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!

Pt.--"Do you know what you're doing?"

Me--"No, but I did stay at a Holiday Inn Express last night."

THANK YOU! I've said this before with the other students in my clinical group and nobody gets it. I feel vindicated.

Specializes in ortho, hospice volunteer, psych,.

I know you love your dog very much but WTH is he doing HERE and under the covers in bed with you?? Uh... dogs aren't on the hospital's approved visiting list... just wondering though... how the heck did you get him up here without being stopped? He must weigh 90#...:yelclap:

sharpeimom:paw::paw:

THANK YOU! I've said this before with the other students in my clinical group and nobody gets it. I feel vindicated.

I thought of this when I had my summer clinical rotation. This is something you really don't want to say around your instructor unless you want to give her an ulcer.

Specializes in Management, Emergency, Psych, Med Surg.

I would actually like to take a roll of kerlex, take half of it and push in into the mouth and wrap the rest around the head. ( I had a surgery resident do this once, to get a psych patient shut up).

Dude, honestly, do you really HAVE to drink over a GALLON of alchohol PER DAY? How do you do it? Do you also really have to smoke 2 packs a day on top of it? And, if you hate this place sooooooo much, and want to leave SOOOOO badly, why did you EVER present yourself to the ER in the first place??

I don't get it. Wallowing in the gutter drunk ISN'T FUN. Why do you do it -- this is America -- you CAN do better in life than this!!!!!

To my little old sweet lady in 76-1 -- you are SO sweet, SO well mannered. You were a joy today. And compared to the 3 rabble rousing drunks I had to deal with all day, you were like sugar and kittens. I thank you, and if the world had more like you, we'd all be so much better off.

Specializes in Management, Emergency, Psych, Med Surg.

I HAVE asked patients why they came to the hospital in the first place? When I have someone who complains non stop I ask them if they want to leave. I ask them if they want to go to another hospital. If they want to sign out AMA I get them the form.

Ah, I love when patients tell me about the evil nurse who looked after them the night before when it was me!

LOL, I get that too! I LOVE when I hear at 3 am that "the nurse who was on earlier...blah blah blah" and it was me. And I tell them that. And they're surprised, because *I* am so nice! And then at 7 am, I hear about the "the night nurse", ROFL...ok, folks, still me.

I had a patient recently who I discovered a rather sticky problem with, fixed it, she was nervous about it but I assured her it was now fine, etc etc and she was THRILLED to have me as her nurse. Next 8 eight hours were great. I come back the next night, big smile to the patient, and she tells me about this great nurse who found this problem and I'm like HELLOO....it was ME! You were so impressed with my care, but you can't remember my FACE 12 hours later?? And I was in your room all night, it wasn't like it was a freak thing you saw me.

I feel important ;)

Also seems like I've had a run of patients who spend hours in the ER, then get to their room on my unit and start making unrealistic or unreasonable demands. It's as if someone came to their homes and dragged them here against their will. THEY decided they needed the medical care, THEY KNEW they were being admitted and could obviously have said "no", but here they are. And then they are genuinely shocked to find that we not only don't have smoking rooms, we don't allow them to leave the floor to smoke! Or, that they are NPO because of that complaint of N/V for the last two days, and tests must be completed. We won't let them EAT after a 48 hour Puke-o-rama? Horrors.

No, you are not a prisoner. BUT you are not allowed to smoke on hospital property. No, that doesn't mean you can disappear down the block to smoke near the Chinese restaurant. That means you've eloped, a fancy word for saying you've abandoned your medical care and your doctor will order the paperwork for you to be discharged in your absence.

What, you aren't *really* leaving, you're just getting a cigarrette? I don't care. If I can't find you in your room and you aren't anywhere you are SUPPOSED to be, I'm notifying both security and your MD that you've left. Period. What was that? You will do what you want when you want because it's a free country? You betcha, pal, it sure is, and that means your doctor is not required to continue your care. He's gonna fire YOU, because you're too much of a liability. So good luck with getting a new MD each time this happens. Have you tried Seattle Grace across town? :D

To my little old sweet lady in 76-1 -- you are SO sweet, SO well mannered. You were a joy today. And compared to the 3 rabble rousing drunks I had to deal with all day, you were like sugar and kittens. I thank you, and if the world had more like you, we'd all be so much better off.

Ah, but see, I DO say that! I want my fabulous patients to know that their behaviour is recognized and appreciated. I'd give gold stars if I could, LOL!

Specializes in Medical.

"Okay, so you knew you were comining in for an elective five day/four night admission that included being confined to bed (for continuous video/EEG monitoring). You haven't used your bowels since Saturday, and you usually go four to six times a day (!!!). Dude! It's Thursday night! Why are you picking now to freak out about it? Would it have been at all possible at any time since Saturday to, I don't know, do something about it, bring it to someone's attention.. anything?"

Age: 27

Mental status: annoying but competent

Social situation: lives independantly, employed

Specializes in ICU./CCU/SICU.

I don't understand why these are things you CAN'T say to patients. I've said alot of these things to the patient/family directly, maybe phrased differently. You're allowed to say, "You need to stop yelling and swearing, it's inappropriate,and other people in the unit are sick and don't wanna hear you", in fact I said it two days ago. People/patients act like 5 year olds because people let them, would you let your child act like that?