Things you'd LOVE to be able to tell patients, and get away with it. - page 94

:spin:Just curious as to what you would say. Mine goes something like this: Hi, my name is AngelfireRN, I'll be your nurse tonight. I am not a waitress, nor am I your slave. Yelling... Read More

  1. by   Virgo_RN
    Quote from highlandlass1592
    Actually,an internal pacer/defibrillator could try to ATP VT to convert the rhythm before it shocks.
    His AICD was not functioning.
  2. by   Virgo_RN
    Quote from elthia
    I take it you have never had a pt with VT that had a pulse then...
    I meant if he became pulseless, which you seemed to be concerned he was about to do.

    I was concerned with treating the pt promptly before he lost the pulse. I'm done debating this.
  3. by   rph3664
    Quote from mrskellrd
    I used to be a PCA in a LTC. I really wish I could tell some of my patients:

    To patient who refuses to get his teeth brushed which furthers his GROSSLY horrible halitosis....I wish I could tell him to STOP breathing so hard when I am trying to do care on him....better yet just stop breathing until im done because your breathe makes me wanna vomit.

    I want to also ask them why they only remember curse words!! Seriously, all of the alzheimers pts I have had are still someohow fluent in bad language...they dont know their childrens names but they can still manage to call me a mutha****
    Nothing new. My mother's 75 and she said her grandmother was the same way after having a stroke, back in the 1940s.
  4. by   tvccrn
    Quote from Virgo_RN
    Dude- if he's that hard of a stick, you'll probably be going IO anyway.
    Why would you go IO on a 42 year old? Just drop in a central line.
  5. by   Virgo_RN
    Quote from tvccrn
    Why would you go IO on a 42 year old? Just drop in a central line.
    Drop in a CVAD during chest compressions?
  6. by   nerdtonurse?
    To the PITA drug seeker I had last night....

    Honey, you are 23, A/O/ambulatory with no sensory deficit. Don't tell me you're in terrible pain from seizures, and need IV morphine and demerol AND phenergan, all mixed together and pushed "real fast" to make you feel better -- especially since....

    Ready for it.....

    YOU'VE NEVER HAD A SEIZURE, YOU PASSED OUT BECAUSE YOU WERE STONED. And you do it every time your monthly check comes!!!!!!!!

    Maybe I should just start my patient introduction with, "Hi, I'm Nerd and I'll be your nurse to night, and I have already seen the results of your ETOH/drug screen."
  7. by   BanoraWhite
    Quote from rph3664
    Nothing new. My mother's 75 and she said her grandmother was the same way after having a stroke, back in the 1940s.
    I had a teacher who was raised very strictly and NEVER swore. She had a stroke and ended up in hospital. The nurses gave her a journal to write her feelings in and all she did was fill it with cuss words. When she later rehabilitated she looked back on the journal and her and her mother were absolutely horrified.
  8. by   psalm
    Quote from BanoraWhite
    I had a teacher who was raised very strictly and NEVER swore. She had a stroke and ended up in hospital. The nurses gave her a journal to write her feelings in and all she did was fill it with cuss words. When she later rehabilitated she looked back on the journal and her and her mother were absolutely horrified.
    Repressed thoughts?

    I also have patients who cry out during bathing: "no, daddy no!!" and such. Very sad.

    Having said the above, I also know you are venting and I am willing to say, most of us in the health care field have had shifts where if one more patient calls us a bad name or cusses us out, we will run for the hills and not look back!
  9. by   acminorRN
    "How do you wipe yourself at home?" I get tired of lazy patients who can walk and eat without help, but call you in the room to wipe them when they get off the BSC. Are you serious!
  10. by   LEN-RN
    Quote from Tulip28
    If you read my reply properly I said with no gastrointestinal issues from stress or other! I am talking about the bowel obsessed people who just decide at 3am they would like to do a poo! Hey, this is my thing I would like to tell others anyway
    Tulip, I am right there with you. Most elderly are obsessed with pooping. They start to panic if they dont poop every 8 hours. I think buying stock in milk of magnesia might be a good idea, especially with all the baby boomers coming of "age."
  11. by   rph3664
    Quote from LEN-RN
    Tulip, I am right there with you. Most elderly are obsessed with pooping. They start to panic if they dont poop every 8 hours. I think buying stock in milk of magnesia might be a good idea, especially with all the baby boomers coming of "age."
    A lot of them were raised with the belief that they had to "go" at least once a day, and if they didn't, they were given laxatives and enemas.

    I predict that you will see less of that as the baby boomers age, and in the years to come, people won't be as concerned about their bowel habits unless they really ARE constipated.
  12. by   PatricksRNMommy
    Stop using the D*** call light every time you can't reach something (your phone, tissues, remote control, glasses, cup, etc.) when you are a walky talky who can get up and get it yourself.

    If you call and the person who answers the call asks what you need, please tell them. Don't just say "I need to see my nurse right away." Then when we drop what we're doing, rush in the room thinking you may be dying, you tell us you just needed more icewater, which anyone else on the floor could have gotten for you.

    You haven't pooped since last night. No I will not give you a laxative, enema, suppository, digital disimpaction. I don't know why people become obsessed with their bowels when they get ill.

    No I will not call your doctor at 6 am to ask them when they are going to round because you want to go home NOW. Just as you are not MY only patient, you are not THEIR only patient, either.

    Stop WHINING!!!!

    No I will not wipe your butt. You live alone at home and need to wipe your own butt. If you can't wipe your own butt, you are going to end up in a nursing home, so it is for your own good that I make you do it yourself.

    I don't care that you are best buddies (or neighbors or anything else) with the CEO, medical director, CNO, nursing supervisor, director of my unit, or anyone else. I am NOT going to give you special treatment because the homeless man in the next room matters to me just as much as you, so GET OVER IT.

    You doctor wrote a discharge order for you. Great. But I still have 5 other patients; one is having chest pain, one is confused and wandering in the halls, one needs to go to the bathroom every 5 minutes, another needs to be prepped for a procedure, and the other one has a doctor who is at the nurse's station barking orders WAY faster than I can compute them. So you need to sit down, shut up, and be thankful that you are healthy enough to go home. If you don't care about your prescriptions and instructions, leave AMA. But stop calling and sending your family members to the desk to omplain that the doctor said you could go home 15 minutes ago and your IV is still in.

    Sorry, just needed to vent a bit.... Had a rough 4 shifts in a row. That was therapeutic.
  13. by   southernbeegirl
    Quote from psalm
    Repressed thoughts?

    I also have patients who cry out during bathing: "no, daddy no!!" and such. Very sad.

    Having said the above, I also know you are venting and I am willing to say, most of us in the health care field have had shifts where if one more patient calls us a bad name or cusses us out, we will run for the hills and not look back!
    oh gosh, i've had patients do the same thing. it's horrible! i also had one lady that had been raped when she was young and in her dementia, she relived it over and over

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