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

Updated:  

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!

You just crapped 4 times and you want what for constipation????

Don't touch my face after you just scratched your @ss!!!

Ambien is at bedtime, not 6A in the morning.

You should report me to administration because I didn't stop your IV pump from beeping in the middle of a code in the bed next to you.

Xanax and Ambien isn't a standing order.........

You are the reason I'm calling out sick tomorrow and if I come back and you're still here, I'm going on short term disability.

I don't care if you call Ghost Busters, I'm not giving you anything your doctor didn't order.

You know the DON. No wonder they haven't been here to see you.

You don't like the food. Good I'll eat it because I haven't eaten all night because you won't stay off that darn bell. You should have carpal tunnel by now.

Forget it, I could go on and on.......

1 Votes
Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
agnus said:
pleeeze, go ama.

I tried this once. sorta.

guy was raising an enormous stink, threatening to sue everyone. that didn't get him wanted, so then he threatened to go ama if he didn't get it. I looked him straight in the eye and said, probably more cheerfully than I intended, "OK."

he sat back down, crossed his arms across his chest and declared "you'd like that, wouldn't you."

then he didn't go ama!

you can't win!

1 Votes

"And people in hell want ice water..."

1 Votes
twinkerrs said:
I will definitely make sure that my autistic son does not come to your clinic. He often hits and bites doctors who invade his space and touch him without appropriate warning especially if he is sick. He is 3.5 and medicated for his aggression. At this point he does not understand discipline. Looking at him he appears normal so you would make such judgment that he is just unruly, but remember you cant judge a book by its cover. I can remember the days I judged people based on their kids behavior, but boy oh boy do I have a different attitude now. I hope you dont have to go through what I did to get that change of heart.

TWinkers, I'm guessing you don't laugh or think that it's cute when he's behaving that way. And I would assume you explain any medical conditions before someone attempts to treat your son - for his protection as well as the care provider.

1 Votes
Specializes in ED/trauma.
twinkerrs said:
I will definitely make sure that my autistic son does not come to your clinic. He often hits and bites doctors who invade his space and touch him without appropriate warning especially if he is sick. He is 3.5 and medicated for his aggression. At this point he does not understand discipline. Looking at him he appears normal so you would make such judgment that he is just unruly, but remember you cant judge a book by its cover. I can remember the days I judged people based on their kids behavior, but boy oh boy do I have a different attitude now. I hope you dont have to go through what I did to get that change of heart.

I'm guessing (no, I have no statistics to back me up!) most children who behave this way are the result of poor and lax parenting than the result of a medical condition.

It's rather normal for humans to judge books by their covers, though. Sadly, we are innately flawed. As you said yourself, you have a different attitude... now. It often takes a swift kick in the rear to knock sense into us. Hopefully, the people who encounter your son take the opportunity to think twice about their swift judgement.

1 Votes
Specializes in Case Management, Home Health, UM.

I don't give a flying fig if you are an 'acquaintance' of Nancy Grace.

1 Votes

"Labor and birth are nothing like those shows you watch on cable TV. It takes time to have a baby. This is a good time to start working on becoming a patient person and letting go and allowing nature to take its course to prepare you for parenthood. Yes, labor hurts. You are a lazy a@@ who has spent your entire life being waited on, sitting in front of the TV and computer, eating, and have never exerted yourself in any shape form or fashion. I have no idea why you got pregnant: raising a child will make you get off your lazy butt and work, unless you are going to allow your child to run wild. There is more to life than TV, shopping, makeup, and hanging out with your shallow friends. You also have no idea what your body is capable of doing besides eating. You should take this opportunity to forgo the pain meds and get your a@@ out of bed, walk around the room, and move while you are in labor. In fact, I have decided that you are not allowed to have an epidural because this is the most important life lesson you will ever have. You have to start learning new coping mechanisms as of now and grow a pair of brass ovaries."

[what I've fantasized about telling so many labor patients ...]

1 Votes
Specializes in OB.

Regarding the labor patients and their perceptions from the birth shows: I have been known to tell them "There are no editors in real life" and explain that the only time you see doctors hanging around at 1 a.m. is when there are TV cameras present!

1 Votes
Specializes in Corrections, Cardiac, Hospice.

Things I would like to tell administration:

ALL my patients are VIP.

1 Votes
bagladyrn said:
Regarding the labor patients and their perceptions from the birth shows: I have been known to tell them "There are no editors in real life" and explain that the only time you see doctors hanging around at 1 a.m. is when there are TV cameras present!

And the only time MDs really get into patient teaching and really, really explaining things to the pts is when there is a camera around ... otherwise it's "this is what we need to do" then leave the room and the RN has to explain what just happened ....

Oh yeah, I'd also love to actually tell pts that the OB "plan of care" is only ONE way to manage the pt, there are other options, that there is no consensus or any evidence of benefit of proposed management, but the MD is doing this because s/he has always done it this way and this is the accepted, high intervention, OB way of doing things ... I'd love to sit and educate the pt that they have options, but why? The pt needed to have motivation to educate herself while in antepartum care, and has to have enough brains to find a hospital -- or even OOH birth! -- that will not treat her badly if she does not want routine high interventionist OB care ... As a nurse I tread a very fine line here in real life ....

OK back to studying my woman-centered propagandist midwifery books ....

2 Votes

Not only abandonment, but lord knows what could have been living on the bed. She didn't know what the room mate had, the possibilities are endless. To put a baby on a dirty bed is inexcusable. The "shudder" factor is off the scale, yeech. Drop a dime on that girl and get some one to pay attention to that baby since mom seems lost in a fog.

1 Votes
Specializes in NICU.

We have a preemie on the unit right now whose Utox was positive for cocaine, as was mom's, of course. The other night she was chattering a million miles a minute about how we (the nurses) could avoid getting gestational hypertension and having preemies. She said we HAVE TO not eat things with salt and go on bedrest if our OBs told us to. I really had to physically bite the inside of my cheek not to say

"You know what else I hear helps? Not SMOKING CRACK."

1 Votes