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!

30-60 year old men with high blood pressure:

"I already know why you don't take your blood pressure medicine. And No, it's not the cost,and it's not because you forgot, and it's not because you don't like to take pills. It's because the (above mentioned) hoo hoo doesn't work that well when you take it.

So tell me, which side do you like to lay on the most? Because when you have your stroke I will be sure to tell the nursing home your preference so you can be on that side the most. And by the way that hoo hoo won't be of much use to you there either."

HAHA!!

Go home, I promise you that I won't stop you.

Specializes in ICU/CCU, Med Surg.

Lately, I've had more issues with family members than pts...and here's what I'd love to say:

1. Stop pushing our docs around, bullying them into withholding necessary meds/treatments or ordering unnecessary, not-clinically-indicated tx simply because you're too afraid to give an ounce of control to anyone else. And quit bullying us nurses.

2. It's cute that you're boasting about how your doctor "yells" at you for giving your 2-month old rice cereal and that you "don't care" what they say. I'm so glad you're now here with your loved one, making unrealistic demands to the docs and nurses. After all, you know best.

3. Congratulations on achieving your medical, nursing and phys therapy degrees. I'm especially impressed with your knowledge of fluid dynamics, alerting me to the fact that your loved one is "dehydrated" because they are "peeing a lot" and insist upon IV fluids for your dying pt. Certainly no small feat...you must have spent hours on webmd.com. Kudos to you!

Specializes in Med/Surg, DSU, Ortho, Onc, Psych.

Don't tell me my job, until you've actually done MY JOB as an agency RN! I wouldn't come to your workplace if u were a construction engineer & tell you how to put up a building. I wouldn't be so arrogant like ur being now.

Specializes in Long term care, rehab.
Rackle, try quoting what you're referencing/replying to...having trouble following you, lol!

I realized that after the fact. I was new to the site and trying to figure out the mobile app for it at the same time. Lol,I think I've got it now.

Specializes in Community Health/School Nursing.

Young adult male patient: Why yes there is a nice size bulb at the end of your catheter....that's why when you tried to pull it out you're now nice and swollen. Good luck with that one!

How would you like it if someone is yelling at you while you are trying to make BM?

(to the resident's who had a shouting match - one in the bathroom, one on the other side of the door)

I love my job. I love my job.

Specializes in ICU.

don't call me again unless you're ******* dying!

Specializes in Med Surg.

To the combative, verbally abusive pt who was threatening to leave AMA: "I get paid by the hour, not the patient, so I don't care if you stay."

To that same pt who told me I "haven't done a damn thing" to help her: "I'm only psychic on the weekends. On Tuesdays, you need to tell me that you have pain. That's why the NS you've got running has done nothing for your pain."

Specializes in Medical.

And following Aurora's example: if you've got chest pain, tell the nursing staff. Letting the doctor know the following morning? Not good for anyone.

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

"OK, so you don't think I like you? You don't think that I have other patients with worse problems (WAY worse) than you? Everytime you come in to 'discuss your problems', you feel like we're talking about you like you're crazy (we are , cause you ARE!)? Sweetie, I'm about to make your day. You'll never have to put up with me again. I'm leaving. It's my last day."

Cue startled silence (we were on the phone), followed by a sharp inhale and a wail fit to make the neighborhood dogs start howling.

"But WHYYYYYYYYY? Why are you leaving? Where are you going?" And then, much more softly..."Was it something I did?"

This was a 50-something woman who always arrived dressed in clothing about 20 years too young for her, and always with a list of complaints ten miles long. He biggest problem was getting over herself. She didn't take her meds correctly, because she knew better than the docs, and had told me the day before the detailed convo that she had doubled up on her blood pressure meds, and was going to stop her psychotropic, because all she did was cry. This same woman alse harassed the pharmacy for 3 hours (we were so slammed that day) until they finally called to ask were we ever going to call in her meds.

The next day, she called to inform the secretary that I had neglected to double her blood pressure meds, as I said I would.

The ensuing conversation began when I told her that she was the one who doubled her stuff, not I. She then demanded that I call a surgeon about a 'drastic' procedure that she HAD to have on her head (cyst removal). She took offense when I politely suggested that she refrain from storming the gates, as it were, and telling the surgeon what he was and was not going to do, as that was what she did with us.

"Well, you're my doctor. I should be able to come to you with my problems."

"Yes ma'am, I am your provider. But your problems require some effort on your part, and believe it or not, you're not my only patient, nor are you the only one who thinks that their problems trump the rest of the practice ( she actually did say that no one else's problems were as bad as hers)."

No, I should not have said that I was about to make her day, although I really did leave that practice. She just pushed me over the edge, first with the accusation, then with the whining, then with the 'you don't like me' routine.

I never said I was perfect, and after a year of her mouth, I had just had it.

Specializes in Med/Surg, DSU, Ortho, Onc, Psych.

Good on you Angel! I've been chewed out by everyone it seems today.

I think you just have to tell people things straight sometimes. I don't BS around now, and after the day I've had with my agency, I have fired off some very upfront emails, though the people I've sent these emails to have just set my wick burning!

I am SO GLAD you said to that patient 'your probs require effort on your part'. There is too much babying going on sometimes and these types of people seem to think they can get away with just being rude all the time.

I cared for a woman in HDU a few weeks ago, who seemed to think I was her personal handmaiden. She c/o not getting a shower, when the other nurse had gone on her break and I had 2 very sick patients to care for, a new admit who's pain wasn't under control and this whining woman. I just said to her the shower will wait till tomorrow. I mean, she isn't going to DIE because she hasn't had a shower (she wanted one cos her drains came out that day). She had a bed bath so that would have to be enough. She wasn't happy, but I don't care anymore.

I'm trying to start up my own business now. I don't think I could handle another year of nursing - I'm keeping my options open till my bills are paid!

How is the bubby going? How far along are you now?