JeneraterRN

I think you were thinking of the night I just had! People in the hospital can be miserable and you happen to be the nearest target. Most times I can talk them down, but tonight was an exception. Good luck!

You know you're a nurse when you unconsciously palate your husband's or wife's veins when you hold his/her hand (I do this constantly and it drives him nuts!)

Thank you. As I said, it seems I was misinformed.

Ok, so I did some research outside of what the hospital gave me, and it seems true that insurance covers most AMA discharges. I learned something new, but I still bristle at stating I was lying to patients as this was what the hospital was teaching us. It seems administration was either seriously misinformed or lying, but I don't think staff was being malicious.

Show me the info that states this is not true. All the info I have states this can happen. I don't recommend saying I'm lying to a patient without literature to back it up.

We don't make them sign an AMA form if refused, but we can still discharge them that way and document the proposed plan of care they are refusing. I don't necessarily agree with our non-smoking policy because it is very rigid. Some patients may not get the treatment they need because they are too attached to cigarrettes. We do offer nicotine patches, etc. Many choose not to use them. Under our state law, there is no smoking allowed in any business or public building. They way it is written is how the hospital is able to have this policy.

Our patients sign a no-smoking acknowledgement on admit. It states that should the patient be found outside smoking they shall be discharged against medical advice and insurance will likely not cover their stay. I've only seen one person do so anyway, but the nurse did not enforce it.

Congrats everyone! I really had no idea what nasty truly was until I read this.

Oh yes, I certainly have. Also, if I was going to goof, it was usually in front of someone important. My first NG insertion inspired this:https://allnurses.com/general-nursing-discussion/nervous-nurses-guide-616231.html You'll do fine, good luck.

Ha, I'm hoping mine was. I really couldn't leave it alone.

I smell a one-sided story. I wonder what your coworkers would say to that comment?I'll hand it to my DON, she only shows us the positive comments really. She knows how irrelevant many of the comments are.

I say do the same thing that you do with a scurvy pirate-make her walk the plank. Sorry, my kids were singing that all day, and the title reminded me of that song again. Good luck.

Well said, CheesePotato, well said. I was particularly moved by, "Superglue of awesomeness.". . Your words mean a lot.

Thank you all for the kind and encouraging words. I've been in a faith limbo lately, but perhaps this is God's way of bringing me back.

Your comments (both of you) have brought me to tears. It's good, maybe I can cry it out and get it out of my system. Thank you, truly, your words help a great deal.