May 8, 2013 at 11:12 PM #6849
Jason Hautala RNMember
Don’t forget to post in all of the other forum threads for your chance to win. Have a few people that are doing quite well, but I appreciate everyone who is posting lately. Private message me if you want a particular topic created, but you don’t want to start it off yourself.
Today’s question is: What is the most memorable time you have had to tell someone ‘NO’ as a nurse? (telling a doctor that you can’t follow an order he has written, can’t do a procedure that was ordered, telling the family it is the families wishes, not theirs that matters at this point, telling a psyche patient they don’t have the right to leave whenever they want, telling your boss or house super that you really can not, and won’t take an additional patient, etc)May 10, 2013 at 1:16 PM #6861
Jason Hautala RNMember
Nobody wants to post on this one? 🙁 I guess I say NO more than most nurses, who tend to be more YES people, or at least redirecting them into something that can be a YES instead of just saying NO. Oh well, one of my favorite NO experiences was when we had a known bad guy come in via police because he was TDTF (Too Drunk Too F … fish). He wasn’t under arrest, this time, but we couldn’t let him go until he sobered up enough to stay awake for a neurological exam. The police had searched him before bringing him in, and then just put his private WC in the corner (He only had one leg.) I was working nights, and his blood alcohol was quite high, so he was going to be a bed and breakfast type of patient. He was medically cleared around 0400, but it was cold outside, we weren’t busy, and I was trying to be nice, so I let him sleep it off a few more hours until shift change. At shift change I woke him up and told him that he had to leave. He told me to F off and that he wanted to sleep some more. I told him that he had been discharged for hours now, I was going home with all of the other night shift people, and he couldn’t stay in the room any longer. He got mad, through the mattress of his wheelchair at another nurse in the room with me, and under the seat mattress one was big knife which he was reaching for! I grabbed the knife first and backed away from him as he starts hopping on one leg trying to get me. He’s yelling at me to give him his knife back, and I’m running circles around the nurses station say “NO, I wont give you the knife back.” Thankfully the police got there in just a couple minutes when the call came out including the terms crazy patient and big knife. They escorted the patient out of the department and took him to jail. I suppose I could have said something like, “I’m sorry, me giving you this knife is not an option at this time, but how about this teddy bear or warm blanket instead?” but that didn’t cross my mind at the time, and I just went straight for the NO.May 10, 2013 at 1:34 PM #6862
I had a surgeon ask me to witness a consent for a potential surgery patient that was confused agitated and unsure if they wanted a hip pinning. In the docs defense one couldn’t tell the patient was confused all the time only after spending some time talking to the patient, and reading my assessment or nurses notes. The patient thought it was 1980 and knew his hip hurt but was unsure why. He had ambulated with this fracture for five days and came to us from a nursing home after complaining his hip hurt and a Cna noticed his hip swollen. The doc calls me in the room and insists I co-sign for this surgery and I had to say no because I did not feel the patient who was 87 and had dementia could not consent. The dr was angry with me but I felt getting phone consent from the patients POA was a much better option although it might take some time, which it did. The dr has never forgiven me but I still feel I did the right thing. The patient received his surgery the next day and family was present when he came out. I really believe in patients rights to choose.
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