Things you'd LOVE to be able to tell patients, and get away with it. - page 17

:spin:Just curious as to what you would say. Mine goes something like this: Hi, my name is AngelfireRN, I'll be your nurse tonight. I am not a waitress, nor am I your slave. Yelling... Read More

  1. by   leslie :-D
    wouldn't autism (or any dx) be in pt's chart for md/np to review before meeting w/pt?

    i would hope md/np would be aware, and therefore, would not be an issue.

    leslie
  2. by   GadgetRN71
    Quote from earle58
    wouldn't autism (or any dx) be in pt's chart for md/np to review before meeting w/pt?

    i would hope md/np would be aware, and therefore, would not be an issue.

    leslie
    Exactly, the kids who have issues are one thing and most if not all healthcare people realize that an autistic child is going to exhibit some behavioral problems, but some kids are suffering from nothing more than Brat-itis. These are the ones who grow up, and act like fools when they are in the hospital, because they were never taught manners.:uhoh21:
  3. by   GadgetRN71
    Quote from JessieRN
    Had a college professor that was doing clinicals in ER, and found a remote control between a ladies fat rolls (I'm not sure of any better term, sorry). Her husband said "great, I've looked everywhere for that thing". The sad part is, she was developing a ulcer where the remote was residing.
    Typical guy...the remote is first and foremost in his thoughts!

    Disclaimer: The above was a joke and in no way was meant to offend those of the male gender.



    I hate the whole PC thing....
  4. by   New2ER
    You haven't taken your antipsychotic/antidepressant for 3 days because you couldn't afford the copay but AMAZINGLY you coughed up the copay for your valium/oxycodon TODAY? Even though the bottles are dated 3 days ago? And you've already taken more then 50% of the medication (over 70mg of oxycodone and 8 valiums). Of course we'll admit you, you obviously are getting "ripped off by everyone" and need "a few days to sleep". Sheesh!

    19 year old with chief c/o of N/V with active vomitting, I ended saying something very similar to this. "Why are you drinking water? You've been vomitting for 2 days. I told you the last time I cleaned up your vomit that you should NOT be drinking anything. (He snuck water from his bag twice before). You're thirsty? Yes, you've been vomitting for 2 days. You need IV fluids. Have you noticed that everytime you drink something you vomit? See a pattern? That's because your stomach is senstive right now and can't handle it. If you stop drinking, I won't have to clean up your vomit and I will have time to put in an IV so you have stop feeling thirsty" His answer to this speech was, I swear, "but I'm thirsty!"

    "You haven't been seen by the doctor for over an hour for your chest pain that hurts when you move and upon palpation, normal labs, and no other symptoms? Now you want to leave because you don't like the service? Well, as it turns out that ER doctor has spent the last hour or so coding people whose chest pain turned out rather badly. You are not a priority case right now."

    "You've spent 8 hours in the ER waiting for a tele bed for your loved one and now you want to take her home because you've been waiting too long? You brought her to the hospital because you thought it was an emergency. The ER doctor agreed and the attending admitted her. She's being monitored by nursing staff and receiving her inpatient meds, but for some reason you think she'd be better off at home? You're an idiot." (I actually did say that, except the idiot part.)

    A woman, who told every sole in the ER that she was an RN harrassed the ER MD into admitted her mother for R/O MI. Mom had no complaints unless her daughter was in the room. Daughter wanted to WALK her mother out to the waiting area to get water, I repeatedly told her no. I finally gave up and told her she could pick out something from the vending machine and come right about, about a 50 ft walk. The patient disappeared for almost an hour. Turns out the daughter had then taken mother OUT TO THE CAR to call relatives and enjoy her drink. I was sitting at the nurses station venting to a coworker when the daughter overheard and huffed about being a nurse. I said "If you're really an RN and truly worried about your mother's cardiac condition you would know not to ambulate out of the hospital away from monitoring and medical assitance. If you mother had arrested somewhere out there we'd never know. Frankly, I think your decision was a bad one and you lied to me. I'm trying to take care of you mother but your behavior is not helping her at all". She had no response and walked away.

    I had another pt in his mid 30s that acted very sick, refused to answer his mother/brother when talked to, in general very attention seeking. The family kept calling me into the room because he appeared unresponsive. After the third time, I asked the family to step out of the room. I told the patient, "you've being immature and unnessarily worrying your family when you didn't answer or even open your eyes. Your lab work is perfect, your vitals signs are normal and your oriented. I understand you don't feel well but you're being overdramatic". I didn't have to go in there again for an "unresponsive" pt all night.
  5. by   chibear55
    That pain medicine didn't work? Well, I have a ball bat out in my car!
  6. by   loricatus
    :thnkg:[font="comic sans ms"]please, go homelsebeg:
    :rcgtku:
  7. by   BrokenRNheart
    Quote from loricatus
    :thnkg:please, go homelsebeg:
    :rcgtku:

    best one yet!
  8. by   BrokenRNheart
    Quote from rph3664
    American poverty, 2007:

    Morbid obesity
    Top of the line cell phone with all the extras, for each family member, even if it isn't necessary
    Cable or satellite with every movie package
    All the latest electronic equipment and every game or accessory that accompanies it
    All the latest designer clothes

    even though nobody in the household has ever had a job, and no, these things were not given to them by a charity or kindhearted soul. They often live on SSI for their obesity, drug addiction, or the kids' ADHD.

    The above makes things so much harder for people who genuinely fall on hard times, whether through no fault of their own or by some bad decisions, not a lifetime of them.

    JMHO
    YES....and don't forget - basic diet is multiple servings of fast food for 6 meals a day - in supersize.

    How about when the family brings the patient in for multiple obesity complications - possible life threatening - then all the HUGE family members come to visit and fill the room (all in need of a little soap) and they bring SACKS AND SACKS of McMakeMeFatBurgers, shakes and pops - they pick up our wheelchairs on the way in because it's too far for them to walk and then they are constantly calling you in the room to help the patient with normal ADL's including putting his "thing" he hasn't seen in years into the urinal. Oh ya, they want you to lift him but they can't.

    I had a thought that if someone gets disability for morbid obesity complications it should come with a stipulation like welfare - welfare folks have to get a job or education and get off (well those that need it do). They should be told that they have 2 years to change their lifestyle because the benefits will cease. It should only be temporary. I have life earned ailments, physical damage from accidents, sports and my job and I don't even qualify for disability. And I have paid into the system since 16 years old with only 2 years missing on my social security records and I have 3 kids.
  9. by   BrokenRNheart
    Quote from twinkerrs
    I will definitely make sure that my autistic son does not come to your clinic. He often hits and bites doctors who invade his space and touch him without appropriate warning especially if he is sick. He is 3.5 and medicated for his aggression. At this point he does not understand discipline. Looking at him he appears normal so you would make such judgment that he is just unruly, but remember you cant judge a book by its cover. I can remember the days I judged people based on their kids behavior, but boy oh boy do I have a different attitude now. I hope you dont have to go through what I did to get that change of heart.
    I am sure the post was NOT meant for an autistic child.

    I would like to believe that most (if not all of) us venting here are talking about "other" individuals or people who ARE responsible for their situations.

    Please try to remember that when you read......

    "I can remember the days I judged people based on their kids behavior, but boy oh boy do I have a different attitude now. I hope you dont have to go through what I did to get that change of heart."

    Did you direct your judgment towards autistic children?
    Is that sincere?
    Last edit by BrokenRNheart on Mar 29, '08
  10. by   Ruby Vee
    Quote from eccentricrn
    not exactly the same, but get this...we had an elderly man as an inpatient who normally cared for his wife at home... well obviously that's not possible seeing as he's at the hospital... so the md said it would be okay for the family to dump her on us... she "stayed with him for the night..." she needed assist to toilet & wore briefs... i was beyond belief... she was more work than her husband the patient... plus she disturbed him to the point he kept trying to get oob, when he was on bedrest... the kicker the family left her meds & asked that we give them to her!!!! most certainly will not!!!!
    several years ago, when i worked in ccu i had an elderly female patient who had had a big infarct. she was on multiple drips and was having runs of ectopy. her daughter came in to visit, bringing her two pre-school children. when i informed her that our visiting rules prohibited visitors under the age of 12, she threw such a fit that the charge nurse ok'd a "two minute" visit. daughter brought the kids into the room, parked them on grandma's bed and proceded to launch into a tirade about "what was she supposed to to with the kids while grandma was lying around in the hospital and who was going to watch them while she went out?"

    we explained to the daughter how ill grandma was, how she needed to rest so her heart could heal, and how she needed to be protected from any stress. daughter replied that she'd talk to her mother any damned way she wanted to. she then left while i was taking grandma's blood pressure (with the old-fashioned syphgmomanometer). she left the kids there for grandma to watch.
  11. by   lpnstudentin2010
    Quote from ruby vee
    several years ago, when i worked in ccu i had an elderly female patient who had had a big infarct. she was on multiple drips and was having runs of ectopy. her daughter came in to visit, bringing her two pre-school children. when i informed her that our visiting rules prohibited visitors under the age of 12, she threw such a fit that the charge nurse ok'd a "two minute" visit. daughter brought the kids into the room, parked them on grandma's bed and proceded to launch into a tirade about "what was she supposed to to with the kids while grandma was lying around in the hospital and who was going to watch them while she went out?"

    we explained to the daughter how ill grandma was, how she needed to rest so her heart could heal, and how she needed to be protected from any stress. daughter replied that she'd talk to her mother any damned way she wanted to. she then left while i was taking grandma's blood pressure (with the old-fashioned syphgmomanometer). she left the kids there for grandma to watch.


    oh my lord!!!!!!! that is aweful. the closest to that story is that my boss (i work at a daycare center) called me and asked me to come in at 3:30 that day. "ummmmmm, sorry i really can't i had surgery yesterday and am in the hospital" and then she felt horrible for even having called me. not at the same level at all, but similar. but holy crud i can not believe that person doing that.
  12. by   BrokenRNheart
    Quote from ruby vee
    several years ago, when i worked in ccu i had an elderly female patient who had had a big infarct. she was on multiple drips and was having runs of ectopy. her daughter came in to visit, bringing her two pre-school children. when i informed her that our visiting rules prohibited visitors under the age of 12, she threw such a fit that the charge nurse ok'd a "two minute" visit. daughter brought the kids into the room, parked them on grandma's bed and proceded to launch into a tirade about "what was she supposed to to with the kids while grandma was lying around in the hospital and who was going to watch them while she went out?"

    we explained to the daughter how ill grandma was, how she needed to rest so her heart could heal, and how she needed to be protected from any stress. daughter replied that she'd talk to her mother any damned way she wanted to. she then left while i was taking grandma's blood pressure (with the old-fashioned syphgmomanometer). she left the kids there for grandma to watch.
    had the same thing. daughter left a slew of wild kids with her post mi elder father.
  13. by   Morettia2
    Things I would love to say to some of my cardiac pt's.

    Oh you came in c/o dizziness, well maybe if you didn't pump your veins full of heroin and meth you wouldn't be dizzy.. and at discharge don't ask me for percocet to go..this isn't McDonalds

    You were lucky enough to have a heart transplant 7 years ago and now your new heart's trashed b/c you spent all your money on heroin insted of your rejection meds. What a waste, b/c you have only been a herion addict for 3 years.

    you are having CP, maybe if you would stop shoveling greasy fried chicken and fries in your mouth while i am trying to to an EKG you wouldn't be here in the first place

    STOP pressing the call be to have me turn the heat in your room up and down, you were able to walk when you came to the hospital, get up off your butt and do it your self, there's a switch on the wall press on or off.

    it's 0200, you come to my floor,don't ask me if I can call and get you a burger from the cafeteria..it's closed wait till breakfast b/c i know they fed you in the ED. and don't throw a hissy fit b/c i can't magically make the kitchen whip you up something at 0200..I haven't even had dinner yet.

    this is my fav..you are diabetic, I know you check your sugar at home, don't scream at the top of your lungs when i do a FS,it's a prick to the finger, Its not like I am shoving an 18g into your arm.

    or pt screams like bloody murder when you do a blood draw with a 25g, you were a cop for 20+ years in one of the worst cities in the US, I think you experienced more pain then this, if not then turn your head bit on this towel and keep quiet and stop flinching when I am trying to do a STAT lab.

    or you don't pee on your floor at home, well this is my home you don't pee on my floor you use the bathroom

    or here's a basin, hot water, and some soap take a $#$% bath b/c you are making your roomate gag along with the rest of the floor

    and no I can't just give you MSO4 b/c you have a headache then threaten to sue b/c the "other" hospital you frequent gives it to you.

    or PLEASE STOP PRESSING the call bell just to tell me you haveto urinate, you can walk, go pee you don't need me to watch

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