How do you respond to rude patients?

Specialties Emergency

Published

How do you respond to rude and complaining patients? I took an earache patient back the other night who waited in the waiting room for 12 minutes before being called back. She stormed to the room yelling about how much pain she was in and how long she waited, and that she never comes to the hospital, "especially this one.", etc. (Hello....it says right on the chart when your last ED visit was....ah hem...6 weeks ago.) In the 12 minutes that she waited to be seen after registering, I was seeing a head trauma patient, that I was working on getting back to CT. I'd been yelled at by a patient a few hours before (not even my patient, but she stopped me in the hallway) about how she was still in so much pain, she'd waited forever, and she didn't even know if she had a nurse, etc. so I was not in the mood for this treatment again, especially when I was dealing with a head trauma patient and this earache is yelling about waiting 12 minutes. GRRRRR!!!!! Oh, and I had pneumonia, but still came to work because there was no one else to work night shift. And she's yelling at me because her ear hurts! How do you deal with the rude and grouchy patients?? What do you say to them? You'd think they'd be grateful that someone is there trying to help them. It just infuriates me to be treated this way and feel like I can't say much back to them.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
Not to argue, but what you do is patronize the patient when you tell them what you posted in the other post. As for getting positive results from the patients you say that too, I would be afraid to say anything like that after someone just chastised me for being impatient and rude because I feel like crap and want to feel better.

As a matter of fact that did happen to me once-I wasn't rude but in a lot of pain and crying. I didn't make a scene but just waited in the exam room for several hours. I never complained about the wait yet some snotty nurse told me in a very patronizing way that the doctor was dealing with more serious problems than mine and would be in to see me when he could. Just out of no where she says that. She basically intimidated me so I didn't say anything back. Maybe that's why you get such positive results when you do the same-the patients feel intimidated and don't know how to reply to your comments.

It's people like this that made me go into the healthcare field. I figured that I could try to make up for the rude and patronizing healthcare professionals who feel so "put upon" by their patients by being a caring and sensitive professional who can see beyond a patient who is not feeling well who is being "rude".

I didn't see anything patronizing in the aforementioned post. This post, though, is pretty over the top. I'm sorry you feel you were mistreated, but that's no excuse for jumping on a fellow poster.

Specializes in ER.

Some pts are bottomless pits of emotional need.Although I think it's a mistake to be derisive and confrontational, I also believe it's not a good idea to fawn over them, and feed their neurosis.

I just stay professional and limit contact. People who are being uncharacteristically rude usually apologize. Jerks who are always rude realize they aren't going to get a rise out of you and dial it down a little.

I've found that it is sometimes helpful to ask what it is they need to make them less upset. If it's possible, I do it, if it's not I tell them and let them know why.

genius! I have to try this next time.

Honestly, I do feel bad for these people. They are obviously miserable - whether it's because they had to wait an hour to be seen or because they're struggling with an abusive spouse, the fact that they're pregnant again or that not even the food stamps will be enough this month (can you tell what my ED is like?), heck, even if their son just came out of the closet, they're having a bad hair day, etc. Maybe it's because I've found a lot of peace from observing some Buddhist practices lately, but I feel for these people as well.

After a point, I do tend to just switch off and become this very professional albeit cold nurse that's just there to do her job. You have to kind of know when it's an uphill useless battle and not worth your attention if even for the sake of your other patients.

I had a woman today who no joke came in via EMS because of her asthma. No, she wasn't having an attack, just general symptoms. Upon auscultation, her lungs were very clear and her O2 sat was 99% on room air. She just complained of generalized tightness (and she reeked of cigarettes) and sat there for a half hour DEMANDING a prescription for Prednisone so that she could leave. Then she blamed everyone who walked by for not doing their job and that they should KNOW she was there for asthma since she came in via EMS... when she speed dialed Patient Care Srvcs on her cell phone I knew that it was a lost cause and just tuned her out.

Do these people ever fathom NOT getting superb care because they're difficult and treat their providers like crap? I mean, I wonder if they send food back at restaurants and then leave tipping 8% while they pocket the whole bowl of mints on the way out too?

Specializes in Emergency.
LOL. Yeah patronizing a patient is really going to help since every one of them thinks they are the worst and need to be seen right away.[/quote']

Telling people what's up in the ER is not patronizing. In fact it is totally appropriate, and I would say your best option. If someone is bellyaching about the wait time it is helpful to remind them of the reality of Emergency "we will have a Doctor in as soon as we are able, unfortunately we have some very sick people here tonight. Your vital signs look good and we are keeping an eye on you, let me know if you have new concerns" Like the PP this is most often my strategy, and most often works. Also, if the screaming/abusive language/threats start I will insist that they stop, or security will be coming to have a chat, I have no tolerance for that kind of behavior.

Ruby beat me to it, and probably said it better. the two experiences are totally different.

I didn't see anything patronizing in the aforementioned post. This post, though, is pretty over the top. I'm sorry you feel you were mistreated, but that's no excuse for jumping on a fellow poster.
Not to argue but what you do is patronize the patient when you tell them what you posted in the other post. As for getting positive results from the patients you say that too, I would be afraid to say anything like that after someone just chastised me for being impatient and rude because I feel like crap and want to feel better. As a matter of fact that did happen to me once-I wasn't rude but in a lot of pain and crying. I didn't make a scene but just waited in the exam room for several hours. I never complained about the wait yet some snotty nurse told me in a very patronizing way that the doctor was dealing with more serious problems than mine and would be in to see me when he could. Just out of no where she says that. She basically intimidated me so I didn't say anything back. Maybe that's why you get such positive results when you do the same-the patients feel intimidated and don't know how to reply to your comments. It's people like this that made me go into the healthcare field. I figured that I could try to make up for the rude and patronizing healthcare professionals who feel so "put upon" by their patients by being a caring and sensitive professional who can see beyond a patient who is not feeling well who is being "rude".[/quote'] I'm not mean to them in the slightest. Everything you say depends on your tone and circumstance. I'm sorry you so blatantly misunderstood me but I don't appreciate your insinuation that I am rude and intimidating when you've never heard me say it. Also thank you for the comment that I am everything you try not to be when you don't even know me.
Telling people what's up in the ER is not patronizing. In fact it is totally appropriate, and I would say your best option.

I totally agree - it's more frustrating being kept in the dark because everyone is so busy taking care of other patients instead of you. Even if it's going to be several hours, I try to be honest about it and just let them know. If they still get POed, it's on them.

Specializes in Emergency Department; Neonatal ICU.

... when she speed dialed Patient Care Srvcs on her cell phone I knew that it was a lost cause and just tuned her out.

OMG - LOL!!!

:roflmao:

Sometimes you just have to remind them that the sign on the front of the building says "Hospital", not "Hilton".

Specializes in L&D, CCU, ICU, PCU, RICU, PCICU, & LTC..
I didn't see anything patronizing in the aforementioned post. This post, though, is pretty over the top. I'm sorry you feel you were mistreated, but that's no excuse for jumping on a fellow poster.

AMEN! One of the very few posts I have read on this site that I wished you had a "DISLIKE" button for. lol

I find that some pt's do think it says "Hilton".

I agree with poster schookimz, letting the pt know that the doctor is saving a life, is NOT an intimidating tact. Just reminding the pt know that they are not fighting for their life (at the moment) even though they may be pain/uncomfortable, just inconvenienced for a bit. It is an emergency room not a doctors office.

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