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!

AngelfireRN said:
I am sorry for your experience, but this IS a vent thread. Please don't misconstrue it as a personal attack. If you explain your child's condition, no one will think ill of him, I am sure. I know I wouldn't.

I understand it IS a vent thread, but I think some people might need to look a little deeper before they JUDGE. Then they might not need to VENT.

I agree that you can tell the difference between lack of discipline and an issue, but I have had a million and one people who have made comments about my parenting skills in public before and thinking that educated healthcare workers are just as judging about a childs behaviors the uneducated person at wal mart who says something ugly is kinda disturbing.

Specializes in FNP, Peds, Epilepsy, Mgt., Occ. Ed.
twinkerrs said:
I agree that you can tell the difference between lack of discipline and an issue, but I have had a million and one people who have made comments about my parenting skills in public before and thinking that educated healthcare workers are just as judging about a childs behaviors the uneducated person at wal mart who says something ugly is kinda disturbing.

And you don't think that you are judging me? You know nothing about me, my life, and my experiences, professional nor personal.

I don't approach people in any public place and express my opinion on their kids' behaviors.

I do address behavior when it's an issue in my clinic.

If a healthy, non-developmentally-delayed 4-year-old hits, spits, kicks, or bites me, the nurse, or the parent, then I'm supposed to smile and say "Oh, how cute!" lest I be judging??

It's just as important for me to assess behavior issues and family issues as it is for me to assess physical health issues. It's part of my job.

wouldn't autism (or any dx) be in pt's chart for md/np to review before meeting w/pt?

i would hope md/np would be aware, and therefore, would not be an issue.

leslie

Specializes in Operating Room.
earle58 said:
wouldn't autism (or any dx) be in pt's chart for md/np to review before meeting w/pt?

I would hope md/np would be aware, and therefore, would not be an issue.

leslie

Exactly, the kids who have issues are one thing and most if not all healthcare people realize that an autistic child is going to exhibit some behavioral problems, but some kids are suffering from nothing more than Brat-itis. These are the ones who grow up, and act like fools when they are in the hospital, because they were never taught manners.:uhoh21:

Specializes in Operating Room.
JessieRN said:
Had a college professor that was doing clinicals in ER, and found a remote control between a ladies fat rolls (I'm not sure of any better term, sorry). Her husband said "great, I've looked everywhere for that thing". The sad part is, she was developing a ulcer where the remote was residing. :(

Typical guy...the remote is first and foremost in his thoughts!:lol2:

Disclaimer: The above was a joke and in no way was meant to offend those of the male gender.

I hate the whole PC thing....:rolleyes:

You haven't taken your antipsychotic/antidepressant for 3 days because you couldn't afford the copay but AMAZINGLY you coughed up the copay for your valium/oxycodon TODAY? Even though the bottles are dated 3 days ago? And you've already taken more then 50% of the medication (over 70mg of oxycodone and 8 valiums). Of course we'll admit you, you obviously are getting "ripped off by everyone" and need "a few days to sleep". Sheesh!

19 year old with chief c/o of N/V with active vomitting, I ended saying something very similar to this. "Why are you drinking water? You've been vomitting for 2 days. I told you the last time I cleaned up your vomit that you should NOT be drinking anything. (He snuck water from his bag twice before). You're thirsty? Yes, you've been vomitting for 2 days. You need IV fluids. Have you noticed that everytime you drink something you vomit? See a pattern? That's because your stomach is senstive right now and can't handle it. If you stop drinking, I won't have to clean up your vomit and I will have time to put in an IV so you have stop feeling thirsty" His answer to this speech was, I swear, "but I'm thirsty!" :banghead:

"You haven't been seen by the doctor for over an hour for your chest pain that hurts when you move and upon palpation, normal labs, and no other symptoms? Now you want to leave because you don't like the service? Well, as it turns out that ER doctor has spent the last hour or so coding people whose chest pain turned out rather badly. You are not a priority case right now."

"You've spent 8 hours in the ER waiting for a tele bed for your loved one and now you want to take her home because you've been waiting too long? You brought her to the hospital because you thought it was an emergency. The ER doctor agreed and the attending admitted her. She's being monitored by nursing staff and receiving her inpatient meds, but for some reason you think she'd be better off at home? You're an idiot." (I actually did say that, except the idiot part.)

A woman, who told every sole in the ER that she was an RN harrassed the ER MD into admitted her mother for R/O MI. Mom had no complaints unless her daughter was in the room. Daughter wanted to WALK her mother out to the waiting area to get water, I repeatedly told her no. I finally gave up and told her she could pick out something from the vending machine and come right about, about a 50 ft walk. The patient disappeared for almost an hour. Turns out the daughter had then taken mother OUT TO THE CAR to call relatives and enjoy her drink. I was sitting at the nurses station venting to a coworker when the daughter overheard and huffed about being a nurse. I said "If you're really an RN and truly worried about your mother's cardiac condition you would know not to ambulate out of the hospital away from monitoring and medical assitance. If you mother had arrested somewhere out there we'd never know. Frankly, I think your decision was a bad one and you lied to me. I'm trying to take care of you mother but your behavior is not helping her at all". She had no response and walked away.

I had another pt in his mid 30s that acted very sick, refused to answer his mother/brother when talked to, in general very attention seeking. The family kept calling me into the room because he appeared unresponsive. After the third time, I asked the family to step out of the room. I told the patient, "you've being immature and unnessarily worrying your family when you didn't answer or even open your eyes. Your lab work is perfect, your vitals signs are normal and your oriented. I understand you don't feel well but you're being overdramatic". I didn't have to go in there again for an "unresponsive" pt all night.

That pain medicine didn't work? Well, I have a ball bat out in my car!

Specializes in ED, ICU, PACU.

please, go home

loricatus said:
please, go home

best one yet!

rph3664 said:
American poverty, 2007:

Morbid obesity

Top of the line cell phone with all the extras, for each family member, even if it isn't necessary

Cable or satellite with every movie package

All the latest electronic equipment and every game or accessory that accompanies it

All the latest designer clothes

even though nobody in the household has ever had a job, and no, these things were not given to them by a charity or kindhearted soul. They often live on SSI for their obesity, drug addiction, or the kids' ADHD.

The above makes things so much harder for people who genuinely fall on hard times, whether through no fault of their own or by some bad decisions, not a lifetime of them.

JMHO

YES....and don't forget - basic diet is multiple servings of fast food for 6 meals a day - in supersize.

How about when the family brings the patient in for multiple obesity complications - possible life threatening - then all the HUGE family members come to visit and fill the room (all in need of a little soap) and they bring SACKS AND SACKS of McMakeMeFatBurgers, shakes and pops - they pick up our wheelchairs on the way in because it's too far for them to walk and then they are constantly calling you in the room to help the patient with normal ADL's including putting his "thing" he hasn't seen in years into the urinal. Oh ya, they want you to lift him but they can't.

I had a thought that if someone gets disability for morbid obesity complications it should come with a stipulation like welfare - welfare folks have to get a job or education and get off (well those that need it do). They should be told that they have 2 years to change their lifestyle because the benefits will cease. It should only be temporary. I have life earned ailments, physical damage from accidents, sports and my job and I don't even qualify for disability. And I have paid into the system since 16 years old with only 2 years missing on my social security records and I have 3 kids.

twinkerrs said:
I will definitely make sure that my autistic son does not come to your clinic. He often hits and bites doctors who invade his space and touch him without appropriate warning especially if he is sick. He is 3.5 and medicated for his aggression. At this point he does not understand discipline. Looking at him he appears normal so you would make such judgment that he is just unruly, but remember you cant judge a book by its cover. I can remember the days I judged people based on their kids behavior, but boy oh boy do I have a different attitude now. I hope you dont have to go through what I did to get that change of heart.

I am sure the post was NOT meant for an autistic child.

I would like to believe that most (if not all of) us venting here are talking about "other" individuals or people who ARE responsible for their situations.

Please try to remember that when you read......

"I can remember the days I judged people based on their kids behavior, but boy oh boy do I have a different attitude now. I hope you dont have to go through what I did to get that change of heart."

Did you direct your judgment towards autistic children?

Is that sincere?