Patients always needing something no matter what.

Nurses General Nursing

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Hello everyone!!! I hope this New Year has been a kind one to you all thus far.

Well, here i go again on one of my rants about the ever so intriguing world of nursing. Here's my pet peeve of the day:

Is is just me, or does it seem to you all that everytime you go into a patient's room to pass meds, do procedures, or simply check on the patient, they always have to ask you to bring them something.

I know for me, it never fails. If I go in there to just look in on my patient they always will stop you before you get out of the door and say, "Oh, nurse, could you get me some coffee," or "May I have something for pain?" or "Turn the lights off, will you". And it drives me crazy.

Now don't get me wrong, I have no problem doing anything for my patients. But it seems that patients look at nurses as nothing more than handmaids to wait on their every beckon and call. For example, I had this man to ring his call bell just to tell me that he wanted to sit up on the side of the bed. I wanted so badly to tell him, "Well, what are you waiting for?". This is because I know that this man is very capable of moving himself because I've seen him do it when he has a male nurse caring for him. But whenever a female steps in, the patients all of sudden become invalids.

I feel that too much of my time is taken up running up and down the halls getting water and coffee. I mean, as much as family members like to stay all day in night in these patients rooms, it would seem that they would get up off of their lazy bums and get these patients something every now and then. It wouldn't hurt them to do this. Oh no, they won't do this. But they can tell you and I how to do our jobs, can't they? (LOL!!).

I have gotten to the point that I actually like being pulled to the critical care units in the hospital because we have telemetry there and you don't have to go into the rooms quite as much as you do on the medical floor because the telemetry is evident.

Do you all feel the same way? Do you all feel that patients are too darn demanding and don't respect us as care providers but see us as handmaids instead? Male nurses, do you feel that patients tend to not bother you as much as your female colleagues? I welcome all input.

Peace and love, y'all!!!!

Specializes in Med-Surg/Long-Term Care.

You know, you aren't even worth a reply, but I'll bite. No, the patients I am referring to is not at least 60 years old or older, they are in their 30s and 40s and know better. I actually like to have a full load of older people. I love geriatric patients. They are humble and deserve the best.

So, you don't know me. You only know what I've posted. So, please, don't judge me. I came here to let it off my chest before I desire to slap someone. Don't get angry about that.

Specializes in Med-Surg/Long-Term Care.

Okay, John, I respect you, because I simply adore male nurses. You guys seems to make some darn good nurses. But, John, I'm not saying that it's not part of our job. It is. But what I'm saying is that there are people who don't understand that we have priorities. Any medic that's gone throught WW2 and the Vietnam war will tell you that you have to prioritize your injuries when you triage. So, while nursing is about holistic care, we also have to make sure these people don't die if we can help it. So, therefore, we have to prioritize.

Specializes in Med-Surg/Long-Term Care.

Thank you very much for understanding. I pray to God every day that I can be the best I can be. But still, I get frustrated. And I don't understand that some people can judge me for that. I am being honest. And honesty is liberty. I feel that I can come here amongst colleagues that can relate to what I'm saying. I love all of you on allnurses.com. And I don't mean any harm. I just need support and that's what you all are providing and I appreciate that.

Did she stop being a nurse and become a Town Crier,

:chuckle :chuckle :chuckle

Specializes in tele, stepdown/PCU, med/surg.
"Did you ask the doctor?"

And, more often than not, you get "uhhhhh....well...no...."

We're not only supposed to be maids, we're supposed to be mind-readers as well.

Families are intimidated by the hospital and medical hierarchy.

Along these lines, I hate it when a newly admitted patient in the middle of the night suddenly tell you that they take Vicodin 7.5 mg twice at night. Couldn't they have told the ER doc?

Now I have to call the cardiologist (tele floor) who hasn't even seen the patient and get a dose. Meanwhile, the patient is complaining because she has chronic pain.

The same patient said she also takes the 7.5mg Vicodin 5xday!! I'm thinking...a lot of narcs and way too much tylenol. I probably shouldn't have said this but after she said she could only take Vicodin because the other meds hurt her kidneys, I said, "but what about your liver?"!!!

Nursing is more than just passing out meds.... if they need something get it. Think back to your duties as a nurse....

Specializes in IMCU/Telemetry.
Thank you very much for understanding. I pray to God every day that I can be the best I can be. But still, I get frustrated. And I don't understand that some people can judge me for that. I am being honest. And honesty is liberty. I feel that I can come here amongst colleagues that can relate to what I'm saying. I love all of you on allnurses.com. And I don't mean any harm. I just need support and that's what you all are providing and I appreciate that.

That is what we are all here for. We are a friendly and understanding ear.

But Olive, I need you to do something. When you respond to a post, please hit the quote button at the bottom right of every post. You have 2-3 posts in a row, and we don't know what you are responding to.

Thanks..............Niall:)

After 26 years of nursing, I am now the family member sitting in the room with my mother who broke her hip and was unable to have it replaced for 5 days. I also understand both sides of this issue and have been overwhelmed by the needs of my patients. But this week I have been disappointed many times in my profession. Initally I volunteered to help and the nurses that included me as a part of the team communicated well and were confidident in their care. By doing this my mother was more comfortable with less complaints. But there were other nurses that wanted to do their task and could care less who was in the bed or room. Also the wait time from when you push the call light to when the request is answered is much longer that you think because you are busy. I wonder if a study has been done on how long from when the call light is pushed to when it is answered to when a patient has pain relief. I know that pain level is the 5th vital sign but rarely is the pain scale used. Just by asking how they are doing doesn't get the whole story. One nurse did an excellent job of pain management and my mother sat up in bed and read the paper. When I reported to the following nurses that she received good pain control with her medicines given that way it seems they were uncomfortable giving them that way. Although I was in the room and have worked three years in pain control and many years in PACU.

Also the 2 new decubitis are related to poor pain control and difficulty turning. I don't fault nurses totally but we need staffing levels where the patients don't feel guilty because they have to ask for help.

"Well, you can do what you want to, that's your decision. But, if you choose to stay, I respect your patience and I'll be with you in a moment. If that's not sufficient, then I'll ask that you sign a couple of forms and I'll let you go on your merry little way!!!" And you know what? I have no problem out of them the rest of the night. As a matter of fact, I get nothing but smiles and respect from them.

THAT'S SUPRISING!!!!! :eek: I GUESS SOME PT'S NEED THAT:rolleyes: ...i almost ogt fired for saying that once:uhoh3: , in extended care...interuptions are a leading cause for errors right? well this lady had to have her meds for her mother at this exact time so her routine was not interupted...i told her " why should she get what you think she wants and the other residents who are sicker and have no family have to wait. you put me at risk of making mistakes by interupting me, your mothers pills are in the stack, she will recieve them within a reasonable amount of time...." my coworkers patted me on the back but the lady twisted the story to the manager and i seriously almost lost my job, good thing the family had a rep...in another incident, this family member flipped out on me in the dining room infront of all the staff and residents over her mother recieving a laxative (someone else omitted part of directions in order transciption) it did no harm what so ever, since she was 'day 4'.... i phoned the administrator at home and told him."you tell her she can not abuse me or any of the other staff, it is absolutely unacceptable!!!!" :angryfire the administrator held weekly 'family focus' meeting to address family concerns...so i figured he needed to hear mine. the family brings us chocolate and donuts now!!! though they are still demanding

anywho, i guess when i hear whining about pt care it gets me in a huff because it's an issue where i work...a serious issue bordering on neglect...

i am meeting with management this week...i'm sure that most nurses jsut need to vent, who can blame us, and it's not the patient that's the enemy it's the number crunchers (gov't, administration etc)...anyone who makes a budget or decisions about anything should have to have recent experiences..

i am proud to say our new interm administrator works on the floor with us when we are short...lucky for us, she's a nurse.

anywho 'nuff venting for now :cheers:

Specializes in NA, Stepdown, L&D, Trauma ICU, ER.
Nursing is more than just passing out meds.... if they need something get it. Think back to your duties as a nurse....

You are absolutely right! Nursing is a million things besides passing meds. It's spending 5 hours calling and fighting with lab because my 0600 CBC hasn't been drawn and it's now 11 and the patients veins are so bad I don't have a prayer of hitting one and the doc won't order a PICC. It's calling them for the 3rd time cause my patient on a heparin gtt was due for an APTT an hour ago. Or how about the patient on an insulin gtt with the meter only reading HI and the same person from lab calls each and every time I enter the order "Yeah, this is Techie from lab. The patient had a glucose drawn an hour ago. Do they need another one?" no matter how many stinkin times I try to explain it to them.

Then there are the internal med MDs that can't seem to write orders that don't include the words "...if ok with Dr X, Trauma Team, and Ortho Surgeon" Like I have the friggin time to call 3 docs to clear the orders you want to start!

And we can't forget about bed control, "Can you call this pts doc and see if they can transfer off the unit?"

Oh yeah, that's on top of all the assessments, meds, treatments, teaching and turning we're expected to do for 4 patients on a critical care floor. Throw in a few trips to MRI, a couple demanding families and double charting what seems like everything. I barely have time to do the things I absolutely have to do, much less the extras! Even if I wanted nothing more than to get your fourth Sprite of the day and fluff your pillow for the 50th time, I simply can't. My day is successful if I've given all my meds within an hour or so when they were due, my dressings were changed and when I'm leaving at night everyone who started alive still is. As bad as I might feel about not being able to get you everything you want (not need, want) I was suctioning a bucket o' snot out of my ALS patient down the hall so he can survive a few more hours without being on the vent. Sorry, your priorities are not necessarily mine

It's sad that the sickest patients are the least likely to bother you, even when you tell them over and over again that it's ok to call. It is the pt's who are capable of doing everything themselves, that are on the bell the most for the smallest of things.

:crying2: that is so true, my poor daddy is shy and quite and also very sick with stage four bowel cancer and three drains in his abd, he's 55 and he looks like he's 80.

but he never rings...it warmed my heart when one nurse sweetly gave him heck after the 3rd time i told her he was in pain (his morphine was q2h).

i asked the nurses to identify it in report for anyone who was carring for him as someone who does not ring an needs frequent rounds and pain meds....i mean we all identify the ones who sit on their call bells...his nurses were very kind just too busy, which isn't necesarily their fault. sometimes we (dr's included) also communicate the least important info leaving the out pertinent stuff.

i don't think terminal cancer patients should be on a surgery floor, people kept treating him like he would get better and go home...taking him off his iv when all he drank was coffee, wondering why he was getting dehydrated when he has a gastro enterostomy in the duodenum (the food is barely undigested when it drains, it was like a catheter for his bowels). I AM FOR MEDICAL USE IF MARUJUANA, LET ME TELL YOU!!!!

another topic...most hospital food is freakin awfull, i couldn't eat and i am well...:eek:

Specializes in Psych.
I empathize with the OP....some patients really go far with the demands. Things like coffee, ice etc..can be obtained by family members or cnas. As well as blankets. I always try to find out everything they need while I am in the room. But a lot of times the things they request are frivolous...taking time away from other more seriously ill patients. I think frequent nursing rounds, med pass, and a good nursing assessment should be sufficent in stable patients for safe care. The rest has nothing to do with nursing care.:nono:

I kind of agree w/you. Some pt's go too far. Then again. . . What makes YOU feel comfortable when you are sick, vulnerable and not familiar w/the environment and don't know what you are allowed to do for yourself? Yes, delegate every task that you possibly can to your ancillary co-workers. Just keep in mind, NO ONE is comfortable in the hospital and ANYTHING you can do to help them will hasten their recovery. I do not believe that nurses should be considered high-tech waitresses, BUT . . . Who else can the pt call on when they need something? It's just us. Try to give them the most comfort that you can. REMEMBER. . . It's not easy being a pt, and it's even harder when you are TRULY ill and can't do for yourself. Speaking from the perspective of the wife of a recent inpt, he tried to SAVE all of his requests for when the nurse was in the room. He truly thought he was doing you a favor when he kept his laundry-list of requests for when you were "available". I kept trying to tell him, "If you need something, push the buzzer. There is not a time in these people's day when they are 'free' to help you. If you think you are going to catch them when they are not busy, think again, they are ALWAYS busy." Pt's truly do not realize how a hospital and a nurse's day is organized.:nurse:

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