A vent thread for patients- what can we do better?

Nurses Relations

Published

There have been so many nursing vent threads that patients have come to chat on. I'd be interested in hearing the opinions from the other side of the stretcher. Let's try to be constructive, us nurses can be very sensitive :p

Compliments are welcome too!

I'll start. It drives me nuts when people go into a room to do an assessment or procedure and the curtain isn't pulled. I don't care if they're just stitching a finger, not everyone wants to walk by and see that stuff. Physical exams might not reveal naughty bits, but I don't imagine showing off your naked abdomen is what you signed up for in triage. Closed curtains are just common respect.

Even worse- people that feel they have a right to stick their head behind a closed curtain without warning. You may have seen it all before, but just speak up and ask before coming in. :mad:

Specializes in Intermediate care.

Im a nurse, but like almost everyone i've been a patient.

When i was 12 i went into anaphylactic shock from a bee sting. I was taken to ER via Ambulance. I had NO clue what anaphylaxis was, but i knew something wasn't right.

i was covered in hives, my eyes were bulging out of my head, every breath i took was getting harder and harder. I knew it was a deadly condition, and i was terrified. Everyone was running around me like chickens with their heads cut off.

They kept calling me "the patient" or "jennifer" not knowing i liked to be called Jenni. Never asked ME questions, i felt like they were treating my condition and not me.

I started crying once i saw my mom and dad start crying.

It took a NURSE in the emergency room, who wasn't even assigned to me to come into my room. She sat at the edge of my bed and held my hand. Then she asked me what i wanted to hear all along "Do you go by Jennifer? or can we call you seomthing else?" i could hardly talk and my dad replied "She goes by Jenni" and everytime someone said "the patient" i could hear her correct them "Jenni!!!!". She was the ONLY person (other than my parents) that i remember in this situation, and she wasn't even my nurse. i don't remember my doctor even. I remember her telling me everything that was going on

"They are now giving you something that will help your breathing"

"They have to take some blood. it might hurt, but if you close your eyes and think about your puppy at home it will be over soon"

She explained to me what they were talking about in terms a 12 year old could understand.

I remember her, her face, her voice everything. She was a traveling nurse from Las Vegas (Maybe she is out there somewhere?) who knows.

Specializes in Vents, Telemetry, Home Care, Home infusion.

When your patient comes to telemetry after a traumatic 45min unable to intubate situation, please come in and assess their AIRWAY.... don't tell them over the intercom that your monitoring their heart rhythm. :eek:

By time arthymia occurs, person could be in severe respiratory distress or apnec!!!!!!

After lap gallbaldder surgery walking in the hallway doubled over needing family to help them walk (previously taken several strolls easily), and the paitent tells RN something is wrong having tremendous pain not experienced past several hours, don't negate the patinets feelings by saying "I had a lap choley, there's not much pain if you'd just get up and walk the hallway". Think proactively to medicate them and assess for iilleus.....instead of them screaming out at 10:30Pm "If someone doesn't come in and help me I'm gonna die" as they count their Resp Rate= 36. Little morphine, restart IV fluids, dulcolax supp ---relief in 3 hrs.

OK, I'll join you Canoe.

A hundred years ago before I became a nurse (or was even interested in the medical field), I had a dx lap. I wasn't prepared for the meat-locker temperature, the noise, laughter, joking around and banter amongst the OR staff. I truly felt like an afterthought to the staff in the room. I was terrified to begin with, and this feeling compounded my anxiety to the nth degree. I was induced to the jarring sound of metal hitting metal as the circulating nurse carelessly threw a container in the case cart. The Versed that I was given didn't seem to help my anxiety.

Upon emergence, I was greeted with MORE noise. The anesthesiologist was talking trash to the surgeon about the upcoming college basketball game. I don't mind that (and actually wanted to participate), but he wasn't paying attention to what he was doing, and the O2 mask was damned near poking me in the eye. Sounds, temperature, and pain all seemed very heightened during this time. I think the cold was the worst of it; the pain was secondary. It also unnerved me that I was naked and that my arms were still strapped down. I guess they kept me pretty light since I can remember all of this.

Now that I am an OR nurse, I am VERY vigilant regarding the noise level, the temperature, and the lighting in the room both during induction and upon emergence. It still shocks me to see the OR lights still shining on the pt upon emergence because the circulator is too busy to notice. I absolutely lose my temper when a pt emerges without SOMETHING covering their body.

So yes Canoe, being on the other side of the stretcher has no doubt made me a better nurse.

Thanks for starting this thread. I am interested to see further posts.

I had very similar experience upon enterence. I do not remember anything procedurally. I remember cold, being unclothed with many many people around and left like that. I did not like that and I just remember everyone going bonkers around me. The nakid thing really really made me not comfortable.

When my son was il (AML and eventual BMT)l, I was tremendously grateful for the nurses who acknowledged he had Asperger's Syndrome, came to me to ask about how to make things easier on him and get my recommendations and then who respected the limitations that health condition put on him re: having an arm band on (he could not tolerate the feel of it against his skin), who understood he wasn't going to look at them when they talked to him but it didn't mean he wasn't listening, and those who understood that as worried parents, we wanted to provide as much care for him as possible ourselves and minimize the impact of the hospitalization on him however we could.

I also appreciated those nurses who were organized enough to cluster care at night, who would turn on the bathroom light to do meds/fluids during the night instead of the overhead and who understood the incredible stress and strain we were under. We were there for months on end, still trying to work at least part time, etc. Sleep was the only time the stress lifted and only came in three to four hour bursts.

I hope you get to read this. I am a new nurse and I have asperger's. A lot of the things that I struggled with as a kid, I found ways to make work in my favor as an adult. As with asperger's, I have the high intelligence. I scored crazy scores in nursing school, not too many people liked me because of that and because I am eccentric. However, just know that things will get better with time. Help your son adapt the environment within the environment he has. Meaning, do not create circumstances that he cannot create to cope as an adult. To really enter the real world, there are no accomodations for people like us yet. Until, we are considered normal in that we are normal among one another.

That was nice that staff knew about the disorder and helped you find ways to help him cope. My nursing class was not so nice and I just blatently tell people this is who I am up front. They disliked me for being smart, so they used my eccentrics of my disorder against me. It was sad.

Sorry to say, your son will have to face the same unless I can change the world as I am trying so hard to do. I have two son's, and one is lesser and one is greater like me. I have one son that turns the TV volume probably to normal levels, my other son and I cant think. You can most often hear a pin drop in my house. My daughter too. I have to keep buying her different clothes because they are all itchy. All of my kids have different aspects, and I have like everyone of them.

I am SOOO glad the staff did what they did to help. I guess in the kid world its much more understood than it is in the adult world today.

My advice is....please be sensitive to your patient's religious or non-religious views. I'm an atheist. Last year when I had my daughter, the L&D nurse asked me what my religion was. I was in pain and didn't want to debate (telling people you're an atheist is always an invitation to debate) so I told her non-denominational. That wasn't good enough for her, she kept going on and on. Jewish, Muslim, Jehovah's Witness. Finally I said I'm atheist.

Well, you would have thought I told her I had a body under my bed by the way she reacted. She asked me what do my parents and my husband think...I told her I'm a grown a$$ woman and don't need their permission to be atheist. Then she asked me what my husband is...he's Christian. She asked me do I believe in Adam/Eve and all the other biblical stories...I don't. When my husband came back up to the room, she kept giving him dirty looks. I told him it's because he's married to a sinner atheist.

The next morning, there was no progress with my labor. Guess who was my nurse again? She told me that god would protect me. Then she said "oh that's right, you don't believe in god." If it weren't for my husband calming me down, I would have ripped her a new one.

That's my message to other nurses...your religion may not be someone else's. Please be tolerant as I am when I did bedside. I had patients of ALL religions and respected every one of them.

Umm, second that on the athiest thing. Try interviewing at a bunch of religious based hospitals. Agree, agree, yep, and whatever you say.

Specializes in UR/PA, Hematology/Oncology, Med Surg, Psych.
I have been a patient many times. Things that annoy me,

3) Please don't come in bashing your co-workers or telling me about your b/f that is cheating on you and so on. I lose a lot of respect for someone that will bash co-workers in front of patients or customers when I am out in public. It's not ok no matter where you work.

I do not like this thread and was trying to figure out exactly why when I read the above. That is how I feel about this...nurses bashing other nurses and health professionals. Great way to lift up the profession. And we do not need to have a patient complaint thread to understand how to provide good care, we all know how to do that. Its just that those mentioned in the above vents didn't strive to. This isn't meant in a mean-spirited way, but if this type of thread is the way Allnurses is headed, I will be very sad.:crying2: So count me out.

Specializes in Emergency Dept. Trauma. Pediatrics.
I do not like this thread and was trying to figure out exactly why when I read the above. That is how I feel about this...nurses bashing other nurses and health professionals. Great way to lift up the profession. And we do not need to have a patient complaint thread to understand how to provide good care we all know how to do that. Its just that those mentioned in the above vents didn't strive to. This isn't meant in a mean-spirited way, but if this type of thread is the way Allnurses is headed, I will be very sad.:crying2: So count me out.[/quote']

I seriously don't get what some people are so upset about with this thread. Not everyone knows how to provide good care. Some people don't realize they aren't providing good care and that is when a thread like this comes in handy. Most of the "Patients" on here venting are nurses themselves.

It's not about bashing other nurses, it's about people learning from the mistakes of others. No one is perfect, absolutely. People vent about their co-workers all the time on here, bash patients, bash fellow posters. Shoot we had a whole thread making fun of other posters.

I would rather someone come here and vent anonymously then go into a patients room and trash talk their fellow nurse.

You know people don't HESITATE to complain about bad care they get in just about every other professions. A lot of companies will take those complaints and try to make changes. (Domino's did that and now they make a fantastic pizza). Why is it taboo to talk about bad nursing care received in the hopes that one can get it off their chest and one can learn from it. It's ONE THREAD on a board with thousands of threads. Those that want to read and learn from it can, those that are so offended by it can not read it. I can't believe someone would leave an entire forum because they were offended by one thread.

Specializes in Nephrology, Cardiology, ER, ICU.

This is a good thread for many reasons:

1. I haven't been a pt for many years (knock on wood as I'm old) lol So, to have more info about things that bother pts is good for me.

2. My only recent experience is with grandchildren. I've stayed the night several times - always at the same hospital and have had wonderful experiences.

3. I do agree at night you need to turn on lights - no problems there. I wouldn't want someone giving IV meds to my grandson with the lights off - no way, no how.

Specializes in Critical Care; Cardiac; Professional Development.

I didn't bash. I said what was done that was good and appreciated. :)

I can understand the push back to an extent, but honestly - if one is uncomfortable with or unhappy with or doesn't want to see this thread, just don't open it maybe? I think it has its place. I know as a student, reading this is pretty educational.

Specializes in Critical Care; Cardiac; Professional Development.
I hope you get to read this. I am a new nurse and I have asperger's. A lot of the things that I struggled with as a kid, I found ways to make work in my favor as an adult. As with asperger's, I have the high intelligence. I scored crazy scores in nursing school, not too many people liked me because of that and because I am eccentric. However, just know that things will get better with time. Help your son adapt the environment within the environment he has. Meaning, do not create circumstances that he cannot create to cope as an adult. To really enter the real world, there are no accomodations for people like us yet. Until, we are considered normal in that we are normal among one another.

That was nice that staff knew about the disorder and helped you find ways to help him cope. My nursing class was not so nice and I just blatently tell people this is who I am up front. They disliked me for being smart, so they used my eccentrics of my disorder against me. It was sad.

Sorry to say, your son will have to face the same unless I can change the world as I am trying so hard to do. I have two son's, and one is lesser and one is greater like me. I have one son that turns the TV volume probably to normal levels, my other son and I cant think. You can most often hear a pin drop in my house. My daughter too. I have to keep buying her different clothes because they are all itchy. All of my kids have different aspects, and I have like everyone of them.

I am SOOO glad the staff did what they did to help. I guess in the kid world its much more understood than it is in the adult world today.

Thank you for your kind words. Sadly my son did not survive his illness.

You have so much to be proud of in your life! I am sorry your classmates did not understand you better. It sounds like you have created a good life for yourself and your children.

Specializes in Oncology; medical specialty website.
I do not like this thread and was trying to figure out exactly why when I read the above. That is how I feel about this...nurses bashing other nurses and health professionals. Great way to lift up the profession. And we do not need to have a patient complaint thread to understand how to provide good care we all know how to do that. Its just that those mentioned in the above vents didn't strive to. This isn't meant in a mean-spirited way, but if this type of thread is the way Allnurses is headed, I will be very sad.:crying2: So count me out.[/quote']

I agree with most of this.

The reason I objected to a thread for patients is I believe allnurses should be a "safe" place for nurses to talk to other nurses about nursing. I really don't want to read in-put from non-nurses telling us everything we did wrong and what we should have done. Most of us already get that kind of feedback at staff meetings from patient satisfaction surveys. As I said previously, as it is we have non-nurses replying to threads (e.g. patients, MAs, therapy) giving their opinion on nursing threads. A thread inviting lay people to complain about their hospital care has the potential to get ugly.

I belong to another nursing site that simply does not allow patients to reply to posts. It's not because we don't care, per se, it's just that it goes against the purpose of the site: professionals communicating with professionals.

Most of the complaints so far have come from our own, not lay-people. While some of it has been instructive, I am also saddened that the thread is mostly rants on fellow nurses. I would much rather see a thread asking nurses to relate positive experiences they had when they were patients. You could learn a lot from that, too.

Specializes in Oncology; medical specialty website.
Im a nurse, but like almost everyone i've been a patient.

When i was 12 i went into anaphylactic shock from a bee sting. I was taken to ER via Ambulance. I had NO clue what anaphylaxis was, but i knew something wasn't right.

i was covered in hives, my eyes were bulging out of my head, every breath i took was getting harder and harder. I knew it was a deadly condition, and i was terrified. Everyone was running around me like chickens with their heads cut off.

They kept calling me "the patient" or "jennifer" not knowing i liked to be called Jenni. Never asked ME questions, i felt like they were treating my condition and not me.

I started crying once i saw my mom and dad start crying.

It took a NURSE in the emergency room, who wasn't even assigned to me to come into my room. She sat at the edge of my bed and held my hand. Then she asked me what i wanted to hear all along "Do you go by Jennifer? or can we call you seomthing else?" i could hardly talk and my dad replied "She goes by Jenni" and everytime someone said "the patient" i could hear her correct them "Jenni!!!!". She was the ONLY person (other than my parents) that i remember in this situation, and she wasn't even my nurse. i don't remember my doctor even. I remember her telling me everything that was going on

"They are now giving you something that will help your breathing"

"They have to take some blood. it might hurt, but if you close your eyes and think about your puppy at home it will be over soon"

She explained to me what they were talking about in terms a 12 year old could understand.

I remember her, her face, her voice everything. She was a traveling nurse from Las Vegas (Maybe she is out there somewhere?) who knows.

Not to sound mean, but if you were that critical their priority was keeping you alive, not asking you what you preferred to be called. If I were that sick, I wouldn't care what staff called me, as long as they did their job. FWIW, I have been called "Mrs. Smith" more times than I can begin to count, and I have never been married. I just let it slide. In the long run, it doesn't matter a hill of beans if they're giving me safe, appropriate care.

I do applaud the nurse (who wasn't in the middle of trying to keep your airway open) who had the time to sit with you and ask what you wanted to be called, held your hand, talked you through procedures. Would that every unit in hospitals had that kind of staffing.

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