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 don't have the time.

Specializes in ED.
Not to a patient, but to a doctor who is rolling his eyes at me:

"Are you okay, Dr. X? You appear to be having a seizure."

I'm not finished reading this thread yet - I'm having a freakin' ball here - but I had to stop and add something to your post...

http://en.wikipedia.org/wiki/Oculogyric_crisis

My best-friend and I have a colleague who is CONSTANTLY rolling her eyes at us for speaking, breathing, you name it. If she enters a room there go the eyes so we always joke about her having "another OGC." Sounds like Dr.X could be suffering also :D

Specializes in ED.

To my colleague who cannot give a suppository (yes, I'm being 110% serious) with three years experience in all areas including LTC & peds where, of course, they are rather common -

A suppository is a Per Rectum medication which you would have noticed when you obtained said medication from the med room. You also realized that you need gloves and lubrication since you are standing there with lube spread all over your gloved hands rolling the suppository in it. This means that you insert it into the rectum. WHY IS THIS SO HARD FOR YOU TO GRASP?! YOU PUT IT IN THE ******** IT'S IN THE SAME PLACE AS YOUR OWN ********. Figure it out!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Please do not be offended when I am unable to hide my dissatisfaction with your clinical skills and I push you out of the way and give YOUR patient the suppository myself after I have personally taught you how to give a suppository THREE times. It is NOT rocket science!

Some of the stories related make me laugh out loud, and some of them make me realize I'm glad the filter between my mouth and my brain still occasionally works. When I was a new nurse, however, I had a pretty rough experience with nurses, healthcare, and the complacency that can exist when you see the same patient-type over, and over again, and don't take a second to re-evaluate the situation, but instead, chalk all symptoms up to "being emotional."

I was recently a patient for a life-threatening complication (that shouldn't have happened) and I find myself grateful for all those nurses who believed I was truly in pain, who without question called my doc and to get my pain meds increased or changed, who helped me to the bathroom when I was too swollen (from an albumin of 1.7) to get there myself, and who helped me shower when I could still hardly stand up straight from the swelling and the giant surgical incision from my xiphoid to my pubis.. Thank you for your compassion, your nonjudgmental appraisal of the situation, and for keeping your personal thoughts, whatever they might have been, to yourself. Thank you for helping me to the toilet, for keeping me updated on my preemie downstairs (who I was still too ill to go see), and for generally treating me like a human being who was trying to get better, not make your lives miserable.

And for the nurses in L & D who NEVER did an actual assessment, which would have revealed I had a surgical abdomen, I hope that you will take your jobs more seriously. Just because I was young and looked healthy, but complained of severe pain, didn't mean you should have written me off as just emotional from an unexpected premature birth, and it certainly didn't give any of you a pass to never do even the most cursory of physical assessments. FYI, when a patient is complaining of pain so severe she can hardly get the words out, you might want to check her abdomen...you never know when someone is going to have an unexpected complication, like peritonitis, and be sent home inappropriately because of your inability to take 5 minutes to do a quick assessment and relay abnormal findings to the doc. Just because you work in L & D doesn't mean that everyone has a happy ending, or that everyone comes in without any complications.

Now, if I sound bitter, I apologize. Three weeks after giving birth I finally accepted that there was truly a problem, and it wasn't just in my head or caused by my "concern for my preemie" (as my stomach was twice the size it was before I had my baby, I was now too weak to walk, or even get out of bed, and I hadn't been able to eat since I came home). So, when I got to the hospital and was found to be in renal failure because of sepsis, with 3 liters of septic fluid in my abdomen, I am grateful to all the nurses who carried me through the long ICU stay and helped me get back on my feet. Without exception, you were all kind, helpful, compassionate, and I never felt judged for one minute (of course, it was your facility that neglected to notice my markedly surgical abdomen...another story for another day, I think that was as much the Doc's fault as anyone).

Thank you for wiping me when I didn't have the strength to move my arms, or the ability to reach my behind as my 130-pound frame was swollen to 190 lbs from malnutrition. Thank you for believing me when I said I needed my pain medicine, and getting it to me as quickly as possible. Thank you for being there with phenergan and Zofran when it was time to try to teach my stomach to accept food again. Thank you for finding time in your busy day to help me down to the NICU when I was cleared to finally see my child. I know it was a pain, and you were busy, but thank you anyway for taking those few minutes to help me be with my child. Thank you for listening to my family, keeping your annoyance to yourself (because they can be annoying, even in my drug-induced haze I was annoyed at them), and thank you for answering their questions (which I had already answered 100 times) but they wanted to hear the answers from someone else to be sure they understood the situation.

I know how hard your job is, because it's my job too. Thank you for treating me as a person, not just as a fellow nurse, and for taking my concerns seriously, my family's concerns seriously, and for not showing your annoyance when my 10-year-old was watching sponge-bob nonstop in my room once I got out of the ICU. I am forever in your debt, and forever grateful that each of you who came to work with the strength to help me through what was my darkest, most frightening time. You inspired me to continue to do my best each and every day for every one of my patients, and for this, my family and I will always be grateful.

With love and gratitude,

Spen's Mom

I'm not finished reading this thread yet - I'm having a freakin' ball here - but I had to stop and add something to your post...

http://en.wikipedia.org/wiki/Oculogyric_crisis

My best-friend and I have a colleague who is CONSTANTLY rolling her eyes at us for speaking, breathing, you name it. If she enters a room there go the eyes so we always joke about her having "another OGC." Sounds like Dr.X could be suffering also :D

We had a student a while back who, whenever pretty much anyone but her preceptor spoke to her, would sneer and shrug her shoulders. Really a pleasant person to be around, ya know?

I was very relieved when she decided to take a job somewhere else.

Specializes in ED.
We had a student a while back who, whenever pretty much anyone but her preceptor spoke to her, would sneer and shrug her shoulders. Really a pleasant person to be around, ya know?

I was very relieved when she decided to take a job somewhere else.

I'm jealous...I'm still stuck with my annoying OGC-sufferer :cry:

take this suppos and shove it! lol

How about...GO TO BED!!! It's 0300 and you're ringing out for the most mudane things. No, I will not call the MD at this hour to get an order for protonix. You had it in the hospital before? And the Nocturnalist who saw you didn't give any orders for it, so he must be a bad MD. Please, just go to med!!!

You cannot breathe for a reason now put down the cigarette, you're hooked up to oxygen!!!!

Specializes in ICU, Telemetry.

Things I'd love to tell them:

Go HOME.

No, you're not sick, you're drunk. If you're serious about getting yourself straight, we will move heaven and earth to help you. If you think saying it will just get you more drugs, GO HOME.

We do have functioning memories in this hospital. Don't tell me you're R side flaccid from a stroke, get confused, become left side flaccid while you eat, and then go back to R side flaccid. I saw it, the CNA saw it, the other nurses saw it, so don't throw a fit when the neurologist sends you to a shrink.

Specializes in Medical.

"First, it's 3AM - what has made you suddenly think your sodium is low? Yes, it was slightly lower than normal two days ago, which is why you're fluid restricted and not allowed to drink plain water, but what has happened now to have you be in a flap? You have a feeling you're going to die.

"You're not going to die. No, really. I'm sure you think you're going to die. You thought you were going to die on Friday. And last night. And here you are, still not dead.

"No, I will not ring the doctor. Why? Because you're clinically stable, you have morning bloods ordered, and the doctor is not going to prescribe a saline drip for you. Yes, I know it's what you want, and no, she won't hang it to 'cure' your hyponatremia. I don't care if that's what they'd do in your country, you're here and we don't treat mild - possibly already resolved - hyponatremia with a saline infusion. Please just go to bed.

"Yes, I'll speak to your daughter. I'm happy to tell her the same thing. Hi, patient's daughter. Yes, I know you're mother's agitated. No, I'm not going to call the doctor. Because [see above]. You're welcome, good night."

Oh wait, I did say that. Patient's still alive, morning bloods showed low normal serum sodium and the patient went home. Alive.

Specializes in ICU, Telemetry.

In honor if the PITA pt I had last night.

"You are not a human being. You are the spawn of Satan."