Things you'd LOVE to be able to tell patients, and get away with it. - page 22
:spin:Just curious as to what you would say. Mine goes something like this: Hi, my name is AngelfireRN, I'll be your nurse tonight. I am not a waitress, nor am I your slave. Yelling... Read More
Apr 9, '08Joined: Sep '05; Posts: 32; Likes: 81Quote from Angie O'Plasty, RNCan I help you pack anything? Need a w/c to get you out of the building? Here let me push, can I call you a cab?To the patient who's impatient to be DC'd when the doc didn't finalize the orders and was whining that "everything was negative and he should've called back hours ago and I know he wants me to go home today" and keeps having her SO follow me around as I'm taking care of patients, and hover at the desk, listening in on my phone calls:
SO, GO ALREADY!
Apr 9, '08Occupation: playing science Specialty: NICU ; Joined: Feb '05; Posts: 3,131; Likes: 1,042Quote from earle58The three magic words - Faaaaaamily Ceeeeentered Caaaaaaare. We had a hard enough time getting the PP floor to stop letting this woman's MOM dress in gowns and footies like she was a pt.sometimes i wonder what would happen, if we did say such things to our pts?
what would happen liza, if you did say the aforementioned to your pt?
i don't consider it unethical, unprofessional or illegal.
so, where's the problem in having this pt confront the real truth?
Apr 9, '08Occupation: RN Specialty: 4 year(s) of experience in Med Surg, Hospice ; From: US ; Joined: Oct '06; Posts: 845; Likes: 690Would you PLEASE leave the room instead of hovering when I'm trying to do my job and give your relative a bath/change their brief/clean thier bum/change their bed? They're probably embarrassed this has happened and your hovering to make sure I do my job right is a downright pain. I've cleaned up hundreds of patients, changed a million briefs and beds. I know how to do it and I can don't need your constant commentating. You're also in my way-- MOVE. I also don't need you telling me how to do my job. I realize you care about your relative, but your constant helicopter maneuvering and picking on me is truly not appreciated. If you're that concerned, here's the sheets/washcloths/briefs/gown... have at it.. Be my guest....
No, I cannot tell you what the patient's vitals are. There's this thing called HIPAA and I'm not permitted to disclose anything. Even if I could, I wouldn't. Ask the nurse.
If you think you can provide better care than your relative is getting in the hospital, PLEASE take them home......Last edit by Ms Kylee on Apr 11, '08 : Reason: Typos as usual...
Apr 10, '08Occupation: Office nurse, clinic nurse Specialty: Respiratory, Hospice, Med-Surg, MICU, ; Joined: Mar '08; Posts: 20; Likes: 30That I would LOVE my Job IF you would kindly leave your family, bowels and doctor at home
(Sorry doc, no offense to you intended )
Apr 10, '08Joined: Apr '08; Posts: 2; Likes: 3I can think of lots of things patients would like to say to their nurse!:chuckle
Apr 14, '08Occupation: rn Specialty: 5 year(s) of experience in cardiac ; Joined: Sep '06; Posts: 574; Likes: 220Quote from flightnurse2bI can relate. Just had pt's daughter disconnect my pt's chest tube, without permission, and walk pt to bathroom. I explained to her that she could not do this. Her reply was to yell and rant and rave that she was a nurse also. I asked her where she worked, she continued to tell me everywhere. (Yeah...ummm. okey dokey) She then rehooked the chest tube up to the wall suction, then left it clamped. Meanwhile the pt's chest tube at the Y connection was disconnected. Body fluids everywhere. (Thanks for the mess lady) Then, preceded to tell the CTS surgeons that she is currently seeking her masters to teach. I sure hope she brushes up on the do's and don't of chest tubes. Yeah, that really made my day. THanks for the extra work and documentation that was involved!those patients and family members who have RN-itis are my favorites! its like, ok, so since you ARE a nurse, you understand this is an emergency room, and there are over 100 or so pts here at any given time, some with life threatening injuries, and you hovering over me while im putting in this IV so i can change moms doodie diaper makes me just want to poke you with it instead, since you ARE a nurse and you should know how to change a diaper. yes, i will be happy to do it. but no, hovering over me and telling me you are a nurse isnt going to make me put the needle down right this very second.
we had a LOL come in once who had an asthma exac. and also was s/p hip replacement 6 something weeks ago. her daughter flipped the "I HAVE A MASTERS DEGREE IN NURSING" card to everyone in the ER. ER doc wrote orders for soma, norco, xanax and demerol and Med surg had a bed so we got her up to the floor quickly.. about 1930. at 2200 rapid response called to the room, pt unresponsive.. when ER staff arrived chg nurse asked the ER nurse what she had given her, and the answer was nothing, just Normal saline. well the nurse on med surg had given her drug cocktail at around 2100. i guess her daughter, the almighty nurse, forgot to tell the nurse on Med surg that she already gave mom her meds at 2000 because she thought that the pharmacy didnt send them up fast enough. mom ended up on a vent. sheesh.
Apr 14, '08Joined: Jul '06; Posts: 1,813; Likes: 1,630Quote from QuickbeamImagine the legal action that would result if s/he got behind the wheel and killed some people. Happens all the time.In my role as nurse for my state Dept. of Transportation:
"Hi. Yes. I took your father's driver's license away. I'm sure he DOES love to drive. No, threatening me with legal action will not change my mind (yawn). When his dementia/blindness/end stage Parkinson's resolves, I'd love to give him his license back!"
Apr 14, '08Occupation: rn Specialty: 5 year(s) of experience in cardiac ; Joined: Sep '06; Posts: 574; Likes: 220Quote from santhony44Nope! It may be harsh, but sometimes people need a check with reality. Good for you.I think we've worked the same place!
I had a patient tell me once he "couldn't afford" his medication (less than $10 a month). I looked at the pack of cigarettes in his pocket, and asked him how much he paid for them (more than $10 a month).
I looked him in the eye and told him "I want you to understand that you are making a choice and you are choosing to smoke rather than take your medications." He just looked down and didn't answer me.
And if anyone wants to say I'm mean and lack compassion, go ahead.
Apr 14, '08Occupation: former cna, janitor From: US ; Joined: Jan '06; Posts: 1,243; Likes: 1,227Quote from mamasonI think I would tell her that if she was a nurse, then she should know better about how to deal with a chest tube. Judging by her answer to where she worked, I don't think she is a nurse at all.I can relate. Just had pt's daughter disconnect my pt's chest tube, without permission, and walk pt to bathroom. I explained to her that she could not do this. Her reply was to yell and rant and rave that she was a nurse also. I asked her where she worked, she continued to tell me everywhere. (Yeah...ummm. okey dokey) She then rehooked the chest tube up to the wall suction, then left it clamped. Meanwhile the pt's chest tube at the Y connection was disconnected. Body fluids everywhere. (Thanks for the mess lady) Then, preceded to tell the CTS surgeons that she is currently seeking her masters to teach. I sure hope she brushes up on the do's and don't of chest tubes. Yeah, that really made my day. THanks for the extra work and documentation that was involved!
Apr 14, '08Specialty: Geriatrics, Med-Surg. ; Joined: Oct '06; Posts: 949; Likes: 379Wom, mamason, just wow! I can't believe anyone would unhook a patient's chest tube. You sure earned your spot in heaven that shift.
Apr 14, '08Occupation: Peds Specialty: 7 year(s) of experience in Peds (previous psyc/SA briefly) ; Joined: Jan '08; Posts: 146; Likes: 212I work in peds - and usually have nothing but empathy for my patients (even the 17 year old baby mamas with multiple STDs in with MRSA butt abscesses who are tweaking...)
But the parents?
1. Stop using crack, crank, pot, coke (or whatever it is that makes you a freakin' whack job.) No more prostitution. No more sex in front of your kids. No more getting drunk, getting arrested, domestic violence, gangs, etc. You may not use corporal punishment for any reason. You are on sabbatical until every single child is over the age of 18.
2. I have my own kids to take care of - you had these. Get going!
3. If your baby is crying while you are sleeping - you have to get up. They want YOU, not me. Next time I come in, I'm pouring this water on your head to remind you. (not all sleeping parents, just some.)
4. You do not deserve him/her.
5. If I ever hear you say again "be good or I'll have Nurse Kristen give you a shot" - I'm going to cause you pain.
6. Try "I love you" rather than "shhh" or "go to sleep" or "be good" or "shut the f-up" or "you always are so blah-blah-blah."
7. Yeah, I understand that it's hard to be the parent in the chair. It's MUCH harder to be the kid in the bed. SUCK IT UP. You're the adult. Act like it.
8. You can't smoke. You can't drink. You can't leave. Stay and play a game with your kid and like it.
9. Bedtime for children is supposed to fall on an hour ending in PM, not AM. If your kids are up after midnight normally (and they aren't in college or around that age) - you are doing something wrong.
And while some might think that's judgemental - understand that I have about a 1 in 3 chance of having a non-accidental trauma or neglect on every single shift. And ya know what I think each time? They don't deserve that kid.Last edit by kristenncrn on Apr 14, '08 : Reason: clarity
Apr 14, '08Occupation: rn Specialty: 5 year(s) of experience in cardiac ; Joined: Sep '06; Posts: 574; Likes: 220Quote from squeakykittyIf she was a nurse, then, she was a clueless one. This was basic nursing school stuff. I believe she was trying to blow smoke up everyone's butt or forgot to take her meds that day. Either way, she was a not only a cazy RN want to be, but a danger to her father.I think I would tell her that if she was a nurse, then she should know better about how to deal with a chest tube. Judging by her answer to where she worked, I don't think she is a nurse at all.
Quote from linzzCouldn't believe it myself! I don't know about Heaven, but, from what I was thinking that day, I know I earned a spot in hell for my not so nice thoughts about the situation. Actually, the whole thing scared the bejesus out of me! The guy had been there for a couple of days. Stable condition. Who knows what else she messed with? I made sure my documentation was lengthy and accurate. Makes you wonder what some people are thinking at times.Wom, mamason, just wow! I can't believe anyone would unhook a patient's chest tube. You sure earned your spot in heaven that shift.