Things You'd Like To Tell Visitors . . . . and get away with it

Nurses General Nursing

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the other "things you'd like to tell" threads have been so great -- how about one more?

to the daughter of today's patient: i understand back pain, believe me. i've had the surgery and was off work for six months. don't tell me you're having such severe back pain that you need to sit in my chair -- the one that reaches all the way up to the computer keyboard -- instead of the visitor's chair (which i hunted high and low to find for you since we only have two on the whole 16 bed unit) when you're walking around in 5 inch stilettos. if your back pain were really that bad, you'd be wearing danskos like me. (or any type of shoe that doesn't involve a 5 inch -- or even 3 or 4 inch heel!) sit in the visitor's chair and be grateful that i found it for you. i'm sure your feet do hurt. again, try some more sensible shoes.

yes, your daughter does have dark skin on her forehead. it's the same color as the skin on the rest of her body. i assumed that was because she was african american, but you tell me she wasn't that color before her heart surgery? i'm baffled. no, i don't know what we can do about it, but i'm sure we didn't cause it. if you want to bring in cocoa butter to rub on her forehead, that's fine with me. you can put anything on her forehead you like, but i guarantee you she'll still be an african american when we discharge her. (oh, that's a picture of your daughter on the wall? she has bangs, but otherwise she looks the same color in the picture as she does right now. if i were you, i'd be more worried about the ventilator and the left ventricular assist device.)

anyone else?

Specializes in Medical.
Don't MDs prescribe morphine 'off label' as a respiratory depressant for already compromised terminal patients to hasten death? They will increase the amount if the patient is 'restless'.

Though usually not explicit, most legal systems have a principle consistent with the Doctrine of Double Effect. You can give a potentially lethal dose of narcotic of your intent is to relieve pain, distress etc, even if death is a foreseeable consequence. You can not give a potentially lethal dose of narcotic to kill someone. even in palliative care the concept is symptom relief. If the intent was speeding up death we would just give potassium.

Specializes in Case Management, Home Health, UM.

Don't berate me, as I am trying to complete central line care on your loved one, who is terminally ill. I am just trying to do my job.

And, don't get an attitude, when I honestly tell you that I do not know the answer to every question you ask me about her condition.

And, if you want to report me for telling you that I am not a doctor, when you demand to know "why don't I know?",

be my guest. The phone's right over there. You want my supervisor's phone number?

Better yet, why don't you just leave? You are not only visibly upsetting the person you "claim" to care so much about, but are also interfering with her care.

Specializes in ICU, Telemetry.

I'm sorry, that word on the front of the building says HOSPITAL not HOTEL. They both start with H, sorry you got confused.

No, you can't take Mom home so she can write checks and go to the bank and then come and "check her back in" -- this is acute care. Go get a job and stop living off of her.

No, you can't have the room across from the nurse's station. We are not your private tv channel to watch, and we use those rooms by the nurse's station for people who really are sick, not people like you who check in to get more attention from hubby.

When I ask you if you've done any illegal drugs during your admission, please remember I have access to your drug screen. I know what you've done, I'm now checking your ability to tell me the truth. Which you just failed.

Soda machines are DOWN THE HALL, ma'am, sir. And yes, sodas are $1.25.

Don't have my barmaid hat on today, sorry.

Also, coffee is just one floor down. It will take you 2 minutes to go down and get a fresh cup. I dont have time to "put on another pot." Got other patients today to take care of.

Specializes in LTC, geriatric, psych, rehab.

And then every now and then, we have a visitor or a family member who just makes our day so much better.

1. The daughter who is crying b/c her father just passed...and she takes the time to see that we are crying too, and gives hugs all around, thanking us for caring for him for the past 5 yrs. We loved him too.

2. The Sunday morning visiting church group who stops on the way out to tell us how much they like coming to see us b/c our residents are always clean...then she comes back and leaves a box of chocolates for each shift.

3. The child who comes with his grandmother to visit his grandfather, who tugs on my jacket and says, "When I get big, I want to do what you do. I want to make people feel better."

4. Mr. P's daughter who is always laughing, always such a delight...comes up and says, "Well, I hate to make your day worse, but Mr. C's is in the floor...again!" She is never critical, never grouchy...can I clone her???

5. The daughter, visiting Mom, who says, "Daddy, get up and get out of that nurse's way. Can't you see that she needs room to work on mama?"

6. That same daughter, who when she sees her drugged up brother coming in, says, "You better get your stupid a** out of here, 'fore I flat tear it up...I ain't playin'!!! These nurses ain't fixin' to deal with you!" That is when I say, Thank you Lord!!!

I've had all the obnoxious visitors mentioned. They are beyond irritating. But some are so good, that I wanted to share them too.

"Visiting hours are OVER now"

Wish I could say that -- but alas, it is 24/7 visiting hours are our facility. They are free to come and go as they please, literally LIVE at the hospital for as long as their loved one is there.

Doesn't matter how many are there. Doesn't seem to matter if theyr'e annoying OTHER patients, though, in the same room. I don't get this.

Don't MDs prescribe morphine 'off label' as a respiratory depressant for already compromised terminal patients to hasten death? They will increase the amount if the patient is 'restless'.

Or am I misunderstanding?

I'm sure lots of people request extra morphine for their in-laws. ;)

Up here, it's fairly common to see morphine written q4h and then q1h prn in addition to some loxapine q1h prn. We all know why the order is written that way, we just don't tell the family, because sure as sh*t one distant relative will question the order and tell us we are trying to kill the patient and tell us to hold the morphine. We had one old soul who was begging to die and his brother (who he hadn't seen in three years) decided he knew best and wanted to go to the hospital ethics board about the "overuse" of morphine.

Frankly, I alway want to ask those winners where they got their medical education...

To the visitor of a patient that comes up to the nurses station grilling me about a patient that isn't my patient, demanding to know when the doctor is coming, what the results of the tests were, and when they are going home...

"Sorry Ma'am but I don't know who you're talking about, he's not my patient and I'm busy so go away and leave me alone!"

Yes. I can't tell you how much this happens. Why can't people GET that they have a nurse DESIGNATED TO THEM for the day -- that each and every nurse is NOT their nurse?

I have had people get down right rude and snotty with me about patients I've never even seen before.

I swear people check their brains at the door of the hospital when they come in to visit!

Specializes in Pediatrics.

DON'T snap your fingers at me to get my attention, or make "tch-tch"ing noises at me as I walk by in the hallway... I am a human being, not a dog! Use the call light in the patient's room!!! (if it's an emergency I can understand... but this SO was not!!!)

Specializes in Hospice.
Don't MDs prescribe morphine 'off label' as a respiratory depressant for already compromised terminal patients to hasten death? They will increase the amount if the patient is 'restless'.

Or am I misunderstanding?

I'm sure lots of people request extra morphine for their in-laws. ;)

You're misunderstanding. So as not to derail the thread, check out the forum on hospice nursing or do a search on morphine and the dying patient.

Don't MDs prescribe morphine 'off label' as a respiratory depressant for already compromised terminal patients to hasten death? They will increase the amount if the patient is 'restless'.

Or am I misunderstanding?

Though usually not explicit, most legal systems have a principle consistent with the Doctrine of Double Effect. You can give a potentially lethal dose of narcotic of your intent is to relieve pain, distress etc, even if death is a foreseeable consequence. You can not give a potentially lethal dose of narcotic to kill someone. even in palliative care the concept is symptom relief. If the intent was speeding up death we would just give potassium.

canuck, read about the double effect doctrine, as mentioned in talaxandra's post.

it is all about intent.

yes, many doctor's will increase morphine dosage for restlessness or any other signs of distress...

with the intent to relieve duress.

and, hastened death is an unintended effect but still happens.

never, never, never is it given w/intent to hasten death.

leslie

Specializes in Public Health, TB.

So how long and how much meth does it take to get your teeth to look like that?

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