Total Disregard for Visiting Hours - page 2
by DYLANB 9,198 Views | 80 Comments
Just curious to hear about other nurses experiences with the total disregard patient families have for visiting hours and hosptial policies. I have been a nurse now for 3 years and have split time between ICU and CVICU. Patient... Read More
- 14Sep 19, '12 by SaoirseRNWe have visiting hours that aren't enforced adequately. Technically they start at 1330 but often people are in first thing and it does get challenging.
Recently we had a granddaughter of a very lovely patient, who claimed she was a nurse, but actually was no longer working in health care, and while she liked to throw out all sorts of medical terminology, didn't seem to have much experience or knowledge.
Anyway, she also had a horrible attitude. The patient's GP (a damn good doc) came in on his rounds at 0830, and the granddaughter was there already. He asked her to leave the room so that he could speak to his patient privately (the woman was 90, but cognitively intact with a family who liked to speak for her anyway). The granddaughter got snippy with attitude in response ("What's the difference, I was wiping her butt yesterday?" even though she was not because the patient was completely self-caring)
Didn't hear the GP's response, but the next thing I know, the granddaughter is standing in the hall looking disgruntled and the doctor has shut the door behind her.
Gotta love a doctor with balls!
- 9Sep 19, '12 by redhead_NURSE98!Quote from iluvivtYeah I wish I had a dime for every silly story about how "that nurse put this HUGE bruise on mah arm, it took a week to go away!" I just act unimpressed and say "Yep, it happens, doesn't mean the nurse did anything wrong" and keep going. It pains me when a layperson visitor wants to discuss all the ills that some horrible nurse committed upon THEM when THEY were hospitalized while their family member is lying in bed feeling horrible, dying, etc.I often ask family members to leave the room when I need to start a very difficult IV.I do not want or need to hear everybody's IV experiences...I do not want to have to say excuse me a bunch of times...i do not want to trip over them as I dispose of my sharps and clean up and it goes on and on. It also adds a ton of extra time to my day and some other patient is always in line next for my services.
- 2Sep 19, '12 by Pepper The CatQuote from KatieP86I agree! I work in Rehab - it is so hard to get people up, washed et when you have to side step visitors.In the UK, most visiting is afternoons only. Except for my unit, which is one of the reasons I am leaving as soon as I can. Management refuse to listen when we say open visiting is too much, you can get NOTHING done because from 8am people are trekking in whilst you are trying to get people washed and dressed and fed and demanding to know why their relative is not yet showered!!
Also - my Little Old Ladies don't like walking in front of strange men in their bed clothes! Additionally,we have enough problem manouvering around beds, chairs, equipments with their walkers without adding visitors.
And if we try and say anything, we are the bad guy- and the visitors are permitted to stay anyway!
- 6Sep 19, '12 by tewdlesHospitals are dangerous places.
I stay with family members in the hospital and encourage all of my family and friends to do the same with their loved ones.
Some family members are a pain in the rump. The vast majority are simply trying to do what is best for their loved one.
- 3Sep 19, '12 by llg GuideI have never worked in a unit that limited visiting to certain hours. As an old NICU nurse (graduated in 1977), my patient's parents were always allowed to visit -- though we did ask them to step outside during rounds so that they wouldn't hear the information about the other patients.
- 0Sep 19, '12 by dudette10It's usually just a matter of crowd control and asserting your requirements as a caregiver to maintain privacy and efficiency.
I work on a floor that has only double rooms, and the vast majority of problems happen when the environment for the roommate is compromised. When the other bed is empty, I don't really mind, although it becomes crowd control again when someone is admitted into that second bed because often the other family has "expanded" into the second bed's area.
With nighttime admissions, 90% of accompanying family members are respectful of the rest needs of the patient in the second bed. About 10% require reminders to keep the commotion down, make room for me to do my care, and allow me to prioritize requests.
That said, I would feel like I died and went to heaven if a family of five was in a private room, compared to a family of five in a semi-private room!
- 3Sep 19, '12 by CP2013I think the situation is a little different with NICU and the parents. Having 2 adult, respectable visitors is one thing.
Even in ICU having 2 visitors is not nearly as bad as having 10 adult visitors, a couple of rambunctious children running around and demands for outrageous things. I think that is what OP is referencing.
When my family member was in ICU, we designated one family member, his sister (not his wife, but that's another story), and had her stay bedside at all times, help with care, and step out when necessary. Her brother was in a coma, so they needed someone bedside to speak to regarding his care. When visiting hours began, the family would come, and it was a LARGE family, but no more than 4 people in the room at a time, saying a prayer for him, staying for a few minutes, saying how much they loved him, bringing cards to put on his bedside table, or handmade flowers (he couldn't have real ones) and then they left. No one asked for the moon and the stars, no one got in the nurse's way. I think that family can come visit if they are willing to WORK WITH THE STAFF. They cannot impede care of the patient, and that is ultimately the priority.
OP, I think you can adopt the philosophy of "I understand there is a lot of family that want to visit, but I need to still provide care for your ______, can you please visit between these times so I can do so effectively, and do not have to provide less care because I don't want to interrupt your visit."
Or say something like, "I understand we have open visiting hours, but I need to do XYZ, and would like you to step outside for ____minutes while I do so, because I cannot perform XYZ while you are in the room." This includes IV starts, etc.
However, if it's something like a bath, INCLUDE THE FAMILY. Ask them if they would like to help wash up the patient, and help provide care. This can make them feel like they are helping. It allows them to help take some of your work, as well as allowing them to feel less helpless in this situation, sometimes it's a religious thing as well and can relieve some anxiety about the situation.
But I don't think any nurse should ever cater to family at the expense of the PATIENT. We are always about "patient-centered care" and that should never change.
- 8Sep 19, '12 by rn2be73the hospital i work at has ALL private rooms...walked in to one the other day and found not one or two family members but 8....2 sleeping on the couch, 3 sleeping in chairs that had been brought in from other patient rooms and you guessed it...3 more including 2 young children on the FLOOR!!! While i can understand wanting to be with your loved one...this patient was in her 40's alert and oriented and in the hospital overnight for chest pain rule out
Just don't understand why people think the hospital is an appropriate place for a family reunion!!!
- 11Sep 19, '12 by OCNRN63Quote from sadaveyAnd what if you do speak up and the family complains to mgmt., and mgmt. then disciplines you? What's your solution for that...get another job? It's really easy to tell people to just "deal," but some hospitals allow visitation to get out of control. If it's a semi-private room, who's going to advocate for the poor pt who can't get rest because there are family members of the other pt there day and night?I have never worked at a hospital that had visiting hours -- both hospitals I have worked at believe that the patient's family is of vital importance to the healing (or dying) process. If there is a problem with too many people in the room - speak up. As far as everyone asking you questions, be careful how you answer and who you answer to. There should be one delegated family member: spouse, parent, etc. Friends and visitors should go to them only. You may find yourself in trouble should you give too much information out to the wrong people, even if they are friends of the patient.
In short...Get over it. If you were in the hospital, you would want your family with you -- whenever you wanted them. Not between the hours of whatever your hospital deems best.
I have been in the hosp., and not for just minor stuff, either. It never occurred to me to have my family by my bedside 24/7.