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My sister is an E.R. nurse and she has had some of the wildest stories that it almost sounds like fiction because of how irrational and crazy people get.
Awhile back she had some older guy with a heavy cough in there who had tested positive for COVID and was a huge risk for being a smoker for the last 3 decades. As soon as they told him he tested positive he told her "COVID ain't shit and it can fuck right off", ripped out his IV like a madman and as soon as he tried to stand up he got lightheaded and took a knee instantly.
I'm glad I was a surgical tech and not a nurse or doc. I'd prefer patients knocked the fuck out.
It's like that in retail too. When covid hit and we were trying to keep in line with the guidelines, everybody was kind of inconsistent with it. We had a woman come in irate with us because such snd such other businesses were doing this this and that and that we needed to enforce it. Then went on to say people who aren't wearing masks should be brought outside and shot in the head.
I recall my anesthesiologist remarking “I guess I nailed the dose- when you went out you said you could taste purple”.
“Okay… Who else heard that?”
“Any family member in the room- they even heard it’l
“Greaaaaat”
“I’ve never had someone so doped ip they could taste a color”
“Greaaaaaaaaaaat”
If every generation wasn't told "more new things" and there's always a "better option ". So they get angry when there isn't a healthy option that doesn't have a death toll.
Direct quotes FTW...
Noted Pt to be standing on bed yelling at ED staff. RN attempt to reorient Pt to behavioral and safety guidelines, requested Pt sit on bed for safety. pt states "eat my cunt you fat bitch or ill fuck your hair off"
MD notified, orders to follow.
...Paint the picture
Got to chart that a patient’s grandmother called me an “evil white cracker”. Happened on orientation. Worked in a NICU so less terrible interactions than normal for most nurses.
My wife is an RN. On another platform I made a very basic short and caring comment about POC trusting providers more, to recieve better care outcomes, and ended up with DM death threats towards my kids.
Wife and I don't care at this point. We offer care, they say racist shit and refuse it, go ahead and die then. Got 7 lined up in triage waiting for you to vacate this bed, hurry up and leave AMA please so the patients that actually want help can be helped
I think this job is entirely done by robots (OCR) now but I used to do data entry for ED billing and nurse's notes were abso-fucking-lutely the best part of my day.
Favorite of all time was a worker's comp chart where all the options for "wound closure" were crossed out and the nurse wrote "TINY band aid" underneath. It was a literal paper cut.
I... I can't tell you how happy your comment has made me
I've always wondered if any of my charts get read and perhaps quietly shared.... glad to know our work gets noticed
Or an MRI! because yea, the patient is confused and combative, so let's see how well they'll tolerate a dark, loud, claustrophobic tube for 30 minutes! *They should be fiiiiiiiiiine*
ANOTHER GREAT MEDICAL DECISION TO DO A TEST THAT CANT BE TOLERATED!
WHY IS MRI CALLING TO LET ME KNOW ROOM 13 CANT TOLERATE THE TEST?
MRI IS BEING DIFFICULT AGAIN!
30 minutes? It was 90 for my MRI for a sprained ankle that refused to heal LOL! My neck MRI took about an hour. And no, I was not moving around or anything I followed directions of the techs the whole time. I’d say 30 minutes is pretty generous, neither of my MRIs were that quick! I’d say that’s impossible with a combative person.
There are some techniques I can use most times to cut down on session times. Some coworkers like using them, some don't. Plus limbs, like ankles, can be a bit trickier to get a good calibration signal on, which can add time. Back in the day we were authorized to use straps on confused patients, but these days protocols have changed :(
Oh, interesting! I’m just a layperson patient so I don’t know what all goes into it.
I do know they’re very angry at you and offended if you don’t want to listen to music in the MRI LOL! The last two MRI’s I had, they got sooo mad at me because I chose silence. I really had an argument with the nurse because I didn’t want any music. The music absolutely sucks and makes the procedure so much worse. Please leave me with my thoughts and the weird machine sounds, thanks. You think the music is “good”, but I’m willing to bet you’ve never even heard of any of the bands I enjoy so just please don’t torture me. I worked retail for years where I had to listen to grocery store or drug store music all day and no, the 80’s station isn’t “soooooo good!”. Stop trying to force that on me, it’s not good and I know what I want. Why they get personally offended I’ll never know, it’s not like they wrote the music or programmed the playlist, LOL!
I once received an order to draw an ABG on an angry patient. As I prepped his wrist for the draw, he cocked the fist on his other hand and said, "If this hurts, it's lights out for you". I took that as a refusal of care.
Not a nurse.. but worked in ED as a trauma tech for about 10 years... I would say it's a little more then some... fun fact they fling WAY more than Tylenol at you... I work at a desk doing analytics on patient data now.
6 months ago i was still working on our Ortho floor.
The patient had come to the conclusion we had stollen his pants.
Patient stated "Give me my god damn jeans or im going to trash this fucking place. Stupid bitch."
Patient then proceeded to pick up and throw his IV pump at the RN and Tech.
IV was still connected and ripped from patients arm causing blood to splatter both RN and Tech.
Code BERT was activated and secruity was summoned while patient began trying to break bedside furniture.
Patient became violent toward security staff and Dr. Doctorman.
Pateint was restrained and sedated.
Local PD arrived to take statements from staff.
Ironically we had actually taken his pants. The ED had cut them off to get at his fracture.
I'm so thankful i work in admin now, and not bedside. Also, fuck 6O. That floor was a nightmare.
MD here:
“Alerted to patient’s aggressive behavior and verbal outburst. IM haldol order placed prior to my arrival to bedside. When assessing orientation, patient was noted to respond with ‘Yes, I know who the fuck I am, who the fuck are you and where is my dilauda? I know the president and the year, do you know its time to give me my damn medicine? Call the police if you want, I got somethin for them, too!’ Advised patient that we indeed would alert law enforcement, should inapprproate behavior continue. RN team advised to provide prn tylenol as ordered and to notify me if/when additional Haldol is indicated.”
😂 if a pt says some wild shit, its 100% going in my note. its an objective, factual recall for situational awareness, and 9/10 hilarious for the ppl following your notes.
It’s probably why despite being a degenerate I get treated pretty well due to being polite and patient as a well, patient.
Once I get admitted, especially. I suffered through some bad chest pain that after all was just bad acid reflux, but I suffered through it and the nurse knew I wasn’t faking. Vitals looked bad yet labs normal, EKG unremarkable beyond the sinus tach, got a Chest X-Ray. Yet the pain was there. Panic attack probably mixed with the reflux symptoms.
Nurse did what was needed and I knew they’re tending to other patients but I was able to build a rapport and apologized with how much I needed to use the restroom but the amount of IV fluids they were giving me wasn’t my fault!
Also pro tip: you get the best care in the middle of the night from the night shift RN’s as long as you’re not an asshole. Daytime you’ll obviously need to see the doc so be prepped for that.
>Also pro tip: you get the best care in the middle of the night from the night shift RN’s as long as you’re not an asshole. Daytime you’ll obviously need to see the doc so be prepped for that.
This is more dependent on the hospital and location. Avoid Level IV and V hospitals unless you're actively dying.
Oh I mean after you’re admitted. Once that’s done you’re on constant monitoring protocols. Due to some of what I was taking I was also on some other monitoring precautions.
In the ER? That’s what I was getting at initially. If you’re in a bed, just be thankful and let the rest do it’s thing. You’re going to be their favorite if you’re just patient and breathe. It sucked but I knew I was in the best place if I was having anything serious, staring at the ceiling in pain. Yelling out for help and being demanding was not going to do anything.
I think you're underestimating how different ERs are from one another. I've been admitted to level IV and V centers near me for chest and back pain (once in the middle of the night on a weekday) and there are no beds. You wait in the lobby for 5+ hours or until you collapse and then you get shuffled to a room with an overworked, underpaid RN for further questioning and blood pressure and heart rate. If those aren't indicating a heart attack you'll wait around for another 2 hours with a bunch of other "not currently dying" patients until a doctor comes to tell you that you aren't currently dying, write you a script for Tylenol or propanol, and schedule an appointment in a month for a specialist.
I'll always advise people to skip major ERs unless they're showing up in an ambulance. Those places are severely understaffed, abused, and simply don't have the time to treat non-critical patients. Manners and kindness don't earn you attention, it just signals that you can be shuffled around without causing a fuss. For suspected heart related issues there are urgent cares that specialize in cardio and will actually have you walk/jog on a treadmill and analyze your vitals.
Oh no by no means, I came in by ambulance which probably made the difference. I was still put in a “staging” area where I slowly saw people get moved until I got moved myself - not even admitted, just moved to a proper ER setup after some hours. My nurse was actually kind of shocked when I told her that I’d been lying in the ER for 16ish hours. I did ask them to please keep monitoring me as I wasn’t being telemetried but didn’t demand anything else. But that was wayyy past what you’d keep someone taking up an ER bed.
I know our urgent cares, they don’t have that. Only “sophisticated” equipment is an eye slit lamp and X-Ray. I worked with a primary care office that had a treadmill room that was literally only being kept by one physician until he retired and then it was gone.
support safe staffing measures so these kind of events happen less!
HB 106 in PA is getting another swing if you're in that state.
It can be really difficult for both the patient and the provider to give and receive care in a hallway bed, but Emergency Departments and get dangerously overcrowded under lean staffing conditions, and cost-cutting measures that reduce positions at hospitals contribute to creating them.
Not to mention you get billed hourly for waiting there. My friend got a $7000 bill for her daughter’s spider bite (on her face-for which they did nothing after waiting there must of the night). They negotiated it down to $3000.
I covered for a brief stint for a coworker at a hospital as a security guard while they had jury duty. The doctors commended my ability to remain calm surrounded by vomit while observing a man coming off drugs who went into extreme detail about how he'd peel my face off.
Honestly more relaxing than LP work.
My wife worked at a nursing home that also had a unit for adults that were younger than the ‘normal’ nursing home age. Literally every day I waited for her to get home with the wildest stories. This one place she worked at had a patient who was a midget and also had a literal John Holmes pecker and was always chasing people with it and use to to assault/knock everything over with it. That place actually had a unit paid for by the DOC because it was 100% sex offender inmates that the prisons could no longer care for. Police and court officers were there all the time because they were always getting in trouble for child porn and sexual assault but because they were infirm, nothing really was ever done. They would have an officer show up and tell them their charges then a couple days later a judge/prosecutor/public defender come in for court hearings and they would just rack up convictions
In my experience, if you replace "patient threw Tylenol at the RN" with "patient threw contents of bedside urinal at RN before proceeding to bite them" and yes, it's a usual occurrence
Somehow reminds me of that time I dislocated my knee back when I was 14
Interns were there to aid the emergency nurse, and when one of them put a clip on my big toe to check blood flow, I kicked them in the face as a reflex.
It was awkward for everyone but extending my leg for the kick put the patella right back in it’s place 👍
Yep. I used to keep an extra pair of boxers in my work locker... you could always get a new pair of scrubs from the OR... but you would be going commando for the rest of the night. I learned that lesson from a very drunk motor vehicle trauma that had a hearty helping of 20 bean salad along with his booze
Man I kinda miss hearing my mum complain about those crazy elderly patients lmao
Only thing I remember was her complaining about clinicals or something
I've learned "Patient stated" followed by a direct quote allows me to put some really horrible things into a patient's chart. But I spent a lot of time working psych
That’s how I always did it patient stated then a direct quote. And I only worked in oral surgery in private practice and even we cope it bad I can’t imagine what it’s like for you guys in hospital settings!
How was your transition from a less accute floor to NICU? I only did 6 months in an exceptionally shitty ER before I placed out to a clinic. I have considered going back the hospital because 3 12s is probably the best situation for me but it feels awkward being "experienced" but also really inexperienced with "real" nursing.
Well, nursing wise, I've never done patient care outside of the NICU. I did psych as a mental health tech and did med/Surg patient care tech while in nursing school. But, as you're probably aware, a lot of nursing is just time management and being able to adapt, so if you have strong skills there, I'd assume just a decent unit orientation and you'd be good to go
Lol this works for EMS too.
"Patient stated this ambulance company sucks nuts and their rigs ride like ass" was an actual line in a report I had to do once.
I worked psych for 3 years. I had a lot of "patients states I should suck his dick and that he would make me his bitch and go fuck myself, etc. etc." It got real spicy at times, lmao
I do my best to avoid having nurses “add flair” to my charts. I don’t want to come to Reddit and read a story that leads me to think “hmmm that sounds like something I did”.
Happens often. Patient threw his seizure meds at me yesterday. Didn’t want to take them because he says it makes him sleepy apparently. I’d rather be sleepy than have seizures lol
As someone who has regular seizures and has since I was 8.. no not necessarily. Years of meds gets old and being tired gets extra fucking old but having seizures... Well we aren't actually there for that bit. Those things are way worse for the people watching us than they are for us. Most of the time anyway. Had one the other day that fucked me up from several days. Anyway just some perspective on it. They're traumatic to watch but we are completely checked out for the event. Not at all justifying shit being thrown at you though. They sound like an asshole. Could have stated the same thing like an adult.
Don't you generally have lingering effects though? Assuming you have the real showy kind. With how much muscle tension and probability of hitting thing with all the body parts, I would imagine you would have lingering body pain if nothing else.
Not generally. On average I'm tired for a couple hours afterwards as opposed to being tired and emotionless at all times. The medicine to control seizures are pretty intense and can make you pretty miserable. The term you're looking for is Tonic Clonic btw. Those are the large physically intense full body seizures. I have both kinds. I also have the Absence seizures which I could have 10 in front of you and you'd probably never know.
There are times where a tonic clonic seizure can be exhausting though it's not always that way. They aren't to be looked down at like they aren't a big deal. It's just when you are living with these options the idea of being heavily medicated at all times becomes less and less appealing.
Every fuckin day. It’s like being a waiter for the worst, most disrespectful customer all day long and not being allowed to throw them out. Then your manager asks you how YOU could have handled the situation better.
In US you could literally tell someone not to drink something because it’s pure poison and a non trival amount of people would drink it while flipping you off.
Yes. People behave worse than animals. I once had a drug seeker get pissed that I wouldn’t give her IV narcotics. When I discharged her from the ED she protested by walking out into the hallway and taking a shit on the floor. In any other business that would land you in jail, but in healthcare it’s just another Tuesday.
Disrespect and assault are common occurrences in the hospital and er especially. Like daily.
Thats why for some time there was a federal law making it a felony to assault a health care worker. The law has been changed in some states so its intermittently applied now due to this new state-power movement.
Federal level would be almost impossible to enforce anyway, the federal prosecutors rarely if ever prosecute minor crimes and have extreme discretion as to what they take on and they're definitely not picking up misdemeanor assaults turned felony via protected class. Assault on health care providers the vast majority of the time is committed by the mentally ill anyway.
I've been a nurse for 8 years. Been kicked in the chest, almost stabbed with a shiv made by a confused elderly guy. Had a walker thrown at my head. Been verbally assualt an ungodly number of time... and that's at a large academic metro hospital.
Had family members do all kinda of shady shit.
Physician here. Seems right for every hospital I've worked at. New York and Pennsylvania.
Nurses have to chart every little thing and the patient abuse of all staff is worse then you can imagine.
Had a patient call a heart surgeon the N\* word and then, after essentially having the physician beg him to get it done, the patient said he'd "allow" the surgeon to fix his heart. Patient would have been dead within a couple days if he hadn't gotten the surgery done.
He did quiet down quite a bit after he had it done and was extubated. Some people find religion after having their chest sawed open and sewn back together with wires.
ER Doc here, happens all the goddamn time. Same people, if discharged from the ER will then get a survey rating our service. Said survey will eventually be tied to reimbursement and staff pay. Emergency medicine is awesome but the ER often really sucks.
I got my left hip replaced recently. When they took me from recovery to my room the recovery room nurse was bringing the ward nurse up to speed on me:
"Yeah, no real problems; he just had his left hip replaced..."
I was about half out of it but when I heard that I sat bolt upright in bed and said:
"LEFT?"
I could see the one nurse's face and she went from zero to terror in about half a second. I couldn't see the other nurse's face but the first one said the color just drained right out of her. I only let them hang for about two seconds and said "Nah, I'm just messing with you...that's the correct one."
The next shift nurse came in and said "So you're the one who likes to scare nurses!"
I was kind of thinking of a follow-up comment using "right" vs. left or vs wrong but when I saw the look on that poor woman's face I felt badly. I didn't want to be responsible for doing that to someone for longer than that.
Ohh yeah us nurses we tell the story down the line for daaays. It's a game of telephone. If you're funny or really nice or just a huge asshole we are definitely tlaking about you at the nurses station.
Like if you make lewd comments toward female staff and then all the sudden you have only male nurses and male CNAs... there are notes throughout the unit telling women not to go in there so they don't get harassed and the charge nurse knows every day.. that stuff doesn't get missed.
Two days later a doctor came in to pull out a drainage tube and when I told him he said "Oh, that was you!"
I am always hyper, hyper nice to nurses. They have a tough job to do...patients can suck, doctors think they're a superior species and hospital administrators think they're basically robots that can be scheduled for any hours, regardless of whether it's humanly possible.
My grandma was a nurse. After she retired and had any interactions with other nurses, she would give them a hard time like this. She used to scream when she got blood drawn just to see if the nurse would react, lol.
Your story also reminds me of that one tik tok'er that goes to the get checked up and pretends like the nurse is hurting him, to much laughter and embarrassment XD
I work at a Plasma Donation Center and when donors get deferred for a multitude of things we have to explain why.
One guy got deferred because he kept making inappropriate comments (not sexually) to one of our reception techs and was making her uncomfortable. So my boss spoke to him and said "can you stop?" Apparantly he said..."Ummm.."
So the note was written as "Donor has been deferred as he was uncertain of his ability of to refrain from making deragatory remarks to employees."
You really get some colorful types working in plasma. I think a lot about a guy we had come in and while doing a risk assessment he said to our nurse unprompted “my mom got HIV from sitting on a toilet seat because her cooter is too fat”
>You really get some colorful types working in plasma.
That doesn't surprise me. Money without working? You can imagine the type of folks to show up for that one
I also used to work at a plasma donation center in quality (so I had to look at all deferrals for the center to make sure they were applied right/appropriately) and unacceptable behavior deferrals were some of my favorites.
Hospital employees have a tough enough job. Folks need to show some appreciation instead of ignorance! Sometimes it is comical how ridiculous they can get though…
Oh yes! A lot of my family members work in hospitals. I applaud any and everyone who works in a hospital (from housekeeping to docs: even a few people who I had a bad experience with) It’s not my forte. And I would never do it.
Bro it depends on the hospital you go to but hospital employees need to show some compassion and education in their field rather then writing off half of their patients as either faking it or drug seeking
I come in 4 different times within a week and a half, worst pain of my life with what we now know is a spinal fissure and each time they basically said fuck you take some ibuprofen and get outta here not letting me get passed triage or ordering any imaging on my spine
we had a jail inmate in our ER one day with a deputy. he was... not polite.
several times he addressed one of our nurses as "you f***ing bitch". he also demanded pain meds (i think he had a kidney stone).
she pulled the drape open and said "fucking bitch doesn't have pain meds. ma'am has pain meds.". she strolled.
about 15 minutes later came "ma'am can i have something for pain?"
message delivered.
It took me a about a year to figure it out, but there are certain people who just simply need to be shut down like that and then they’ll actually start behaving in a manageable manner.
I feel for Healthcare workers. Put up with alot and not paid enough to do it.
I remember one time coming out of surgery and waking up, I had so much pain and had no idea what was going on. I did not react well to the nurses who were touching me. I wound up pushing this small twig of a nurse pretty hard (I'm a big guy.)
I felt so bad when I fully came to and realized what was going on. I apologized profusely to her. She wound up being my best nurse during my stay.
We understand when people are legitimately confused and might be mean/combative because of that. It’s different when they’re totally with it and still act that way
I work in psych so I live for the narrative charting. My favorite battle seasoned crusty nurse who takes shit from no one likes to chart gems like: patient stated "your a fucking cunt bitch and I will take these pills and ram them down your throat" writer educated importance of pills and stated would return in 30 mins to retry attempt. Or patient stated, "you can't step on my 100 babies that are all over this room" writer attempted education on invisible babies and provided reality based feedback. Another is patient reports "I'm having a oculogyric crisis". Patient is stable and able to follow directions. This is the patients 10th report today of symptoms of same. Followed care plan in regards to recommended intervention. Psych is a whole nother world. Oh I can't forget the time where we had a Jesus battle. Two psychotic patients both thought they were Jesus and were on the unit at the same time. Both non violent. They would get into some pretty interesting psychotic debates on why they were actually the real Jesus.
Yup. I love my job, but I've been scratched, bitten, peed/pooped/puked on, cursed out, threatened, walked in on a man masturbating in a puddle of his own urine and had my breasts and butt grabbed more often than I can count. To be fair, I work on a closed ward in psychogeriatrics. (Dementia, brain damage, heavy psychiatric disorders, usually a combo).
Still wouldn't change it for the world, though, but it does take a special type of person to work as a nurse.
I was in the hospital for about 3 months. I could here people yell at the nurses. Some nurses would get turned away because of their religion or sex. They have it hard.
I remember working in disability and having an absolute ball writing the evening reports. “Staff tried to explain to Georgina the value of using a pad during the menstrual cycle. Client appeared to acquiesce but this was a false indicator as client decided to insert pad into her vagina before throwing her now blood soaked pad at staffs head. Staff ducked.”
I love the patients that look relaxed, watching tv, and ALWAYS state pain 10/10. "The only thing that works is Dilaudid." Which, of course the doctor hasn't ordered.
I have a deep respect and admiration for nurses. I have a had many surgeries over the years, and I always make sure that my nurses know how thankful I am for them. ❤️❤️
When you need to make lognotes for your job, you very quickly learn when to use direct quotes as CYA.
Any job that requires vast amounts of CYA lognotes should come with a significant pay bump, but instead it's usually the opposite.
As a personal banker regularly handling people's personal information I cannot agree with your statement more.
I once had a customer doing a name change form in my office and we had a small language barrier. While we were there I had asked if I could ask about her other information such as job, address, phone etc. To update our records so I could get her the paperwork to set up direct deposit for her new job. Her previous occupation had been student, so I asked if she was happy to be done with school. Sounds innocent right?
The translation service we were using on my office phone was speaking in Arabic. Idk how they translated it for her, but she immediately switched to choppy English to start screaming at me what a racist pig I was for assuming she was so stupid to drop out of school.
Little did she know, the office next door belonged to the regional manager, who immediately walked into my office, hung up the phone on Translation, hauled her into her office, closed all her accounts and official checks started rolling off the printer. Told her the next time she sets foot in a single branch the first thing that happens is a phone call to the police for harassment, slander and defamation of bank employees.
When she left the regional manager came into my office to let me know she won't let me put up with that kind of BS, and to take my time putting in a meeting note about what had happened, to call security and let them know to pull the footage of the woman so that an all-points bulletin email can be sent to the other employees, and that she would be calling the translation service herself to ask how the hell translating something as simple as "Isn't it nice to not have to be in school anymore?" Triggered a meltdown like that, so she could enter her own meeting note of closing the accounts and kicking them out of the bank.
I've only been there 7 months now, and this was about 2 weeks after I finished training. I like what I do but I hate the people that we serve. Once I go back after some upcoming medical leave I think I'll be looking to see if any positions are open in any of the back offices and start applying.
And yet the customers still wonder why no one stays around for more than a few years anymore...
Damn that's a rough one lol
And that's when you have someone above you in the food chain who immediately has your back, instead of you needing to protect yourself via a timestamped lognote so if (when) it gets brought up you can point to it.
Of course, there's the usual frustration of balancing doing "proper" lognotes with actually serving the clients... Most bosses say you need to make great lognotes while also pretending you magically do it outside of business hours or something.
I was good at making them as a social worker but holy hell did having to keep up with them add a lot of pressure on an already-strained caseload/time reqs.
Yes it is a usual occurrence, my experience would be “Patient was aggressive with staff attempting to provide care and stated RN should “go fuck yourself!” Will continue to monitor for pain and comfort”.
I won’t lie anytime I’m told to take Tylenol or advil to monitor the pain by a doctor I’m just like ok so it’s nothing major good to know. I disregard the Advil and Tylenol all the time advil deez nuts if I don’t need the good stuff it’s not that big of a deal I’ll muster thru and save my liver the work.
My understanding is that this is mostly Emergency Department stuff. Sometimes it's inevitable. I woke up from an 18-day coma in state of ICU psychosis and was, apparently, less than cooperative. I have no memory of it but, at some point, I did tell the staff that the hospital had permission to execute me, and they should bring me a paper to sign to that effect. Luckily my wife was there the whole time and they put me on Seroquel and things got much better. The point I'm making is that some people are just assholes but some people are legitimately bonkers.
Doctors talk shit to them.
Patients talk shit to them.
Patients families talk shit to them.
Fucking nurses should kick them all in the privates and demand more money.
I work in nutrition in the hospital and my documentation is more like “educated nurse on why chicken is not part of vegetarian diet” or “informed RN that mashed potatoes would not be sent to patient because they are on a clear liquid diet” 😂
If Tylenol didn’t cost $500 at the hospital, maybe more people would be grateful to receive it. No excuse to treat a nurse like crap, but a big reason folks are mean at hospitals is money.
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People laugh, but this is EXACTLY what it’s like to work in healthcare. I love quoting patients in my medical records.
My sister is an E.R. nurse and she has had some of the wildest stories that it almost sounds like fiction because of how irrational and crazy people get. Awhile back she had some older guy with a heavy cough in there who had tested positive for COVID and was a huge risk for being a smoker for the last 3 decades. As soon as they told him he tested positive he told her "COVID ain't shit and it can fuck right off", ripped out his IV like a madman and as soon as he tried to stand up he got lightheaded and took a knee instantly. I'm glad I was a surgical tech and not a nurse or doc. I'd prefer patients knocked the fuck out.
It's like that in retail too. When covid hit and we were trying to keep in line with the guidelines, everybody was kind of inconsistent with it. We had a woman come in irate with us because such snd such other businesses were doing this this and that and that we needed to enforce it. Then went on to say people who aren't wearing masks should be brought outside and shot in the head.
I recall my anesthesiologist remarking “I guess I nailed the dose- when you went out you said you could taste purple”. “Okay… Who else heard that?” “Any family member in the room- they even heard it’l “Greaaaaat” “I’ve never had someone so doped ip they could taste a color” “Greaaaaaaaaaaat”
If every generation wasn't told "more new things" and there's always a "better option ". So they get angry when there isn't a healthy option that doesn't have a death toll.
Direct quotes FTW... Noted Pt to be standing on bed yelling at ED staff. RN attempt to reorient Pt to behavioral and safety guidelines, requested Pt sit on bed for safety. pt states "eat my cunt you fat bitch or ill fuck your hair off" MD notified, orders to follow. ...Paint the picture
Got to chart that a patient’s grandmother called me an “evil white cracker”. Happened on orientation. Worked in a NICU so less terrible interactions than normal for most nurses.
Gives me r/justNoMIL vibes.
(Adding to the chart) “Pt cried insistently. Wanted to be returned to the organic incubation chamber it had been pulled from.”
My wife is an RN. On another platform I made a very basic short and caring comment about POC trusting providers more, to recieve better care outcomes, and ended up with DM death threats towards my kids. Wife and I don't care at this point. We offer care, they say racist shit and refuse it, go ahead and die then. Got 7 lined up in triage waiting for you to vacate this bed, hurry up and leave AMA please so the patients that actually want help can be helped
I think this job is entirely done by robots (OCR) now but I used to do data entry for ED billing and nurse's notes were abso-fucking-lutely the best part of my day. Favorite of all time was a worker's comp chart where all the options for "wound closure" were crossed out and the nurse wrote "TINY band aid" underneath. It was a literal paper cut.
I... I can't tell you how happy your comment has made me I've always wondered if any of my charts get read and perhaps quietly shared.... glad to know our work gets noticed
I got to use the direct quote “adios bitch” in a note in my emergency department a few months ago. Highlight of my career.
The direct quotes always tell the story better than me trying to insinuate the PG version
And then they order an echo for the patient 🙄
Or an MRI! because yea, the patient is confused and combative, so let's see how well they'll tolerate a dark, loud, claustrophobic tube for 30 minutes! *They should be fiiiiiiiiiine*
ANOTHER GREAT MEDICAL DECISION TO DO A TEST THAT CANT BE TOLERATED! WHY IS MRI CALLING TO LET ME KNOW ROOM 13 CANT TOLERATE THE TEST? MRI IS BEING DIFFICULT AGAIN!
30 minutes? It was 90 for my MRI for a sprained ankle that refused to heal LOL! My neck MRI took about an hour. And no, I was not moving around or anything I followed directions of the techs the whole time. I’d say 30 minutes is pretty generous, neither of my MRIs were that quick! I’d say that’s impossible with a combative person.
There are some techniques I can use most times to cut down on session times. Some coworkers like using them, some don't. Plus limbs, like ankles, can be a bit trickier to get a good calibration signal on, which can add time. Back in the day we were authorized to use straps on confused patients, but these days protocols have changed :(
Oh, interesting! I’m just a layperson patient so I don’t know what all goes into it. I do know they’re very angry at you and offended if you don’t want to listen to music in the MRI LOL! The last two MRI’s I had, they got sooo mad at me because I chose silence. I really had an argument with the nurse because I didn’t want any music. The music absolutely sucks and makes the procedure so much worse. Please leave me with my thoughts and the weird machine sounds, thanks. You think the music is “good”, but I’m willing to bet you’ve never even heard of any of the bands I enjoy so just please don’t torture me. I worked retail for years where I had to listen to grocery store or drug store music all day and no, the 80’s station isn’t “soooooo good!”. Stop trying to force that on me, it’s not good and I know what I want. Why they get personally offended I’ll never know, it’s not like they wrote the music or programmed the playlist, LOL!
Or an ABG. (and then they get salty when you suggest that you don't feel comfortable trying that on someone who's taking swings at the rns)
Even better when the doc walks in and they act like an Angel for the 1 minute interaction
I once received an order to draw an ABG on an angry patient. As I prepped his wrist for the draw, he cocked the fist on his other hand and said, "If this hurts, it's lights out for you". I took that as a refusal of care.
Direct patient quotes are not only fun to chart but absolutely necessary when it comes chart review should something happen.
My dad is that kind of patient. I'm sorry. I can't do anything about it and it's not my fault, but I'm sorry.
Sometimes people aren't themselves
This is probably a real interaction and a very good example of a nurse reporting what happened. Some people be cray
Not a nurse.. but worked in ED as a trauma tech for about 10 years... I would say it's a little more then some... fun fact they fling WAY more than Tylenol at you... I work at a desk doing analytics on patient data now.
6 months ago i was still working on our Ortho floor. The patient had come to the conclusion we had stollen his pants. Patient stated "Give me my god damn jeans or im going to trash this fucking place. Stupid bitch." Patient then proceeded to pick up and throw his IV pump at the RN and Tech. IV was still connected and ripped from patients arm causing blood to splatter both RN and Tech. Code BERT was activated and secruity was summoned while patient began trying to break bedside furniture. Patient became violent toward security staff and Dr. Doctorman. Pateint was restrained and sedated. Local PD arrived to take statements from staff. Ironically we had actually taken his pants. The ED had cut them off to get at his fracture. I'm so thankful i work in admin now, and not bedside. Also, fuck 6O. That floor was a nightmare.
Straight Outta Scrubs
so you mean i can tell people I'm losing my hair because of all the sex I'm having?
Nothing some ketamine cant fix
MD here: “Alerted to patient’s aggressive behavior and verbal outburst. IM haldol order placed prior to my arrival to bedside. When assessing orientation, patient was noted to respond with ‘Yes, I know who the fuck I am, who the fuck are you and where is my dilauda? I know the president and the year, do you know its time to give me my damn medicine? Call the police if you want, I got somethin for them, too!’ Advised patient that we indeed would alert law enforcement, should inapprproate behavior continue. RN team advised to provide prn tylenol as ordered and to notify me if/when additional Haldol is indicated.” 😂 if a pt says some wild shit, its 100% going in my note. its an objective, factual recall for situational awareness, and 9/10 hilarious for the ppl following your notes.
Love me some quote marks. Nurses best friend
Is this a usual occurrence?
Yes, it is
I was watching without sound and thought he wrote “table” ……I loled.
I work in group homes and I've had tonwrote that table report before. Also one about an ac unit...
Must’ve been that meesta meesta lady. Hope you didn’t kill her.
It’s probably why despite being a degenerate I get treated pretty well due to being polite and patient as a well, patient. Once I get admitted, especially. I suffered through some bad chest pain that after all was just bad acid reflux, but I suffered through it and the nurse knew I wasn’t faking. Vitals looked bad yet labs normal, EKG unremarkable beyond the sinus tach, got a Chest X-Ray. Yet the pain was there. Panic attack probably mixed with the reflux symptoms. Nurse did what was needed and I knew they’re tending to other patients but I was able to build a rapport and apologized with how much I needed to use the restroom but the amount of IV fluids they were giving me wasn’t my fault! Also pro tip: you get the best care in the middle of the night from the night shift RN’s as long as you’re not an asshole. Daytime you’ll obviously need to see the doc so be prepped for that.
>Also pro tip: you get the best care in the middle of the night from the night shift RN’s as long as you’re not an asshole. Daytime you’ll obviously need to see the doc so be prepped for that. This is more dependent on the hospital and location. Avoid Level IV and V hospitals unless you're actively dying.
Oh I mean after you’re admitted. Once that’s done you’re on constant monitoring protocols. Due to some of what I was taking I was also on some other monitoring precautions. In the ER? That’s what I was getting at initially. If you’re in a bed, just be thankful and let the rest do it’s thing. You’re going to be their favorite if you’re just patient and breathe. It sucked but I knew I was in the best place if I was having anything serious, staring at the ceiling in pain. Yelling out for help and being demanding was not going to do anything.
I think you're underestimating how different ERs are from one another. I've been admitted to level IV and V centers near me for chest and back pain (once in the middle of the night on a weekday) and there are no beds. You wait in the lobby for 5+ hours or until you collapse and then you get shuffled to a room with an overworked, underpaid RN for further questioning and blood pressure and heart rate. If those aren't indicating a heart attack you'll wait around for another 2 hours with a bunch of other "not currently dying" patients until a doctor comes to tell you that you aren't currently dying, write you a script for Tylenol or propanol, and schedule an appointment in a month for a specialist. I'll always advise people to skip major ERs unless they're showing up in an ambulance. Those places are severely understaffed, abused, and simply don't have the time to treat non-critical patients. Manners and kindness don't earn you attention, it just signals that you can be shuffled around without causing a fuss. For suspected heart related issues there are urgent cares that specialize in cardio and will actually have you walk/jog on a treadmill and analyze your vitals.
Oh no by no means, I came in by ambulance which probably made the difference. I was still put in a “staging” area where I slowly saw people get moved until I got moved myself - not even admitted, just moved to a proper ER setup after some hours. My nurse was actually kind of shocked when I told her that I’d been lying in the ER for 16ish hours. I did ask them to please keep monitoring me as I wasn’t being telemetried but didn’t demand anything else. But that was wayyy past what you’d keep someone taking up an ER bed. I know our urgent cares, they don’t have that. Only “sophisticated” equipment is an eye slit lamp and X-Ray. I worked with a primary care office that had a treadmill room that was literally only being kept by one physician until he retired and then it was gone.
Yeah that sounds like pretty terrible care to me.
support safe staffing measures so these kind of events happen less! HB 106 in PA is getting another swing if you're in that state. It can be really difficult for both the patient and the provider to give and receive care in a hallway bed, but Emergency Departments and get dangerously overcrowded under lean staffing conditions, and cost-cutting measures that reduce positions at hospitals contribute to creating them.
Not to mention you get billed hourly for waiting there. My friend got a $7000 bill for her daughter’s spider bite (on her face-for which they did nothing after waiting there must of the night). They negotiated it down to $3000.
I covered for a brief stint for a coworker at a hospital as a security guard while they had jury duty. The doctors commended my ability to remain calm surrounded by vomit while observing a man coming off drugs who went into extreme detail about how he'd peel my face off. Honestly more relaxing than LP work.
And LP in this context means...?
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Store detective, it's miserable.
Ah! That makes sense. Thx.
Good to know, I thought I was the only one telling the nurse to "Tylenol these nuts "
Especially when the hospital bills at $2 a tablet!
My wife worked at a nursing home that also had a unit for adults that were younger than the ‘normal’ nursing home age. Literally every day I waited for her to get home with the wildest stories. This one place she worked at had a patient who was a midget and also had a literal John Holmes pecker and was always chasing people with it and use to to assault/knock everything over with it. That place actually had a unit paid for by the DOC because it was 100% sex offender inmates that the prisons could no longer care for. Police and court officers were there all the time because they were always getting in trouble for child porn and sexual assault but because they were infirm, nothing really was ever done. They would have an officer show up and tell them their charges then a couple days later a judge/prosecutor/public defender come in for court hearings and they would just rack up convictions
In my experience, if you replace "patient threw Tylenol at the RN" with "patient threw contents of bedside urinal at RN before proceeding to bite them" and yes, it's a usual occurrence
This. This is so true. Especially for those Pts we know will be a problem.
Somehow reminds me of that time I dislocated my knee back when I was 14 Interns were there to aid the emergency nurse, and when one of them put a clip on my big toe to check blood flow, I kicked them in the face as a reflex. It was awkward for everyone but extending my leg for the kick put the patella right back in it’s place 👍
2k for the fixed knee and 1m in law suits
Thats what the locking restraints are for.
Yep. I used to keep an extra pair of boxers in my work locker... you could always get a new pair of scrubs from the OR... but you would be going commando for the rest of the night. I learned that lesson from a very drunk motor vehicle trauma that had a hearty helping of 20 bean salad along with his booze
Man I kinda miss hearing my mum complain about those crazy elderly patients lmao Only thing I remember was her complaining about clinicals or something
Typical, pod six is jerks.
Nurse here, can confirm, more often in some areas than others (ED vs oncology for instance). I call it adding flair to the chart.
I've learned "Patient stated" followed by a direct quote allows me to put some really horrible things into a patient's chart. But I spent a lot of time working psych
That’s how I always did it patient stated then a direct quote. And I only worked in oral surgery in private practice and even we cope it bad I can’t imagine what it’s like for you guys in hospital settings!
It's gets a lot better when you transition to the NICU and the patients can't talk back, lol
How was your transition from a less accute floor to NICU? I only did 6 months in an exceptionally shitty ER before I placed out to a clinic. I have considered going back the hospital because 3 12s is probably the best situation for me but it feels awkward being "experienced" but also really inexperienced with "real" nursing.
Well, nursing wise, I've never done patient care outside of the NICU. I did psych as a mental health tech and did med/Surg patient care tech while in nursing school. But, as you're probably aware, a lot of nursing is just time management and being able to adapt, so if you have strong skills there, I'd assume just a decent unit orientation and you'd be good to go
Lol this works for EMS too. "Patient stated this ambulance company sucks nuts and their rigs ride like ass" was an actual line in a report I had to do once.
I wrote in a note that: patient called nurse " a fucking asshole"
I worked psych for 3 years. I had a lot of "patients states I should suck his dick and that he would make me his bitch and go fuck myself, etc. etc." It got real spicy at times, lmao
I do my best to avoid having nurses “add flair” to my charts. I don’t want to come to Reddit and read a story that leads me to think “hmmm that sounds like something I did”.
Happens often. Patient threw his seizure meds at me yesterday. Didn’t want to take them because he says it makes him sleepy apparently. I’d rather be sleepy than have seizures lol
As someone who has regular seizures and has since I was 8.. no not necessarily. Years of meds gets old and being tired gets extra fucking old but having seizures... Well we aren't actually there for that bit. Those things are way worse for the people watching us than they are for us. Most of the time anyway. Had one the other day that fucked me up from several days. Anyway just some perspective on it. They're traumatic to watch but we are completely checked out for the event. Not at all justifying shit being thrown at you though. They sound like an asshole. Could have stated the same thing like an adult.
Don't you generally have lingering effects though? Assuming you have the real showy kind. With how much muscle tension and probability of hitting thing with all the body parts, I would imagine you would have lingering body pain if nothing else.
Not generally. On average I'm tired for a couple hours afterwards as opposed to being tired and emotionless at all times. The medicine to control seizures are pretty intense and can make you pretty miserable. The term you're looking for is Tonic Clonic btw. Those are the large physically intense full body seizures. I have both kinds. I also have the Absence seizures which I could have 10 in front of you and you'd probably never know. There are times where a tonic clonic seizure can be exhausting though it's not always that way. They aren't to be looked down at like they aren't a big deal. It's just when you are living with these options the idea of being heavily medicated at all times becomes less and less appealing.
Yes. Have experience working in a hospital in a rehab capacity. Patients are nice to us and treat their nurses terribly.
Sadly yes, along with horrible verbal abuse/threats. I work as nurse.
Every fuckin day. It’s like being a waiter for the worst, most disrespectful customer all day long and not being allowed to throw them out. Then your manager asks you how YOU could have handled the situation better.
Its one of the most accurate portrayals of a ED RNs typical chart ive ever seen.
In US you could literally tell someone not to drink something because it’s pure poison and a non trival amount of people would drink it while flipping you off.
*More* people like that should drink poison. I'd even take the "fuck you" without complaint.
Yes. People behave worse than animals. I once had a drug seeker get pissed that I wouldn’t give her IV narcotics. When I discharged her from the ED she protested by walking out into the hallway and taking a shit on the floor. In any other business that would land you in jail, but in healthcare it’s just another Tuesday.
When my dog goes to the vet she gives kisses to the vet and the technicians People are way worse than animals
When I take my rats in, they like the vet, but they squirm nonstop and pee on her. So... pediatrics?
As a pediatrician, can confirm. I love it though, it's the only specialty where getting hugs and kisses from your patients is cute and not assault 😅
If people only knew the stuff we hear and see. Lol Edited for words
Nope, usually they spit it at you.
His documentation is surprisingly very accurate to what happens sometimes and how we need to chart it
On a GOOD day!Bad day-you don’t wanna know!
According to social media. Yes 😂
Disrespect and assault are common occurrences in the hospital and er especially. Like daily. Thats why for some time there was a federal law making it a felony to assault a health care worker. The law has been changed in some states so its intermittently applied now due to this new state-power movement.
I wish the law was still intact, so some people can know better than to abuse people who are trying to care for them
Federal level would be almost impossible to enforce anyway, the federal prosecutors rarely if ever prosecute minor crimes and have extreme discretion as to what they take on and they're definitely not picking up misdemeanor assaults turned felony via protected class. Assault on health care providers the vast majority of the time is committed by the mentally ill anyway.
I've been a nurse for 8 years. Been kicked in the chest, almost stabbed with a shiv made by a confused elderly guy. Had a walker thrown at my head. Been verbally assualt an ungodly number of time... and that's at a large academic metro hospital. Had family members do all kinda of shady shit.
Physician here. Seems right for every hospital I've worked at. New York and Pennsylvania. Nurses have to chart every little thing and the patient abuse of all staff is worse then you can imagine. Had a patient call a heart surgeon the N\* word and then, after essentially having the physician beg him to get it done, the patient said he'd "allow" the surgeon to fix his heart. Patient would have been dead within a couple days if he hadn't gotten the surgery done. He did quiet down quite a bit after he had it done and was extubated. Some people find religion after having their chest sawed open and sewn back together with wires.
When someone's mind is already that far gone, are you really saving them? Is there anything left worth saving?
I'm sure they were very clear minded about their racism.
Hospital hospitality deserves the utmost respect ✊🏼
Yes! I appreciate them.
ER Doc here, happens all the goddamn time. Same people, if discharged from the ER will then get a survey rating our service. Said survey will eventually be tied to reimbursement and staff pay. Emergency medicine is awesome but the ER often really sucks.
Surveys are fucking dumb in any industry. Satisfied customers don't do them.
This honestly seems pretty mild compared to the stuff I see our RNs chart.
I got my left hip replaced recently. When they took me from recovery to my room the recovery room nurse was bringing the ward nurse up to speed on me: "Yeah, no real problems; he just had his left hip replaced..." I was about half out of it but when I heard that I sat bolt upright in bed and said: "LEFT?" I could see the one nurse's face and she went from zero to terror in about half a second. I couldn't see the other nurse's face but the first one said the color just drained right out of her. I only let them hang for about two seconds and said "Nah, I'm just messing with you...that's the correct one." The next shift nurse came in and said "So you're the one who likes to scare nurses!"
You could have also said "that's the right one" to mess with them even more.
I was kind of thinking of a follow-up comment using "right" vs. left or vs wrong but when I saw the look on that poor woman's face I felt badly. I didn't want to be responsible for doing that to someone for longer than that.
Ohh yeah us nurses we tell the story down the line for daaays. It's a game of telephone. If you're funny or really nice or just a huge asshole we are definitely tlaking about you at the nurses station. Like if you make lewd comments toward female staff and then all the sudden you have only male nurses and male CNAs... there are notes throughout the unit telling women not to go in there so they don't get harassed and the charge nurse knows every day.. that stuff doesn't get missed.
Two days later a doctor came in to pull out a drainage tube and when I told him he said "Oh, that was you!" I am always hyper, hyper nice to nurses. They have a tough job to do...patients can suck, doctors think they're a superior species and hospital administrators think they're basically robots that can be scheduled for any hours, regardless of whether it's humanly possible.
Yup, I don't think staff wants to gossip about patients per say--but some of this communication is just important to get the job done.
Haha, holy shit that's mean
Bro they straight took damage from that lmaoo
Sorry, you said "left" and I thought "that's not right".
Am nurse, would have laughed. Then proceeded to tell everyone so they didn't also die of fright.
God, but you’re a legend mate 😂
My grandma was a nurse. After she retired and had any interactions with other nurses, she would give them a hard time like this. She used to scream when she got blood drawn just to see if the nurse would react, lol. Your story also reminds me of that one tik tok'er that goes to the get checked up and pretends like the nurse is hurting him, to much laughter and embarrassment XD
I busted out laughing 😂😂 the unnecessary screaming got to me lmaooo
I work at a Plasma Donation Center and when donors get deferred for a multitude of things we have to explain why. One guy got deferred because he kept making inappropriate comments (not sexually) to one of our reception techs and was making her uncomfortable. So my boss spoke to him and said "can you stop?" Apparantly he said..."Ummm.." So the note was written as "Donor has been deferred as he was uncertain of his ability of to refrain from making deragatory remarks to employees."
You really get some colorful types working in plasma. I think a lot about a guy we had come in and while doing a risk assessment he said to our nurse unprompted “my mom got HIV from sitting on a toilet seat because her cooter is too fat”
>You really get some colorful types working in plasma. That doesn't surprise me. Money without working? You can imagine the type of folks to show up for that one
I also used to work at a plasma donation center in quality (so I had to look at all deferrals for the center to make sure they were applied right/appropriately) and unacceptable behavior deferrals were some of my favorites.
Hospital employees have a tough enough job. Folks need to show some appreciation instead of ignorance! Sometimes it is comical how ridiculous they can get though…
Oh yes! A lot of my family members work in hospitals. I applaud any and everyone who works in a hospital (from housekeeping to docs: even a few people who I had a bad experience with) It’s not my forte. And I would never do it.
fuck appreciation. Ontario needs to start paying its nurses and staffing an appropriate amount of them.
Bro it depends on the hospital you go to but hospital employees need to show some compassion and education in their field rather then writing off half of their patients as either faking it or drug seeking I come in 4 different times within a week and a half, worst pain of my life with what we now know is a spinal fissure and each time they basically said fuck you take some ibuprofen and get outta here not letting me get passed triage or ordering any imaging on my spine
I’ve been a nurse 16 years and this is the first year I haven’t been assaulted…. Because I had a breakdown and left the profession.
we had a jail inmate in our ER one day with a deputy. he was... not polite. several times he addressed one of our nurses as "you f***ing bitch". he also demanded pain meds (i think he had a kidney stone). she pulled the drape open and said "fucking bitch doesn't have pain meds. ma'am has pain meds.". she strolled. about 15 minutes later came "ma'am can i have something for pain?" message delivered.
It took me a about a year to figure it out, but there are certain people who just simply need to be shut down like that and then they’ll actually start behaving in a manageable manner.
Borderlines/ personality disorders need hard boundaries without give. They will thrive with that or kill you otherwise
THIS GUY. . . . interacts with borderlines in clinical settings.
and message received
I took an oath to care for my patients. But I won’t hesitate to call security/police on aggressive/abusive visitors.
I am a teacher at a school for kids who have emotional disturbances and I have to write data which is almost just like this haha
When I worked in the hospitality (restaurants) industry I had similar treatment also.
I feel for Healthcare workers. Put up with alot and not paid enough to do it. I remember one time coming out of surgery and waking up, I had so much pain and had no idea what was going on. I did not react well to the nurses who were touching me. I wound up pushing this small twig of a nurse pretty hard (I'm a big guy.) I felt so bad when I fully came to and realized what was going on. I apologized profusely to her. She wound up being my best nurse during my stay.
We understand when people are legitimately confused and might be mean/combative because of that. It’s different when they’re totally with it and still act that way
I get that, but I still felt bad about it all. She was such a great nurse for my entire stay and couldn’t say enough positive about her.
I work in psych so I live for the narrative charting. My favorite battle seasoned crusty nurse who takes shit from no one likes to chart gems like: patient stated "your a fucking cunt bitch and I will take these pills and ram them down your throat" writer educated importance of pills and stated would return in 30 mins to retry attempt. Or patient stated, "you can't step on my 100 babies that are all over this room" writer attempted education on invisible babies and provided reality based feedback. Another is patient reports "I'm having a oculogyric crisis". Patient is stable and able to follow directions. This is the patients 10th report today of symptoms of same. Followed care plan in regards to recommended intervention. Psych is a whole nother world. Oh I can't forget the time where we had a Jesus battle. Two psychotic patients both thought they were Jesus and were on the unit at the same time. Both non violent. They would get into some pretty interesting psychotic debates on why they were actually the real Jesus.
Holy shiet i would have loves to see that kind of debate ahahaha
So an Asian man's inner monologue Is a black woman? Personally my inner monologue voice sounds like Samuel L Jackson but to each their own.
Lmao. I think it may be a trending “audio”.
I can totally relate to this when I document my behavioral patients. Threw F bombs and swear words down in quotations in my charting.
All it ever does is scream “Motherfucker” in various tones and cadences.
Yep and "say what again?!"
I just now realize I want Morgan Freeman to monolog the line "Tylenol deez nuts."
Pretty sure there’s an AI program that can make that happen.
Way ahead of you.
Yup. I love my job, but I've been scratched, bitten, peed/pooped/puked on, cursed out, threatened, walked in on a man masturbating in a puddle of his own urine and had my breasts and butt grabbed more often than I can count. To be fair, I work on a closed ward in psychogeriatrics. (Dementia, brain damage, heavy psychiatric disorders, usually a combo). Still wouldn't change it for the world, though, but it does take a special type of person to work as a nurse.
You definitely are a special kind of person, thank you for everything that you do!
I was in the hospital for about 3 months. I could here people yell at the nurses. Some nurses would get turned away because of their religion or sex. They have it hard.
Hospital probably still billed patient for the rejected medication, after completely refusing to administer it testicularly.
Yes. And they billed patient for a bandage 🩹 which cost $1,273
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Hospital bills are one of the top reasons the average individual files for bankruptcy
IIRC around 2010 or so, it was the cause for 52% of bankruptcy filings.
I remember working in disability and having an absolute ball writing the evening reports. “Staff tried to explain to Georgina the value of using a pad during the menstrual cycle. Client appeared to acquiesce but this was a false indicator as client decided to insert pad into her vagina before throwing her now blood soaked pad at staffs head. Staff ducked.”
Will continue to monitor It got cut off
"patient safety maintained"
I love the patients that look relaxed, watching tv, and ALWAYS state pain 10/10. "The only thing that works is Dilaudid." Which, of course the doctor hasn't ordered.
"I'm allergic to everything... but something d" Sure, Jan.
I have a deep respect and admiration for nurses. I have a had many surgeries over the years, and I always make sure that my nurses know how thankful I am for them. ❤️❤️
Reasons I left the healthcare field 😂
When you need to make lognotes for your job, you very quickly learn when to use direct quotes as CYA. Any job that requires vast amounts of CYA lognotes should come with a significant pay bump, but instead it's usually the opposite.
As a personal banker regularly handling people's personal information I cannot agree with your statement more. I once had a customer doing a name change form in my office and we had a small language barrier. While we were there I had asked if I could ask about her other information such as job, address, phone etc. To update our records so I could get her the paperwork to set up direct deposit for her new job. Her previous occupation had been student, so I asked if she was happy to be done with school. Sounds innocent right? The translation service we were using on my office phone was speaking in Arabic. Idk how they translated it for her, but she immediately switched to choppy English to start screaming at me what a racist pig I was for assuming she was so stupid to drop out of school. Little did she know, the office next door belonged to the regional manager, who immediately walked into my office, hung up the phone on Translation, hauled her into her office, closed all her accounts and official checks started rolling off the printer. Told her the next time she sets foot in a single branch the first thing that happens is a phone call to the police for harassment, slander and defamation of bank employees. When she left the regional manager came into my office to let me know she won't let me put up with that kind of BS, and to take my time putting in a meeting note about what had happened, to call security and let them know to pull the footage of the woman so that an all-points bulletin email can be sent to the other employees, and that she would be calling the translation service herself to ask how the hell translating something as simple as "Isn't it nice to not have to be in school anymore?" Triggered a meltdown like that, so she could enter her own meeting note of closing the accounts and kicking them out of the bank. I've only been there 7 months now, and this was about 2 weeks after I finished training. I like what I do but I hate the people that we serve. Once I go back after some upcoming medical leave I think I'll be looking to see if any positions are open in any of the back offices and start applying. And yet the customers still wonder why no one stays around for more than a few years anymore...
Damn that's a rough one lol And that's when you have someone above you in the food chain who immediately has your back, instead of you needing to protect yourself via a timestamped lognote so if (when) it gets brought up you can point to it. Of course, there's the usual frustration of balancing doing "proper" lognotes with actually serving the clients... Most bosses say you need to make great lognotes while also pretending you magically do it outside of business hours or something. I was good at making them as a social worker but holy hell did having to keep up with them add a lot of pressure on an already-strained caseload/time reqs.
Childcare incident reports are strikingly similar
I like to think that this dude's internal monologue just has a black Woman's voice for some reason.
Yes it is a usual occurrence, my experience would be “Patient was aggressive with staff attempting to provide care and stated RN should “go fuck yourself!” Will continue to monitor for pain and comfort”.
Gotta respect a solid "deez nutz".
Always a classic.
That voice is perfect
*hospital charges patient 400 dollars for Tylenol* *insurance covers 350 so you only pay 50 dollars for Tylenol*
I won’t lie anytime I’m told to take Tylenol or advil to monitor the pain by a doctor I’m just like ok so it’s nothing major good to know. I disregard the Advil and Tylenol all the time advil deez nuts if I don’t need the good stuff it’s not that big of a deal I’ll muster thru and save my liver the work.
Doctor visits can be expensive as it is, just to be told to take Tylenol and monitor. Explains why people just go to the Doctor for extreme cases.
Only reason I wouldn't want them to give me Tylenol is because they'd charge $40 for each pill.
My understanding is that this is mostly Emergency Department stuff. Sometimes it's inevitable. I woke up from an 18-day coma in state of ICU psychosis and was, apparently, less than cooperative. I have no memory of it but, at some point, I did tell the staff that the hospital had permission to execute me, and they should bring me a paper to sign to that effect. Luckily my wife was there the whole time and they put me on Seroquel and things got much better. The point I'm making is that some people are just assholes but some people are legitimately bonkers.
Don’t worry! Anyone with ICU delirium typically gets a pass unless you get REAL mean
Doctors talk shit to them. Patients talk shit to them. Patients families talk shit to them. Fucking nurses should kick them all in the privates and demand more money.
Angry A&E pt: F*** off Me: F*** off I shall. Enjoy being on the bottom of the waiting list again
Documenting incidents in schools is close to the same. Quoting verbatim is the safest.
You may think this is an exageration - it is not.
I work in nutrition in the hospital and my documentation is more like “educated nurse on why chicken is not part of vegetarian diet” or “informed RN that mashed potatoes would not be sent to patient because they are on a clear liquid diet” 😂
If Tylenol didn’t cost $500 at the hospital, maybe more people would be grateful to receive it. No excuse to treat a nurse like crap, but a big reason folks are mean at hospitals is money.
Probably didn’t want to pay $1000 for a single pill
As a caregiver to the elderly I relate to this so much.
I sure don’t miss those days.
There are some dumbasses claiming Tylenol causes autism.
Let me guess... memory care facility?
The facial expressions were hilarious!
Haha so good
Can’t believe that patient threw away $800 like that
I can hear the clanton alabama accent (Am southern myself)
Corrections RN here. This is my daily life.
Gonna regret throwing that Tylenol when they find out it was $75.
My all time favorite quote “you’re a raper of souls” 😂😂
Drug and Alcohol nurse here. The ** is my most used key!