Can you believe this? - page 2
I understand the push for "customer satisfaction" but I think that the following situation is taking it too far. A few days ago we had a patient on the floor who was in constant pain. She had MS... Read More
Mar 11, '04Joined: Apr '02; Posts: 38,763; Likes: 16,343Quote from Brita01All I can do is shake my head at this story. What are hospitals turning into?
The HILTON....read the thread on that one if you really want your blood to boil. :angryfire
Mar 11, '04Joined: Oct '02; Posts: 60,450; Likes: 16,880That's amazing. Sometimes rather than waste my time going round and round with a patient over our smoking policy, I'll tell them it's their choice whether they smoke or not. But I'm with the others, I'm certainly not going to stop taking care of my patients and assist patient to smoke, never mind find them cigarettes. That's crossing the line, let them complain, let them write that letter.Last edit by Tweety on Mar 11, '04
Mar 11, '04Joined: Oct '00; Posts: 8,741; Likes: 8,437Nicotine patch or nothing- if it needs to happen outside the hospital, it's not my job.
Mar 11, '04Occupation: SAHM, for now. From: WI, US ; Joined: Feb '04; Posts: 2,574; Likes: 322I'm with canoehead, what is so wrong with a Nic patch? The house sup should have suggested that, or the doctor on the psych floor.
BTW, I'm not a smoker and haven't been in nursing long enough to know if this is contraindicated. I would suppose not if the doc wrote an order to "assist pt. with smoking."
Sometimes I think that the higher ups go overboard with the "Customer Satisfaction" thing.
Also, if you'd really like to see Customer Satisfaction really pushed, head on down to the L&D/Mother/Baby floor. That's the part of the hospital that gets the most money when it comes to redecorating, etc. The nurses are encouraged to go out of their way for pts. Why? In some cases the OB floors are the first contact a woman might have with a hospital - they've kept out of the hospital their whole lives and are only entering it for the second time, the first is when they were born. The idea is that we'll get repeat business because if/when the time comes for another hospitalization, they'll remember back to how nice X,Y,Z hospital was when they had their baby, and they'll go back there.
That's how it works usually.
Mar 11, '04Joined: Apr '02; Posts: 38,763; Likes: 16,343Quote from BabyRN2BeBTW, I'm not a smoker and haven't been in nursing long enough to know if this is contraindicated. I would suppose not if the doc wrote an order to "assist pt. with smoking."
trust me, it is contraindicated. smoking is NOT helpful to most people recovering and who are ILL enough to be in the hospital in the FIRST PLACE. Yes,I concede, there are cases where patients have a psychologic/physiologic need to have their nicotine. IF that is the case, rather than seeing a dr write an order to "assist pt with smoking", he or she NEEDS to instead write the order: "Nicotine patch PRN" . that will do nicely for me.
Mar 11, '04Occupation: RN, ICU, CRNA student Joined: Jan '03; Posts: 277; Likes: 2I think this is rediculous, about reminds me of patients who are about to cough out a lung with emphysema and sats in the 80's who demand to have a cigarrette. Sounds like the house supervisor likes to brown nose a little to try and make themselves look good. Just my thoughts
Mar 11, '04Occupation: med/surg/ortho RN Joined: Oct '01; Posts: 2,617; Likes: 161We run into this a lot, the patient wanting to go smoke thing. We have a release we have the patient sign that releases the hospital from any responsibility if the patient goes out of the building to smoke. We teach, counsel, offer nicotine replacement therapy first, then out comes the release. They are going against medical advice and run the risk of the insurance not paying for the visit. Just like someone who leaves AMA, insurance companies dont like going against Dr's advice. We do have those that insist, but in now way do we insist a non-smoker take the patient. Only staff who has a minute or is on their way down to smoke might take a patient. No smokes,, you dont smoke period. Staff doesnt let patients "borrow" cigarettes. For one thing they are expensive, if you cant afford to buy them yourself, you dont need them. We dont allow pca's off the floor by telling the patient it is a controlled substance and if it is not in the building it is no longer controlled. Usually they will beg the doc to take the pca off and let them have something IV or PO, which is fine by me. If they are in enough pain to need a pca they dont need a cigarette. We usually can put them off long enough to get them off the pca, then let family take them out when the release is signed.
We also dont need a Dr order for nicotine patches,, we can write a N.O. now after we got the release policy.
Mar 11, '04Occupation: RN, ED Joined: Oct '03; Posts: 735; Likes: 75When my patients would ask (where I used to work) if they can smoke I usually let the doc handle it. We were pretty free with the nic patches, though.
Only once have I had someone ask me to assist them to smoke. I refused; she made a fuss and I said that since I had buried both of my parents from lung CA I didn't really see the point. For me it's a belief thing; the way some nurses/doctors won't assist in abortions. The patient can yell and scream all they want. I just won't do it.
Customer service, my :hatparty:
Mar 11, '04Occupation: L&D Specialty: OB ; Joined: Aug '03; Posts: 501; Likes: 10Worked in hosptial as an aide that had a policy that no pt was to leave thier unit for any reason unless it was a medical procedure. So no smoking and going to the cafeteria for our pts. No pt ever got to smoke, they all got a patch. I think this is the best policy.
I am not going to leave my other pts to go help you feed your bad habit while I endanger my health by breathing in your secondhand smoke!!!!!
Mar 11, '04Occupation: Soon to be RN!!!!! Joined: Jan '04; Posts: 144; Likes: 3Okay, perhaps I am being naive to be shocked to hear this story, however, I am not a nurse (yet) so I haven't had to come across such atrocious stories. I am really boggled at the gall of some people. HOW could the super expect you to put off caring for OTHER patients so this idiot could relieve a disgusting habit (IMHO). I am having a hard time facing the fact that I am going to , no doubt, have to experience stories such as the ones I have read on this BB. It worries me. I certainly hope I don't let it get to me to the point of where I hate my job. I really DO admire that some nurses can go through sh*t like this, yet still live what they do. I hope I will be so lucky...
Anyway, that was truly horrid and I hope it doesn't happen again (although, undoubtedly, it is happening somewhere right now).
Mar 12, '04Occupation: CDU nurse Joined: Sep '03; Posts: 4,001; Likes: 542what happens if one of the nurses other patients codes while you are outside with the smoker? Isn't this a major liability for the nurse and the hospital?
Mar 12, '04Occupation: ob staff nurse high-risk referral center Joined: Apr '01; Posts: 320; Likes: 32Speaking of bending over backwards; we had a pregnant pt who accused the dietary guy of rape....two days after the fact. He was fired, she was provided a sitter for the duration of her stay. This was about two weeks. The sitter was required to go down with the pt to smoke. Pt didn't have cigs so would panhandle for them outside. My thought is...let them write it up, let them sue. These loonies don't have a case, and I'm not about to leave pts who really need me to attend to these nutcases!! No matter what my CSM says.
Mar 12, '04Occupation: CRNA Specialty: Anesthesia ; Joined: Jan '03; Posts: 400; Likes: 17Quote from rpbearA little off topic, but just wanted to say that I have seen a few instances where beer was prescribed for an alcoholic patient....They even ask the patients what kind of beer they'd prefer.....Nobody is going to let a alcoholic have a drink in a hospital or a drug addict shoot up....