Things you'd LOVE to be able to tell patients, and get away with it.

Just curious as to what you would say. Mine goes something like this: Nurses Relations Video Nurse Life

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Hi, my name is AngelfireRN, I'll be your nurse tonight.

I am not a waitress, nor am I your slave.

Yelling and hurling obscenities at me will not get you your pain meds any sooner than they are ordered. Nor will having your family member or entourage do the same.

Threatening lawsuits and having umpteen family members camp out in the halls or hold up the nurse's station will not get you preferential treatment.

Physically grabbing me as I go down the hall is NOT a good idea.

I do not give the orders, but I do have to follow/enforce them. This is something that you should take up with your doctor.

No, I will not call him again to ask him for more pain medicine. He has been called twice and has said no both times.

No, I will not give you his number so you can "straighten him out".

No, you are not my only patient, and I highly doubt that you are single-handedly paying my salary. On the off chance that you are, let's talk about a raise.

NO, NO, NO, I most empahatically will NOT come get you when it is time for your next pain shot while you are having a smoke break. I also will not bring it to you in the smoking room. (Have actually said that, I am allergic to cigarettes. I did it once, had an asthma attack, desatted to 83, and turned blue, according to the patient and my charge nurse, after the patient had to help me back to the floor).

No, I don't really care if your family has not eaten all day, they drove here by themselves, they are not sick, and no, I will not call for 6 guest trays. (This of course, is if the patient in question does not need all 6 family members present, and is not at death's door).

No, you may not have 3 six-packs of soda from the kitchen, there are other people that would like a snack, too.

No, they will not open up the kitchen up just for you, at 1 in the morning, because you don't like the snacks we have on the floor.

I could think of hundreds, but those will do for a start. I know it sounds mean, but this is why I got out of bedside nursing. When a hospital becomes the Hilton, I'm gone!

Have fun!

Patient:- "I need this...". Nurse hurries and fetches it.

Patient:- I want that...". Again, nurse hurries and brings said thing.

Patient:- I've changed my mind, I want that instead.." Nurse goes and gets it.

(Goes on for like 20mins or so). Until finally, you know what, you can fetch that yourself. I'll walk beside you, so you don't fall.

(A pause)...Patient:- Could you please do this for me? ( There, that wasn't so bad, was it?:)

Done! Oh and that was the last errand too.

Who wipes your butt at home?

Specializes in ER/Trauma, Corrections, Consulting.
How are you expected to pay for your blood pressure medicine Mrs. Robinson? (fake name of patient who presented to ER with HTN and prescription had run out)Do you really want me to tell you because you aren't going to like what I say. Are you sure, you really aren't going to be happy with my answer. Okay, here goes. Perhaps you would be able to afford your medication if you weren't spending $100 a month on fancy fake nails with rhinestones and airbrushed designs. And you might want to reconsider whether the $50 dollar hair-do with all the swirly things and curls is really necessary considering the fact that your out of control blood pressure is likely going to kill you. Actually said this to a patient only in a slightly nicer way. She looked at me gape-faced. Then I think she considered punching me but I really did say it in a concerned way and had given her an out if she didn't want to hear it. Her face finally relaxed as she realized that what I had said was true and actually thanked me as I walked her out the door.

My coworkers have always said that I seem to get away with saying the most outrageous, but true things to patients and I've never gotten a complaint from one of them. It started in nursing school. I put a patient on the toilet and told her to pull the cord if she needed something. Well soon enough the light went off and I heard her yelling. I ran to the room to find her standing facing the toilet with her hands on the seat. I said "are you sick?!" She said "No...wipe me" Before I could censor myself I looked at her and said "Why? Are your arms too short?"

I am a bad, bad, bad nurse:selfbonk:

You are not wrong!! I say just about anything that is needed to be said because...well, because I can! I'm great at what I do but I'll be darned if someone's going to walk all over me. I am glad to tell my patients "I actually went to COLLEGE and got a DEGREE to do this!" LOL

Pt: I bet you would like to push me into a snowbank.

Me: No, of course not, the snow isn't deep enough

What I did say to the very rude, abusive and generally unpleasant man as I was wheeling him outside.

There have been many times i have had to literally bite my tongue to ensure i did not say things that i so desperately wanted to say to patients and their visitors. A few of them were:

*No i will not get you a bed pan so you can go to the toilet, you are able bodied, you are not bed ridden nor suffering any weakness, walking and moving about does not cause you pain, other than laziness there is nothing preventing you from using the regular toilet all on your own like everyone else on this ward can.

*I do not cook the food, i do not prepare the meals, i do not prepare the menus which are available to you. You choose the meal you receive, not me, complaining to me, yourself or your visitors, will not get your meal changed nor will it get me to jump down to the caferteria to get you something that you want to eat, you chose it, you eat it, this is not a takeaway establishment.

* Talking loudly to your visitors about me and the other nursing staff and how long it takes us to respond to your bell loudly enough for us to hear what you are saying about us (no matter how unneccesary the matter you are ringing it for is) will not make me respond any faster the next time you ring it.

*I don't care if you have a headache or you feel queasy, frankly i have no sympathy for you what so ever, your injuries somewhat amuse me, maybe next time you will learn so that you don't end up back in here, injured from being pinned down by law enforcement due to being a public drunken nuisance, please take some breath mints and brush your teeth, have a shower, and get out of my sight, every pore of your body stinks of stale alcohol and being near you makes me feel sick.

Specializes in Med Surg-Geriatrics.

What is this "Princess & the Pea"? (after fluffing and rearranging the pillow upteen times..Or..Its 3am in the morning, I will NOT call the Doctor about the itchy rash under your right boob!(what am I saying I have said that...Oops!

Specializes in Medical.

When I told my patient, after having to hoist him off the loo because he was hypotensive and felt so weak he couldn't stand, that he would have to call me and use a pan by his bed next time because his (new) postural hypotension could cause his to black out, he said "You're very bossy, aren't you?"

"Yes. That's part of what they pay me for - aren't you lucky!"

Specializes in OB/GYN, Peds, School Nurse, DD.

"No ma'am, I will NOT call your pediatrician at 1am because your baby has been constipated for 10 days. First, I don't believe you and second, you're drunken fool. Call him yourself after 8am!" (Actually, I did refuse to call the doctor and when she got belligerent I told her I she was not allowed to speak to me with curse words. Then I hung up on her :nurse:)

Specializes in LTC.
When I told my patient, after having to hoist him off the loo because he was hypotensive and felt so weak he couldn't stand, that he would have to call me and use a pan by his bed next time because his (new) postural hypotension could cause his to black out, he said "You're very bossy, aren't you?"

"Yes. That's part of what they pay me for - aren't you lucky!"

I LOVE when patients or my family tell me I'm bossy. My husband is noncompliant with his diet and he gets a tad grouchy and tells me I'm being too bossy when I inform him how important fiber and water are to his sluggish colon. Then when he complains about his bowel movements I just glare at him.

Specializes in ortho, hospice volunteer, psych,.
i love when patients or my family tell me i'm bossy. my husband is noncompliant with his diet and he gets a tad grouchy and tells me i'm being too bossy when i inform him how important fiber and water are to his sluggish colon. then when he complains about his bowel movements i just glare at him.

that's ok. just remind him you're doing it because you love him. my husband is a type 1 diabetic and has been since he was 10. i remind him gently, from time to time, that if i remind him not to load up on carbs sometimes, or weigh and measure something occasionally instead of merely eyeballing its size, it isn't because i think i'm his mother, or enjoy being bossy and controlling, it's because i love him with all my heart and soul and am trying to keep him healthy. i want to make sure he keeps all his fingers and toes and legs long term. both his parents were type 1 diabetics. his mom was blind eventually and his dad had damaged kidneys -- both as a direct result of being diabetic.:eek:

so will i keep being "bossy" sometimes? you'd better believe it! but i also recognize that it's his disease and not mine.

as wives, we do what we can, being "bossy" included, but i'd rather think of it as being proactive.:nurse:

kathy

shar pei mom:paw::paw:

Specializes in orthopedics, telemetry, PCU.

It took me a week to get through the whole thread...so funny and great!

Here are a "few" of mine:

1. No, I will not fast push your Dilaudid undiluted. If you scream at me again about it, I'm diluting it in 10mLs instead of 5.

2. If you are well enough to come out to the nurses station and scream at me about not getting your bath, you are well enough to use the supplies I placed in there earlier for you to use to BATHE YOURSELF. Especially since you're leaving today.

3. How did you wipe your butt before you got here?

4. Just because you have a call bell DOES NOT mean you have suddenly lost the ability to do anything for yourself.

5. If you find it difficult to sleep here, are not comfortable in the recliner you're not supposed to be sleeping in, or are unhappy that the cafeteria is not opened at 3am when you "have the munchies", you can leave. You are a VISITOR, not a patient.

6. I really am sorry that Mamma was on the bedside commode for fifteen minutes. You watched as I spent a half an hour in the middle of my med pass getting her on, off, and back on again as she pooped on the floor and my shoe. I asked you to ring the bell and someone would come in when she was done. Coming out into the hallway yelling "nurse" is not the same as ringing the bell, and is why someone who was not busy didn't know that you needed us. Go ahead and take down my name so you can report me.

7. It does not require a RN to do a finger stick. In fact, the aide is probably better at it than I am, because she does at least 15 a day. But sure, I'll drop what I'm doing and come do it for you.

8. No, I will not go downstairs and pick up the delivery you ordered. You are a diabetic and on a restricted diet. I'm sure it DOES taste gross, but maybe this would be a good chance to kick start your diet.

9. STOP GETTING OUT OF BED. That annoying, high pitched loud beeping sound is going off becuase YOU'RE GETTING OUT OF BED.

10. No, that person constantly with your roomate is not a private nurse the hosptial is providing because we like him better. It's someone watching him at all times to make sure he doesn't try to kill himself again.

11. If I were trying to poison you, you'd be dead.

12. How about this, since after 20 minutes of pillow fluffing you still aren't satifsied, let's try one right herrrre, over your face.

13. If your pain is a 10/10 and you are asleep, we need to clone your DNA for our race of superhumans we're working on down in the lab.

14. If you are that concerned that your newborn has no pacifiers, great, but you may not leave him in the nursery for hours at a time while you sleep. Especially since he is going through withdrawl from the Vicodin you were popping when you were pregnant.

15. Yes, it is your fault that your baby was born at 28 weeks. It had something to do with the crack you were smoking.

16. I'm sorry that the ER nurse "stepped on your buzz" by giving you Narcan. You were breathing about 4-6 times a minute when you were brought here in an ambulance. No, you don't have any Dilaudid ordered. Oh, you're nauseous after eating that MickeyDs your girlfriend brought you and would like some Phenergan? Of course you would. It's impressive that you asked for it by name.

17. Nope, I'm definitely not pregnant. Guess I need to cut back on the sweets though.

18. I probably look tired because I AM tired. I've been taking care of people like you for hours and it's the middle of the night. No, we're not allowed to take naps at the nurses station.

19. Do you have any idea what kind of nasty germs live in hospitals? It really makes me question your intelligence to see you bring your newborn infant in here.

20. Yes, I did go to college to do this. No, I do not think I should go back to school and become a doctor. I'm pretty happy "just" being a nurse.

21. I will not get you another glass of water after you threw the last one at me.

22. If you are going to refuse to comply with any treatment recommendations given to you, you will keep getting sick, and I will continue having to deal with you. It's not a conspiracy against you, trust me, we're sick of you.

23. You don't have insurance, therefore my tax dollars are actually paying for all of your care here...why would we be performing uneccesary procedures on you "to get more money out of you"?

24. You're crazy and so is your family. We can't wait for you to go home either. Unfortunately, the doctor decides that, not us. I know that the Super Bowl is Sunday, and you've told be multiple time you want to be home for it. Please, please sign out AMA.

25. Are you trying to kill your friend's baby? We told you five times that if you go up to Peds to see your other friend's baby who has RSV that you cannot come back down here. You better believe I'm going to call security when I catch you trying to sneak back in to postpartum.

Wow...that felt good. I had more of them than I thought, and I haven't even been a nurse for long :)

Specializes in ICU.

I work in an infusion clinic and for a infectious disease dr, so my rants are a little different, but I think anyone can relate.

When I asked if you had any chronic health problems or you took any medications for any conditions you may have, that was I needed to know about your diabetes, or high blood pressure or kidney disease .etc, not a week after that fact.

I don't care if you don't take insulin, you are still diabetic.

It gives me an upset tummy is not an allergy.

Yes, I am old enough to do this job, and be married, (the wedding band gives it away) and now you don't get to ask exactly how old I am, you wouldn't dare ask any other woman.

No, thanks so much for asking, but I just going to have pass on dinner with you. I can read the chart, I know what you have.

No, don't make me ask my ID doc for po meds...its not a conspiracy to ruin your couple of weeks, its just po meds didn't work.

I don't care what you read on-line; champaigne sized bubbles inside ur tubing, it isn't an emergency.

Lastly, a story, I had a pt throw an unbelievable fit. How could the hospital and our clinic be so irresponsible and let a pt leave with a PICC in place, without warning her of potentially horrible side effects. Knowing everyone gets a well rounded education on risks of PICCs from the radiology dept in the hospital and staff in the clinic I wondered what she could possibly mean. Before I got a chance to pull her aside and discuss the issue, she said loudly in a waiting room, no one told me I could lose my breasts because of this thing. I literally said nothing for a moment, before i managed to whisper what. Apparently another pt in the waiting room was in because she had a post op infection from a masectomy and happened to have a PICC for something else. The pt overheard the other pt talk about her infection and jumped to conclusions. It took everything in me to sat mind your own damn business and use some common sense.

Feels very good to vent, im ready to go back to the grind tomorrow.:nurse: