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Discussion

Rant

Please take a moment to learn about your patient. I had to give that advice to the RN caring for my very educated pharmacist father in law. Don't speak to the man like he is a moron. If she had read anything on the computer she would have known that. He doesn't require special education style discussions on his medications.

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The rant would not be possible, if the alert and oriented x 4 pharmacist had voiced displeasure over an inappropriate verbal exchange with a nurse.

That simple.

I have had doctors, veterinarians, pharmacists, laywers, physical assistants, nurses, and other educated professionals as my patients. I never assume that they understand everything. I'll explain things and ask how much detail they would like (for example I was explaining pain medication orders to a nurse patient and writing it on her board, and asked her - do you know what Q4H means, etc). I respect their judgement but I also let them know that I don't want to take advantage of their education or take for granted that they understand what I'm talking about.

I find that a lot of these patients are great partners in their care. Also, on admission, I always ask if a patient is diabetic.

However I would not have explained a Colace like that and would find it very bizarre to be on the receiving end of that explanation. I'm pretty laid back, though, so I might have raised an eyebrow but not taken it too seriously.

I have had doctors, veterinarians, pharmacists, laywers, physical assistants, nurses, and other educated professionals as my patients. I never assume that they understand everything. I'll explain things and ask how much detail they would like (for example I was explaining pain medication orders to a nurse patient and writing it on her board, and asked her - do you know what Q4H means, etc). ***I respect their judgement but I also let them know that I don't want to take advantage of their education or take for granted that they understand what I'm talking about.****

I find that a lot of these patients are great partners in their care. Also, on admission, I always ask if a patient is diabetic.

However I would not have explained a Colace like that and would find it very bizarre to be on the receiving end of that explanation. I'm pretty laid back, though, so I might have raised an eyebrow but not taken it too seriously.

To add: a lot of my teaching in the hospital fell by the wayside when they found out I was a nurse and took care of traumatic pts...as a trauma pt, I would've preferred more nursing teaching in the acute setting, regardless if I knew it or not; I was in pt mode.

I am grateful I never had to engage with buzzard baby talk; although I had a "no scripting clause" when I was there; I remembered that same script when I had clinicals at this particular hospital, so I nipped that in the bud...otherwise I was a perfect pt. ;)

I am sorry but nowhere in my pt's charts does it state what their profession or level of intelligence is? I treat all people with the same dignity and respect no matter if they have a college degree or not.

I totally agree with you NoviceRN10.

Oh come on. I know we have to deal with rude know it all family members in real life, but we have to here too?

We don't know what education our parents have. I speak to everyone in pretty simple terms ( not quite squishy poopy) unless they say to me, hey I'm a __________. Your FIL could have said something to the effect of what he did and has a good understanding of meds.

We don't know what education our parents have. I speak to everyone in pretty simple terms ( not quite squishy poopy) unless they say to me, hey I'm a __________. Your FIL could have said something to the effect of what he did and has a good understanding of meds.

?? I think perhaps you meant "patients" not "parents"? Freudian slip??:yes:

While I agree that the colace statement was inappropriate, I have no access to my patients insurance status, education or work history. Our admission staff I'm sure gets most of this, but only after the patient has been seen by a physician and I don't have access to that information.

Didn't the guy speak up and say that he was a retired pharmacist?

?? I think perhaps you meant "patients" not "parents"? Freudian slip??:yes:

Nope she's a NICU nurse I doubt her premie population could comprehend the teaching so NICU/PICU/pedi nurses are usually teaching parents not patients. ;)

I meant parents..I work in NICU lol My patients may be genius but I don't know it lol

I had a pt whose daughter was a pharmacist and I didnt know it when I began teaching on comfort meds. (Hospice pt). A few days later we were talking and she thanked me for my education I taught her things she didnt know about the medications. The teaching was inappropriately worded, but teaching on medications is our job and no matter our pts or their families professions. We still must teach. I have had numerous pts and family memebers who were/are medical professionals and they are always receptive and grateful for education provided.

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