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What are some of your least favorite things that you hear from your pts? Of course we are all nurses to help people, but some responses from pts make for an instant eye roll. My least favorite thing is when pts ask to take their morning medications when they "wake up". I work nights, and I hear that ALL the time. This is one of the few times that I can be firm with a pt, especially if they are on something like vanco and need specific blood levels or I will usually just tell them that I can come back in 15-20 min, and if they don't want it at that time then I will "pass it to day shift" which usually means it won't get done. (Not knocking day shift. It just happens that day shift wont pass meds for a couple of hours after report and the med might be do again. So they just ask me to document against it./say they refused it.)
There are plenty of instances where the pt gets to make decisions like when they take their meds, but I'm not staying late to pass meds because a pt not wanting to wake up at 0630.
Me: Do you have any chronic medical conditions?
Pt: No.
Me: Do you take any medications on a daily basis?
Pt: Simvastatin, Metformin, Losartan, Amlodipene
Me: So why do you take all those medications for?
Pt: Oh, I HAD diabetes, high cholesterol, and high blood pressure but I take medications for those issues so now I don't have them anymore.
*Head, desk*
Pt: Can I get a note for a week off work? (Pt. has minor cold)
*eye roll*
Me: So you're here for a drug screen today?
Pt: Yes, but I just peed 5 minutes ago in the waiting room. I can't go now. (Pt. waited 6 minutes in waiting room.)
*sigh*
Me: So what brings you in today?
Pt: I'm sick.
Me: Can you be more specific?
Pt: I don't know, I'm just sick.
Me: What are your symptoms?
Pt: I have a cold.
Me:......
"You only get one stick!"
"Anesthesia always has to start my IVs."
"I'm allergic to morphine, codeine etc. It makes me puke."
Me: Do you have a DNR?
Pt/family: Yes, you should have a copy.
Me: We have a Living Will...
Pt: Yep that's it!
Me: So you don't have a DNR.
Pt: Yes it is written in that Living Will form, no CPR.
SMH
I screen patients all day some of my favorites:
Me: do you take any medications?
Pt: yeah the red one and the blue one and sometimes the white one
Me: I see you had your gallbladder removed last week are you in any pain today?
Pt: oh god yes
Me: if you had to give it a number 1-10 10 being the worst pain you could imagine what would you say it is
Pt: ehh not too bad like 7 or a 8
Me: I'm very sorry to hear that, can you explain where the pain is and how it feels?
Pt: oh my back and ankles have been hurting for years I've got OA but my stomach feels fine
Me: *facepalm
Hmmm had someone sit on the rolly stool a couple of weeks ago after I asked them to take a seat on the table
Me: sir do you have any allergies?
Pt: nope
Me: well I see here in your information they listed codeine, penicillin and sulfa drugs?
Pt: oh yeah that's what I meant
Me: do you have any immediate family history of cancers or bleeding disorders?
Pt: yes my great aunts third cousin I think had some kind of cancer
"There's no way that's my blood pressure..." On the third try
Patients tell me they have no pain and when the doc comes in they'll tell them how their pain is actually 9/10
Me: sir do you drink alcohol or use tobacco products
Pt: no alcohol and yes tobacco
Me: alright how do you take your tobacco?
Pt: cigarettes
Me: and about how many cigarettes would you say you smoke per day?
Pt: oh I quit smokin 25 years ago
Can't stand overly zealous family members who for whatever reason think they know more than everyone in the room and shame their SO's about their history or vital signs
And my last one and probably biggest pet peeve is when they think I'm done taking vitals and they start taking everything off
My biggest pet peeve is when patients tell you to do something as opposed to asking. I get that they are in a vulnerable position and we are there to help them, blahblah but this is basic manners. You do not say, "Get me more water." or "Give me my pain medicine.", you say (ideally) "Could I have some water, please?" (
If a patient isn't on their death bed and says something like this, I will say something like "Please ask me for what you want instead of demanding it." Ganey scores be damned.
nursej22, MSN, RN
4,871 Posts
"Can you have the doctor come back, I forgot to tell him something." No ma'am, she's got a bazillion other folks to see, and 4 nurses and 2 consultants trying to speak with her. You're lucky you got as much time as you did.