Things you'd LOVE to be able to tell patients, and get away with it.

Just curious as to what you would say. Mine goes something like this: Nurses Relations Video Nurse Life

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Hi, my name is AngelfireRN, I'll be your nurse tonight.

I am not a waitress, nor am I your slave.

Yelling and hurling obscenities at me will not get you your pain meds any sooner than they are ordered. Nor will having your family member or entourage do the same.

Threatening lawsuits and having umpteen family members camp out in the halls or hold up the nurse's station will not get you preferential treatment.

Physically grabbing me as I go down the hall is NOT a good idea.

I do not give the orders, but I do have to follow/enforce them. This is something that you should take up with your doctor.

No, I will not call him again to ask him for more pain medicine. He has been called twice and has said no both times.

No, I will not give you his number so you can "straighten him out".

No, you are not my only patient, and I highly doubt that you are single-handedly paying my salary. On the off chance that you are, let's talk about a raise.

NO, NO, NO, I most empahatically will NOT come get you when it is time for your next pain shot while you are having a smoke break. I also will not bring it to you in the smoking room. (Have actually said that, I am allergic to cigarettes. I did it once, had an asthma attack, desatted to 83, and turned blue, according to the patient and my charge nurse, after the patient had to help me back to the floor).

No, I don't really care if your family has not eaten all day, they drove here by themselves, they are not sick, and no, I will not call for 6 guest trays. (This of course, is if the patient in question does not need all 6 family members present, and is not at death's door).

No, you may not have 3 six-packs of soda from the kitchen, there are other people that would like a snack, too.

No, they will not open up the kitchen up just for you, at 1 in the morning, because you don't like the snacks we have on the floor.

I could think of hundreds, but those will do for a start. I know it sounds mean, but this is why I got out of bedside nursing. When a hospital becomes the Hilton, I'm gone!

Have fun!

Specializes in Geriatrics.
Oh. My. GOD! I think we have a hands down for Winner of Bastard Patient of the Year!

:yeah::yeah::lol2::lol2: I have to agree!!!

Specializes in Community, OB, Nursery.

Hey, that ice cream was yummy! Thanks! :)

So to preface this I do telephonic triage for a clinic system.

1. When I ask you a question answer it,

" Are you wheezing?"

Pt: " Well last week I had a fever, and so did my sister, and then man today my nose was so stuffed up!"

"Okay....but are you wheezing?"

Pt: " Yeah, so I took some sudafed for it but it didn't help so yeah, man my foot hurts do you think it's related?

"Uh, huh well probably not, but DO YOU HAVE WHEEZING? OMG JUST ANSWER THE QUESTIONS I ASK, SO WE CAN BOTH MOVE ON WITH OUR LIVES.

2. I'm not your friend, I don't want to chat with you about your cats for 45 minutes, I have other people waiting to hear from me. Go talk to your cats. I know you are lonely and I can sympathize with that, but please you are making all the other sick people lose appts. because you won't let me get off the darn phone.

3. Don't call me if you have no intention of listening to me or following my advice.

Somebody doesn't know what to do, cannot take care of himself, and doesn't want to learn how to. It's easier to put it all on you.

We are a nation of babies. NOBODY wants to be an adult anymore.

Specializes in Med/Surg, DSU, Ortho, Onc, Psych.
Somebody doesn't know what to do, cannot take care of himself, and doesn't want to learn how to. It's easier to put it all on you.

We are a nation of babies. NOBODY wants to be an adult anymore.

So, so true. The health system enables many people to feel more sorry for themselves and get sicker, and to keep using the health system to become more dependent, instead of rehabilitating people and making them want to go home. It's easier to lie around in hospital, where there is always someone to run around after you, whilst whining and whinging constantly, then wonder why no-one wants to take care of you, be it nurses, doctors or their own families.

Nursing needs to change so much in this respect. We - and the doctors etc who give in to patients and their families whining and constant, petty complaints - need to stop enabling people to stay unwell. Those who's care is paid for by the state or federal gov't are the absolute very worse - there needs to be a cut off point for ridiculous requests re funding as well. One VA guy who drove me and everyone else nuts last week, is a frequent flyer to the psych unit. He constantly gets admitted for (suppossed) PTSD (no-one has seen any evidence of his condition apparently), mysterious headaches/backaches, has had every test/scan etc done under the sun to investigate all these complaints, always stays longer than he should, refuses to look for any type of work though his psychiatrist encourages this as part of his rehab (he's been assessed and CAN work), but because he's VA, he uses the system to it's full extent. When in the psych unit, he won't participate in any of the groups, socialises fine, smokes all the time, won't do any rehab programs to give up smoking/drinking, won't exercise or try any new relaxation techniques, does not follow any advice, gets discharged, gets into fights at home etc, then comes back in. He won't go to the other VA psych unit near him because 'it doesn't suit him and it's not new like the one he goes to'. He should go to the closest psych unit he is ordered to go into I think.

The system is enabling these users and losers to rely on the nurses and doctors to be their servants, and one day, legislation will have to be passed to stop this. I really believe this is what should happen, AND these people should HAVE to do some different type of jobs, to see how they go in the work force - none of this lying around all day - shouldn't be allowed in my opinion.

These are adults and we ARE treating them like babies, so they will behave like babies. It's a self perpetuating cycle and I can't see it ending or changing anytime soon.

Specializes in LTC.
From what my instructor said, she just calls to complain. Myself and my other two classmates made sure we asked her a lot of questions, volunteered to run to the lab, set up rooms, etc. and we did ok with her. At post conference yesterday, our instructor said "X (the nurse's name) is just X. She's been here forever and you can't change her. The hospital can't change her. She will teach you everything you want to know if you ask, but you need to put her rudeness aside." I've seen her be rude to patients. She may be an excellent nurse, but she's the kind of nurse I know I DON'T want to be.

When it comes to these individuals, I marvel at the fact that they are actually able to make time outside their busy nursing schedules to bother. When I'm working fulltime hours, the last thing I wanna do when I leave the facility is spend my time off the clock thinking about anything having to do with work! Can you say "No life?" :yeah:

Specializes in Operating Room.
Please please please just take your pills and let me leave the room because I HAVE TO GO PEE!!

This is that little lovely women who wants to take her pills one... at... a.. time. Very..... slowly......... so .........she .........won't........choke. And has about 10 pills to take!!

Lol, I had a few elderly women patients that used to take their meds like this in nursing school and they were so freakin' sweet otherwise that I felt bad for being impatient..

Thank you but I really don't want that speckled brown banana on your bedside table any more than I want the chocolate cake you left on your lunch tray. And no, I won't "take it home to the kids." No, dietary won't be upset if you just leave the last few bites of your cake on the tray. They DON'T CARE, I promise you. Now, here are your pills so let's get off the subject of food and move on. Please, please, please don't try to pour 10 pills out in your hand and toss them from there into your mouth. If you do this one more time, YOU will be required to crawl up under the bed to retrieve them because I ain't doin' it again!

Specializes in Med/Surg, DSU, Ortho, Onc, Psych.
Lol, I had a few elderly women patients that used to take their meds like this in nursing school and they were so freakin' sweet otherwise that I felt bad for being impatient..

I know. I remember a sweet lol when I was a nursing aid who said to me: 'Just put the pills on my tongue dear and I'll swallow them that way.' I, naive as anything, put one pill on there and she tried to clamp her mouth shut as hard as she could on my fingers! All she caught were the ends of my glove, luckily, and her mouth stayed clamped firmly shut. Later, the RN said she meant to warn me that they nicknamed this lady 'Jaws' many years ago, cos she liked biting people's fingers off! Apparently more than a few people had to go to hospital to get their fingers repaired/sewn back on due to this lady - unreal!

Don't ever feel impatient, just always think of your safety first - even with lols! I never, ever put my fingers near someone's mouth now, they either put pills in their own mouth or I drop them in - I don't take the chance now. It's not just being bitten, but God knows what you could catch if they do bite you, I mean where have those fingers been? Yuk!

One of my favorites:

Me: "So, your AICD has been firing off and on for the past few days..why didn't you call us before now?"

Pt: "Well, I was afraid the doc would admit me to the hospital and I didn't want to spend the holiday here"

Me: "You realize, your AICD only fires for Vtach/fib..so it's kind of important to check this out. Why did you decide to come in today instead of last week?"

Pt: "Well, I didn't have anything else going on......"

Me: "Have you been taking all your meds as prescribed?"

Pt: "Well, I ran out of my potassium a few days ago but didn't figure it was that big of a deal...(pt is on a large dose of lasix daily)"

Me: Pt's K is 2.0, AICD interrogation reveals multiple runs of VTACH. Not the first time this pt has done this. Beating head against the desk repeatedly..maybe it's all a dream.

Me: "Why did you come to the Urgent Care instead of going to the ER?"

Pt: "I figured I wouldn't have to wait."

Darwin's theory at work - NOT!

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

To the PITA VA patient I looked after for 3 days - which seemed a lifetime, blieve me:

Re all your numerous complaints over the last 20 years -yes, the Drs are aware of them, ALL of them. ALL the nursing staff, domestic staff, carers and orderlies are aware of them. You make us aware of them every time we even LOOK your way, let alone talk to you. When the gastro nurse asks you a question, because she is rushing to get you into theatres to get your endo done, do not give her your 20+ year Hx of being in the Vietnam war - frankly, she doesn't care and probably has 10 other patients waiting to be admitted, then has to take you thru to theatres, where the surgeon is waiting impatiently for you. You are holding everybody up by your constant, unceasing yammering on and on and on about the same, old things.

Honestly, that night we had the Dr on the phone twice and the 3rd time we rang to get MORE pain medication for this patient, the Dr refused to come see him. The patient was obviously pushing for more and stronger drugs, thus the refusal by the Dr to order opioids.

We told the patient all the Drs know re his various complaints/conditions we as nurses had done our utmost to help him, and we couldn't do anymore because our responsibility as nurses had finished with him. I actually told him this, and said he must talk to the Drs himself and make a list of all his complaints. As far as I know, he was still in psych and had not made any lists for the Drs, or changed his old, wily ways.

How on earth do we get it thru some patient's heads that we as nurses can only do so much, then responsibility for patients goes over to the Drs?

Sir, (and I'm calling you sir because no matter how many times you ask I'm not calling you by your first name) you are ambulatory and can take yourself to the BR. PUT SOME CLOTHES ON! Do not put on the light to ask for your pills then take off your gown and dash into the bathroom. I will not bring even one of your 23 AM meds into the bathroom because you are NAKED. "It's okay honey I can take them in here" will NOT work on me ever again. Put your clothes on, take a seat in the chair and I'll be back. Oh, and when you see me coming back with the pills don't grab up the cell phone and pretend to be talking to the disability office. You're not punishing me because I refuse to admire your naked self. You pull that again and you can kiss your Lortab goodbye because I ain't coming back.

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

There is ONE thing I would love to say to patients, their carers, relatives, and other people who constantly and unceasingly question the nursing staff re medical issues:

YOU - NEED - TO - TALK - TO - THE - DOCTOR! Maybe I should say this slower next time, they might understand me, or get it printed on a t-shirt and wear that instead!

Our nursing responsibility has ended. Nurses have their duties, doctors have theirs. We cannot do anymore re medical issues, booking or getting other operations done, getting a consult/diagnosis RIGHT away, or even trying to get the surgeon up here 'RIGHT NOW to see me'. No, we don't have time to ring the Dr's private rooms and make an appointment for you today (I actually laughed at a patient thinking he would get an appointment to see a Dr the same day ANYWHERE) - you will probably have to wait a good 2 months b4 you even get in to SEE the Dr for an initial consult. You can take this card with his number on it and ring the Dr's rooms when you get home. As a matter of fact, everytime I come in here you're on your mobile, so why can't you ring the Dr on that and complain to him re your various medical conditions/complaints?

And no I can't tell you EXACTLY what the Dr did during your operation - I'm not a surgeon, I'm a nurse. I have no wish to be a surgeon and no, I shouldn't know exactly how every operation is done. And surgeons take differing approaches to operating. I can get your file and read out what was done, but frankly, every surgeon has their own shorthand and I don't really understand it all. I cannot telepathically contact the Dr and give him all your messages, or get ont he phone 'and call him at home or on his mobile'. I don't even KNOW his home phone number.

YOU NEED TO TO TALK TO THE DOCTOR!