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!

I know exactly what that infection on your leg/arm is, and it's not from a 'bite'. Your drug test told me if was from you shooting up. I was not born yesterday.

No, you can not have an extra piece of bacon or grape juice. I don't care if you don't follow your diabetic diet at home. Maybe if you did, you wouldn't be here.

And no, I will not call the doctor at 2 am to see if he will order you some diflucan.

Specializes in med-surg, psych, ER, school nurse-CRNP.

"No, I don't 'just know' what the name is of every medication you're on. We don't prescribe all of them for you. No, it isn't 'cause you're in so much pain' that your B/P is 230/114. It's because you adjusted your own B/P meds and didn't see fit to call and let us know you were confused on the dose. You are a grown person, basic responsibility for your own health includes KNOWING WHAT YOU TAKE AND THE DOSE! Or, bringing your bottles with you so I can write them down."

I bet I gave this lecture 30 times this week. And noting sank in until I told them that if they did not start taking their maintenance meds as prescribed, the doc would no longer prescribe their pain meds or benzos. THAT got theor attention in a hurry. So sad.

Specializes in Medical.

"How fantastic that your blood pressure/cholesteral/blood glucose is now in the normal range/only a little higher than normal. That doesn't mean you don't need the medications or at that we're 'shills for the pharmaceutical industry' - it means the drugs are working! Are you a moron?"

Actually, the last part's the only bit I'm tempted to say. The first part comes out regularly, with varying tones of exasperation depending on how many times I've had to say it that week. If I'm explaining this concept to a student nurse that temds to be a little forcefully expressed, and the 'moron' section takes restraint to keep back!

Specializes in med-surg, psych, ER, school nurse-CRNP.

I usually resort to my mantra about the perils of a stroke, popping a kidney, heart attack/failure, etc. If they don't listen, well, I tried.

Specializes in Dialysis.

The diabetics are the ones that just really tear my nerves apart. I finally got to the point with one of my patients (and keep in mind we have a very straight forward and to-the-point relationship) of asking him if he enjoyed having 2 arms and 2 legs because if he didn't start taking his insulin as prescribed he wasn't going to have them any more. No sugar coating, just like that. He is very young so that definately caught his attention.

"No sugar coating"

I see what you did there :).

Specializes in Dialysis.

LOL it wasn't intentional but hey:lol2:

Specializes in Medical.

I had a newly diagnosed T1DM who wouldn't prioritise her diabetes management over her children's needs (aged 3 - 17) until I told her that she'd be dead before the youngest left primary school. Sometimes blunt beats kind and gentle.

Specializes in med-surg, psych, ER, school nurse-CRNP.

"You absolutely sicken me. People like you are the reason healthcare costs are outrageous. How DARE you?!?!?"

Had one today that absolutely tipped my control balance.

He came in a few days prior, saying that he HAD to see the doc about 'his breathing'. We had no appointments, and he was not in distress at that time, so we made him an appointment for today, and I pulled the chart for review before he was to come in. There was no mention in any previous visit of any pulmonary dysfunction, and also nothing related to lung issues on the medical history form he filled out on his inception to the clinic. No treatment for breathing trouble, nothing.

He came back in, and I questioned him about the complaint.

"Well, I'm filing for my disability, and I want to put my breathing for part of my disability, so my lawyer told me to get to my doctor and get put on treatment."

"I see. And how long have you had this trouble?"

"Oh, YEARS. I've been using my brother's meds, and they really help. I have an awful time."

"OK, the problem is, sir, you have never mentioned that you have breathing trouble, nor did you list it or any medications that you take for it on your medical history. So, with you admitting that you're only seeking treatment on your lawyer's advice so that you can claim this on your disability application, it looks, well..."

"Suspicious?"

"Exactly."

So, we did some tests, O2 sat normal, lungs clear, PFT normal as could be. The most telling thing, after Doc and I reviewed the tests, and I told him that they were normal, he got irate.

"I DO!!!! I DO have trouble breathing! My work told me that 3 years ago! They said I had the lungs of a 90 year old! They gave me antibiotics! I DO have trouble breathing." All this at the top of said 'terrible' lungs, with not a cough or a wheeze to be heard.

He got a script for a rescue inhaler, and a refusal for an early refill on his pain meds, and stormed out in a snit.

Call me heartless (really, go ahead, seems to be the going thing, lol), but I refuse to lie about anyone TO anyone so that they can cheat the system. I have to go to work every day, regardless of whether I feel like it or not, and I expect every able-bodied person to do the same.

Specializes in Cardiac.
I had a newly diagnosed T1DM who wouldn't prioritise her diabetes management over her children's needs (aged 3 - 17) until I told her that she'd be dead before the youngest left primary school. Sometimes blunt beats kind and gentle.

and it beats wasting the time you spend beating around the bush... :nurse::devil:

Specializes in med-surg, psych, ER, school nurse-CRNP.

My favorite threat with young, male diabetics...threaten what they value most.

And yes, I really DID care for a 40-something whose "hoo-hoo" fell off from gangrene, related to poor DM control. The part that did not fall off, had to be surgically removed.

Boy, the improvements that you see in their numbers after THAT conversation. (Of course, for the minors, I get parent permission to discuss said body part first.)

Specializes in Clinical Research, Outpt Women's Health.

I so agree Angelfire. Well said!:smokin: