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 MS, LTC, Post Op.

I would like to respond in a typical Greg House manner at times "YOU IDIOT!" though...lol

Do you see this name badge? It says 'Student nurse' not-

Postman

Barmaid

Maid

Cook

Servant

Cleaner

Doctor

Repairman

Magician

Specializes in ED/trauma.
That's the million dollar question that I am so sick of answering. Or rather, trying to explain to patients and family members that I don't know exactly what time doctors make their rounds, or what patients they see first. It's as if I carry a crystal ball and am able to tell them the exact time the doc is gonna round on them.

I had a family ask me the other day if I could call the doc's office to see when he'd be at OUR hospital. Of you know what I WANTED to say. I calmly explained it doesn't really work that way. Maybe they see pts in the office for a set time and make hospital rounds before or after that. Maybe they go to the farthest hospital first and the nearest one last. Maybe they see the ICU pts first, then come on up to our med/surg/ortho unit -- where all the STABLE folks are. I know you're sick and tired of waiting. Guess what? SO AM I! :banghead:

My favorite is when patients say, "I am in a lot of pain, can I have some of that DILAUNTIN or whatever it is called?"

I want to just scream at them, "Ok, cut the crap. you KNOW it is called Dilaudid, don't play dumb with me. You just picked up the illegal stuff off the street 4 minuts before you walked into the hospital. And no, you are not getting Methadone with your DILAUNTIN"

hahaha it cracks me up!

I've seen that pt!

No I can't take morphine I'm allergic, no I don't remember what reaction I had. No, fentanyl makes me sick to my stomach. I think the one that worked maybe started with a d...........

Oh you must mean darvocet...

Specializes in ED/trauma.
From today, after being cornered for a veeeeery long time:

"Your brother eating rare pork last Christmas, and his sleepng with his dog in the bed, even if it died in January, is unlikely to in any way be related to his current admission with pyrexia. No, the breed of the dog makes no difference. Yes, I will let the unit know, just in case. You watch House? Why am I not surprised. House is not real. Have you ever noticed that there are no nurses on House? Yes, thank you, I'm glad you appreciate our worth. Your ex-girlfriend was a nurse? Good to know. No, please don't tell me about her. My point is that in real hospitals there are nurses. This is one of the many ways that real life is different to House. So I think it's unlikely that... yeah, no, I think it's probably not salmonella or e. coli attacking him 11 months after he ate the pork, and more likely to be trichinosis in any case. Yes, I'll tell the doctors anyway. Okay, thank you. Buh-bye now."

Actually, most of that I did say, but with more interruptions.

:w00t::yelclap::lol_hitti:clphnds::hpygrp:

Seriously, though... You're awesome.

Specializes in ED/trauma.
I've seen that pt!

No I can't take morphine I'm allergic, no I don't remember what reaction I had. No, fentanyl makes me sick to my stomach. I think the one that worked maybe started with a d...........

Oh you must mean darvocet...

It always amazes me when I get the ones that say darvocet isn't strong enough for them... :bugeyes:

Specializes in Med/Surg.
I've seen that pt!

No I can't take morphine I'm allergic, no I don't remember what reaction I had. No, fentanyl makes me sick to my stomach. I think the one that worked maybe started with a d...........

Oh you must mean darvocet.. .

Better yet, how about DICLOFENAC?

"No, I know I got it in my IV!"

Me: "OH, oh, NOW I know what you mean, must have been DEXAMETHASONE, that stuff is great for swelling and pain relief. I'll call your doc and get some right now, I am sure he'll have NO problem ordering it." :D

I hear percogesic is really good. :D

Specializes in Cardiac Telemetry, ED.

RN: "Are you having any pain?".

Pt: "Yes, my head hurts a little. She's been giving me fantapol.".

RN: "I don't know what "fantapol" is. What do you take at home when you have a headache?".

Pt: "Oh, I take Tylenol."

RN: "And does that work for you?"

Pt: "Oh yes, but she's been giving me fantalpol with it and she says it will make it last longer." (digging through stacks of paper for an old menu that has the name of the medication written on the back, peering at her own scribbles with squinted eyes) "Oh yes, it's called "fantapol".".

RN: "You mean "fentanyl"? That was prescribed for severe pain following your procedure. I can give you some Tylenol for your headache.".

Pt: "Well, she's been giving me fantapol this whole time, and it's the only thing that works.".

RN: (Since it's too soon for another dose of Tylenol anyway, will go ahead and draw up the minimal dose of "fantapol", and give Tylenol 3 when next dose of Tylenol is due.) "Okay, I'll get you some pain medication. Dinner will be here in a few minutes. You need to get up and sit in your chair for dinner. The doctor wants you up and moving so you can get better.".

Pt: "Oh, no, I'm just fine right here. I've had a long day and I just need to rest." ("long day" consisting of laying in bed all day and being taken to xray by stretcher).

RN: "You really need to get up out of that bed and move around if you want to go home."

Pt: "Oh, no, I'm really tired, it's been a long day.".

RN: "So you're not going to get out of bed?".

Pt: "No.".

Later, CNA reports that pt. requested bedpan, refusing to get OOB to the bathroom. When CNA provided bedpan, she found the pt. had already relieved herself in bed. This pt. does not have a history of incontinence and is able to walk with a walker and stand by assistance.

During PM med pass, cannot take pills with water, must have Ensure to swallow pills, and pills must be cut in half. I bring the Ensure, shake it and open it, as set it on the bedside table right next to the cup of water with a straw in it. Pt. asks me to move the straw from the water to the Ensure. I say "Oh, go ahead." and make NO move to transfer said straw. Pt. says "Oh, well, I can't see the hole...." but goes ahead and tries since my hands are still behind my back and I'm making no move to go anywhere near that straw. Pt. transfers straw from water to Ensure with absolutely NO problem whatsoever.

The things I wanted to tell that pt........

Better yet, how about DICLOFENAC?

"No, I know I got it in my IV!"

Me: "OH, oh, NOW I know what you mean, must have been DEXAMETHASONE, that stuff is great for swelling and pain relief. I'll call your doc and get some right now, I am sure he'll have NO problem ordering it." :D

ROFLOL!!!!!!!!!! Unfortunately, it always amazes me when a pt actually admits that the ibuprophen or toradol worked better than dilaudid!

Specializes in Staff nurse.

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The things I wanted to tell that pt........

Yeah, like "Go Home!" :lol2:

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

The things I wanted to tell that pt........

Dear Lord, the things I WOULD HAVE told that patient, and not felt bad at all about it. I guess I'm just a hard nose, but crap like that just steams my clams!

I was in line at Wal-Mart tonight, HOLDING the LANE CLOSED marker for the cashier. This old couple gets in line, looks at the marker, and keeps standing there. I move my stuff, place the marker on the counter, and proceed with my transaction as they continue to hover. Finally, the man asks, "Are you really closed?"

"Yes, they just shut me down."

The couple goes to another line. Meanwhile, this guy who had been standing in front of me, holding a bag of Funyuns, picks right then to saunter around behind me and get in line. The cashier looked at me and sighed, at which point I looked at the guy and said "Um, hon, she's closed."

Cue dumb look...."You closed?"

Happens in every job, I guess. I honestly don't know if they did not SEE the marker or were IGNORING it, but I have a fair idea. I can tell you this as well, I used to work at Wal-Mart, and they were about as good about breaks as hospitals are. I wound up getting fired, I was so outspoken. If a customer sassed me, they got it right back, I was not one to stand there and take it like they wanted me to. Management would haul us in at the crack of dawn for meetings to tell us how to run the registers, with stupid little rules like 1) If someone buys cigarettes or beer, they get carded, no matter what. 2)If a child is helping Mom or Dad unload the cart and the CHILD puts cigs or beer on the belt, we were not to ring them up, we were to ask them to go to a different lane and the ADULT place the item on the line.

You can guess how it went down. We'd enforce it, someone'd get ill, and management would throw us under the bus. "Now, you know he's older than 21, use your head." (Not use the policy that I'd have been written up for not following if I had NOT carded him).

OK, OK, off my soapbox now.