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 LTC.

If you toss yourself out of your bed ONE MORE TIME because you aren't getting your way, I will let your 500 pound butt sit there on the floor, call EMS to help me, tell them to take their sweet, sweet time, and then- when we finally get your huge butt up....

I will duct tape you in.

Now, stop screaming for meatloaf. Where am I supposed to get meatloaf?

Specializes in Community, OB, Nursery.

Stop getting into relationships with active users while you are in drug rehab. Nothing good came of it the first three times.

I know claiming to have diarrhea and vomiting (that you always conveniently "flush" before we can see it) seemed like a good attention-grabber... but now you are on isolation.

We have a nasty bug going around and we aren't taking any chances.

Did you notice that you get even less attention in iso?

Personally, I've had a good day because your fat head hasn't been in my face all shift.

Oh, that sounded mean, but I was getting so tired of this man!

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

"WHY the Sam Hill did you think it was a good idea to come to an urgent care to be seen for dyspnea so severe you're blue? WE ARE NOT THE ER!"

Moving no air, blue, blue, blue, and her idiot daughter trying to get in my way when I'm making arrangements to get a bus for her NOW, going "Naw, I'll drive 'er."

Has a bus there, O2 on, breathing tx X2 and a line in in less than 7 minutes.

And then felt terrible because the one thing I DID say, "Now, be honest...you just wanted to see how fast a pregnant woman could run, didn't you?" made her laugh so hard she got a coughing fit.

She knew she was in bad shape, I knew she was in bad shape. But the fact that her sense of humor was intact made both of us feel better. Lord, she scared me.

Love this.

No, I will not be wiping your bottom for you. You can reach it just fine.

Let's see, BP 70/40, heart rate 40, nope... No Dilaudid for you! No, I don't particularly care if you "Always run that low!". And oh by the way, I saw your strange friend come in earlier, I also noticed how he ran out like a scared little girl when I walked in. OH, and I'm not convinced he didn't slip you a little something.

Here's the blanket you asked for. Apple juice? Sure, anything else? No? Cool. Here's your apple juice. Ice cream? Ok, lady, anything ELSE? Because I have other patients waiting on some very important medicines and I've been running for you ALL night! If you need something, think for 10 minutes all the other things you need, THEN call out and ask for them ALL at ONCE. And don't call out again for at least 2 hours. This is not a hilton. Oh and you've had 4 ice creams in 2 hours... No more tonight, we have other people on the floor, and it's Sunday and the fridge is running low as it is.

Your room reeks of perfume, BAD perfume. I smell like it when I walk out. I can't quite place the smoke smell because I'm too busy holding my breath from the perfume, but the packs of cigarettes lying in the top of the overflowing trash tipped me off!

If you, a 25 year old, A&O patient would just keep your arm STRAIGHT like I've told you 3 times in the 5 minutes I've been in here the IV pump would NOT beep. When it beeps it means you're not getting the medicine you need. Yes, I realize its beeped for 20 minutes, did you learn anything from this? No? Lets see about a new IV then... How about an 18g? Hope I get it first stick!

Hi Mom, control your kid. Also I know you think saying "oh, he's not going to take that" is fun for you, but its not helping me get it in him. Remember why he's here? Because the outpatient treatment failed because you didn't give him the medicine. He's going to take it, and you're going to help me get it in him.

I realize you don't want to be woken up at 2 am for a finger stick sir, but the doctor, god bless him, ordered q2h finger sticks on you. Don't cuss me and say "it's you AGAIN?" Believe me, I don't come in here for fun to do this and listen to you complain about it.

I'm sorry, mom does need a new IV. I realize you would rather us just "leave it out for a few days and get her some pills to take", but she has an infection that needs IV meds, and quite frankly if she doesn't get them, those "few days" the IV is out will be her last.

I've been here 14 hours. Last time I peed was before I came to work... Does it look like I care that it took 10 minutes to get here to walk you to the bathroom? I gotta go bad too...

Ma'am you had a very LARGE bowel movement this morning.... I'm not calling the doctor to get an enema for your bowels.

Nope, you cannot have orange juice. I've been battling your sugar since I got here.. Its still over 400.

I highly doubt the ER nurse put the pain med right here (closest port) and I really really doubt she "just whooshed it in!" because you "can take it". Telling me that makes me slow your pump down and push it super duper slow.. Slower than needed. I'll stand here and watch american idol for a few minutes while I do it.

No, I'm not busy at all. I always look this frazzled. I always use this many 4 letter words.

Yes, I am old enough to do this.

I could go on and on and on.

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

"Fine, then you just go home and die. Just LEAVE! And, the next time you feel like being a time suck and a colossal waste of my time, how about you do my clinic a grand favor and LEAVE US OUT OF IT!"

To the LOL and her grown daughter, who had not 2 brain cells between them to rub together. LOL came in for a c/o "I'm dizzy". Daughter stood over my nurse and breathed in her face while she was trying to enter data in the computer until the poor nurse had to leave the room. I could sympathize. The aroma was enough to grow toenails on a dead man.

I go in and assess her, do my usual first thing with a c/o vertgo, which is look in ears. Definite OM on one side.

"Oh, that's not the one bothering me." Now, mind, ears had NOT been mentioned. Just dizzy.

I go to look at the other ear and, OMG. She pulls out a hunk of cotton soaking with green gook.

TM is ruptured and bloody, OM like nobody's business.

Patient refuses abx. States she's allergic to all po abx. Will only take a shot of Rocephin.. Allergy list only has PCN and Sulfa listed as allergies, so I offer a po quinolone. No dice. A shot and that's all. She DID agree to come back tomorrow for another, but did not agree to an ENT referral. Kept whining to her daughter that they 'should have gone to the hospital'. I explained that she needed to be treated for the infection, about brain proximity to ears, etc. No go.

I finish up, and am back in my office, inputting data, after I phoned the on-call to let him know what went on (he thought it was humorous). Poor nurse who gave the shot came in...

"Are you going to call her in any meds?"

"No, she refused them."

"Well, she's in there going on about you not doing anything for her dizzy."

"I OFFERED to treat her. She REFUSED. NO, I am not calling anything in, unless it's an antibiotic to treat the infection that's CAUSING her dizzy." The nurse is fighting not to laugh at me.

Seriously, if you don't want the help, why even come?

Specializes in Med/surg, Quality & Risk.

I highly doubt the ER nurse put the pain med right here (closest port) and I really really doubt she "just whooshed it in!" because you "can take it". Telling me that makes me slow your pump down and push it super duper slow.. Slower than needed. I'll stand here and watch american idol for a few minutes while I do it.

She might have put it in the closest port...some people are stupid like that, and make it harder for the rest of us to do our jobs properly. I had a nurse reporting off that Phenergan "burnt the patient's arm up," and come to find out she was putting it in the port next to the patient...uh DUHHHHHHHHHH where did you go to school please?

Specializes in ICU, Telemetry.

So that's where Ice Cream went...I swear, I had a patient just like that. We used to draw straws to see who got stuck with her. I kept thinking I'd do a blood draw and pull up ice cream....

Specializes in ICU, Telemetry.

Amen, Angelfire. If I had a dollar for every time I wanted to say, "If you don't want us to help you, why'd you come to the hospital?" I could retire...

you called the ambulance because you were having "terrible chest pain" and have a history of mi and stents of course the doctor is going to admit youwhat did u think was going to happen

This is what I'm thinking while you rant and rave about minor crap and are non-compliant and nasty about everything: I'm so glad that I am not you and I get to go home in T-minus ______. No matter what I have to go through during the shift I get to leave this place and this situation and you will still be you at the end of the day.

Specializes in Hospice, HIV/STD, Neuro ICU, ER.

Have you ever heard the story about the little boy who cried wolf?