Ever have a patient pull/say/do a good joke/prank on you?
E.g. EMS brings in a 95 year old from local nursing home. Chief complaint is "fall". EMS tells us that it's unwitnessed fall and that Ms. Smith has CHF, HTN, NIDDM and Alzheimers.
Roy (as he's snapping gloves on prior to entering room): Did the nursing home give you guys a basic idea of what her mental status is? I mean, is she alert/oriented? Did she seem 'off' to the nursing home staff? Did she bump her head?
EMT Ol' Timer: Naw Roy. Healthcare Manor said she was "Eh-Ow times thwee" and that's what she's been for us. She's an absolute sweetheart and she LOVED US!"
Roy: *grinning* "Yeah! I bet she loved you... whatcha do, promise her tickets to Alan Jackson next week?"
EMT Ol' Timer: "yeah yeah... laugh it up kid!"
Roy: "Hi Ms. Smith! My name is Roy and I'm a nurse. How can I help you?"
Ms. Smith: "You can help by getting this damned contraption (referring to the long board) off my back!"
Roy: "Absolutely Ms. Smith! The ambulan...."
Ms. Smith: "And while you're at it, stop calling me Ms. Smith! Makes me sound old and colorless! The name is Jean!"
Roy: "Gotcha Jean! As I was saying, the ambulance crew put this board on ya just because you had a fall. They want to make sure you didn't break any bones. I'm gonna go grab a doctor and see if we can take this board off ya. Sound like a plan?"
Ms. Smith: "Only if he's cute!"
Roy: "What was that Jean?"
Ms. Smith: "Only if the Doctor is cute! I want a cute doctor! Can I have some pretzels?"
Roy: "Pretzels?"
Ms. Smith: "Yeah... you know. Cute Doctors and pretzels!"
At this point, I took a step back. Yeah she seems mostly "with it" and EMT said she was "with it" and nursing home said she was "with it"..... but 'cute doctors and pretzels?' Her vitals are fairly stable...
I decided to add on a neuro exam to my initial assessment.
Roy: "Jean, what's your full name?"
Ms. Smith: "Jean Jean Smith."
Roy: "When were you born?"
Ms. Smith: "July 4."
Roy: "Do you know where you are right now?"
Ms. Smith: "In your presence apparently!"
Roy: "Ok Jean. Who is the President of the United States?"
Ms. Smith: "That dirty rascal Nixon!"
Roy: "Dirty rascal Nixon, huh? Well Jean, can you tell me what year are we in right now?"
Ms. Smith: "Well it's November of 2011 you silly boy! Did you really fall for my Nixon joke?! Ask me another question!"
I LOVE patients like her!
cheers,
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Ever have a patient pull/say/do a good joke/prank on you?
E.g. EMS brings in a 95 year old from local nursing home. Chief complaint is "fall". EMS tells us that it's unwitnessed fall and that Ms. Smith has CHF, HTN, NIDDM and Alzheimers.
Roy (as he's snapping gloves on prior to entering room): Did the nursing home give you guys a basic idea of what her mental status is? I mean, is she alert/oriented? Did she seem 'off' to the nursing home staff? Did she bump her head?
EMT Ol' Timer: Naw Roy. Healthcare Manor said she was "Eh-Ow times thwee" and that's what she's been for us. She's an absolute sweetheart and she LOVED US!"
Roy: *grinning* "Yeah! I bet she loved you... whatcha do, promise her tickets to Alan Jackson next week?"
EMT Ol' Timer: "yeah yeah... laugh it up kid!"
Roy: "Hi Ms. Smith! My name is Roy and I'm a nurse. How can I help you?"
Ms. Smith: "You can help by getting this damned contraption (referring to the long board) off my back!"
Roy: "Absolutely Ms. Smith! The ambulan...."
Ms. Smith: "And while you're at it, stop calling me Ms. Smith! Makes me sound old and colorless! The name is Jean!"
Roy: "Gotcha Jean! As I was saying, the ambulance crew put this board on ya just because you had a fall. They want to make sure you didn't break any bones. I'm gonna go grab a doctor and see if we can take this board off ya. Sound like a plan?"
Ms. Smith: "Only if he's cute!"
Roy: "What was that Jean?"
Ms. Smith: "Only if the Doctor is cute! I want a cute doctor! Can I have some pretzels?"
Roy: "Pretzels?"
Ms. Smith: "Yeah... you know. Cute Doctors and pretzels!"
At this point, I took a step back. Yeah she seems mostly "with it" and EMT said she was "with it" and nursing home said she was "with it"..... but 'cute doctors and pretzels?' Her vitals are fairly stable...
I decided to add on a neuro exam to my initial assessment.
Roy: "Jean, what's your full name?"
Ms. Smith: "Jean Jean Smith."
Roy: "When were you born?"
Ms. Smith: "July 4."
Roy: "Do you know where you are right now?"
Ms. Smith: "In your presence apparently!"
Roy: "Ok Jean. Who is the President of the United States?"
Ms. Smith: "That dirty rascal Nixon!"
Roy: "Dirty rascal Nixon, huh? Well Jean, can you tell me what year are we in right now?"
Ms. Smith: "Well it's November of 2011 you silly boy! Did you really fall for my Nixon joke?! Ask me another question!"
I LOVE patients like her!
cheers,