What is your take on multiple family members in room when they have roommate? - page 3

My patient had a roommate who had multiple family members in the room, on the other side of the curtain. And actually a group of them came in around 1 a.m. The families' loved one (pt) had gone through a procedure that evening,... Read More

  1. 2
    I too, have been the patient with the roomie with the large group day and night and OMG it is awful, awful, awful! They even had toddlers in the room screaming. I adore kids, but the screaming and the "shhh... the other lady is really sick" was okay after the first scream, but after the 12th, it was constant pleading in my mind - "please oh please, take the kiddies home! - now!" I am a good patient and not a drama queen at all, but it was truly all I could do to hold my tongue. I knew my roommate was enjoying the company, but she wasn't really feeling bad and was getting ready to go home and would be seeing her company again very soon. If she was in bad shape or had the company been from out of town, it would have at least made more sense to me why they were there so long.

    I'm starting a new job on a floor with semi-private rooms and am already feeling so sorry for my patients. The lack of privacy is bad enough, the interruption in sleep/rest is just horrible. I will advocate however I can for "the other bed" because it's just so horrible being surrounded by a room of strangers when you're so sick or in pain.

    GeminiTwinRN and lindarn like this.

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  2. 5
    I got floated to another floor last night... at shift change up comes postop patient.... 30 year old. The nurse and I get the patient settled and I'm starting to do the admission vitals when I hear "I am the mother and I WILL be staying tonight and tomorrow night, so you'd better find something for me to sleep on".

    My first thought was, Lady, your "Kid" is 30 years old. I think they are old enough to be in the hospital without having Mommy hovering.
    MomRN0913, ChristineN, GeminiTwinRN, and 2 others like this.
  3. 3
    Quote from Ms Kylee
    IThe nurse and I get the patient settled and I'm starting to do the admission vitals when I hear "I am the mother and I WILL be staying tonight and tomorrow night, so you'd better find something for me to sleep on".
    Yeah. I'll get right on that. :chuckle
    Ms Kylee, GeminiTwinRN, and lindarn like this.
  4. 1
    I can understand your frustration. I have worked in several facilities including the present one, that has open visiting hours. It can really be a pain, but often I ask the visiting family members to leave the room to provide privacy for procedures. At the facility where I am working now, they have addressed this and created a extra private room that they encourage family members to take their love one and visit in this room. This room is very nice with lighting. It is very quite and private.
    As facilites move toward patient centered care- they are having open visiting hours. We try to explain our rules to the families during the admission process. How ever if they do become out of control, some have been asked to find another facility that may suit their needs.
    lindarn likes this.
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    I've done the "I've told you the visiting policy three times already, do I need to explain it again", I don't even care who I offend. Sorry, my patient, your loved one is sick. This is ICU for cryin' out loud. Grampy is on a vent, I'm sure at the moment he could care less about looking at your baby.
    Ms Kylee and lindarn like this.
  6. 3
    I get all worked up when I see more than two family members visit a patient at a given time.

    My hospital has a two visitors at a time rule but that is NEVER inforced and it makes giving care a huge problem. In bed A you have an AAO, ambulatory patient and in bed B you have a very confused and incontinent patient. You go to change bed B and discover that there are 5 visitors for bed A and they are all complaining about the smell...ARGH!!!

    As a tech I dont like to tell anyone to leave but when I become an RN, its gonna be two at a time for any patient unless they are going to the E.C.U. then I'll allow multiple visitors.

    ECU (Eternal Care Unit)
    ChristineN, MAISY, RN-ER, and lindarn like this.
  7. 1
    Sorry, but the other patient has all the right to a restful sleep!! I'm sure they are paying for that half of the room, some way or the other. You should tell the family to have one person, quietly go in, check on the loved one and whisper that they love him/her and will see him/her in the morning at a more decent time. We are the only advocates some patient's have in the middle of the night.
    Thanks for caring about that other patient!
    lindarn likes this.
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    Wow, I can't imagine having to work on a floor with semi privates. I have floated to some of those floors and they're a nightmare on night shift. One thing I have a problem on my floor (all privates and open visiting ) is children shrieking up and down the hallway. I caught a little girl in the hallway once SKATING on those god awful wheelie shoes, and she nearly toppled 3 stories down the atrium when she caught the railing. I told her that skating was not allowed in the hospital and she huffed back and got mommy, who promptly told me it was none of my business. I wanted to say fine, she'll land SPLAT right down in front of the ER, so I guess that's okay. I guess I don't like kids anyway, but they really should have a limited role in an adult hospital.
    MAISY, RN-ER and lindarn like this.
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    Back in the olden days, when the earth was still cooling, there were set visiting hours and children under 12 were not permitted. Period. Of course, those were also the days when no one talked back to anyone, much less the nurse.

    As to what santhony said - I had a LOL in for LOC and suspected MI. Her kids wouldn't leave and finally she TOLD me that she would like to sleep. *I* had to tell the hovering adult kids that Mom was exhausted. And she was of a generation who felt obligated to entertain her "guests."

    God, I don't miss the floor. I NEVER, honest to God, had problems with patients. Just other nurses and the occasional family member.
    MAISY, RN-ER and lindarn like this.
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    I remember working one night when I had a couple of women in a semi private room. Pt in bed A was a post op lumbar lami, and bed B was a r/o CVA pt. Pt in bed A her daughter was in and it was 2 hours post visiting hours. I politely asked her to leave since she was upsetting pt in bed B. The pt got all huffy with me and told me "It is my right to have my daughter to spend the night with me." I told her that her roomate also had rights not to be disturbed as well and we couldn't let her stay in the semiprivate room and she could stay in the lounge and come check on her every hour or so. The pt and her daugheter still mad and say to me "What about OUR rights?" to which I responded that they weren't the only ones in this room and they needed to respect the rights of others. The pt told me "I don't care about her rights." (No privates to move problem pt to) I called the house supervisor and explained the situatuion, and she came up. She backed me and told the daughter that she had 2 choices either go home, or go to the lounge as I suggested, or she would call security, and she had 5 minutes. It felt so good to have been backed up.

    I have recently had another incident. Pt female, Arabic, and no English speaking ( supposedly understands). I had no idea until I accepted pt into room. I did make accomodations for female nurse. I didn't just place pt in private room, but in a room with a male, cordoned off by a curtian. ( we are a ICU and she was so out of it she wouldn't know he was there, and we do this anyway). Family was demanding a private room and that they spend the night. House manager was on the unit and backed me about no spending the night at bedside and we moved her to private room. Son still demanding to spend the night so he can translate, I explained that he couldn't sleep at the bedside, since there isn't enough room. He still ended up staying in room all night. I was charge and told the nurse that she should not let him stay all night because now I look like a moron along with the doc, and house supervisor. (Funny thing about this situation, The intensivest is also Arabic, and told me I had been WAY TOO accomodating for them. He said that in life and death ICU transfer they should get no say in room or nurse) They did transfer her to another hospital and tried to demand through me that they wanted a private room. I told her daughter that she could tell me all she wants that mom will be in a private room once she gets to other hospital, and she tells me she will call dr so and so and he will do it for them. I had to tell her "You do realize that you aren't there yet and that demanding that to me is no gurantee, and basically pointless since I have no control over their beds." She still didn't get it. She called dr so and so and he set her straight. This family was a nightmare.

    We limit it to 2 at a time. If disruptive we ask to leave. Any gruff we call house supervisor or security.
    lindarn, RN1982, and SuesquatchRN like this.

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