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:

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!

To a vistor yesterday: thanks for knowing sooooooo much about everything. I know you learned a lot about nursing as a nail tech. I think I'm going to march into your studio tomorrow and tell you how to do your job too.

Specializes in rehab.

To the conspiracy junkie. "You are so right, this isn't a PPD to rule out TB. Actually it's a chip that I'm going to put under your skin so we can track your movements and your likes and dislikes. You caught me! Now hold still and let me chip you."

What is the point of coming to the ER if you are going to refuse all tests and treatment? You are complaining of horrible abdominal pain and are convinced that you are having a miscarriage. But...you are refusing lab because you were already stuck once for the IV, you are refusing x-ray and CT just in case the pregnancy is still viable (I sort of understand that one), and you are refusing to allow the doctor to do a pelvic exam. The urine pregnancy test is negative and nothing can be found on ultrasound. You are refusing transfer to the nearest hospital with OB/gyn services. Just what do you want us to do? And I see and hear you giggling with your boyfriend...and I hear you talking on your cell phone to your husband. Just what do you want us to do for you?

And to the patient complaining of dizziness. You refused the IV, you are refusing PO food, fluids, and meds, you are refusing CT, you are refusing EEG and EKG, and you are refusing lab. I forgot my magic wand today...sorry!

Specializes in Emergency Department.
marycarney said:
So sorry, when I saw your heartrate was 180 on telemetry, the emergency light from the bathroom was wailing and you didn't answer my knock on your bathroom door - I didn't realize your girlfriend (not you wife who brought you to the hospital with chest pain, but your girlfriend) was.....um......'servicing' you. Totally understandable. After all a man has needs. You'd been in the hospital a whole THREE HOURS!

:eek: At least we know the heart rate wasn't due to pathological reasons....:cautious:

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

"Oh, my dear sweet LORD. Are you really that stupid, or are you just putting on for my benefit? How on Earth do you even find your way out of your house in the morning?"

That was what I WANTED to say...what I DID say, was much more controlled.

"No, dear, the antibiotic I prescribed you didn't 'skip your tooth because I prescribed it for bronchitis'. No, there's no such thing as 'an antibiotic just for teeth'. The one you were prescribed would have covered your tooth as well. No, there's no such thing as bronchitis in your tooth. I said it would TREAT bronchitis and your tooth."

Ever have a day where you just wonder who moved the rock?

Specializes in ICU.

To a 20-something year old guy: Yes, guys can get UTIs. Really.

No, you cannot catch a UTI from your girlfriend for having sex with her when she has one.

Yes, they really do hurt.

Jeeeeez....

Specializes in Emergency Department.

"Please, please, please - for the sake of humanity's future - don't procreate. Oh, you already did? I guess that explains why human evolution is still just a theory..."

Specializes in ICU/CCU, Med Surg.

Welcome to the hospital...sorry you're sick.

Section I

Here's what I care about while you're here:

Blood going round and round

Air going in and out*

*Not necessarily in that order

Section II

Here's what I don't care about while you're here:

Ingrown toenails

Vague rashes you've had on and off for 50 yrs

Boredom

Chapped lips

Fetching snacks for your girlfriend's sister's dog's cousin's best friend who heard you were in the hospital

Nail clipping (okay, ANYTHING involving your toenails)

Hair curling (in the ICU...true story!)

Us not having your preferred sweetener

Removing stitches from your mom's (not a patient) hand (true story!)

Removing the juice container top foil seals juuuust the right way

If you're not sure I'm going to care about a particular complaint you don't see listed, please see section I. Thank you!

Specializes in Cardio-Pulmonary; Med-Surg; Private Duty.
opossum said:
Welcome to the hospital...sorry you're sick.

Section I

Here's what I care about while you're here:

Blood going round and round

Air going in and out*

*Not necessarily in that order

Section II

Here's what I don't care about while you're here:

Ingrown toenails

Vague rashes you've had on and off for 50 yrs

Boredom

Chapped lips

Fetching snacks for your girlfriend's sister's dog's cousin's best friend who heard you were in the hospital

Nail clipping (okay, ANYTHING involving your toenails)

Hair curling (in the ICU...true story!)

Us not having your preferred sweetener

Removing stitches from your mom's (not a patient) hand (true story!)

Removing the juice container top foil seals juuuust the right way

If you're not sure I'm going to care about a particular complaint you don't see listed, please see section I. Thank you!

Too bad we can't get Administration to print this up and put it in the little "welcome" book that's in each room! It's no wonder everyone thinks they're in a hotel, that binder looks just like the ones in every major hotel chain in North America -- you know, the ones that list a gazillion amenities and say, "If you've forgotten a toothbrush or comb or ANYthing, please let the front desk know and we will be happy to accommodate your every wish!" :rolleyes:

to the ones that refuse all testing and interventions but demand dilaudid "ok just leave, i am not going to order dilaudid just because you say you are in pain"thats what one dr said to one pt who refused any diagnostic test from labs to images but demanded dilaudid for abdominal pain. i stood there smirking trying not to lol

Specializes in Med-Surg, Transplant.

"No, patient/family member of patient, I don't want "a piece" of the already picked over, almost gone, mangled looking dessert that you brought in that is now covered in c-diff and MRSA thanks to the fact that this is an ISOLATION ROOM!!!"

It is extremely sweet and definitely above and beyond for people to specifically buy food for the nurses, but none of us want your half-eaten leftovers that you seem so intent on offering us! The worst was the family member who dropped a box of cupcakes on the floor, picked them up with ("with gloves!") and then told us that "she didn't think" certain ones had fallen on the floor and were thus okay to eat! LOLOL

Specializes in PICU, Pediatrics, Trauma.
On 12/15/2007 at 3:46 AM, dbsn00 said:

No I won't get your husband a Tylenol and no I won't change your disabled incontinent family members brief.....YOU are my patient and we're not running a 2 for 1 special today.........Thank you, exit left.

Do we work at the same place?

In this same vein...Had a newborn pt in for bili lights treatment.  The mother stayed in the room with the baby...That’s not an issue at all but she expected us to wait on her and care for her as well, including cleaning up the huge mess she and her 200 family members would leave behind.  She asked us questions about herself constantly.  One time she even used the call light to ask me to turn off the light in the room.  And all this, with a rude, entitled attitude to boot.  NOT ONE thank you for the things we did try to accommodate for her.

To her I would have loved to say, “You are not in a hotel, I am not your personal servant nor a medical reference book.  I am not even YOUR nurse, in fact, I am not being paid to care for you, and you are not included in our census.  YOU were discharged from the hospital 4 days ago.  We cannot give you medical advice and since we have no idea what your medical history is, it would be malpractice to address your concerns.”