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Do what I do: I tell people straight now that if I give them meds before they are due (a) it can seriously damage their kidneys/liver, etc and some patients have even had reactions/died due to being overdosed from medications, (b) I am breaking numerous federal laws re giving medications © BUT I will get a Dr to reassess their pain. This usually works, people only complain because they have awful pain, and some people can't handle it pain at all. I also find giving them more TLC usually helps (but not always!). Some people that have pain or demand meds either have anger issues, or just don't like hospitals/nurses, whatever. They take it out on you cos you are just there at the time unfortunately. If they keep harrassing you get someone more senior to talk to them - that may help too.
Yeah right, she should totally blow off a degree and a career because of one patient:devil: get real.Hey OP, you forgot to add "take a running leap" before the "jump in the lake!":lol2:
I beg your pardon. I took the fact that the OP said "Patients" (plural) "Please realize the following" that maybe he/she had issues with most or all patients; in which case a career change may be in order.
"Go jump in a lake." If you wrote that as a nursing order wouldn't you need to specify a time frame or PRN? Don't forget to reassess afterwards for the desired therapeutic effect. I've never used that one, however I've often suggested a retroactive abortion for some patients. Perhaps both nursing orders have the same outcome, your order just being more tactful. I'm glad you posted here, it'd be a shame to let such feelings eat at you. Sometimes the hardest part of the job is to forgive the patient. Best wishes and hang in there sister.
I beg your pardon. I took the fact that the OP said "Patients" (plural) "Please realize the following" that maybe he/she had issues with most or all patients; in which case a career change may be in order.
Oh, no, not all. Not even close. It's just a perfect storm of a long shift, heavy patient load, and one person calling 3 times in the half hour before their meds were due to inform me that their meds were "late."
CNM 26.2-
I highly doubt she is refering to more than one patient as she states, "even if you did not get pain pill #2 until 5 hours after pain pill #1, I cannot give you pill #3 one hour "early..." You state pain as 0/10 on every." I think that the usage of "you" means one person. Everyone is aloud to have a bad day, without having to change careers- or I think that I would have to give my kids up for adoption : )
SaraO'Hara
551 Posts
Patients:
Please realize the following.
1. If the order says q 4 hours prn - even if you did not get pain pill #2 until 5 hours after pain pill #1, I cannot give you pill #3 one hour "early." You state pain as 0/10 on every reassessment, so this is not inadequate meds.
2. This is not a personal vendetta against you by me. Please stop ********. Please stop arguing.
3. I am acquiring one hell of a guilt complex and thus dreading my shift tomorrow.
Please go jump in a lake,
Nurse.