How Would You Handle Pt Anger r/t Wait?

Nurses General Nursing

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It happens to all of us. We're in a patient's room, we go out intending to get that pillow, that sleeping med, whatever (it's usually something minor), and as you're passing another patient's room, Something Very Bad is happening and you're suddenly taking care of a crashing patient, and Stable Patient's pillow is the furthest thing from your mind.

We're not allowed to say to Stable Patient, "I had a patient who needed me more" and now when we go back there a half-hour later, Stable Patient is ready to spit nails because she's been waiting so long for something that seems so simple. She's threatening to write to everyone up to the Pope about this inefficient service, and you know that she's the type to do it.

You now have to calm this patient down and take care of her.

How do you handle it? What do you say? How do you smooth things over?

If I couldn't tell them the simple truth, I would dissolve them with my ray gun. :rotfl: :clown: :smokin: :eek: :devil: :angryfire :idea: :biere: :smiley_aa :banghead: :beer: :yelclap:

You must have read Bill Bryson's "The Life and Times of the Thunderbolt Kid" . . . . . . . I too have a ray gun. :monkeydance:

As to Angie's question, I do as others have said and explain about an emergency or crisis or priority . . . :nurse:

steph

Specializes in ER, ICU, L&D, OR.

Let them complain, some people arent happy unless they are complaining, so let them complain away. After that then you hit them with a club to the head.

Makes me feel so much better.

Let them complain, some people arent happy unless they are complaining, so let them complain away. After that then you hit them with a club to the head.

Makes me feel so much better.

I like my ray gun better . . . . .:flamesonb

steph

Specializes in Utilization Management.

Oh I can just see Management drooling over the scripting for those two ideas:

"Yes, we did have an emergency come up, what more can I get for you? And will that be the Death Ray or the Hole In One?"

Specializes in Staff nurse.

...when I am making my assessments or PRN IV pushes and a pt. asks for a pillow, soup, crackers, cookies, etc, I say "lets's use your call light for that. I'd be happy to get that for you but you might have a longer wait, because I have these other nursing duties."

...we have pocket phones to tell us when someone calls for a PRN or someone has pulled an IV out. If I am in a pt. room and my phone rings, I will say, "excuse me, that is my phone". After I get off the phone I will explain to the pt, this phone let's me know anything that comes up that needs attentiion. When you use your call light for a pain shot, this is how they let me know, to save time." This sometime helps with those who think you are their private nurse.

...when I am making my assessments or PRN IV pushes and a pt. asks for a pillow, soup, crackers, cookies, etc, I say "lets's use your call light for that. I'd be happy to get that for you but you might have a longer wait, because I have these other nursing duties."

...we have pocket phones to tell us when someone calls for a PRN or someone has pulled an IV out. If I am in a pt. room and my phone rings, I will say, "excuse me, that is my phone". After I get off the phone I will explain to the pt, this phone let's me know anything that comes up that needs attentiion. When you use your call light for a pain shot, this is how they let me know, to save time." This sometime helps with those who think you are their private nurse.

That doesn't work in any of hte places I've worked because we were responsible for answering our own call lights.

Specializes in Education, Acute, Med/Surg, Tele, etc.

I personally like the phrase "unavoidably detained". That seems to smooth things over if I follow up with something about "glad to be here for you...I was hoping nothing pressing was needed, what can I do to help you.

I like that wordage because it showed that I was detained (so I don't have to explain and it sounds like someone else made me stay..which is not too far from the truth!), and that I was thinking of them (maybe a lie, but I am sure I did worry or worry about them screaming at me! LOL), and shows that I am there for them NOW to help.

Specializes in Med Surg, ICU, Infection, Home Health, and LTC.

i am not sure if administration likes it or not, as long as i don't give out any private information, i just flat out tell them the truth.

"i'm sorry ms so-n-so, i had a patient that went bad and had to transfer them to icu." or "i'm sorry i had a little lady accidently fall...pull an iv out...whatever...and i had to help them first. here's the pillow i promised and i'm sorry it took me awhile."

i have never seen the truth not resolve their hot temper and they mellowed out knowing that if they were to turn bad and go sour, i'd be there with them when the need is real.

that helps them know that you do care and didn't get it done because you couldn't do it, that you do have other patients, that you can prioritize, and that you don't lie.

Specializes in Education, Acute, Med/Surg, Tele, etc.

OH firewolf...how good for you! I have told the truth and had it come back in evil form from patients!

"sorry I had to help with someone whose heart stopped"...pt "well then they are dead, you do tend to the living don't you?"....OUCH!

I find most patients really don't care what important matters you need to do, it is your job to spend time on them in their mind...and well in job description too. They don't care about prioritizing, because to them...some can have a unreasonable expection of priority...THEM and only them!

After trying to explain I found it better to do what I do now...just say I was detained, and am happy to help them now. I make no other excuses, and if they want to spend time complaining...I make them realize they are complaining and that is taking up time for me to help (within reason..sometimes it is best to let that complaint come out and be done with).

OH one of my personal favorites is the patient on medicare/medicaid that says "I pay for your services...I expect....". And I usually say..."funny thing is I TOO pay for my services to you in taxes...so how much of my livelyhood goes to paying for your stay that I will never get back???".

Specializes in Emergency & Trauma/Adult ICU.

When I'm assessing/doing procedures/giving meds/etc. and a pt. asks for a non-urgent item my typical response is, "when I can get down the hall/to the ice machine/whatever I'll get that for you." This reminds pts. of the "big scheme of things." The occasional griper gets verbal redirection (reminder of the "big scheme of things" i.e. breathing & airway before pillows), a review of "the plan" of their care and the phone number of the Patient Advocate, if they feel the need to make a phone call.

Specializes in Med Surg, Hospice, Home Health.

crashing patient takes priority over pillow...

Specializes in Telemetry, Oncology, Progressive Care.

I have also told patient's that I have had another patient go bad and was transferring them to the ICU so they could receive a higher level of care and was getting to them as soon as I could. I'm not giving out any patient information and don't see how that is wrong. It's not like I'm telling them that the patient in room 123 was having a hard time breathing and we were suctioning them and they were desatting etc.

I've never had a patient get angry with me. In fact they have said no rush when you get to me you get to me. If a patient did get upset with me I would feel inclined to tell them that in the hospital we need to prioritize care that we give to patients and I'd probably go into the whole ABC with them. They'd probably get tired of me talking and be begging me to go away.

Kelly

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