them as well. Explain that your patients won't get quality care if you are distracted all the time. I have told people this and they (grudgingly) accept it, though you have to choose your words with care.

Also write in the nursing notes that you were constantly distracted by so-and-so's relatives, that way, it is documented.

Get all the nurses together and complain to management as well. I agree that we get interrupted too much; we are all too accesible. And many of the queries/complaints doctors and management should be dealing with. But because you are THERE at the time, you are it, and you are somehow expected to wave a magic wand and solve everyone;s problems. Because patient's relatives are in a hospital, they think for some strange reason that they should get special care as well; little Timmy needs his sore leg looked at; Dad has chest pain, can nurse just listen to his heart?; Mum's swollen leg needs a 'second opinion'. I have told all these people for legal reasons, they must attend an emergency department to be properly assessed and don't get sucked in by it anymore.

I do not have any idea how we are supposed to get our duties done. Then if you do say to the NM you were constantly chased after by other people, that is not seen as an excuse.

Also in some units/hospitals I have worked in, the senior nurses are very strict with visiting hours - people aren't allowed to stay after hours no matter what. That is OUR time, not theirs. Can you get management to get stricter with this perhaps?

It makes my blood boil when managers don't do their job by backing us frazzled nurses up, and don't listen to our complaints.

I think we are fortunate here in Australia .... I haven't worked in the US but I suspect we have more scope to set limits here. There seems to be a big emphasis on family/visitor service in the US. We expect our visitors to behave.

I suspect I might be fired if I worked in the US... LOL :uhoh3:

We absolutely don't have to run around for families ie getting them drinks etc. Exception though for elderly and disabled visitors.

I make the others go pick up their own chairs and get their own drinks.

Any verbal abuse and they get escorted out by security. Plain rudeness and I have a chat to the charge nurse...she/he talks to them and they often end up leaving.

If I am likely to become irritated because I can't move in the room due to excessive visitors (or several very large ones) ....I put them outside until I get the p't sorted.

If they insist on eating in the rooms (we have shared 2,4 and 6 bed rooms) i have them kicked out. That is so inconsiderate when there are fasting p'ts, nauseated p'ts in the same room

Yah for the aussie ED :yeah:

We just can't stretch to accomodate family with any notions of hotel/restaurant type demands ....otherwise p't care suffers

Specializes in Med/Surg.

I'm sorry, but honestly if the most I can complain about at the end of my day is someone asked me for 20 cups of coffee last night, I'd consider it a good night. I like having family around even if they are a PITA, but seriously? They are there, in their hearts they are trying to do what is right. I work on a busy med/surg unit, yeah sometimes they have to wait, but if I tell them this they are understanding.

I don't expect family members to get my patients up, feed them, bathe them, etc. That is my job. That is what I am paid for. They are there to be moral support not my help. The only time I have an issue is if their presence is distressing to my patient, at which point I have no problem telling them to shape up or leave. Maybe I've just been been brought up with thinking of the family as an extension of the patient but I have no problem getting drinks and making beds for the family when all my patients are taken care of.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
i'm sorry, but honestly if the most i can complain about at the end of my day is someone asked me for 20 cups of coffee last night, i'd consider it a good night. i like having family around even if they are a pita, but seriously? they are there, in their hearts they are trying to do what is right. i work on a busy med/surg unit, yeah sometimes they have to wait, but if i tell them this they are understanding.

i don't expect family members to get my patients up, feed them, bathe them, etc. that is my job. that is what i am paid for. they are there to be moral support not my help. the only time i have an issue is if their presence is distressing to my patient, at which point i have no problem telling them to shape up or leave. maybe i've just been been brought up with thinking of the family as an extension of the patient but i have no problem getting drinks and making beds for the family when all my patients are taken care of.

the problem is that sometimes you don't even have time to get drinks for your patients, much less for the family. and often times they're neither polite nor understanding.

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