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i have no idea where the er is getting these people from but i wish theyd send them back...lol
they are sick..yes...but for goodness sakes!
i cant raise the head of my bed (i can however use the phone and change channels on my tv)
oh no im having chest pains...my chest really hurts (now while you go call the doc, im gonna call my friend and wish her happy birthday and then ill finish dinner while you warm up the ekg)
i REALLY REALLY REALLY have to go to the bathroom...right now..oh i have to go. i have to go NOW.
but first let me watch a little of the grammy's and chat with you a while. you just stay here until im ready to stand up then pivot to my bedside commode (i can do this, i can walk and EVERYTHING, i just need you to stand here)
could you heat my tray
could you heat my coffee
could you heat my coffee again...i didnt drink it yet
do you have any cream?
oh i hurt i hurt i hurt ...do you want your morphine? no thanks.
i dont like this food...get me something i like.
straighten up my bed (ill stand here and watch you)
i cant get in bed by myself (i can walk to the bathroom tho)
pull me up in bed (no theres nothing wrong with my legs, i just like you to do it)
this week has been CALL BELL HELL
ever have the patients that ask you to wipe them?
Heh. We had a guy in once recovering from multi-system failure d/t ETOH abuse. Big time jaundice. (One of the RN's called him "The Highlighter" he was so yellow) And to make matters worse, he was one of the "the woman was created to serve me" types and his wife was the subserviant enabler - feeding him, pillow fluffing, you name it.
The night before his d/c, after the wife left for home, he asked for the bedpan. Nope, you can walk 200 ft. in PT, you're going home tomorrow, you can make it to the bathroom. Long story short, as myself and another nurse had almost got him back to his bed, he stops, turns around and asks "What about my ass?"
I had to stop myself before I said "It's big, glowing yellow and and we want to kick it...." :roll
He wanted us to wipe him. We handed him a washrag and told him to go for it.
Last month we sent home one of the PIA patients I have ever had. I do long term acute care. We got this guy on the vent , weighed over 500 lb when he came in. Had a wound on his back from hip to hip about 11 cm wide to start. Got him off the vent, weight loss over 150 lbs, wound nearly healed when we sent him home with home care. Wife is an alcoholic who would come in with urine stained pants, drunk. Threatened staff and had to be escorted out a couple times. The patient was incredibly and I mean incredibly sexually inappropriate. I was one of the few nurses who made it very clear that I would not put up with that, period. Amy, you are my kind of nurse because I don't mind in the least letting patients and families know when they are inappropriate.
Anyway this patient was with us from Oct. to Jan. the day he went home the hospital bought the staff pizza, and banana splits to celebrate.
At the same time everyone of us have to go to an 8 hour mandatory inservice in March about "customer" service. They aren't going to like me there much though, because I am fundamentally opposed to calling my patients customers. Customers are people who choose to be where they are, what place they are at, not just the one the insurance will pay for, I am a licensed professional, not a waitress but most of all they are patients for goodness sakes I don't care what the hell the powers that be think they should be called. Good care is good care period, but customer service is not what I do.
VickyRN, MSN, DNP, RN
49 Articles; 5,349 Posts
SHHHH.......!!!!!
Hope no "customer service" people are reading this thread.... Don't want to give them any more lame-brain ideas for our next "SERVICE EXCELLENCE" mandatory seminar!!!
:( 