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 Med Surg.

"what's the magic word?"

Specializes in FNP, Peds, Epilepsy, Mgt., Occ. Ed.
sisukas said:
"what's the magic word?"

I have actually used that one, with pediatric clinic patients.

"gimme a sticker" just grinds my gears.

Specializes in cardiac, ortho, med-surg.

"If you can feed yourself, you can wash your face."

"If you can reach your snacks you can reach the remote next to the bag."

"If you can talk you can breathe."

"If you're coughing, I'm going to let you until you NEED intervention."

"I've done this before...a time or two."

"I must be bad luck...you only cry out in pain when I interrupt your funny phonecalls"

"Drinking causes pregnancy too"

Specializes in ICU, Telemetry.

Sometimes, a patient's actions come to roost, and you actually get to see them....

We had a pt, had a BAC of 3.0, picked up by the local police and brought to our facility. She saw the cops coming, and said she'd swallowed a bottle of tylenol and tried to kill herself. In all fairness, her aceto was positive at 121. And all her drug screens were positive, too.

The nicest thing she called anyone was a "crack w***" and she thought the B word was interchangeable with the word "nurse." She spit in the face of one of her nurses, balled up her fist and acted like she was going to hit another, and we had to have security get her back into the facility because she ran out of the unit and out the front door of the hospital in nothing but her backless gown, dragging her foley. And of course, she was on the bell q5minutes demanding narcotics.

When she got ready to be discharged, guess who picked her up? The city and the county were both on hand, and I think they were flipping a coin to see who got her first. She'd been a bad, bad girl. And I got to see the person who tried to sling her foley into my face as I was draining it carried away in handcuffs.

There is a God.

Specializes in Acute Care.

After my ER internship:

Bathe. Bathe often. While your at it, bathe your children. Often.

No, I will not run out to get your some "Burga King" cause I'm just a student. Especially after the amount of vomiting you did in triage.

If you bring your kid into the ER at 2 in the morning after he's been running a fever and vomiting for 3 days, don't freak and threaten to sue the entire hospital when we start an IV and draw blood on him.

Yes, bad things happen when you start spitting and trying to hit your nurse. Especially when the four cops who brought you in are still out in triage...

Specializes in Neuro ICU and Med Surg.
sisukas said:
"what's the magic word?"

I have actually used that with some of my extremely demanding patients. that usually makes them stop and think about how they have been acting.

"My problem? You want to know what my problem is? It's funny you should ask. My problem, amazingly enough, is you ... you ******. Your problem, funnily enough, is also you. Because you're ****** crazy. And they really don't pay me enough to come in here and take care of your ****** spawn and listen to you spout off about all the ways we're screwing you over and wrecking little gorked out junior's life, but I do it anyways, because I'm a sucker."

Specializes in ED/trauma.
poopsie9466 said:
I had a patient that other day that weighed about 300 pounds, was a two pack a day smoker and ETOH abuser that would constantly yell at me about the hospital food, saying she only ate "organic." Oh, the many things that went through my mind to say. . .but I bit my tongue and went about my business.

Organic cigarettes and beer: Maybe s/he grows his own tobacco, hops, and barley (pesticide free!), and rolls his own cigs (no added tar or other harmful chemicals!) and brews his own beer (without the use of any additives!)...

We have a client who says that she is allergic to the chemical smells in a vet's office. She says this as she goes outside for a good smoke. This is the same person who brought her small dog in for respiratory distress in the middle of the night. The first thing we did was place her little blue tongued dog in the O2 cage. We gave her a really stupid look when she told us that her dog was allergic to oxygen!

Fuzzy

1. Tell your family member to stay in the darn room and quit stalking me down the halls every 5 minutes for ice.

2. Stop asking specifically for the nurse when an aide is perfectly qualified for the job.

3. Just because it's 8:01 does not mean your 8pm meds are late. Do not ask me for them. Stay in the room!

4. Do not walk into another patient's room in the middle of a Code situation demanding a nurse change your Fentanyl....you're patch can wait.

From the CNA side:

No. We do not have chocolate pudding. We didn't have it last night when you asked, or earlier this shift when you asked. Vanilla is all we have. And no, I will not "talk to somebody" about it. Here is a guest comment card, if it matters that much.

The time? It's 0300. Yes, that is very early, I wish I was sleeping too.

If you stop moaning on inspiration, I bet you will have an easier time breathing.

Stop grabbing my arm and digging your nails in every time we turn you. You've been here over a week and we haven't dropped you yet.

I know you are uncomfortable. The nurse have given you as much medicine as she can, we have repositioned you 6 times in the last half hour, and I have applied heat/cold packs. There is no use in ringing just to tell me (for the 10th time in as many minutes) that "I huuuurrrrrt." We don't know what else to do for you. Go to sleep.

Oh, get over yourself. The blood-pressure cuff doesn't hurt that badly, especially since I have only pumped it up to 110 so far.

You'd like me to hand you what? You mean this box of tissues that was sitting right next to your call light?

From the pharmacy side:

The fact that you are allergic to pollen and animal fur is highly fascinating, but what I asked was if you had any allergies to medication.

10 minutes is not a long time to wait for a prescription to be filled. Go across the street to Walgreens. They'll tell you 45.

Nice try, but I think you can afford the $3 copay for your blood pressure med. The pack of cigs in your pocket and the fancy cell-phone that you haven't stopped talking into since you've been here gave you away. And trying to make me feel guilty by saying "I guess I won't take it, I hope I don't have a heart attack" won't work.

I am not in charge of your insurance. Believe me, I wish I was, I'd get paid better. But I have no control over the amount of your copays, or your formulary list. I'm not a mean person, I want to give these drugs. But your insurance company will not pay for them, and I'm guessing you don't want to either, since it is well over $300.

It's Friday evening, and you just NOW remembered that you are completely out of your medication and you have no refills? Gee. That's too bad. The label clearly states this fact. And no, I can't just give you some "to get you through the weekend." Have the MD on call from your clinic paged, if it's that big of a deal.

You are allergic to all generics? Can you tell me what special ingredient they put in every single generic medication that you are so sensitive to?

No, your MD has not called in your rx for vicodin yet, STOP calling me every 5 minutes.

NO! There is no generic for Lipitor! (I only get asked that 10 times a day. "But the MD wrote atorvastatin..." Look, take it up with the FDA, not me)

You've been on this med for 10 years, you really should be able to pronounce it by now...say it with me... ah-TEN-oh-lol. If you say Aah-tenol one more time, I may come through the phone line and strangle you.

Whew!:heartbeat

No, patient family member, we don't give out "parking passes" to you and your other zillion family members who just camp out in this room all day just watching the patient (Geez, don't any of you ever WORK?). This hospital charges $5 a day to everyone to park here except employees. Parking is a priviledge. If we gave out passes to you -- then why would the hospital charge for it?

Just think -- you're getting 24/7 shelter in an air conditioned room with a TV and you sometimes even get food trays when your family member won't eat or there are extras (since you try to bum one whever you get a chance). Isn't that worth at least $5 per day while you order nurses around all day and get free ice all day? :banghead: