The Nurse as a Patient

Many of us know how to be good nurses, but are unaware of the actual patient experience. I wanted to share some of the good/bad aspects of health care from a patient's view. Moreover, I believe that having both the patient's and the nurse's point of view enhances my nursing ability. I tried to be both humorous and honest in my article. Nurses Announcements Archive Article

As healthcare professionals, we may forget how to be a patient. We love our patients, we sometimes get frustrated with our patients, and occasionally we will BE patients. I had the opportunity to be an inpatient at the hospital I worked at. I found out several things during this experience I would like to share with you. Perhaps you can relate.

  1. The ER is scary, and while my nurse was pleasant, the doctor intimidated me. The waiting room was busy with frightened patients, angry patients, and crying children. I could barely concentrate on my forms and felt terrible and dizzy and nauseated. I had just found out my H & H was very low when I attempted to donate blood. The doctor looked at me like I had lost my mind, which is understandable. I had just thought I was
  2. I admired the amazing IV and bloodwork skills, but finally understood how uncomfortable the IV catheter is in the antecubital space. It was like a huge splinter that annoyed me whenever I made the mistake of moving my arm. Once I was on the floor, I had my RN re-stick me in the forearm. She said she understood how I felt-she'd had IV's placed in the AC too.
  3. It is very embarrassing when the hospitalist ordered an occult blood sample x 3. I did not want my caretakers to see my poop. I never thought twice when I collected stools from patients, but I felt embarrassed.
  4. I didn't want food before the NPO status, but as soon as I knew I couldn't eat, I felt ravenously hungry.
  5. Everything and everyone looks different from a supine position.
  6. Hospital gowns are horrible. The prep for my procedure was horrible. Having funny, compassionate nurses and nursing assistants make the most awful things a little better.
  7. The IV "colonoscopy cocktail" is the best thing ever-except it makes you tell the whole truth to whoever will listen. If there's something you don't want everyone to know, plan your visitors accordingly.
  8. Having a list of medications you're taking makes life so much easier for everyone involved.
  9. Laughter is good medicine. I know everyone differs, but I loved laughing with my coworkers. It calmed me down and made me feel normal-even in the horrible gown, even when I was choking down
  10. It is very hard to look good in the hospital. My hair was a rat's nest, I was very pale, and and my skin felt oily. I worried about how I smelled. I wished I had a razor, or had taken care of shaving my legs before my hospital visit. I wanted my teeth brushed before anyone assessed me, every day. As you may know, assessments happen all the time.
  11. You can't lie about your weight when you get weighed daily. Nor can you hide the smell of your GI bleed poop.
  12. I realized that to be a good and competent nurse, I needed to "practice what I preached". I took better care of myself because I was aware of how easily health can slip away. I know it seems obvious, but I also know I'm not the only nurse that does this.
  13. I realized how truly exposed you feel as a patient. I still get nervous going to the doctor-even for check-ups. Kindness, professionalism, and humor matter. I think that my experience as a patient made me a better nurse.
Specializes in Critical Care.

My experiences as a patient: do not put an IV in my hand. I have ginormous forearm veins, use them. When I say Zofran doesn't work, give me Phenergan. I'm not trying to get high (although blissfully sleeping when you've been nauseated is quite nice), Zofran just gives me a rip-roaring headache and no relief.

I went to a doc who works in my hospital the other day and when he found out I worked nights, he said, "I haven't yelled at you when you called me, have I?"

Um, no. I wouldn't be seeing you for my own medical treatment if you had.

Specializes in M/S, Pulmonary, Travel, Homecare, Psych..

I got a semi shocking, somewhat funny slap in the face with reality when I had my gallbladder taken out. I remember going under, then waking up with the one nurse standing above me. I had an urge, a need.....to sit up. And I did, scaring the nurse a good bit in the process.

Then I went and dangled my feet over the bed. Again, doing so without warning. I just got the urge to, and followed said urge. Lowered the side rail and out went the legs. It felt good, seeing my nurse anxious about it maybe not so good.

A few minutes later I felt the urge to start walking. So I did (Ok, yes, I'm a bit impulsive). This the nurse didn't appreciate (a different nurse at this point, which lead me to believe she'd not be upset because she was, I assumed, unaware of my prior transgressions).

At this point she said to me "Honey, you've got to quit trying to be so perfect. You don't have to be the perfect, independent patient. You're not on the clock, relax, let us help you instead of you helping everyone..............."

Now, that comment startled me more than a little bit. I had not mentioned at all that I was a nurse. I had made up my mind well before the surgery not to talk about it in fact.

She, the nurse, just grinned at me and said "You talked a bit while coming out of anesthesia, it was obvious. Now let me walk with you so you can quit trying to be little Miss Perfect by yourself."

(shrugs shoulders) I started to ask what I said but left it at that.

Specializes in LTC, assisted living, med-surg, psych.

Last fall I had the dubious 'pleasure' of being a patient on a psych unit. When I first arrived, I was too depressed and anxious even to notice that there were other people in there with me, but after two or three days I started to worry about them and more than once approached the nurses with my observations. "Mike seems to be getting pretty wound up, maybe he needs a PRN" I told them when one of my fellow "inmates" started becoming manic. And, "You might want to go talk to Eva, she's crying" and so on.

I had to be reminded more than once that I was Viva the patient, not Viva the nurse, and that I was there to be taken care of. My nurses were awesome and I appreciate their patience with me. It's hard to avoid going into Nurse Mode when you're the patient, to let go of that control button. But I did better when I was in for kidney surgery recently, and let the nurses do what they needed to without endless input. I even allowed them to take out my catheter and walk me to the bathroom (which was a good thing because my B/P was low and I was woozy to say the least). Major concession on my part.:)

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
Zofran didn't even begin to touch the extreme, seemingly endless waves of nausea and retching after my surgery; apparently my body did not like the morphine they were giving me. If I hadn't felt so truly miserable I would have laughed when, after several hours of the room spinning (and the Zofran still not working), the nurse said to me, as I continued with the uncontrollable frequent dry heaves.....

"Honey, you have got to stop this."

I was completely flabbergasted.

Uh, well,.....yuh. You think I'm enjoying this? That I can just..... stop?

I found Zofran to be a hit and miss drug. Phenergan has a better track record, IMO. When all else fails, hit the doctor up for Decadron. I'm sorry you suffered for hours while they dicked around with useless Zofran.

Specializes in ER.

I had emergency surgery last winter. I found out that tons of morphine, and then anesthesia, causes more than a little nausea:eek:.

I also discovered that, when you've been woken every hour for cap refill checks in night, it's a major drag to have every ancillary staff member loudly knock before entering. Tiptoeing quietly would have let me sleep.

Specializes in Med nurse in med-surg., float, HH, and PDN.

Yeah, the thing that drives me nuts when I am doing a hospital PD, is the loud knocking on the patient's door every time someone wants to do whatever it is they need to do in that room. Poor pt. gets very little rest sometimes!

Specializes in Med/Surg/ICU/Stepdown.
I found Zofran to be a hit and miss drug. Phenergan has a better track record, IMO. When all else fails, hit the doctor up for Decadron. I'm sorry you suffered for hours while they dicked around with useless Zofran.

My general rule is if I don't see a marked response in the patient's nausea with one dose of Zofran, I call for Phenergran. Period.

I also had the pleasure of being a patient. Had emergency surgery not too long ago. Anesthesia is so strange. Not that I had a reaction to it but I remember the Anesthesiologist putting the mask on me and the CRNA shooting something into my IV and I was out. Woke up in recovery and said oh wow I had my surgery already that was fast. Then I squinted at the clock yeah no 6 hours had passed. So weird to lose track of time like that. I had a very complicated surgery so it took longer than expected.

My night nurse was ok and I actually told her a couple things that she never knew. Having a foley removed well yeah take it out quick. I always did but she didn't. I know you want to get your patients up and walking but make sure that you have someone by their side while they're attempting to stand up. I felt a wave of dizziness and my poor mom had to catch me. I did ok afterwards but man it took me a minute to catch my bearings.

Hand IV's not yeah not a good place. I'm still having trouble moving my left hand and it's been two weeks now. If a patient complains that one of the IV's is hurting (my #18 in my right wrist) go ahead and remove it. Don't use the excuse that if your other IV goes bad then we won't have IV access. Dude I have a #18 in my wrist I have veins.

Just because you have a so called easy independent patient please check on them. I felt very isolated my second night. My nurse only came to my room to give me my night meds and to do her assessment Didn't ask about pain and I saw her again at 0400 because I woke up in excruciating pain. I'm a very light sleeper and knew no one had been in my room all night. Plus I was uncomfortable from having major surgery.

Don't assume because someone is a nurse that they can do things for themselves. I've been a nurse for 7 years and in healthcare for 15 but I'm the patient now and quite frankly scared because of this surgery plus a possible CA diagnosis. All my nursing intuition went out the window because of this. I still need to be asked about pain, help getting up etc.

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Oh yeah and zofran is a joke. Even though I had a Dilaudid PCA doesn't mean my pain is being well controlled. I was so loopy that I didn't really speak up plus I used almost the whole syringe by the next morning. Toradol worked so much better for me.

It was a very humbling experience. Even though I don't work on the floors anymore I know what to do and what not to do. Even though I always thought what I was doing was right for my patients.

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Specializes in OB.

I was a patient multiple times before ever becoming a nurse, so I had some idea what it was like. And I've been a patient a couple times now since becoming a nurse. I like to think that I'm not a bad patient - I only use the call light when I really need something, usually I just wait until the nurse or aide makes rounds and then ask. However my last stay was not so pleasant. I had a da Vinci hysterectomy and had to go the med/surg floor (I had been hoping to go to my own floor, OB, since we were taking female surgicals when we had the rooms available, but that day we got busy and I couldn't go). I was 42, over weight and had a long surgery, but they never hooked up my scd machine. I had to ask for peri pads, but they only brought me 1 pad (who does that?). The first nurse assessed my incisions, but no one did after that; and no one ever listened to bowel sounds or lung sounds. I'm sure they charted that they did. One of my co-workers said that maybe they figured that since I was a nurse I would let them know if something was wrong - ummm I didn't take my own stethoscope! I did end up writing a letter to the manager of the unit, and I really felt guilty doing so, like I was tattling on fellow nurses. But if they weren't doing a complete assessment on me, someone who knew what they should be doing, were they doing full assessments on anyone? My doctor really wanted me to write the letter since more and more of the gyn patients were going up to that unit and he felt they weren't getting the care that they normally got on our unit.

I had bilateral knee replacements, staged a week apart. After the second operation when both knees are stuck in the "do not bend" position and one has to use the ummm br, for an ,umm, bm. One hits the call bell, and speaking clearly explains, 'I have to go to the bathroom," a trill comes back, someone will be right there. 10 minutes later, I hit the call bell, "I really need to use the bathroom!" becoming a little anxious, They're coming... 10 minutes later, I push the call bell, and bark, in my best military tone (learned from my dad), " I have crapped the bed, may I please have some help." At this point my blood pressure was up, my teeth were grinding I was sooo mad, embarrassed and humiliated, I couldn't speak. Tears were rolling down my cheeks at the suppression of anger and angst. I have never, ever ignored another immediate call bell for the br, ever since. Even when I worked as a case manager and was informed, "it wasn't my job,"there is NO REASON why someone cant assist a person to using a bed pan, bsc, or toilet, whether they are a nurse, apc, cna, rn, asn, msn, manager, case manager, doctor, arnp, etc. Anyway, lesson learned the very hard way, about not being a timely call bell answerer.

Specializes in MICU, SICU, CICU.

A couple things I took away from a prolonged inpatient stay as a teenager:

1) The NG tubes are no fun no matter how you sugar coat it, just get it in as quickly as possible

2) A surgical intern abruptly came in my room to tell me I was going to the OR, not the way to break the news to someone who has never had surgery

3) When I got to preop, they parked me beside the door to the main OR, I was so scared and without my parents, I just wanted to cry on the gurney

4) When the cancer diagnosis came back, my docs thought my parents needed to know first. But sitting in my room for 45 min alone only increased my anxiety. PS I'm not stupid, when the child life person just "happens" to drop by late in the day, something is up

5) After my second surgery I was taken intubated to PICU. I awoke restrained, intubated, without my glasses. I couldn't see, move my arms, or talk. My parents were no where around due to visitor restrictions, talk about being scared. The child near me was unstable and there was always lots of commotion.

6) The first time I was gotten out of bed after major abdominal surgery, I felt like I was being ripped in half. But my nurse was a rockstar with pain meds.

7) Post-op pancreatitis is a miserable experience

8) I cannot understate the importance of pain medication in procedures. I had many painful procedures done that I did not receive much medication due to fears of respiratory depression. I still have nightmares sometimes about the pain.

My experience as an inpatient has been valuable in shaping the nurse and now NP that I am. I can truly empathize with my patient and I try to remember the fears and anxieties that I felt, and seek to prevent or allay those fears in my patients.