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!

I need your opinion like I need Syphilis so shut your mouth.

Fuzzy

Specializes in rehab.

To my loud patients from other units (and staff that can't seem to understand):

You don't live on this unit ok. I do. I work here and you may think it's funny to come and jump and scream and yell but do you see how half the lights are off here? Yeah, think of this as kindergarten. When the kids slept everyone was QUIET! You want to visit patients you used to take care of/have lived with? Great how about you do it during normal times. STOP coming here and waking EVERYONE up. We don't want the screaming anymore. They are ALSEEP because it is night time! It's NORMAL! Now go away before I toss you outside.

Specializes in Med-Surg.

If you put the pull out bed in front of the suction equipment one more time, I WILL hurt you. Because if your child starts choking on secretions and I cant get to him in time because of the bed and half the contents of your home that are on it, it will be YOUR fault, not mine!

Specializes in Med-Surg.

No, I will NOT change your newborn's diaper for you. Yes, I know your wife just had a C-section and she can't get up. However, I know they did not cut off your hands when they did HER surgery. And since you sent your first child running to the nursing station as if there was an emergency, you should already know how to change a diaper! Here is a clean diaper, here is a wet facecloth. I will walk you through it, but YOU are doing it!

Specializes in Corrections, Cardiac, Hospice.

Today I told a 20 year old to put his phone away so I can finish what I needed to do. Then I went to take his blood pressure and he snatched it back like I was going to take it off of him, lol.

"I'm sorry you think nurses are so 'dumb'... but *derrrrr* I guess you're right... *duhhhh*... so forgive me for being too dumb to navigate my way back to your room again any time soon..."

*doh-di-do*

which way do I go? which way do I go?

*drool*

Specializes in Med-Surg.
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.

My family calls me the Smoke-Nazi. I lecture them all on the health and financial benefits of quitting any chance I get. I try to get them to switch to the electric cigarette. I finally blew up one day after having a particularly rough talk, got emotional, and told my mom if her husband would not quit smoking or making poor dietary decisions, all it would do is make me regret more and more that HE survived his massive MI while my stepmother who lived life to its fullest, in a healthy way, died from post-op swelling by her brain-stem.

I regretted it afterwards, but I cant help how I feel! I think a lot of us have felt that way with a lot of our patients too.

Specializes in Med-Surg.
Oh my God. I just scared my cat by laughing so loud at that. Who THINKS that kind of stuff, let alone says it? lol

You'd be surprised how many times I've had completely insulted daddies telling me I absolutely will not check his son's temperature rectally because he is NOT gay. Makes you just shake your head and shudder that that person will be going home with an innocent, malleable child.

Specializes in Med-Surg.
that makes total sense...i guess i just never thought of it :doh: (i should note that i am a new nurse.)

but i digress...here's my rant for today:

to patients' families: i know you are concerned about your loved one, but can you please not all call me at 0800 to get a detailed update on them? i'm new, i'm slow and no, i haven't seen them yet.

Oh yea, on that note:

"Do not call me at 8h00 to ask for an update on your family member. You called me yesterday at this time, same thing the day before. And what did I tell you then? That we are in the middle of shift chance, cannot answer your questions now, and to please call back later. Report time will not change tomorrow, or the day after, or the day after. So when you call at 8h00 tomorrow morning, we will tell you the same **** thing!

Specializes in Med-Surg.
angelfire...

just now got back in to read this thread....

Yep, I have to say, I agree that in this case, you were justified in being upset with the LOL. I guess I was confused and thought this was a setting in the open, like a hosp nurses station, did not realize it was your office. I feel the same way about MY chair. I would have had to say something to her, as well, for being in my office and that not being an appropriate place for her to be. Thank you for clarifying further.......

Well honestly, if a patient walked into the nurses station and commandeered one of our chairs, Id have told them to leave too, and go wait for me in their room. The nurses station is no place for a patient/family member. You know, that annoying thing called HIPAA...

Specializes in Med-Surg.
RN_10 said:
Once I was in the room speaking with the patient and saw the death grip he had on the buzzer. I did pry it out of his hand while I asked why are your pressing the buzzer? This was a case of forgetful vs. confused.

Even worst when they do that and are fully alert and oriented. I've had a patient look me straight in the face when I told him it would take a minute, lift his hand holding on to the call bell, and push down. I just had this image in my head of slowly wrapping it around his neck....walked out of the room shaking my head....

Specializes in med/surg.

I so said it...

Me: "Well, the Dr. may not order an anesthesia consult for a PICC line. Those are usually used for people who need long-term antibiotics or other various other forms of longer-term IV therapy. Many people go home the same day after a lap chole, and this is your second post-op day. I realize that you need pain medication, and I understand your assertion that you would rather have parenteral dilaudid that than the Norco because it's the only thing that works. I am very sorry that 3 different nurses have attempted 2 times each and we are not able to obtain IV access. However, you seem to have a lot of scar tissue on your veins due to multiple hospitalizations." and (Not verbalized) other recreational use which you have told us about. "I will page the Dr. now and ask him about the PICC line and what else we can do for pain control."

A little while later...

Me: "Hi Dr. this is NayRN calling about you patient. She is requesting a PICC line for her pain medication because we are unable to maintain peripheral IV access. She states she is in severe pain and only parenteral dilaudid will do."

Dr: "I don't want to do a PICC line. She will probably go home tomorrow."

Me: "I did mention that to her. She insisted that I call you, however. May we change the order to IV or IM administration?"

Dr: "That sounds good. Use the same dose for IM administration. Thank you."

A little while later...

Me: "I have your pain medication! We can give this dilaudid into a muscle using a much smaller needle than those darn IVs!"

Patient: "ok"

A little while later....

Me: "Did the pain medication work?"

Patient: I don't know, I can't feel it!"

I know, if it doesn't hit you like a ton of bricks, we are doing something wrong. I guess I'm more the passive-agressive type. He He.