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

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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 med-surg, psych, ER, school nurse-CRNP.
JessieRN said:
But my god, please don't give me that glimmer of hope that I may be rid of your irritating tale unless you really mean it. I really can't take the let down.

OMG, how true, how true!!

Here's a few more:

"If you don't want to hear the truth, don't ask. I do not have time to candy-coat everything for you just to keep from bruising your poor little abused psyche" (To an addict who used "cause I can't deal")

"Look, you got yourself into this mess. Act like an adult, accept the blame, accept the consequences, put on your big-girl panties and deal with it!" (Big-girl meaning adult, not obese)

"This is a hospital, NOT a hog-calling contest" (Actually said that to one who refused to use her call light. I live in the South. We actually have those contests here)

More later.

"Having sex on the fold out chair next to your 6 week old baby is disgusting and you're making so much noise that I can hear you out in the hall way."

"Your 2-year-old is a brain-dead gork because you don't have 2 brain cells to rub together and didn't make your child take her anti biotics since she 'no-likey'. Her ear infection became meningitis and now she's totally neurologically devastated. Nice going, a-hole."

"Hearing you talk about your vegetative son's precocious puberty and large genitalia freaks me out and really ruins my appetite. It also makes me think you're some kind of sick freak."

Specializes in ICU;CCU;ER;flight nurse.

I had an 18 year old once who needed an IV. He had tatoos and piercings EVERYWHERE and freaked out when I told him I needed to put an INT in him. I asked him why he was scared when obviously he'd been exposed to needles multiple times in the past. He said that was different. I said (probably shouldn't have) yes, this time would be different....My needles were sterile and this time he was sober. He quieted down pretty quick after that:smackingf

JessieRN said:
ll they cooked.

5) Please follow me down the hall to our hospice ward. I feel you need to see a sick individual so you will realize just how well off you are.

YES

For all those outrageous requests in the ED, such as...

"I want a glass of Coke please." *patient presenting with nausea/vomiting/abdominal pain*

"I want the doctor to come in and talk to me. I'm not leaving until he tells me why he won't refill all my pain med rx's that have run out from the 500 different physicians I see for my narcotic addiction including my Demerol, Morphine, Vicodin and Percocets." *self-explanatory*

"I want an STD check." *random 20-something that comes in every month randomly at around 0400 instead of going to the free clinic*

"I want a cab voucher if you won't get me an ambulance. We came in by ambulance -- we should go home by ambulance! How else are we going to get home?" *30-something mom and dad of a 2-year-old with chief complaint and discharge diagnosis of DIAPER RASH*

And the response I would LOVE to be able to tell patients?

"Yes, and people in hell want ice water!"

Specializes in Med/Surg, psych, 7 yrs EMT.

"No, I will not help you place your genitals into the urinal...Your 23 and your foot is almost healed."

"Let me give you my second pair of hands, wasn't using them right now anyways."

"For gods sake, please keep yourself clothed while walking in the hallway, believe it or not being naked in the hallway on a busy surgical unit is very disturbing."

"Could you please refrain from intercourse, your roomate has complained."

My favorite: "You look tired" My imaginative reply: "Thanks, I have been running around this unit like a rabbid monkey chasing after all your demands and desires and your response is basically I look like ****!

This kinda feels good! :typing

Specializes in Med/Surg, psych, 7 yrs EMT.
registerednut1221 said:
1. Yes, you are on a lot of medications. Yes, I want you to take all of them. No, none of them are poison. We are not trying to make you sick so we can keep you here longer. Yes, I understand that you were perfectly healthy before you called 911 before you nearly fell over dead. I understand that you weren't taking ANY medications before coming here, but YOU'RE IN THE HOSPITAL, HOW WAS THAT WORKING FOR YA?

2. If you're capable of reaching your mouth to eat, then you should be capable of reaching your own rear end to clean it.

3. Just because I am wearing the same uniform as your nurse, that doesn't mean I am YOUR nurse. I don't know you. I have no idea where your pain medication is. I had no idea mama was even on the bedpan, let alone that she had been calling for 3 hours (there must be some sort of time warp in the hospital) to get off it.

4. No, I don't mind coming in RIGHT NOW to pull the cover up on your loved one (because it surely requires an RN for that type of "procedure")...that is if you don't mind running to the other end of the hall to tell me why that patient isn't breathing. I should be done here by the time you get back.

5. Yes, I know the food here is crap. Sure...go on and bring your diabetic renal family member that fried chicken, chocolate cake and orange juice that they love so much and while you're at it, why don't you come on back tonight, we'll probably need the help while we're coding their @$$.

6. Yes, you figured out our secret. We draw labs every day so that eventually you'll lose enough blood that we can charge you for putting it back in.

7. No, of course we're not trying to wean your loved one off that ventilator. He just looks so comfortable we thought we'd let him keep it.

8. I have no idea why nana is so confused, could be that she's 102 years old. Yes, I understand that she never had been confused prior to being in the hospital. I'm sure she was completely in her right mind when she stole that car and was getting ON to that major highway via the OFF ramp just before she hit that car head-on. Yes, we really did tie her up with duct tape, put her in the shower and let the pigs chew on her knuckles last night.

Oh, man....I could do this all night! LOL!

Tee Hee... Can't stop laughing after that one! :hhmth::nmbrn:

Things I have said. No calling your doctor will make him come any sooner.

If this were my loved one and I felt the care she was getting was bad I would take her home and care for her myself. I wonder why if yours is getting such bad care you would consider leaving her here one minute longer.

I said to a family who not only complained bitterly about the care but they continually insisted nursing fluff pillows, pour water, move things, hand pt things etc. while they watched. You know what? They got the message and sheepishly stopped complaining and started to do these things for themselves. Some of the other family members just slunk out.

Specializes in Med Surg, Hospice.

Could you please stop yelling NURSE every time you feel you like you're not getting the service you think you deserve. First of all, I'm not your nurse, and secondly, if I hear you yelling, I just get that more stubborn and will come when I'm done with another patient that had the decency to put on the call light and say "I'm sorry to bother you, but...."

I know you think you're the only patient on the floor, but believe me, you are not. I have patients sicker than you are that aren't quite as annoying.

I don't care if you reported the RN, the Charge Nurse, the aide that you didn't like, and the doctor to the unit director. You're not pulling that I'm going to report you crapola with me. Go ahead. I double dog dare you.

You're getting on the cart to go for the test NOW, not in 20 minutes because you didn't get your pain meds first. I don't set the testing schedule. The department does that, and they want to see you NOW not in 20 minutes. Grow up and stop whining.

rph3664 said:
p.s. I'm sorry about offending people with my earlier post about "American poverty, 2007." My point was that many people create their own problems, and this includes modifying their bodies in ways that render them unemployable.

Guess I stepped over the line.

It didn't offend me at all. People need to just get over themselves if they can't handle the truth. I see it all the time. It makes everyone's job in health care that much harder. It's totally unnecessary.

Specializes in Medicine.

To the SON of the demented Italian man who punched me in the side of the head to which his response was "OH you must get that all the time huh?"

"Actually NO I don't, jerk, let me punch you in the head and see how you like it."

TO the granddaughter who wanted to speak with the vascular surgeon NOW! ..."But he's in the OR all day, is not going to leave in the middle of surgery to come and talk to you. Your crazy grandfather is NOT his number one priority idiot."

To my patient who was upset that we changed her room and didn't have a view..."TOO bad, you want a better view, leave! Last time I checked, this is NOT a hotel"

TO the patient who thought he was getting an ambulance ride home because he lived 100 miles away..."Are you insane?! Is that how you've ever been discharged??"

And my all time favorite!

TO my 22 y/o crack pt with an abscess on her forearm s/p injecting coke (who knew!?) who was telling me to just get her more pain medicine even though the doctor has not ordered more and her heart rate is 41

"I am sorry that you did this to yourself because your life is soo hard when you were 16 and starting to coke just because everyone else was. (That's what she told me when I asked what got her into drugs) And I understand you're in 10/10 pain, yet sound asleep when I walk in the room, I just can't believe you! And regardless of all the whimpering and screaming you do when I change the dressing, I am not calling the doctor at 1am for pain medicine when you already recieve 2mg of IV Dilaudid q4hs. You're taking up space in the hospital for a person who could actually use the bed! Now go to rehab and straighten up your life!"

WOW. I Love This Post! :up:

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

I am so glad someone revived this post!

I am doing occupational health now, and I have a few more.

*I am so sorry you have not slept in 4 days, but medical is not going to be able to help you. This should be handled with your regular doctor. No, we do not have any No-Doz here.

*I highly doubt that your arm pain is causing your life to fall to pieces around you. If it is, might I suggest giving up your bowling league and pool tournaments that might aggravate said arm?

*Getting in my face will not get you your Total and Permanent Disability any faster. It might, however, give you a new reason to need it.

*If you did not report your accident last week when it happened, and I can not see any evidence of the accident now, I seriously doubt that you are going to get any sympathy from Doc with your little drama queen act at this point.

*No, dear, light duty does not mean, "I'll try it, and if it's too much, I won't do it". (I did say this to one lady who insisted that she did not need any further restrictions. I was proven right to insist a few weeks later)

*Do NOT come in here and tell me you don't want to be a bother when you have a 3-volume chart that reads like "War and Peace".