Yesterday I had a very difficult delivery- abruption, stat c/s, infant to special care nursery but doing surprisingly well. I followed the patient from OR to pp, and today (after answering about a zillion call lights from the pt) I was again called to the pt's room. "My husband has something for you," said the patient. "You have been very kind, taking such good care of us," The husband stepped forward and pressed a $10 bill into my hand. I quickly explained that tips are not allowed, that I am paid by the hospital and that while I appreciated the gesture, knowing that mom and baby were healthy was all I had hoped for. The couple (who are of Middle Eastern descent) stated that it is their custom to do so, and something to the effect that it would bring good health and fortune to the baby, and wouldn't take the money back.
The call bells were going off and baby was due in the nursery for IV abx- I was so flustered I just thanked the couple, and took the baby to the nursery, tucking the $$ in my pocket.
I didn't want to insult the family, but on the other hand it's against policy to accept gifts of cash. We constantly get candy/donuts & coffee/flowers etc. and occasionally a gift card, but this I think, is different.
What do you do when patients try to tip you? What's the best way to graciously decline a tip without insulting the patient/family? I'veonly been a nurse for 2 years, and I was just caught off guard by this gesture.
