Patient Complaint

Nurses General Nursing

Published

So, I go to get a patient from the lobby. She's a chronic low back pain, low acuity, recently seen for same with instructions to follow up with her PCP, returning today.

Ambulates with steady gait to room. I ask if she'd like the head of the stretcher up, down, or somewhere in the middle. "In the middle", she says.

"Like this?" I ask.

She indicates this is satisfactory. "Does this stretcher go any lower?", she asks.

"No, that's as low as they go" I respond. "I'm going to put your chart up for a doctor to come see you."

"Okay" she says.

I walk out of the room, closing the privacy curtain behind me.

An hour later, after the doctor's exam is complete and discharge orders are written, I go into the room to discharge her. I hook her up to the monitor to take a set of DC vitals.

"I want to make a complaint", she says.

"Okay", I respond.

"The nurse who brought me back here didn't help me up onto the stretcher. I told her I needed help onto the stretcher and she didn't say anything and just walked out and yanked the curtain closed behind her."

Now I'm wondering if she realizes that *I* am the nurse who brought her back.

"She left me standing here, and I couldn't get on the stretcher until my son came in and helped me. I could have fallen or something!", she continues. She then gives a physical description of this nurse, which is nothing like what *I* look like.

At this point, I'm not sure how to respond. Do I tell her that I was that nurse, and that she did NOT, in fact, ask me for assistance? Am I just supposed to automatically know that "Does this stretcher go any lower?" is interchangable for "Will you assist me onto the stretcher?"?

Also, there are two chairs in the room. Why couldn't she just sit in one of those if she couldn't get on the stretcher? Or, why couldn't she do what everyone else does and come out into the hallway and ask for help?

Clearly, if it were someone with an obvious physical limitation, such as an elderly person, or someone suffering weakness, or a person that uses assistive devices, I would assist them to the stretcher without even being asked. But this was an otherwise healthy, physically capable middle aged woman.

When I went to the cafe on my lunch break, she came into the cafe a short time later, walking without any difficulty, ordering food, sitting at a table and eating it, in no acute distress whatsoever.

People! Sheesh!

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
A few months back I had a pt. who told me that he was in our ER a week prior. They went to d/c him, he stated that he fell when getting up from the stretcher and the nurse said to him "don't play games, get up off the floor, you have to leave." (Incidentally, I am 99% sure he did not fall and 100% sure none of nurses would say this to him.) Either way, he states he has now end quote

Don't be so sure.....I have, on rare occasion, had had enough of the Bullhorns and games and I remember a particular patient with a diagnosis of "pseudoseizures" about the gazillionth time drop on the floor because they wanted food, drink, pain med, a room, admitted....and said just that "Get up off that floor, I've had enough of you and tonight I just don't have time":o

Probably not my finest hour:lol2: but sometimes ya just gotta do whatcha gotta do

:smokin:

Specializes in Ortho, Neuro, Spine, M/S.

At the hospital I work, it's all about the Press Gainey scores, nurses are guilty til proven innocent. These type patients can cost you your job.....

Specializes in Trauma, ER, ICU, CCU, PACU, GI, Cardiology, OR.

it never ceases to surprise me on what some people would do for the attention of others... especially on a "full moon weekend shift" :uhoh3:

Specializes in Emergency Medicine.

Hey GitanoRN..................and it is in full swing in our ER this Full Moon weekend. Ugh. I think the full moon is tomorrow but we been getting it all weekend. Some people NEVER cease to amaze me with their antics. I used to tell myself these pt's are job security. But unfortunatly, these jack @sses cost nurses their jobs. Sad.

Specializes in med/surg, psych, public health.
Acute thespianism.

:lol2:

Some nurses I work with call it: Hyperdramatosis.

Specializes in ER.

I would have reported the changes in mental status to the physician and documented them in the chart. And yes, partially I would be doing it to cover my rear when the complaint rolls in and partially for the liability issues. Next thing you know, family will sue for no ct head exam after she is diagnosed with whatever.

A few months back I had a pt. who told me that he was in our ER a week prior. They went to d/c him, he stated that he fell when getting up from the stretcher and the nurse said to him "don't play games, get up off the floor, you have to leave." (Incidentally, I am 99% sure he did not fall and 100% sure none of nurses would say this to him.) Either way, he states he has now end quote

Don't be so sure.....I have, on rare occasion, had had enough of the Bullhorns and games and I remember a particular patient with a diagnosis of "pseudoseizures" about the gazillionth time drop on the floor because they wanted food, drink, pain med, a room, admitted....and said just that "Get up off that floor, I've had enough of you and tonight I just don't have time":o

Probably not my finest hour:lol2: but sometimes ya just gotta do whatcha gotta do

:smokin:

LOL LOL - that was exactly what I thought when I read it. Don't be so sure, under the right circumsatances, I can see myself saying that. :)

My radar would have been up on having to retrieve the patient from the lobby. Really? you couldn't find it on your own? What could possibly be wrong that they can't "make it to the department" and they were just seen recently.

I think you misunderstood. I brought her back from the ED lobby, where patients wait for a bed after they've been triaged. It's normal for us to go out to the lobby and get a patient when we have an empty room.

sorry op, but i have to agree with esme.

even with a steady gait, she came to the er with c/o back pain.

No need to be sorry. It's interesting reading about how others might have handled it.

Specializes in Emergency & Trauma/Adult ICU.

I can totally picture the patient, Stargazer ... and I would probably have confronted her, *nonconfrontationally*. :) It works for me.

Some days you just shake your head ... it's all you can do.

Specializes in Med/Surg.

today one of my coworkers had a 90 year old completely A&Ox3 that not only was she manipulative but her family was just as bad. my coworker asked the patient what she wanted for breakfast and she ordered it for her. When they brought her tray with exactly what she wanted on it the patient threw a fit saying that we cant treat patients this way, only serving them eggs and coffee. My coworker explained to her that thats all she said she wanted. Then after the nurse left the room to try to find some toast or something for her the patient pounded on her plate with her knife and fork until the nurse came back. Then the family came in and sat the patient up on the side of the bed and a little while later came out to the nurse's station complaining because their mother wasnt supposed to be sitting on the side of the bed so long. Ugh, some people

Honestly, had I not been feeling apathetic at that time, I would have gently confronted her, stating that I was that nurse, and that I did not hear her ask for assistance. I *will not* reinforce the delusions of manipulative patients by showing sympathy for their feigned victimhood.

Whenever a manipulative patient attempts staff splitting with me, complaining about another nurse, the doctor, the tech, or whoever they have picked as their target, I am always careful in choosing my language when responding. For instance, I would avoid language like "I'm sorry that happened to you", but rather, would say something like "That sounds terrible".

By saying "You didn't ask for help", I'd be setting myself up for an argument. By saying "I didn't hear you ask for help", this is not only truthful, but the person can't really argue with that. They cannot say what I did and did not hear.

By saying "I'm sorry that happened to you", that would be lending credence to their delusion, as if their version of events were factual. By saying "That sounds terrible", not only am I being truthful, because their story DOES sound terrible, but I'm not acknowledging whether or not I think it's factual, so we avoid that debate.

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