How to artfully dodge conversation?

Nurses General Nursing

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Most patients know that you're in for a few minutes for your nursing duties, but there are always some who expect you to be an audience. Saying, "I'm sorry, but I really need to start a blood transfusion," or similar doesn't work. I'm all for some chatting a bit and building rapport, but how to I artfully and tactfully dodge people who want to talk and talk and talk? I had a lady the other day who expected me to sit down and talk to her every time I had to give a med or something. Since her family had called administration over a "rude" nurse, I had to indulge her and spent an average of 30 minutes in her room at a time, nurse manager's orders. Another time while giving an admit interview, a man kept lecturing me on politics and religion. When I asked him to please answer the questions so there would be no delay in delivering his necessary treatment, he said, "You people only care about making money, don't you?" Beforehand I had let him lecture me a bit to try to get to know him and build a bit of rapport. All the staff commented on how he's talk your ear off and throw a hissy fit if you tried to leave.

These kind of people are egocentric and accuse staff of rudeness if we do not sit down and talk/listen to things totally unrelated to their medical care. I've tried making excuses, I've tried twisting towards the door to show that I'm trying to leave, I've tried just leaving the room after asking them if they need anything. I try to butter them up beforehand with smiles and asking how they are. Sometimes it works, sometimes I still get reported as being a rude nurse. How do you deal with these people?

/rant

Did this same nurse manager also "order" a lesser amount of patients for the nurse given this patient to make up for her monopoly of time. If not (and I'm sure not), other less demeanding patient will only suffer in the end. If the nurse manager is that concerned, perhaps she should spend her precious time in the room all day listening to Ms. Motormouth.

/rantover

Sorry, sometimes management really irks me

I have no problem being an $$$. I dont have time to explaine why I dont have time. Never say anything you cant justify and you always have a leg to stand on. Management will always be an issue, but they probly wont fire you for being rude when necessary. You know nursing, we always take #### from someone DAILY.

Specializes in Orientation hahahaha.

This is a critical unit... I am getting a page, sorry I have to go....

"I have to care for another patient" and head out....I also put rescue plans in play....Ask a coworker to come get me in 5-10 minutes....

Specializes in Addictions, Acute Psychiatry.

I learned in SE Asia that not responding and silence was more effective than anything. Doing so and smiling was actually IS accepted response over there. I tried it here and it seems to work. I wouldn't recommend it for months on end (that gets irritating and made me wanna come home)!

Gotta remember patients may not be egocentric; my guess is they're venting or talking because that's their stress mechanism...they're isolated allll day. If you've ever been hospitalized, it's no fun.

I think you gotta look at your motives for lingering. It's perfectly acceptable also to start leaving, and turn your head as you speak your final response to what he said on your way out the door....like "yup, I hear ya...see ya in a few..."

There's a saying....once you speak, you're a slave to your words; silence is freedom!

Anyways, those are a couple things I do that seem to work.

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