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 LTC.

A & O x 3 own person. After almost a year of "education", my patience just left me. Here's something I actually said to a COPDer on fluid restriction who will use every available container in the place to sneak water (even goes into other rooms and digs cups out of the trash, YUCK!):

Them: I can't breathe! I'm having a panic attack!

Me: You are short of breath and have wheezes in your lungs because of all the extra fluid you drink.

Them: I never drink extra!

Me: I saw you two days ago drinking two cups of water using a denture cup.

Them: I didn't drink it. It must have been someone else.

Me, as we wheel into their room and I spy a FULL glass of water on their tray table: What is that? It's certainly not left over from your med pass.

Them: Silence.

Me: I like you. You are very smart, but you are doing this to yourself. Your lung sounds were clear two days ago (after the third prednisone taper in the last five months). YOU are the only one who can help yourself, I can't make you. Keep drinking and you'll end up in the hospital again. Let me get your nebulizer set up.

The frustrating part about being a nurse I guess. PS--the hospital floor called us once and asked us how to deal with this particular resident, LOL! Lots and lots of patience, which I just couldn't muster last week I guess.

Specializes in LTC.
I may work for you but since you are on medicaid "I ALSO PAY FOR YOU!"And "NO I AM NOT YOUR PRIVATE NURSE" "I HAVE 39 OTHER PATIENTS ON THIS FLOOR"!. THIS IS A LONG TERM CARE FACILITY NOT A HOTEL!" BOY THANKS, IT FELT SO GOOD TO SAY THAT NOW IF ONLY MY PATIENTS WOULD READ THIS FORUM! LOL! Oh yea I forgot about the resident who is screaming Help!, ,Help!, Help! and when you respond they calmly ask you fro their remote control or some other unimportant task,meanwhile you were trying to pass out one of you 40 something patients medicine, and you have to put everything in the cart and lock it up before running because you are sure by the sound of it that the patint is falling out of bed!

And then they do it all over again eight more times in half an hour!!!!

Stop hitting on me, old man. Not going to happen.

Specializes in ortho, hospice volunteer, psych,.
stop hitting on me, old man. not going to happen.

mrs. myers was my junior high french teacher.

if she were still alive today, she'd be about 120 -- at least.:eek::lol2::D:uhoh3:

she was a special lady.:up::redbeathe

Specializes in Medical.

"I don't come to check your vital signs, empty your IDC, clear your IV pumps and give you meds because I've got nothing better to do - I do it because you're here for nursing care."

Same patient: "When I tell you that I can't debate the merits of you receiving antibiotics at this inconvenient time because I've got another patient critically unwell it's not 'bull***' and I'm not 'blowing smoke up your orifice' - I've got an elderly woman who passed over 500ml of fresh blood, has hypotension and tachycardia, and there are five nurses and seven doctors working out where to from here. Stop being difficult and let me hook up the ******-******* vanc so I can get back to her."

"You want to leave AMA because I won't give your pain medicine 2 hours early? Be my guest."

"You don't know why your blood sugar is 495? Could it have anything to do with the donuts that your family brought in for you to eat because we were starving you on a 1800 cal diet?"

"If you push that call light one more time for something stupid, it is going where the sun does not shine."

"I certainly believe you when you say that you do not use illicit drugs, but your urine drug screen states otherwise."

"No, I will not hold your member for you to urinate. Neither one of your hands are broken, nor have you had a stroke."

I have to love it when men decide they can't wash their own genitals (yet are perfectly capable) so I have actually started telling the one's with significant others "Maybe we should let your (gf/spouse) know that you need help with that?" Turns them right around. And I say it in a very pleasant demeanor as to not be rude.....

I am sorry, I left my psychic powers in yesterday's scrubs!

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

I did say this the other day, and numerous times before.

"I realize medication is expensive, and I hate that we don't have samples. This med is old, it's generic. I may be an NP, but I remember what it's like to not have a lot of money. I don't have a lot now. But I make responsible decisions on how I spend my money."

Patient: "Well, how am I supposed to pay for this? It costs $XYZ per pill! "

Me: "How many packs are you smoking a day?"

Patient: "What difference does it make?"

Me: "Because that is money that you could use to buy your medication, that's the difference."

Patient: mutters something unintelligible and stomps out.

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

And one that brought the house down...our doc now has an edict that all of our pain management pts (who are seen bi-monthly) will have to present to clinic and physically pick up their prescriptions for the second month's worth of meds (prior to, we did a DNF before date on the second script, but we've had an increase in the number of "stolen" scripts). So, we've had some grumbles, but most folks are OK with it. Except one....

Receptionist: "Just FYI, Lilly's waiting to see you."

Me: "I just saw her yesterday. Is something wrong?"

Receptionist: "Nope, she's mad about the script rule."

Lilly: "I want my script. I can't come all the way over here every month."

Me: "I'm sorry, Lilly, this came from Doc. I can't change it. He makes the rules. You know that."

(This is in front of a waiting room FULL of patients, BTW)

Lilly:"Do you have any idea what gas costs me?"

Me:" No more than it costs me or anyone else here"

Lilly: Sputters and stomps out (in possession of ONE script)

Waiting room: Round of applause. Apparently she'd been grousing the whole time she'd been there.

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

And, yes, I'm hijacking my own thread here....what happened to Tazzi?

I think it has been a couple of years since she has been here....."needed a break"?

I think the script thing is a law, don't think you can give those DNF before a certain date anymore.

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

Morte,

Alabama laws are somewhat different, we still can and do give the DNF scripts. I live in one of the on;y two remaining states where NPs can not write controls. Go figure. But before I even hired in, we invited the AMA compliance officer in, and she was just great. It's a great relief to KNOW what I can and can't do. Much less room for an oopsie.