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 ICU/CCU, Med Surg.

Stop taking the ^$*(^&@ bipap mask off! And leave your O2 sensor alone, people! Jeez! Why do you think you're here?!

Disclaimer: I realize bipaps are no fun and leave you parched and uncomfortable. But you know what makes you *more* uncomfortable? NOT BREATHING!

Specializes in Cardiac.

I DID say this to a whiny bilateral total knee replacements pt:

"No, I will not pull or push you out of bed, you need to be able to get OOB on your own when you leave the hospital, and with you pulling on me, I could injure my back.

You should have seen the death stare she gave me after that!!! hahaha

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
stop taking the ^$*(^&@ bipap mask off! and leave your o2 sensor alone, people! jeez! why do you think you're here?!

disclaimer: i realize bipaps are no fun and leave you parched and uncomfortable. but you know what makes you *more* uncomfortable? not breathing!

i've never been a victim of bipap, but cpap is not all that uncomfortable. as for the parched -- use the humidifier!

Specializes in ICU/CCU, Med Surg.
i've never been a victim of bipap, but cpap is not all that uncomfortable. as for the parched -- use the humidifier!

i know a humidifier can be used on nasal cannula - but i've never seen it used for bipap...

Specializes in Cardiac.
I know a humidifier can be used on nasal cannula - but I've never seen it used for Bipap...

I have! They hang a bag of sterile water for humidity.. right? I'm pretty sure...

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
i have! they hang a bag of sterile water for humidity.. right? i'm pretty sure...

depends on the bipap. but yes, i've seen them with bags of sterile water. some have actual humidifiers attached.

My gf is Indian and used to wear a beautiful emerald, diamond shaped nose piercing. She got permission from management to wear it at work, and received many admiring comments. It is part of her culture to wear it. I like some piercings but don't like the all body pierced look - I think that is going a bit too far. I have cared for people in mental heatlh units obsessed with having their whole body pierced - it's just not normal. And it doesn't look nice.

Well, I'm sure you'd think I'm going too far. There's nothing wrong with someone who has a lot of piercings just becaue you've seen it so much on people in mental health units. It just seemed like you were equating someone having multiple piercings with having mental health issues. If I misunderstood, I'm sorry. (I have nothing against your opinion and I'm not trying to start conflict. My response was not meant to be rude.)

Back on topic:

Stop being manipulative. I know what you're doing. I'm nice, not stupid. You will not get me to do something for you that is against the rules by complaining about how one of the nurses wouldn't do whatever it was that you wanted, then telling me, "It's because she's a *****, but you're cool".

I'll slap you if you tell me one more time that you "just don't understand why" your chronic leg wound isn't healing. Just maybe if you actually do the dressing changes between nurse visits like you say you are (sorry but I can tell the difference between my handiwork and yours), if you attempt to control your blood glucose like you've been told ad nauseam ("oh, heh heh, I know where that 298 came from. I had a couple of pieces of pie last night"), if you elevate your legs and actually keep the ace wraps on like you're supposed to, you may possibly notice an improvement. Until then consider yourself lucky I'm not your case manager, because I would have discharged your apathetic behind for non-compliance months ago.

Specializes in CVICU, Obs/Gyn, Derm, NICU.
I'll slap you if you tell me one more time that you "just don't understand why" your chronic leg wound isn't healing. Just maybe if you actually do the dressing changes between nurse visits like you say you are (sorry but I can tell the difference between my handiwork and yours), if you attempt to control your blood glucose like you've been told ad nauseam ("oh, heh heh, I know where that 298 came from. I had a couple of pieces of pie last night"), if you elevate your legs and actually keep the ace wraps on like you're supposed to, you may possibly notice an improvement. Until then consider yourself lucky I'm not your case manager, because I would have discharged your apathetic behind for non-compliance months ago.

and can we add *drum roll* if you would stop smoking it might help too

To that 16-year-old that was visiting her grandma in the hospital:

You are asking me for a written excuse so you can miss school tomorrow? Why...aren't you going home? Oh, you say it's because you will be spending the night here to take care of your grandma and therefore won't be able to go to school tomorrow because you will be too tired?

1) Where are your parents, young lady?

2) Are you, like, her only family member that can stay? Apparently not because you, your adult sister, and your sister's boyfriend are all spending the night here. Why are you missing school when you can go home, go to sleep, and let the other family members watch her?

3) Oh, this would be the second day of school you're missing? When I ask "Won't you get in trouble for missing school?" and you answer with a smirk "I don't care what my school says", I don't think you're cool or bada$$.

4) Back to that school excuse, you wanted me to give you an excuse because you had to stay here and take care of your grandma? Funny, because from 10pm to 2am, you and your entourage were nowhere to be found. You want me to cover up for you, a minor, while you disappear to who knows where in the middle of the night? No.

5) You are a minor and I am not your parent, so if you want a school excuse, your parent will have to come up here and get the note herself. Oh, your mom doesn't mind that you are missing school and she'll be more than happy to come get the school excuse? I would LOVE to meet her.

6) Thanks a lot, all three of you, for doing absolutely nothing all night. Oops, sorry, did I disturb y'all when I came into the room to help your grandma out of bed and to the bathroom?

:spbox:

Specializes in LTC.

What I wanted to say to the patient on the other wing I had never even met before (went down looking for a Duoderm): "You better hope I'm never your nurse buddy! I'm not here for your viewing pleasure. I'm gonna make your life SO miserable" when you asked if I was a guy and then told me I needed a boob job. Your jaw DID hit the floor when I pointed my finger at you and said "THAT was inappropriate. I DON'T appreciate it." AND you were pretty upset when I politely declined your apology.

Specializes in EC, IMU, LTAC.

To the family of a very difficult patient with BPD: don't tell us that we're the problem and cause her to be rude and difficult. If it was a problem with just one or two people, it would be them. Since she has a problem with everybody that she sees, she is the common factor. You don't want to deal with her either. I know that you all live and work around here, and that the husband is retired, lives close, and can get around town just fine. I see how she snaps and barks at you all, and how it's just so darned convenient for us to have to put up with her and designate us as her scratching post. No, she is not strong willed or difficult because she's a retired nurse. Our hospital neurologists and psychiatrists have all concurred that she is paranoid, reacts inappropriately to things, and that you all either deny it or don't realize it. I don't envy that you have to put up with her more than we ever will, but don't direct it at us.