Things you'd LOVE to be able to tell patients, and get away with it. - page 60
: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
Feb 3, '09Quote from easttexasnurse31Had a pt not too long ago that I felt the same way about. She was young, considering, and still had the extensions in her hair. She had a massive brainstem stroke and was permanently brain damaged. The family wanted to keep her alive using a vent via ETT , NOT a trach (because she was going to wake up at any moment and start talking and be normal and "healed") They wanted to keep her in the LTAC ICU.. FORRR EVERRR, or until she was "healed". Like I said, was going to happen at any minute.
I wanted to tell the husband and daughter "Please, understand me when I say, the chances of her coming out of this are very very very slim, the doctor told you himself that he's never, in his 20 yr career, seen anyone come out of a stroke like this, , , that should be enough for you to understand that she will not live a normal life ever again. She will be drooling like this forever. She is not making ANY purposeful movements and she has no corneal reflexes. Please don't let her live like a vegitable for years and years, , it will be more painful than you can imagine"
It is so gut wrenching to see families like this, the ones that just know if they pray hard enough, their family member will miraculously wake up and be okay again. And when it doesn't happen they are even more heart broken. ANd I really hate it when the doctors give them false hope.
Amen to that. I feel the same way. I kept telling this family of a stroke pt who had a bone flap removed for cereberal edema that she will NEVER get better. The son that had seen her for the first time (since he just got out of jail that day), she wouldn't want me to pull the plug. He asked me if I thought she was suffering and I told him she will die eventually, of the stroke or something else the longer we keep her on the vent and keep her alive. It could be sepsis from bedsores or pneumonia. I HATE when the docs give false hope. I am waiting to hear what happened when I go back tomorrow. The left side of her brain was totally shot. She had a left ACA and MCA stroke.
Feb 3, '09Quote from a "too caring" cnaWell, I'm not that interested in attacking my patients, which I think most of us consider to be a good thing.If venting here helps me to that end, all to the good.My personal opinion on this thread is that you people would rather attack people on the thread than your patients. This is not good, everyone has their own opinion and thats ok. I say, Deal with it.
Feb 3, '09Oh, PLEASE PLEASE PLEASE God, let me ONCE be able to say these:
"Aaaah, no. I really don't know how your mother is doing today. I am floating so I've never seen her before in my life.
Wait a minute? If you've been here, how come you don't realize that you've never seen me before either?
Hey! How about YOU telling ME how your mother is doing?! I haven't had the time to read each of my 16 pt charts so maybe you could get me up to speed on her!
Don't worry, we will make sure to put your mom in bed. You don't need to ask us.:stone
Feb 3, '09I swear the next relative who randomly asks me how "dad" is doing will hear: "I'm so sorry, he died. What? You're not Mr Brown's son? Sorry, we've got a lot of dads here - maybe you could narrow it down for me."
Feb 3, '09Quote from psalmhoney, if you think you could do any better then YOU go talk to him! lolThis is the type of patient we all need to set limits with. I will politely as possible, interrupt the pt. and say...I need to check on my other patients. I can come back later and listen to you, or you can tell me know what the problem is now and we can try to improve it. Then give pt. time for response and then GO! Yes, it is difficult, but this type pt. is manipulative and exhausting and you aren't helping him/her by enabling.
You can exit by saying something like "I will give you a few minutes to get your thoughts together on what the main problem is...I'll be back in about 10 min. and you can tell me what is bothering you now." Then I leave the room, go to the med room for a primal scream moment, kick a few cans, and then go on with my work, lol!! It's a mini-vent at work!
Yes, this is a vent and I feel your pain! I have a family member like the above. Glad you held it in. Hugs!
I've been at this a long time. I understand limits and boundaries with patients. but there is always that one, ya know? and he is it!
no one, not the admin, not the social worker, not the psychologist, not the doctor, not the NP, not the CNAS...no one..not one single person can get away from this man.
IMO the only thing that would help him is to roll his bed outside, push it down the hill straight into the river and show him the pretty fishies on the bottom
Feb 3, '09i just reread my post. psalm...i didnt mean to sound like a smart alec but i think it came out that way. i totally understand what you were saying.
but seriously though...you can come talk to him anytime just so i dont have too, haha
Feb 3, '09"Sweetheart, that medicine don't work in the bottle."
When the b/p is still sky high and they got the script filled, but don't take it.
"Through THAT door, 1st on the right, when you see white porcelain, you found it."
After 4 trips up and down the hall, almost to the lobby X 2 and nearly running me over twice, old bat in a wheelchair being pushed by another old bat with a vacuous expression. I later found out that she said that that phrase offended her, which pi**ed me off to no end, after all I did for her. For reasoning behind WHY I call her an old bat, please refer to page 60-so that begins "GET OUT!"
I guess she has BLUE porcelain in her house.
"No, ma'am, you do not need Tussionex for your "low immune system". Yes, I know you have cancer. I also see that you are on Oxycontin, Valium, Ultram, and Percocet. You are slurring so badly that I can hardly understand you. Trust me when I say this, Tussionex is not a preventative. It won't do a thing for your immune system. Your chest is clear as a bell. Rondec DM will serve your needs quite well."
I DID say those first 2, and I did tell the cancer lady that Tussionex would not help her immune system. I wonder how many other people she had tried to snow with that story. Had she not had the impressive med list and been slurring, I would not have thought about it. I can not write Tussionex anyway.
You know, I just thought it was bad as an RN, but seeing it from the other side of the fence, HOLY LORD! It's enough to make you want to lobby for birth control in the water supply!
Feb 3, '09Quote from BerryHappy"Really? Put her back to bed? Well, we were just going to leave her sitting out in a chair for the rest of her admission but if you think transferring her back to bed is a good idea, I guess we could do it." (Torn between and)Don't worry, we will make sure to put your mom in bed. You don't need to ask us.
Feb 3, '09Quote from talaxandraBED?!?!?! What do you mean, BED?!?!?! That costs extra, you know!"Really? Put her back to bed? Well, we were just going to leave her sitting out in a chair for the rest of her admission but if you think transferring her back to bed is a good idea, I guess we could do it." (Torn between and)
Feb 3, '09Going out to smoke a cigarette within 3 minutes of getting IV pain medication does nothing to increase the strength of said medication, oh and laughing on the cell phone, with a friend, does not have any speed effect on said med either.
Feb 3, '09Quote from talaxandraBack to bed? Back to WHERE? NO can do... They're no problem to get into the chair (usually...) but they're always sooooooooooooo t-i-r-e-d when it's time to get back in bed and if we did that for everyone's tired mama, we'd have no time to maybe sneak in a potty trip or a second grape near the end of our 12 hour shift."Really? Put her back to bed? Well, we were just going to leave her sitting out in a chair for the rest of her admission but if you think transferring her back to bed is a good idea, I guess we could do it." (Torn between and)
Feb 4, '09Rude patient: "Do you know who I am?"
Squeakykitty: "Yeah, you're a selfish demanding person who thinks the entire hospital should revolve around your piddly complaint, never mind the fact that there are other really sick people in here who who need care----and they are acting a lot nicer than you are!"
Feb 4, '09Quote from southernbeegirli just reread my post. psalm...i didnt mean to sound like a smart alec but i think it came out that way. i totally understand what you were saying.
but seriously though...you can come talk to him anytime just so i dont have too, haha
This is a vent thread...I was imagining you standing with your hands on your hips and challenging me, as you shake your head, bleary and glazed over eyes barely opened from the "encounter" you've just had with said patient. LOL. And I have a family member that was so challenging that we had not one, but two chaplains in the room to try to calm things down. I didn't take offense, sweetie, now please pass the prozac cookies...