Hi, my name is AngelfireRN, I'll be your nurse tonight.
I am not a waitress, nor am I your slave.
Yelling and hurling obscenities at me will not get you your pain meds any sooner than they are ordered. Nor will having your family member or entourage do the same.
Threatening lawsuits and having umpteen family members camp out in the halls or hold up the nurse's station will not get you preferential treatment.
Physically grabbing me as I go down the hall is NOT a good idea.
I do not give the orders, but I do have to follow/enforce them. This is something that you should take up with your doctor.
No, I will not call him again to ask him for more pain medicine. He has been called twice and has said no both times.
No, I will not give you his number so you can "straighten him out".
No, you are not my only patient, and I highly doubt that you are single-handedly paying my salary. On the off chance that you are, let's talk about a raise.
NO, NO, NO, I most empahatically will NOT come get you when it is time for your next pain shot while you are having a smoke break. I also will not bring it to you in the smoking room. (Have actually said that, I am allergic to cigarettes. I did it once, had an asthma attack, desatted to 83, and turned blue, according to the patient and my charge nurse, after the patient had to help me back to the floor).
No, I don't really care if your family has not eaten all day, they drove here by themselves, they are not sick, and no, I will not call for 6 guest trays. (This of course, is if the patient in question does not need all 6 family members present, and is not at death's door).
No, you may not have 3 six-packs of soda from the kitchen, there are other people that would like a snack, too.
No, they will not open up the kitchen up just for you, at 1 in the morning, because you don't like the snacks we have on the floor.
I could think of hundreds, but those will do for a start. I know it sounds mean, but this is why I got out of bedside nursing. When a hospital becomes the Hilton, I'm gone!
There are some PIA pts, as sad and sick as they are, need to have their picture on file at ER's and pharmacies and have a notice IF YOU SEE THIS PT DON'T SERVE THEM! but sadly it doesnt work that way!
Pharmacies can and do ban customers, just like any other retail business. Remember that we are allowed to refuse to fill any prescription, for any reason. Any town or region will have a phone tree to alert other pharmacies when a prescription forger, etc. shows up.
When I was in retail pharmacy, we did have a customer who had been banned from the local ER. I don't know how they pulled that off, but he was; this was a small town. I suppose if he arrived in an ambulance with chest pain, he would have been treated, but whenever he came by needing drugs, they turned him away.
"If you insist that you are not to be woken up over night for silly things like vitals, labs, or meds, don't expect me to respond to your call light over night."
I could get them some Phenobarb, but they'll have to have a seizure first
Are you sure that wasn't a seizure? it sure looked like one to me *wink wink*
Specializes in Geriatrics, Cath Lab, Cardiology,Neuro.
We had a pt who came in for chronic pain and the Dr prescribed Percocet, a little while later I get a call from the pharmacy saying they cannot fill the Percocet because she is taking Suboxone and it will lower the amount of pain med in the Percocet. I alerted the Dr about this. It is possible that our pt DID NOT tell us EVERYTHING, but forgot to tell us that she fills her other meds at the same pharmacy! Something needs to be done for "Doctor/Pharmacy Shoppers"! Maybe it is time for a Patient Narcotic Registry?
Look, I realize you don't get a lot of good stuff at the county jail, but you're diabetic and you CANNOT have any more hot chocolate.
This was something I should have said this week. But I did ask my diabetic patient if he wanted tea instead and he said yes. Next time, I'll be more careful with the manipulative patients.
OMG... I could fill a whole notebook... maybe a whole book!
To the person returning for her 4th foot surgery (this time broken hardware)...
a. If you would take off some of your 330 pounds maybe your feet wouldn't bother you so much
b. If you would stop smoking maybe it would help your circulation and healing process
c. If you would even attempt to control your diabetes it might just help your circulation and healing process
d. And if you would just follow the %## discharge instructions you might just help yourself.... hello, non weight bearing means NO WEIGHT. Yes, you can walk on it after taking 3 percocet ... but that doesn't mean its a good idea.
There is a darned good reason why you have no friends and everyone leaves you eventually: You are a toxic person with no social skills or sense of basic decency, you take your emotions out on anyone around you, it's never your fault, you never learn, and you interpret hep or suggestions as personal attacks. You take for granted that people are going to listen to you listening to yourself talk. You don't even try to have conversations, you just conquer the conversation and don't notice that people are trying to back away or ask you important questions. What you idealize as a friendship is what most people know as emotional monopoly, worship of you, and jealous possession. You worship and praise people you "like," and hate them when they don't concur with the aforementioned idealisms. Even the nurses you "like" request not to be assigned to you because they know it's only a matter of time before you hate them. The only reason why therapists stick around as long as they do is because they are required and paid to listen nonjudgmentally and respect your autonomy to harm yourself all you want, and you fire them soon anyway. You're not going to learn, and I really hope that you run out of nurses you'll allow to take care of you and decide to go to another hospital because as unfounded as they are, your complaints are taken seriously. I hope that your wolf-calling catches up to you someday.
Sorry. I try not to let my mom loose on too many people!! :dzed:
This one is for the pt in the SA treatment center:
To the court ordered pregnant pill-popping, alcoholic crackhead:
PLEASE stop drinking the hand sanitizer, perfume, hair spray, and vanilla extract. It's just nasty!!
I will NOT call your boyfriend/baby daddy/dealer/pimp to bring you "something" for your headache, yes you are restricted to Tylenol. You will NOT get your fix on my shift. I have also alerted law enforcement, so if your SO even breathes in this direction, he will be arrested!!
Your tears and crying about me during your one 10 min phone call this week will not change my mind. You only have 5 minutes left, use it wisely.
Your baby isn't moving because she is drunk & high!!
Please do not spend your $$ on anything for this baby, because the state will be taking her from you immediately after they cut the cord!
No getting high on your 1 day pass will NOT help you get you 8 kids back. Your parental rights have already been terminated!!
Since you have decided to use during your entire pregnancy with NO prenatal care and are now extremely high risk in my facility, I now have to call 911 everytime you have abd pain and look @ your firecrotch to make sure you're not crowning! (I would really like to not throw up in my mouth several times weekly)
Please wash your snatch daily since you know that I will be looking in there regularly since you want to keep showing signs of preterm labor.
GET YOUR TUBES TIED!!!!!!!! You have set the popluation of our county to an all new high!!
It was probably not a good idea to try and snort laundry detergent. Yeah...feel the burn!!
You wanna check out AMA? Be my guest... There's the door. I'll even help you pack.
I love when my patients think they're threatening me by saying they'll go AMA...because unless they're really psychotic, I pretty much tell them exactly what you wrote. And I love it when their face falls, they say "Oh" and back down, and are meek little mice for the rest of the shift
Trust me, patients: if you want to leave, fine by me--I won't lose any sleep over it! :)
I try not to let my mom loose on too many people!! :dzed:
You have set the popluation of our county to an all new high!!
rph3664
1,714 Posts
Pharmacies can and do ban customers, just like any other retail business. Remember that we are allowed to refuse to fill any prescription, for any reason. Any town or region will have a phone tree to alert other pharmacies when a prescription forger, etc. shows up.
When I was in retail pharmacy, we did have a customer who had been banned from the local ER. I don't know how they pulled that off, but he was; this was a small town. I suppose if he arrived in an ambulance with chest pain, he would have been treated, but whenever he came by needing drugs, they turned him away.