Things you'd LOVE to be able to tell patients, and get away with it. - Page 11Register Today!
- Dec 19, '07 by santhony44Quote from bluesnurseby the way, if you are in a hurry, looking out of your exam room door every 30 seconds to see if it's your turn yet is not going to make anyone move any faster.i work in an office setting, so the peeves are a little different, but i'd still love to give it to 'em straight.
1. poor planning on your part does not constitute an emergency on my part. i will call in your rx refill to the pharmacy today. it will probably be near the close of business, after i've dealt with the 36 people who have been waiting months for an appointment, half a dozen triage work-ins, and umpteen add-on procedures. it's a shame your cruise to hawaii leaves in 2 hours. next time count your pills and plan accordingly ... a week or more in advance would be good.
this is also true when you're requesting that refill 15 minutes prior to closing time on friday. especially when you're requesting that refill 15 minutes before closing time on friday, you have missed your last 2 appointments, and you were told the last time you pulled this that you would not be given a refill until you had the appropriate lab work done! standing there yelling "if something happens to me because i don't have my medicine it will be all your fault!" doesn't help your case any, either. :angryfire
2. yes, i know you just saw dr. a. and she changed the dose of one of your meds. did you listen to a word she said? telling me the pill is pink is not useful information. next time please bring a notebook or your secretary so i do not have to waste time hunting down the note and doing a review session on the phone.
5. i don't make the schedule. i don't control how long the md spends with each pt. if you have a problem with the above, take it up with her, no me.
6. corollary: if it were *your* mother in there with acute sob, 3+pitting edema, and a sbp of 76, would *you* like the doctor to move things along so the next person is not late for her hair appointment?
do not make an appointment for 2:30 for one kid if you have to pick the other one up at school at 3 pm. do not make an appointment here 1 1/2 hour before you have to be at another appointment 40 miles away. do not make an appointment here when you're in a real hurry to be anywhere else for anything else at all. we really don't particularly wish to look at you for any extended period of time, but there may be paperwork to update, the provider may be running behind due to an emergency or two or an unexpectedly ill patient or unexpectedly complicated procedure or any number of other things. it's not realistic to expect to take no longer in our office than it might take you to get your order at, say, mcdonald's.
don't tell me you can't afford your medications while you're sitting there with a pack of marlboros in your pocket. your meds are generic and on the wal-mart $4 list.
don't look at me as if i'm stupid when i ask what medications you take and how you take them. yes, i know i prescribed them. what i want to know is whether or not you're taking them correctly. even though the list is on your chart, i want to see a list or the actual meds or both. and if you didn't bring either, then telling me "its a little white pill" really doesn't help much. do you have any idea how many different "little white pills" there are out there?
if you let your child or children behave in a way to make a savage blush, we will consider it to be a reflection on you and your parenting skills or lack thereof. we don't find it funny when a four-year-old curses us or flips us off. we aren't amused by being bitten, kicked, or hit, nor by watching your child do those things to you. if you don't address your child's inappropriate behavior, don't be shocked or offended when i do. if you don't like the parenting lecture you are going to get, then don't come back. please. on the other hand, don't be concerned that i'll be upset when your 18-month-old doesn't want me to examine him; it's normal for a child that age to cry or to push my hand away. biting and hitting are still not acceptable, however. if you tell your child "if you don't behave i'll have them give you a shot," then expect to be flatly contradicted, in front of your child, immediately. i will not have your child be afraid of me because you can't be bothered to come up with an appropriate consequence, and i will not have your child believe medical treatment is punishment. don't let your child play in the cabinets and drawers in the exam room; you don't know what he or she might find in there. and that big red trash can with the red plastic liner that you're letting your kid mess around with? you really, really don't want to know what might be in there (but i'll give you a hint, this is the room i use to do pelvic exams!)
by the way, letting your child run loose in a large clinic is probably a really bad idea. letting your child run loose and out of your sight in a large clinic long enough to trash someone else's waiting area is an extremely bad idea. and no, your child did not run crying back to you because i spanked her. i said something to her she has probably never heard before: no. as in, "no, you may not dump all 50 puzzle pieces all over the floor again! now, go find your mother." speaking of spankings, however, now that i have you identified.....:trout:
boy, do i feel better now!!
bluesnurse, you rock!!
- Dec 19, '07 by brainynurseDon't **** off your nurse, it could be a very long 12 hours
- Dec 19, '07 by RN.38SPCL" and one more thing, I'm the only person in this entire building that gives a hoot about what happens to you and probably the last person you want to ps off"Last edit by sirI on Dec 19, '07 : Reason: TOS
- Dec 19, '07 by Ms KyleeHad this happen yesterday. I got finished with all of my baths, and had one patient (who is as precious as can be. She's the one in the above mentioned post about how she hates to "bother" me) on the BSC. My favorite RN (male) comes in and explains that there's a patient on the other wing that doesn't want the male PCT to give her a bath, she wants a female. Would I please give her a bath. Of course, I can't say no, never mind that it's almost time for blood sugars, and I have been trying like crazy to get off the floor since 9:00 (now almost noon) because I've got to eat. (Was getting a migraine, upset stomach, and starting to shake). So, I went and got the towels, washcloths, and a clean gown and I go into the room. There is sister and brother hovering. I said I was going to give her a bath. Brother got the hint and took off. Sister, however, hovered... (Did I mention how much I hate people who hover?) I no sooner got her face washed, than in comes the IV team. I politely asked them to come back as she was getting her bath now. IV team refused. So, I had to wait till they were done. Then in comes the NP. AND another nurse. What started as a 5 minute bath and go turned out to be an endless parade, and no one would leave. by the time I got done, it was time to do blood sugars, and then I had to feed lunch, and I finally was able to get off the floor at 1:30. How I got to the cafeteria is still beyond me because I was in so much pain from the migraine that I could barely move.
- Dec 19, '07 by rph3664Quote from kprnc58Considering how many doctors are morbidly obese, counseling someone about their weight could be a problem.why are we afraid to talk to our pt's about their weight? It's time we treat their obesity as the disease condition it is, and educate them about the consequences of it: sleep apnea, diabetes, heart diseaseand osteoarthritis to name a few. It's obvious that many physicians are uncomfortable with this topic as well. I've cared for many pt's who were oblivous to the fact that their 300lb. weight was the reason they were having a knee replacement at 40y.o. and that they could likely improve the pain by losing weight. We are doing them a disservice by not talking to them about their weight.
At least, the ones around here are. We have quite a few, both male and female, who are in the 300-400 pound range.
- Dec 19, '07 by nialiTo all the older men who want to show me their penis......I could say,It does not look like one to me, or Where did you say it was ? lol
- Dec 19, '07 by banditrnQuote from Kylee45Did you tell the male RN that you'd be happy to do the bath, but he needed to have everything ready to go - and help you by doing a couple of your blood sugars?Had this happen yesterday. I got finished with all of my baths, and had one patient (who is as precious as can be. She's the one in the above mentioned post about how she hates to "bother" me) on the BSC. My favorite RN (male) comes in and explains that there's a patient on the other wing that doesn't want the male PCT to give her a bath, she wants a female. Would I please give her a bath. Of course, I can't say no, never mind that it's almost time for blood sugars, and I have been trying like crazy to get off the floor since 9:00 (now almost noon) because I've got to eat. (Was getting a migraine, upset stomach, and starting to shake). So, I went and got the towels, washcloths, and a clean gown and I go into the room. There is sister and brother hovering. I said I was going to give her a bath. Brother got the hint and took off. Sister, however, hovered... (Did I mention how much I hate people who hover?) I no sooner got her face washed, than in comes the IV team. I politely asked them to come back as she was getting her bath now. IV team refused. So, I had to wait till they were done. Then in comes the NP. AND another nurse. What started as a 5 minute bath and go turned out to be an endless parade, and no one would leave. by the time I got done, it was time to do blood sugars, and then I had to feed lunch, and I finally was able to get off the floor at 1:30. How I got to the cafeteria is still beyond me because I was in so much pain from the migraine that I could barely move.
- Dec 19, '07 by nialiQuote from HydakinsI cannot believe the nerve of some people.Years ago,there was someLast night I had a nice elderly woman pt in bed one ask me to turn on the bright light because it was difficult to read her newspaper with the dimmer light. I turned it on and helped her to the BR. While waiting for her to finish, the 20 something female pt in bed 2 calls me and asks if I can turn off the light "over there". At the same time, her boyfriend is climbing into the bed (a tad smaller than a twin size) with her (with his coat and shoes on-talk about dirty)! I wanted to tell him them that this is not the Waldorf-Astoria or the Ramada. They ordered pizzas and were watching tv and doing who knows what else. SHES SICK STUPID!!! Take your dirty ass off of the bed, go buy some flowers or a get well gift like a real man, let her eat the salad that was ordered for her, and say good night since visiting hrs ended 2 hrs ago. Your visit is pointless!
hanky-panky going on while a pt.was on tele.There is a reason why
you are there.After you are cleared and LEAVE the hospital....you can do what you want to do.Last edit by niali on Dec 19, '07
- Dec 19, '07 by Ms KyleeQuote from banditrnNo, but he told the male PCT to do something for me in return.. so he did the admission vitals on a newly admitted patient, the one nurse who is a gem did her own blood sugars, which left me with 2 left to do instead of 4. I got them done before lunch came, but then I found out the new admission was diabetic. His lunch had just arrived, but fortunately, I got to him before he could eat it.Did you tell the male RN that you'd be happy to do the bath, but he needed to have everything ready to go - and help you by doing a couple of your blood sugars?
It's just been a bad week.... Joint Commission is in and everyone's stressed, nervous, and in an uproar, so that just added to everything. We were also admitting as fast as we were discharging. I don't know how Housekeeping got all of the rooms cleaned fast enough. So glad I am off today and go back to 3-11 tomorrow and Friday. And one of these days, I'm going to learn how to juggle 17 patients....
- Dec 19, '07 by oldnewnurse46Quote from rph3664No, you spoke the truth. I'm sick of this PC world. There is a certain segment of the human race that takes no responsibility for their own health. I will work my tail off for my patients, and always have, but there is something wrong when I'm working so much harder for a person than they are working for themselves. People need to partner in their own health care.p.s. I'm sorry about offending people with my earlier post about "American poverty, 2007." My point was that many people create their own problems, and this includes modifying their bodies in ways that render them unemployable.
Guess I stepped over the line.