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 Med Surg, Hospice.

I swear, the third room on the right side of the hall is the helpless room..... every person that is in that room suddenly becomes helpless the second they walk through that door. They forget how to walk, eat, go to the bathroom, raise their hands and move them..... the latest one I cannot even begin to describe..... :uhoh3: So lazy she won't even hold her own water glass. Told the nurse she's perfectly capable of feeding herself and I'm not going to do it.... Have a feeling she's going to be one of those ones that we'll never be able to get rid of either...What I really want to say is get off your lazy butt and do things for yourself... we're not being mean, we're trying to get you better so you can go home...

Specializes in Medical.

"Yes, the reason your thirty year old son is legally blind, has end-stage renal failure, gastroparesis and has just stroked is entirely because we haven't managed his blood sugar properly on his last two admissions. It has nothing at all to do with your management and care since he was diagnosed at age nine."

"That's right - I'm deliberately withholding your husband's blood results from you at 2AM. No, it's not policy or anything, just me, being a cow. Oh! You're going to see the doctors in the morning? And nurses on other wards were always happy to print out his results? No problem - here you go!"

What I actually said was - the other nurses may have been happy to depart from hospital policy but I'm not. If you're seeing the doctors in the morning I'm sure they'll be happy to go through the results with you - they've got access to them in their office.

Specializes in Medical.

One of my friends was fantastic - she has a cheerful obliviousness I wish I could emulate. My favourite was the time she had a dying swan who was hinting about tea: "Oh, I'd love a cup of hot tea" etc. Lynn said "Oh, I know - but I've been so busy all morning I haven't had anything to drink at all," then left the room.

Fuzzy said:
We have a client who says that she is allergic to the chemical smells in a vet's office. She says this as she goes outside for a good smoke. This is the same person who brought her small dog in for respiratory distress in the middle of the night. The first thing we did was place her little blue tongued dog in the O2 cage. We gave her a really stupid look when she told us that her dog was allergic to oxygen!

Fuzzy

Allergic to oxygen? What was her dog's name, Clostridium perfringens?

Kunzieo said:
From the pharmacy side:

The fact that you are allergic to pollen and animal fur is highly fascinating, but what I asked was if you had any allergies to medication.

10 minutes is not a long time to wait for a prescription to be filled. Go across the street to Walgreens. They'll tell you 45.

Nice try, but I think you can afford the $3 copay for your blood pressure med. The pack of cigs in your pocket and the fancy cell-phone that you haven't stopped talking into since you've been here gave you away. And trying to make me feel guilty by saying "I guess I won't take it, I hope I don't have a heart attack" won't work.

I am not in charge of your insurance. Believe me, I wish I was, I'd get paid better. But I have no control over the amount of your copays, or your formulary list. I'm not a mean person, I want to give these drugs. But your insurance company will not pay for them, and I'm guessing you don't want to either, since it is well over $300.

It's Friday evening, and you just NOW remembered that you are completely out of your medication and you have no refills? Gee. That's too bad. The label clearly states this fact. And no, I can't just give you some "to get you through the weekend." Have the MD on call from your clinic paged, if it's that big of a deal.

You are allergic to all generics? Can you tell me what special ingredient they put in every single generic medication that you are so sensitive to?

No, your MD has not called in your RX for vicodin yet, STOP calling me every 5 minutes.

NO! There is no generic for Lipitor! (I only get asked that 10 times a day. "But the MD wrote atorvastatin..." Look, take it up with the FDA, not me)

You've been on this med for 10 years, you really should be able to pronounce it by now...say it with me... ah-TEN-oh-LOL. If you say Aah-tenol one more time, I may come through the phone line and strangle you.

Whew!:heartbeat

:yeah: except for one thing.

Sometimes, knowing a non-drug allergy is important because it can be linked to drug or excipient allergies.

When I worked in retail pharmacy, I got requests all the time for "atenol, Norvasec, Zorcor, and isorbride." One woman in particular was on all four and always apologized for mispronouncing them, and I told her it was okay because I knew what she meant.

I'll take 10,000 people who mispronounce their meds but take them properly over one drug-seeker who knows how to pronounce the names of the drugs they abuse.

p.s. Where do you work that the Walgreens wait is 45 minutes? Around here, it's the next day. No kidding.

And people with the cigarettes and cell phone who say they can't afford their own meds don't upset me nearly as much as the people like that who say they can't afford meds for their children (except for Concerta or Adderall; they ALWAYS have the money for that) or their spouse.

Specializes in Utilization Management.

Look. You're almost 90, you have a terminal illness, you are in the hospital, and you are going to die. Very, very soon, especially because you're refusing medications and food. I understand that you do not want to die, no one does, but telling your doc to rescind your DNR will not alter the inevitable.

To the relatives: Do you really want us to pound on this poor patient's chest and break ribs, and intubate? Because that's what you just pressed this frail patient to command of us all.

:stone

Specializes in FNP, Peds, Epilepsy, Mgt., Occ. Ed.
rph3664 said:
Allergic to oxygen? What was her dog's name, Clostridium perfringens?

Goodness! I almost sprayed my computer screen! :D

rph3664 said:
Allergic to oxygen? What was her dog's name, Clostridium perfringens?

He was going to be if we didn't get him into the O2 cage. I told her that the pretty blue color on her pom's tongue would have been OK had the dog been a chow or shar pei (both have black tongues). This lady then proceded to tell me that she has had a bad reaction to oxygen also.:confused: I kept thinking that the cigarette smoke must have killed her brain cells. Thank goodness the doctor arrived in time to save me from her. The lady is nuts. Unfortunately she keeps coming back to us. I really want to tell not to come back because our building is full of oxygen!!:chuckle

Fuzzy, CVT

Specializes in cardiac, ortho, med-surg.

yes! your last nurse was a complete angel/demon...I will definitely tell him her how wonderful/awful he/she is...

yes they have much better hospitals up north! nobuddy her in the sowth knows nuthin bout birthin no babies!

no you may not have 90 blankets on and the heat up because you have a fever of 102.1...people don't smell good cooked!

sorry they put peds by ortho...yes that sick infant sure is a nuisance...crying so piteously while her heartbroken mother tries to console her...the nerve!

no, go ahead! please smoke in your room....it is your right! did you know no one can smell it if you go in your bathroom?

here, keep this xeroform dressing in your pocket...apparently you don't realize if you leave your pneumovac at the bedside when you go to sneak a drink/smoke in the bathroom, it may not reach all the way...

Specializes in PICU, CCU, Psych.

Please, for the love of God, stop masturbating every time I come in the room. You are alert and oriented with no documented psychiatric issues and I consistently give you plenty of time to put it away when I knock on your door. You are traumatizing me! My poor husband is going to draw back a bloody stump when he tries to hug me when I get home!

"Are you REALLY surprised that you are short of breath? I mean, are you REALLY that surprised? You weigh about 300 pounds, and you are surprised that you are short of breath? GO ON A DAMN DIET."

And to visiting family members that over stay their welcome... "this is not a good time for a family reunion. Please get the hell out of here, don't any of you have jobs??"