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

Updated:  

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 CCU, SICU, CVSICU, Precepting & Teaching.
well, was i not venting too?

besides, being that nurses are people that care and strive to heal, don't we all want to hear (at least once in a while) the other side of the story?

actually, this is a vent thread for nurses to vent about patients . . . not a thread for patients to vent about nurses. so no, we don't want to hear the other side of the story right here and right now.

Specializes in Utilization Management.

Re: Things you'd LOVE to be able to tell patients, and get away with it.

A gentle reminder:

Folks, please try to be polite to one another and please, please, please stay on topic. This is a vent thread. For nurses. About patients.

In a vent thread, criticism of the post and side comments to the poster are considered inappropriate and off-topic.

Further off-topic posts may be removed at the discretion of the mods.

If a post that is off-topic should appear, rather than answer the poster, please take the time to report the post by clicking the link at the bottom left of the offending post. Please do not engage the poster.

Angie O’Plasty, RN

Moderator

Specializes in Peds Hem, Onc, Med/Surg.
Yucky combo there. blah.

Even the guy in my sig. standing on a toilet wouldnt have the munchies for that.

Then I must be really really weird cause I crave it all the time. :no: LOL

Actually I said that so people who need to stop fighting. When I say it, I usually get a O_o and then I get a :lol2:. then people don't argue so much.

REMEMBER TO PLAY NICE IN THE SANDBOX!

Specializes in Staff nurse.

"Sir, your IV infiltrated because you were attempting to have sex, your girlfriend was all over you in that hospital bed even though you are contact isolation. when we walked in the door after knocking; and you KNOW we were supposed to check your BP every 15 min. Are you an exhibitionist? So don't cry to me when you have to get stuck again so your abx can be continued. Save the sex for home."

I'm trying to help your child to the best of my ability, and your constant ******** is in the way of doing my job and will only hurt your child in the long run.

I know you only want to help your child and you are in pain. But would you let me work in peace so I can work more efficiently?

How about the young person (less than 40) who has shot their liver/lungs/heart to hell with drugging, drinking, whatever else and the family comes in and acts like it's YOUR fault they are in the shape they are in!!!

I would love to tell them the way it really is...Look, da+n it! We had nothing to do with what they (fill in the blank) and now they are reaping what they have sown. Get off our back because we are doing the best we can in spite of your family members attempt at a slow suicide.

Please feel free to go to the patient advocate, contact your attorney, whatever as once the record is reviewed...you won't get squat.

Question....Why does it seem like these families/patients come in packs (like ravenous dogs?????) Chances are 99-1 that if you have one of these groups...soon your unit is full of them! Like mine is right now :(

Specializes in M/S, Travel Nursing, Pulmonary.

One thing, kind of like what blueheaven was saying that gets me to no end:

When the pt. has an answer for everything. Every little intervention has to be done this way and that way. They direct the care as though they have the answers. I want to say.........."If you got all the answers, then go home and do it yourself. No need to be here."

This would be directed at (real examples here):

Lady with CHF who continues to eat 75% of her meals at Burger King but has a novel sized list of instructions for how to arranger her pillows once said CHF flares up. Then, when she gets worse, its your fault for not having the time to put the pillows under her legs properly.

Young kid who, despite killing a girlfriend in a MVA in which he was driving drunk, is now under my care for another MVA.......while he was high. And, he tops the wonderful story off with big lectures about how we are cruel and need to learn how to treat people like they matter not like a number.

Old guy who lectures us about not treating people like they are stupid because they are old, then wheels himself into the public area downstairs and, yep.........you guessed it, is brought back by security for giving an older lady hassle for not knowing where to park.

Young girl who loves to point out that just because we are nurses doesnt mean we have all the answers to life, then proceeds to blame us for her genital herpies outbreak and says no one told her it was this bad.

Specializes in Peds.

Hi,

Here's a twist to the title of the thread: something that I DID say to a patient and I haven't been "reprimanded for" (... yet).

Every once a while, I pick up extra hours in the Emergency Department. John Doe was one of our "frequent fliers" (a morbidly obese man with mulitple, multiple, multiple abdominal complaints and demonstrated drug seeking behavior).

John Doe had visited us over 156 times last year - and it was only mid October. John Doe had an unpleasant personality (to say the least) - he was always very abusive, very unpleasant, extremely unco-operative. I tried to make excpetion and give him the benefit of the doubt that 'he's sick/he's in pain/he has chronic health issues/he's frustrated' etc. I was always respectful, addressing him as "Sir" and tried to be as pleasant as possible.

Anyway, this time around his persenting symptoms and complaints persuaded the docs to admit him. I summoned help to facilitate his transfer to the floor. As the CNA and I were getting him packaged for transport, he started cussing and abusing (as he usually does) - about the ED in general (bite the hand that feeds ya, huh?), about how long it took for anything to happen (Gee! I'm sorry! Maybe I should've let the 45 year old mother of 4 suffering from an acute MI die while neglecting the 76 year old grandfater of 16 suffer permanent damage from the stroke he was having), about how we wouldn't let him eat anything (well excuse me mister "I've been puking for 3 straight days and can't keep anything down and I have severe abdominal pain"!), about how "incompetent" we were and didn't know "jack **** about anything" ... and so on and so forth.

Then he started cussing out the CNA - "That ***** doesn't know what she's doing man! She don't know jack ****! A bunch of incompetent, lazy people here! It takes forever to ge..."

His Mother was sitting right by the bedside - and she didn't say a WORD*.

I'd had more than enough...

"John! That's enough!! Do you use that same potty mouth to kiss your Mother?"

"**** you, mother******! You don't know jack **** about my Mother! You just think you kno..."

"Really John?! Is this the way you treat people who are trying to help you? Because I won't put up with it. I won't have you abusing us. I won't have you abusing me. I won't have you abusing the CNA - she's been nothing but NICE to you. And no, that sort of language is not appreciated around here! Watch your mouth!"

His Mother was still at his bedside. She didn't even raise an eyebrow - much less reign in her son. Not really surprising, since he subjected her to the same verbal abuse whenever he was in our ED. It was a family dynamic I couldn't fathom....

"**** you man! You are all a bunch of lazy mother- who don't know ****! Incompetent, lazy ******** who know jack ****!"

"Well Johnny boy, you ain't going nowhere then" I said as I stopped the moving stretcher and placed it under lock.

I wasn't angry. I wasn't ****** off. I was waaaay beyond all that.

I was just simply too damned tired. I'd had enough of abuse.

"Since we're all a 'bunch of lazy mother- who don't know ****!', you're more than free to walk out of here and find someone else to help you. Because you know what Johnny, frankly; we are sick and tired of being the target of your repeated abuse. We've tried time and again to be as nice as we can given the circumstances but you just don't give a ****. I don't know what you're ****** off about and right now, but given the way you abused the CNA and given your attitude towards me and our staff in general - I frankly don't give a damn. You've been this same, disrespectful, manipulative, disrespectful self for as long as you've visited this hospital. For you to call us 'lazy' and 'incompetent' is pushing the limits...

Since you are convinced that we are 'incompetent fools', I'm lowering the side rails on your stretcher - you're free to go to where ever the hell you choose..... because if you think any of us are going to hang around and be abused by you on a constant basis for whatever reason strikes your fancy - mister, you're ******* nuts!!!"

I lowered the rails and walked off.

His Mother stood mutely by.

I informed both the ED attending and the admitting Doc of the situation. To the ED attending's credit - he backed me all the way.

That was last October.

Although John Doe has maintained his 'frequent flyer' status, he has always been on his 'better' behavior with me since then. Oh he still cusses. He remains unco-operative. But he is nowhere the disrespectful cretin he used to be.

Thanks,

Matthew

Specializes in Oncology, Cardiology, ER, L/D.
Hi,

Here's a twist to the title of the thread: something that I DID say to a patient and I haven't been "reprimanded for" (... yet).

Every once a while, I pick up extra hours in the Emergency Department. John Doe was one of our "frequent fliers" (a morbidly obese man with mulitple, multiple, multiple abdominal complaints and demonstrated drug seeking behavior).

John Doe had visited us over 156 times last year - and it was only mid October. John Doe had an unpleasant personality (to say the least) - he was always very abusive, very unpleasant, extremely unco-operative. I tried to make excpetion and give him the benefit of the doubt that 'he's sick/he's in pain/he has chronic health issues/he's frustrated' etc. I was always respectful, addressing him as "Sir" and tried to be as pleasant as possible.

Anyway, this time around his persenting symptoms and complaints persuaded the docs to admit him. I summoned help to facilitate his transfer to the floor. As the CNA and I were getting him packaged for transport, he started cussing and abusing (as he usually does) - about the ED in general (bite the hand that feeds ya, huh?), about how long it took for anything to happen (Gee! I'm sorry! Maybe I should've let the 45 year old mother of 4 suffering from an acute MI die while neglecting the 76 year old grandfater of 16 suffer permanent damage from the stroke he was having), about how we wouldn't let him eat anything (well excuse me mister "I've been puking for 3 straight days and can't keep anything down and I have severe abdominal pain"!), about how "incompetent" we were and didn't know "jack **** about anything" ... and so on and so forth.

Then he started cussing out the CNA - "That ***** doesn't know what she's doing man! She don't know jack ****! A bunch of incompetent, lazy people here! It takes forever to ge..."

His Mother was sitting right by the bedside - and she didn't say a WORD*.

I'd had more than enough...

"John! That's enough!! Do you use that same potty mouth to kiss your Mother?"

"**** you, mother******! You don't know jack **** about my Mother! You just think you kno..."

"Really John?! Is this the way you treat people who are trying to help you? Because I won't put up with it. I won't have you abusing us. I won't have you abusing me. I won't have you abusing the CNA - she's been nothing but NICE to you. And no, that sort of language is not appreciated around here! Watch your mouth!"

His Mother was still at his bedside. She didn't even raise an eyebrow - much less reign in her son. Not really surprising, since he subjected her to the same verbal abuse whenever he was in our ED. It was a family dynamic I couldn't fathom....

"**** you man! You are all a bunch of lazy mother- who don't know ****! Incompetent, lazy ******** who know jack ****!"

"Well Johnny boy, you ain't going nowhere then" I said as I stopped the moving stretcher and placed it under lock.

I wasn't angry. I wasn't ****** off. I was waaaay beyond all that.

I was just simply too damned tired. I'd had enough of abuse.

"Since we're all a 'bunch of lazy mother- who don't know ****!', you're more than free to walk out of here and find someone else to help you. Because you know what Johnny, frankly; we are sick and tired of being the target of your repeated abuse. We've tried time and again to be as nice as we can given the circumstances but you just don't give a ****. I don't know what you're ****** off about and right now, but given the way you abused the CNA and given your attitude towards me and our staff in general - I frankly don't give a damn. You've been this same, disrespectful, manipulative, disrespectful self for as long as you've visited this hospital. For you to call us 'lazy' and 'incompetent' is pushing the limits...

Since you are convinced that we are 'incompetent fools', I'm lowering the side rails on your stretcher - you're free to go to where ever the hell you choose..... because if you think any of us are going to hang around and be abused by you on a constant basis for whatever reason strikes your fancy - mister, you're ******* nuts!!!"

I lowered the rails and walked off.

His Mother stood mutely by.

I informed both the ED attending and the admitting Doc of the situation. To the ED attending's credit - he backed me all the way.

That was last October.

Although John Doe has maintained his 'frequent flyer' status, he has always been on his 'better' behavior with me since then. Oh he still cusses. He remains unco-operative. But he is nowhere the disrespectful cretin he used to be.

Thanks,

Matthew

Wow. Good for you. I am glad you had staff that backed you up. Kind of makes ya want to kick the "Mother" in the shins, though.:angryfire

Oh I have also heard all of those things. How about you have no right to hit me and cuss at me. Also sometimes I would love to tell patients to change to another Dr the one they have is an idiot who has no clue. I have thought that many times.

I guess I must be lucky, because I did not have many patients cussing or swearing at me. The only patient I can remember that was really abusive was the time a man was transferred from prison. He was one of my first patients. All he could think of was that there is a cute girl working on him. What amazed me was that although he was so incoherent and his words could hardly be understood, he struggled to curse. The DCW ran out crying. I could not stop laughing.

What did I learn? Smile when cursed at. Don't act hurt. After a while it will loose the charm. Be nice, but tough. We deserve to be respected.

Recently I had this psych patient. I was warned that she is extremely rude and to be very careful with her like walking on eggshells. I never had a problem with her. After a while, she actually started complimenting me. I told her to tell the boss... :specs:

Specializes in Geriatrics, Home Health.
"Sir, your IV infiltrated because you were attempting to have sex, your girlfriend was all over you in that hospital bed even though you are contact isolation. when we walked in the door after knocking; and you KNOW we were supposed to check your BP every 15 min. Are you an exhibitionist? So don't cry to me when you have to get stuck again so your abx can be continued. Save the sex for home."

Sounds like he's an exhibionist and a masochist.