Things you'd LOVE to be able to tell patients, and get away with it.

Just curious as to what you would say. Mine goes something like this: Nurses Relations Video Nurse Life

Updated:  

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!

Have fun!

Specializes in Gerontology.

To My Pt Today: (post-op hip replacement)

I am sorry the nurses you had on the weekend were either a)lazy, b)stupid, c) inconsiderate or d) All the above!

I am sorry they never go you out of bed the entire weekend. They should have.

I am even sorrier that they left you in a malfunctioning bed that had a very annoying alarm beeping almost non-stop.

I am even more sorrier that they put a diaper on you and told you to use that instead of helping you up to the commode!

I know you are an obest person, and you know you are an obese person, but that is NOT an excuse for not getting you up. If they were concerned, 2 or 3 people could have come in until they knew how well you could move.

thank you for understanding when I told you that I really could not tell you what I really thought about those nurses because it would not be professional of me. And thank you for realizing that they didn't do what they should have done because some people just won't make the effort. And thank you for realizing that not all nurses are like the ones you had - you just happened to luck into the few bad apples.

And thank you for making my day by being so happy that I a)got you out of bed. b)walked you to the BR to void, c) noticed that while you are an obese person, you did not need the malfunctioning bariatric bed and got you into a regular bed. Your happiness when you got back into a proper, comfortable bed has made my day, my week and maybe my month!

Sincerely,

Pepper The Cat.

(who is still angry beyond words at certain people who make assumptions without making assessments!)

That was awesome, pepper.

To My Pt Today: (post-op hip replacement)

I am sorry the nurses you had on the weekend were either a)lazy, b)stupid, c) inconsiderate or d) All the above!

I am sorry they never go you out of bed the entire weekend. They should have.

I am even sorrier that they left you in a malfunctioning bed that had a very annoying alarm beeping almost non-stop.

I am even more sorrier that they put a diaper on you and told you to use that instead of helping you up to the commode!

I know you are an obest person, and you know you are an obese person, but that is NOT an excuse for not getting you up. If they were concerned, 2 or 3 people could have come in until they knew how well you could move.

thank you for understanding when I told you that I really could not tell you what I really thought about those nurses because it would not be professional of me. And thank you for realizing that they didn't do what they should have done because some people just won't make the effort. And thank you for realizing that not all nurses are like the ones you had - you just happened to luck into the few bad apples.

And thank you for making my day by being so happy that I a)got you out of bed. b)walked you to the BR to void, c) noticed that while you are an obese person, you did not need the malfunctioning bariatric bed and got you into a regular bed. Your happiness when you got back into a proper, comfortable bed has made my day, my week and maybe my month!

Sincerely,

Pepper The Cat.

(who is still angry beyond words at certain people who make assumptions without making assessments!)

Specializes in Gerontology.

That was awesome, pepper.

thank you. That felt so good to get off my chest!

Thank God for All Nurses where I can vent about something like this and know if won't come back to haunt me!

Specializes in Neuro, Cardiology, ICU, Med/Surg.

~ When I told you "the next time you may have your pain medicine is 0330," that means THE ABSOLUTE EARLIEST you may have your pain medicine is that time. It does NOT mean 0300, or even 0325. And no, I'm not going to be at your bedside three hours from now, giving you your pain medicine like clockwork. First of all, I don't give pain medicine to sleeping patients unless they are on a continuous PCA, and second of all, your pain medicine is not DUE at 0330. It is still an AS NEEDED medication. If you are in pain at 0330 or any time after that, I would be more than happy to bring it to you, unless I am busy with something more important. And yeah, there ARE more important things than pain medicine.

I actually did say this to a stable, med-seeking patient once who had PRN narcotics he could get q4hr (which conveniently coincided with the times I took his vital signs, and thus always brought the meds when I came in to do them) after pressing the call button multiple times to try to get them sooner: "I am allowed to give you your (Percocet/Vicodin or whatever it was) as often as every 4 hours as needed. I know you always want the medications, so i just bring it every time I do your vital signs, which is also every 4 hours. From now on, every time you call me for pain meds before I come in to take your vital signs, it will inexplicably take an extra 15 minutes for me to get here to do them and give you your pain meds.

Handing them the toilet paper & saying, "Here, wipe your own a**" to those who are perfectly capable of doing it themselves!

Thanks

Jerenemarie

It was so refreshing to read this post. While many patients can be absolutely annoying, I always tell myself that I have no right to judge them. I work with the psychiatric population and in a rehabilitation unit, and believe me, I have tons to say. But instead, I always thank god that I'm not the one complaining.

I had a patient who complained about the generic medication (instead of brand), food, service!, not getting the medication exactly at 5 and then 9 pm, and much more. and after listening to her complaints (while thinking of all I have to do) she complained "I don't know why they still keep you here"!

To My Pt Today: (post-op hip replacement)

I am sorry the nurses you had on the weekend were either a)lazy, b)stupid, c) inconsiderate or d) All the above!

I am sorry they never go you out of bed the entire weekend. They should have.

I am even sorrier that they left you in a malfunctioning bed that had a very annoying alarm beeping almost non-stop.

I am even more sorrier that they put a diaper on you and told you to use that instead of helping you up to the commode!

I know you are an obest person, and you know you are an obese person, but that is NOT an excuse for not getting you up. If they were concerned, 2 or 3 people could have come in until they knew how well you could move.

thank you for understanding when I told you that I really could not tell you what I really thought about those nurses because it would not be professional of me. And thank you for realizing that they didn't do what they should have done because some people just won't make the effort. And thank you for realizing that not all nurses are like the ones you had - you just happened to luck into the few bad apples.

And thank you for making my day by being so happy that I a)got you out of bed. b)walked you to the BR to void, c) noticed that while you are an obese person, you did not need the malfunctioning bariatric bed and got you into a regular bed. Your happiness when you got back into a proper, comfortable bed has made my day, my week and maybe my month!

Sincerely,

Pepper The Cat.

(who is still angry beyond words at certain people who make assumptions without making assessments!)

Specializes in Med surg,.
OMG! I would have a VERY hard time keeping my cool with that one... it's a BABY, for crying out loud! :eek:

(anyone else think that reading at least a Dr. Sears baby book should be mandatory for every parent?)

IMO, I think new parents should go through the scrutiny that adoptive parents go through. But I know thats an impossible dream.

Specializes in Cardio-Pulmonary; Med-Surg; Private Duty.
IMO, I think new parents should go through the scrutiny that adoptive parents go through. But I know thats an impossible dream.

I've never been able to figure it out... you have to fill out an application and meet certain criteria just to adopt a dog or cat from an animal shelter, but anyone with the ability to spread her legs can have a baby???

:confused:

I'm definitely not one who is into "Big Brother Is Watching" government oversight, but I honestly would have no problem with a law requiring parents to meet minimum requirements in order to take their baby home from the hospital. You have to pass a test and have a license to drive a car, scuba dive, use a welding torch, cut hair/do nails, etc. Why not a test for a parenting license???

*sigh*

Specializes in med-surg, psych, ER, school nurse-CRNP.

"Yes, ma'am, I DO know that our doc is releasing you from this practice. Yes, I know why, and no, it's not because of what you're telling me. No, I will not HAVE her re-do your disability paperwork, since 'she's saying you're not disabled'. I can ask, but I can also pretty much guarantee you what the answer will be. Yes, I know what she said on the form. I know because I helped her fill it out. No, you can not work full-time and still claim disability, at least not in this clinic. You either are or you aren't. No, I don't have any idea how you're going to afford the multitude of meds that Doc gives you for free. Maybe you should have thought about that before copping the attitude, demanding that letters to various entities to try to get you aid be written a certain way, and trying to coerce her into falsifying a legal document. No ma'am, Doc won't be in today to see you. She's across the hall, and she doen't not want to deal with you. No, staging a sit-in won't change her mind. She'll have me call the local 5-0 to remove you. Y'all have a nice day, now."

Yep, said that. The only thing I did NOT say was that the only reason doc knew she was employed was that the patient told me, and I asked about it. Perfectly innocent question..."How can she claim total disability if she's working?", and Doc put the kibosh on the forms. Was not my intention, I didn't even know the lady, but there it was. Thing is, if you tell the truth, you don't have to worry about getting caught in a lie.

Doc was really good to this lady, until said lady started dictating how her aid app letters were to be written, and then threw a world-class tantrum when we refused to lie on her disability application.

Still loving this thread! May be the best one I ever started.

I've never been able to figure it out... you have to fill out an application and meet certain criteria just to adopt a dog or cat from an animal shelter, but anyone with the ability to spread her legs can have a baby???

:confused:

I'm definitely not one who is into "Big Brother Is Watching" government oversight, but I honestly would have no problem with a law requiring parents to meet minimum requirements in order to take their baby home from the hospital. You have to pass a test and have a license to drive a car, scuba dive, use a welding torch, cut hair/do nails, etc. Why not a test for a parenting license???

*sigh*

My objection to parenting tests is that very often, it's not obvious who the worst parents are. Probably the worst parents I know personally are a married couple who are highly educated and earn around $300,000 a year between them. Let's just say that CPS would NEVER investigate people like that. :down: Those poor kids. The mom had a hysterectomy a while back, so we do know there won't be any more.

Their 11-year-old son cuts himself, and their 8-year-old daughter binges and purges, and both have been doing this for three years that I know of.

No, I don't know when the doctor is coming today. I don't have a LEASH on him.

Honestly, what makes these people think that we know where the doctors are or that we have ANY power over them? :uhoh3:

Oh, so you want DAILY updates IN PERSON, FROM THE DOCTOR, at YOUR conveniece on DEMAND, on your 100 year old grandmother who has terminal lung or some other body part cancer? And, you're getting snotty about it??

Here's an update: She going to die, sooner than later. I'm sorry about that, but she's lived a long and wonderful life -- much longer than many of get to live. We're supposed to die as we age, and often, many people do die once over the age of 95. So, relax a little, just be here to make her more comfortable, and it will all turn out in a postive way. Besides, she really doesn't even know what planet she's on, or what HER name, or YOUR, or MY name is at this moment. :o

Now, if your'e not satisfied with the care i'm giving her, perhaps you'd just rather take her home and deal with her youself, her body excrements, baths, feeding, etc??