Get off the phone

Nurses General Nursing

Published

Occasionally, I'll have a patient who is speaking on the phone when I enter the room with meds for them. Some will tell the person they're speaking with that the nurse just came in and that they have to go. Others, just keep chatting away and pretty much ignore me. If I can, I'll let them be and come back later, but it sometimes puts me behind on my med pass. I recently had one woman who I was able to assess on one of her short breaks between phone calls but other than that, she was pretty much on the phone constantly the whole day (and then complained about having a sore throat and hoorificeness).

I realize that sometimes the phone call is really important but I feel that most of the time, it's just rude to continue the call while the nurse waits to give you your medications and treatments. I feel like I need to be more assertive in asking people to get off the phone but worry about them complaining to management. And you know how focused we are on patient satisfaction scores

Do other nurses out there have the same problem. How do you handle it? Do you bother asking the pt to put down the phone? Are there repercussions?

Specializes in Management, Med/Surg, Clinical Trainer.

The majority of patients will either hang up or least put the person on hold.

I walk in and say I have meds for the person. I wait politely for them to end or put the person on hold. But If that does not do it or they ignore me, I tell them I will come back later when it is convenient. That usually does it....anyone who has been in the hospital at all knows...that we come when we can. If I walk out I might not be able to get back in there for a while. Sad but true.

Unless I need the patient's full attention for some reason, I don't care if they choose not to interrupt their phone call if it's time for meds.

I don't expect anyone to drop what they are doing and 'attend' when I walk in the room as their nurse. That's a bit exaggerated, and perhaps not what the OP intended. It is hyperbole -- for the purpose of illustration.

If don't find I need my patient's full and undivided attention to perform many nursing functions. I can scan them and unpackage their pills and check a blood pressure or pulse, or switch out a dressing. Hell, they are in the HOSPITAL, alone, away from the comforts of home and family (unless the whole troop is in visiting :D ).

Each nurse has expectations they carry around within themselves, and these expectations impact their performance. If a nurse feels her performance is 'impaired' if the patient is on the phone, or yakking away with a visitor, it does seem a bit extreme -- depending upon the job the nurse needs to do. If you need to do a dressing change on their butt and they are kickin' it on the couch with their family members, well heck, I interrupt them. But I can step over visiting family members and slip a patient their nightly Lipitor and Colace without needing their formal audience. The problem is NOT checking yourSELF, as a nurse, about your own expectations. Perhaps they are too rigid or unrealistic? I sure saw that a lot, and there were times I felt too timid to say "Hey, get your $$$ back in bed or would you like me to sit in your mother in law's lap while I start your TPN?"

How do you handle it?
Assess her ability to ingest the phone PO. ;) Then ADPIE.
Hold up. If they don't get off the phone when you want them to, you document refusal and go about your business? Really?

I hate the customer service mentality with a passion, but patients also need their meds. Inconvenient timing does not trump my responsibility to facilitate the medical plan of care.

Wrong. When I come into a room its for a reason. Meds as we know are relatively time sensitive and we should not be walking into different patient's rooms with meds for another patient. If I come into a room, you will take your meds or it's a refusal. I won't return them, leave them sitting out, nor have them chilling in my pocket. Convenience isn't my problem, this isn't a hotel or McDonalds. You can't have it your way.

Ugh this is why I work ICU, there is little choice involved.

One thing, even if through gritted teeth, make it about their needs not yours. As in they need their meds or treatment for their best interest, not your schedule or just common consideration.

I always ask myself- would they act this way if an MD walked in the room. If not then it is about my schedule to make sure I have time for other patients. Its also about respect for the fact that you as an RN know what it takes to help them recover.

Also, is it about their needs or wants. Many a patient would like to lay in bed all day- I know as an RN that being in the hospital is work for the patient- if you want to get well you are getting out of bed before breakfast, walking down the hall, sitting in the chair for breakfast- then you go back to bed for lunch (Wash, rinse, repeat until the person can go home).

My mother is an IV therapy RN- patients in ER want to talk on the phone instead of getting the IV. Do they want to code without an IV? How about go through a procedure without an IV? No? The RN is here to do his/her job right now.

"Hey there, would you mind putting the call on hold for a minute? It's time for your medicine and I need to make sure you're aware of everything I'm giving you."

Most people get off the phone without me asking, but if I need to ask I say something like that...nobody has ever said no and nobody has ever gotten an attitude about it.

Putting a cup of pills in front of their face for them to swallow mid-sentence isn't a good idea, in my opinion. Even though I'm sure lots of patients would just take them, I've had too many patients tell me that a dosage of a home med is wrong, they have an allergy, or that they're missing something they usually take. Not to mention its setting yourself up for all kinds of accusations.

Specializes in LTC Rehab Med/Surg.

It's just a simple slide to incivility. Ignoring anybody standing and waiting for you for anything, is just plain rude.

Unless there's an emergency, all my patients have an order. It's not carved in stone, but it's how I stay organized.

If the patient prefers to talk on their phone, instead of taking their meds, they have to wait until everybody else has been seen.

It's not punitive. It's not fair for "Mrs Smith" to have to wait for her HS meds because "Mrs Phone" wants me to come back when it's convenient for her.

In defense of my suggestion LOL, I'm no doormat but I've worked out the customer satisfaction/boundary balance pretty well. I don't struggle with trying to perform my job in lieu of happy customers. I have learned how to make both happen, and like my job on top of it. I've posted a lot on this forum but never about negative patient or coworker relations because I don't have them. I can either be articulating poorly or my suggestion can be perceived as junk but my style jives well with patient and employer alike as well as myself.

Specializes in 15 years in ICU, 22 years in PACU.
Convenience isn't my problem, this isn't a hotel or McDonalds. You can't have it your way.

I hate to interrupt you making an excellent point but I think that would be at Burger King.

Specializes in Critical Care.

I usually find it effective to just take the phone out of their hand and hang up for them. But by that time I usually wake up from my nap.

Specializes in Neuro ICU and Med Surg.

I run into the same issue as a rapid response nurse going to do blood work or IV starts. I have never had a patient ask me to come back later. If they do I tell them I can't promise to be back later. Usually they either let me continue while they talk and are distracted or hang up the phone and let me do what I need to do. Most of the time they say "That special nurse is here to start my IV so I have to call you back."

Specializes in Critical Care.

I usually tell them not to hang up, this will only take a minute and then give them their meds. Simple, no problem.

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