Unwritten Rules of the Hospital - Part 1 

Comment winner

Can confirm, all my nice pens are always gone within days :{

🤣

I’m a terrible pen thief! I can’t help it, I swear. I at least warn my co-workers of my “reappropriaton of supplies.” 😊

😂😂😂

Also don’t bash on night shift and or day shift staff!

Being obviously lied to destroys all trust. Patients are not complete idiots

Needs to be a rule in schools too

Just don’t speak poorly of them anyways. If you have got nothing good to day then don’t say anything

That recommendation also fits with any other public facing possition regardless of industry symply as is unprofessional and disrespectful and paints you in a poor light regardless of weather you know for sure so and so caused x,y and z don't tell the member of the public that keep it behind closed doors. If the member of the public has a problem regardless of weather "you caused it own the problem and see that it gets fixed either on your own or with help from someone else deal with the who and why it happened after you've fixed the problem. This advice works well in hospitality which is my area of training.

yeah I was surprised that didn't come up

...you just said the Q word....

I saw calm now 😂

I may mention ‘civilised’ at times.

I learned that just being a hostess at my local restaurant. I was scared to even think it.

Jessica- thank you for your important role as a part of patient care! Thank you for keeping the hospital tidy and beautiful! A clean space helps everyone feel better and helps us to work better! Your role helps the patients and families get through the crisis they're enduring! Thank you for noticing and reporting all the needs of the patients and families! You're amazing! ♥️

You are so right Jessica! As a patient, I have seen exactly the things you are talking about. ❤️❤️❤️Housekeeping ❤️❤️❤️

Housekeepers know alot, they are the eyes and ears of the WHOLE hospital, they go everywhere and see and know things

Yes house keeper here as well! I clean up after doctors and they are hella messy in the lounge and I wish they would respect me more but picking up after themselves

Just this last week, a housekeeper has notified of a patient fall while he was cleaning the room, extra set of eyes are always important esp in the howpital. Thank you for all the work you do 👏

Also make sure its not a fancy expensive pen.... From personal experience 🤣

I always bring my pen and extra pens in case the first one doesn't work. But I'm also a germphobe and don't like to give it to patients to sign forms and put it back in my pocket.

LOL I always had a supply of cheap pens-the doc's would ask to "borrow" my GOOD pen-and I'd hand them the cheap one-learned the hard way the good pens never get given back to you!

@@monykalynf3604 That's not nice. Even when I borrow a cheap pen from the stack that's on nurse's station, I always return it. But yeah, people never bother to return my pen either.

Yeah, when I was working in the wards, I brought like a pack of 50 $10NZD for patients to use. But my good pen had a specific spot and also had a $2 pen that if a nurse needs a pen, I will let her/ him that.

...and include the patient in the conversation! I am the person who provides specimens, I am NOT the specimen!

Patient's family member here: We can't give you a raise or days off (I wish we could!) but we love you!

As a nurse, I constantly bring up how CNA’s should be paid more. It a TOUGH job and you guys make all the difference in how a patients stay goes. We rely on you for so much and the pay should better reflect that!

@@hannahlillis236 I so agree!

My dad was is the hospital for three weeks last year and the nurses assistants were the best! I can't convey how much we appreciated them!

Some of us do appreciate you - every day. Because your service is an act of love with which we entrust to you for the care of our friends and family. :)

100%

Quite right. Years ago I found myself working nights on a pediatric Hem-Onc unit with no orientation and sever very fragile children to care for. I made a strict rule. I only did what I knew was the right thing to do for a specific situation. If anything was different, I asked. For weeks thereafter, I asked a lot of questions. Two months after I started and under unusual circumstances I ran the unit on my own for two hours. I certainly did not know everything, but I'd learned the proper response to anything that might come up. Ask and learn. You will be glad you did.

Sometimes doctors get annoyed when you ask alot , ifseems like they are in hurry and dont want to teach you 😒

@@umamahgull5876 Too bad. It's their job.

Stay quiet and they will wonder about you . Speak up and you will remove any doubt

Never promise a patient anything, you don’t know what’s gonna happen

We can't promise a patient one pillow where I'm at! 😂

I feel bad now. I hope I didn't get the nurse who did my IV and lactated ringers into trouble. They came to get me for xrays and I removed the ringer from my iv myself. when the nurse who did it came back in to give me the release papers and remove the IV he gave me such a dirty look. :\ Sorry dude, if you're out there reading this. Just didn't want to bother you.

@@patriciairwin9491 Why would the nurse get in trouble? You (the patient) removed it yourself?? The nurse would have just documented that you removed it yourself, hence removing any liability from themselves.

@@__Smitty__ , That's good then. I was worried. Don't want anyone getting strikes or losing their jobs because I am too lazy to wait around.Thank you!

Pathgang pathgang

The lab workers are the ones that tell you whether you'll be on the line with insurance for hours or not after a tumor biopsy!

Amen!! Blood banker here....

Sooooo true I’ve lost my pen or someone has stolen my pen and when I need it I don’t have it. Drives me nuts 😝

Ugh, this. I was sitting/watching a patient with my paperwork and pen on the desk behind me. People passed by all the time so I didn't worry, and it was on top of the paperwork that was clearly mine and someone stole my pen! Then like an hour later I see them walking by with my pen! I was pissed haha

Amen!

I'm super good at stealing pens. It will be in my hand for an hour before realizing I'm holding it. Where it came from? I must think hard the last time I wrote something. I started keeping a cup at home to put the pens then bring a boat load of them back to work. Guard your pens. 🤣

I keep the junk pens in my front pocket to lend to ppl who ask. And I keep the good pens in my back pocket for myself.

Yes I agree! I'm a CNA too and I remember the first time a nurse practitioner asked me my opinion about a patient. She had seen me working with this patient for multiple days, and she asked me if the patient's behavior was different. I was so taken aback because I realized that I had never been acknowledged by an advanced practitioner before during my 6 months working there. It felt nice to be respected and acknowledged that we are part of patient care too.

My dad was in the hospital for 3 weeks last year and the nurses assistants were the best. Thank you so much for what you dol

I was a CNA for a few months and now I'm starting as a RN.. just want to say that it is a super TOUGH job. I commend those that can do it for over a year lol.. Thank you for what you do. You are so amazing, we love you ❤

CNAs are worth more than their weight in gold...I tell nursing students this...as an experienced RN can make or break a physician...a CNA can a nurse...and honestly...they bust their asses...I've had so many fantastic CNAs/CMAs/PCAs...they know stuff about the floor...an infinite amount of thank-yous to every CNA out there...

I was a CNA in nursing school. That’s hard work!! Tons of respect for them.

Of course! Have to give credit where credit is due!

If you would like to see a RN throw a fit try not staffing their unit with a CNA. I have even offered an extra RN which was turned down.

Love CNAs. There was one I had in recovery after the birth of my first kiddo who was also one of my CNAs early in that pregnancy when I had to be in the hospital for a week and she remembered me and said I looked so much better and I thought that was so sweet! And was also kinda surprised because yah know they see hundreds if not thousands of patients in the span of 8 months. then again I suppose it might be hard to forget a pregnant patient who was emaciated from 3 weeks of literal starving lol.

Good aides are the difference between a good shift and a terrible shift. They don't get paid enough for all the work they do.

I was a SNF administrator and also was an ICU nurse. CNAs are literally gifts from Heaven.

Also, don't assume the med route or oral formula. If you're 99.99% sure the med only comes in an oral tablet, but the order doesn't give a route, call the prescriber or even the pharmacy to clarify.

Thank god for EMR

Absolutely right

Not at all unpopular. I came to the comment section to say the same thing. Too often in healthcare/medicine we gravitate towards sacrificing our well-being for that of the patient. But ultimately, you are replaceable. So while it is important to do your best for your patients, it is absolutely okay for you, your family and your commitments to come first sometimes.

One of the biggest and hardest lessons I’ve had to learn during my undergraduate is that ‘the hospital provides care 24/7, you can handover’. Delegation and safely handing over the few things that are still outstanding, means I get to switch off after my shift and walk away to enjoy my personal life.

I absolutely agree. I was married to a doctor and this idea was one of the reasons that we are not married any more. From day one there was a third party in our relationship named the medical profession!

@@niferanne53 I feel like my statement applies to all clinical healthcare workers. Nurses, CNAs, RTs, Radiology, you name it. Burnout what were all trying to avoid, and definitely "teamwork makes the dream work". I know RNs often don't get lunches, or even time to pee, but neither do lots of other clinical HCWs, but that doesn't mean that they shouldn't, or that it's expected of them to not eat or take breaks during shift.

Absolutely agree. Healthcare is 24/7. With the understanding that time management is critical and don't be the person that always puts things off and leaves things that should have been done hours ago for the next shift.

Hospital doctors are currently capped at 80 hours a week and as a patient, I do not want a sleep deprived doctor. 80 hours is better then what it was, but it should be less! No wonder you guys are burned out.

My read on 'never handing over' was more 'never put off stuff you don't want to do, and don't burden the next shift if you don't have to'. It wasn't "never hand over work", it was "don't hand over work just because you didn't want to do it".

I absolutely agree. This is a very toxic work culture that feeds into both feelings of invulnerability and burnout simultaneously. Absolutely agree that you should do what you can to manage your time and complete what needs to be done. But you have to care for yourself and set boundaries around workload.

agree...care of patient is 24 hr. job..what you can't get done can be finished by next shift

Depends on the context. Sometimes the squad needs a kick between the legs to keep them in line. Not as a power thing, but for safety for the patient and staff as well. Surgery is very meticulous and the dr wants everything to go smoothly so the patient can go back home healthy.

And you really think that screaming at people makes them work faster? Sometimes the circumstances of the previous users slows things down. Do you really want them to cut safety corners to speed things up? Should they cut cleaning time? Or maybe skip autoclaving time?

I've seen surgical attendings help clean up particularly trashed rooms - massive respect earned.

RNs clean up? I’ve never seen nor heard of this I’ve only seen them call in the techs/cnas & janitors It’s y hospital care takes forever. U have to wait for every individual thing to be called out n the person come. No one will DO anything.

@Marissa Lynne perhaps he meant the kitchen staff at the hospital cafeteria.

@Marissa Lynne that's very true of anyone dealing with ur food. That doesn't take much brains to figure that out. Don't be so stupid.

@Marissa Lynne nah more like you need them to survive, so be nice

Don't eat processed food or anything I don't make myself

They also see everything and talk about it wherever they go

They are extremely important esp. in these COVID, MRSA and c.diff times!

I love the fact that my nursing manager/clinician knows the custodial staff and their background, health issues and etc. It assures me that they care for me too.

And keep in mind that you're not even saving time. You can bring a patient that glass faster than you can find a nurse to do it. Don't be so obsessed with the 'who does what' pecking order.

No! This is a nurses assistant‘s job. I have other things to do. And if I don’t go and get my things done now cause I fretch a glass of water for everyone who might ask for it I will have to stay an hour longer that day to get my doctors work done (that on nurse will do for me…)

@@alexandraruoff3775 It also takes the same amount of time to find a nurse or nurse asst. Little gestures like that means not being paged for silly things throughout the night. Also, I work as a nocturnist and there's not enough staff at night. But do whatever works for you.

@@alexandraruoff3775 Nobody's saying to do it every time or when you have other pressing urgent priorities. Everyone who's worked in clinical environments gets that there's not always time for quick easy things. But it is a quick easy thing that, when you can do it, makes a really big difference in your patient and staff relationships relative to the time invested. And improved patient relationships lead to better trust in clinicians, which leads to better compliance, which leads to better outcomes. When you can get a water, just get the water. And it's a good opportunity to chug a quick cupful yourself while you do it. :P

Ya but what if they’re NPO or on fluid restrictions. You should ask the nurse

I never forgot our RT’s work Respiratory ward for 30 yrs. Would call RT then the resident Finished work on the COVID unit barley seen Dr’s but RT never left the ward.( too busy) RT’s never got the recognition they deserved during the worst of the pandemic,take my hat off to you all.

It's true, RTs don't get a fraction of the respect they deserve. Most people never even hear of them until they meet one. One the other, I don't see them putting themselves out and promoting their profession. Why is that? Why don't you run public service ads and push for more visibility in the media? Nurses have done that for years. Basically, it's the profession's responsibility.

Me too

I think ref paging, in my hospital you just have to do it to cover yourself. Try and be the nice guy to save disturbing an intern and you might find yourself in front of a court defending your licence

Working nights, I never 'messed with' our residents by calling them unnecessarily, but at times I wondered-given that I could hassle and even wake them at any time-who was really in charge. When orders are issued, you can spare residents a later interruption by getting them to make their orders more specific. "What constitutes a problem? At what point do you want to be called?" And make sure that goes in the patient's notes.

@@Inkling777 At thé teaching Hospital where I trained and worked, on nights, we nurses on the ward would NEVER call a Doctor( intern, resident or patient’s family dr. ) ourselves. We called the night nursing supervisor for our ward who was aware of everything going on. Sometimes she/he would first come herself, but most often, would call the doctor for us.

Another RN here...never intentionally “mess with” a doc. Have never witnessed another RN doing this. Sometimes things that seem insignificant are found out later on, and nightshift will try to get it taken care of/clarified before dayshift if we can. 🤷🏻‍♀️

I never messed with an MD by unneccesary calls. We just mess things up by not anticipating and correcting you. Like the time the surgeons refused to listen to us, nurses in a gen med ward that the patient wasn't from a nursing home but a homeless shelter.

As a nursing student, it makes a big difference when the doctors speak to you and include you in the planning when speaking with the nurses. I just completed 5 weeks in an ICU department for my last clinical placement and the doctors included me like I was part of the team. It did wonders for my self-confidence and they actually listened when I gave them information about the patient.

This is what I thought happens: different levels of care/service depending on who you are & who you know = nice to be the lucky recipient but most of us don't; care MUST be based on need not being a medic or knowing one, PLEASE!

I wished I had known somebody - my mum isn’t here after her cancer diagnosis, the hospital in her region is very busy (too much country coverage) and I’m sure they did their best - but she fell between the cracks, even though she worked full time for 45 years in the very same hospital laundry ………..

​@@sandraarnold7528 I'm SO sorry. I expect very few medics know the people who wotk in the laundry (& cleaners & other 'invisible' & low-paid people = mainly women, STILL?) so IF they look after their 'own' maybe that only means medics & people they know who aren't? Obviously care should always be based on need, the NHS promises this but it isn't true - including for those of us seriously injured by NHS medics. Al the best to you.

That's proper hospital etiquette, in my opinion - you take care of your own. Because no one else will. And it doesn't matter if it's one of the doctors, or the cleaning lady's grandson - personnel get preferential treatment, that's just how it is.

@@Zyamaman that's unethical.

Thank you for saying that! Without the lab, the Dr’s are only guessing! ;)

And doctors, don’t leave a hard blood draw for the techs. I was a lab tech and worked part time as a phlebotomist. Had a doctor that wanted blood cultures on a 3 week old. At that age, blood should be drawn fro the umbilicus, if it’s still viable, or a scalp vein, both of which have to be done by a doctor. The doc wouldn’t draw the blood. I had to use a 26 gauge needle on a 1cc syringe and just barely got enough for the cultures. Yes, I was cussing to myself the whole time.

Oh yeah, we're literally out in a shed behind the hospital. Anyway, we're happy to help when people ask us questions about tests, it's easier to have a friendly conversation over the phone than us having to call you because it was the wrong specimen types, and then people get all annoyed and stuff like that

Amen!

Agreed 💯! 40 year lab ratt here....

Also, listen when people with disabilities are telling you how to care for them. They know what works and what doesn't work for them in terms of mobility, where/how to support them during transfers, etc.

@@miketj2516 - YES!! Thank you! I swear, I wanted to slap a doc on rounds once a few years ago, when I was in the hospital on the Cardiac Step Down unit to be monitored ×3 days for a new heart medication trial for treating my AFib. I am also severely disabled, with very little tolerance to physical activity. I walk very slowly with a severe limp, a cane for very short distances, like in my house from my bed in the living room to the bathroom, or to the kitchen, and back again. Out of the house, I have my wheelchair. I have been disabled permanently since 2012, and it had been coming on gradually for years, due to inherited severe osteoarthritis in my spine. I have spinal stenosis, spondylolisthesis, facet disease at 5 levels bilaterally, and severe arthritis in both knees, in my hips, and damage to both shoulders. I am an automatic fall risk in the hospital, and required to ring for help to get out of bed and walk 5 feet to the bathroom. I'm under the care of a pain management specialist, and I'm on a snootfull of pain medication, which was of course continued while I was there, so on my chart! And plus the cardiac meds I had already been taking for the AFib, and have also had an ablation for that in the early 2000's, which worked fine for a while, until it didn't any more. Since the last two major spine surgeries I've had did minimal benefit - the first was a wide lami for nerve impingement, which left my feet on fire for a week from the nerves being freed up. Plus others. The last one (5 years later)was 45 minutes of removing spurs and scar tissue, followed by a fusion with hardware, and I'm not a candidate for more surgery because all they can do is fuse me higher, which won't do me any good. I used to be a highly active young woman, and a CST (Certified Surgical Technologist) who worked full time and loved it. That is all gone from me now. The first morning, I was awakened at 5:00 AM by a doctor with his tablet in his hands, and a stethoscope around his neck, and absolutely no name tag and no introduction. I had never seen this man in my life - I assumed he was part of the group I had never met, but he never said. He gave me a very cursory look over while I was trying to wake up, and part of his instructions to me before he left was to make sure to get plenty of exercise by walking up and down the hallways! THAT woke me up! I asked if he had even bothered to look at my chart at all before he came in my room, because if he had, he would automatically understand how ludicrous his advice was! I was really mad. And made sure he knew it. Oddly enough, even after I ended up staying for 6 days because of complications, I never saw him again! And I also got more intelligent conversations from the others who came to see me after him!

Yes, all of this. At the very least, if you don’t believe us, look deeper into our charts. Doctors argue with me about a condition I’ve been managing since before they were born.

Omg, I came here for this comment!!

Especially in the ED!

What's the q word lol

@@khattab5351 "quiet" lol, it is said to get hectic when someone says it is quiet haha, like it gets busy with restaurants when someone says it is "slow"

@@cocococonut8650 Thank you for answering, I couldn't bring myself to even type it out

@@AllyRose24 hahaha no worries x

It is a forbidden word lol

Help your hospital hire/free up a pharmacist for ICU rounds and codes. They are wonderful assets.

Truth 😂

Can you elaborate on this? Not sure what you mean by it XD

YES!!!

I don't care what time I come in for my shift, it's always "Good morning".

MissManaged my clock goes off at 1645. That means 1645 is morning. No if’s, ands, or buts.

**Flashbacks to my colleague saying that, nope, that was horrific day for me**

Im pretty sure thats written

Yes! If someone tells you I don’t like how this patient looks… GO!

Checked out your channel great videos!

@@kokocrazy2590 thank you!! That means a lot

Omg yes!!

That’s awesome!!! I can’t stand it when you get a doctor who doesn’t care or even want to listen to you. When you find a PA or a doc who really listens to you and wants to learn about your medication that’s awesome.

@@kateysandon Totally agree!

Thats cool. But maybe who doesnt ask already knows what that medication is, or the answer is something that wont change your treatment. After all, emergency consults must be quick and direct. Not like a family doctor!

@@brendielahooha Every medication & treatment is different for each individual patient 💯 Thats what doctors are missing these days. Listening to the patient.

So true i have meet dochtors that have Believe the now enything ther ego

I have my name engraved on the bell. 😂

I started buying only hot pink stethoscopes. Amazingly, I kept them much longer.

Same for your pen

So true! IT WILL GO AWAY!

@@brasschick4214 So do I and it was still stolen...

She's also your personal encyclopedia for her years of experience. Continue to kiss up. She's a real treasure!

That’s funny because I’m a nurse and feel like I know absolutely nothing 😂

THANK YOU

DOUBLE THANK YOU

Sadly I have NO kind words to say about the most of the pharmacy team.

Yeah, I'm sure it happens in some cases sometimes but you're exactly right that there's no logic in the idea that it's normal. I thought this part was a bit concerning and also a weak argument for his point. The real motivation for being respectful to nurses and other staff shouldn't be selfish "I'll get messed with", it should be the fact that a cooperative and mutually respectful team also communicates better and trusts one another more, and this improves patient outcomes. (And also it's just the right thing to do, of course, but people who need to be told this message in the first place generally will need more pragmatic justifications rather than moral ones.) And it makes nurses sound a bit childish and spiteful. I figure he didn't intend to convey these implications but I hope he thinks ahead more in the future about how he chooses to support his points.

I'm a nurse too. Some will mess with them. There are a lot of nurses out there, types will vary. Overall though, we are usually too damn busy.

The nurses at his hospital sound like high schoolers

@@ItsAsparageese very well said

@@billiekan9243 Thank you! I appreciate that a lot ☺️

Patients sue clinicians they don't like.

Valuable advice, applies to doctors as well. We tend to trust people with the communication bit & not enter it, especially if it’s someone senior.

Definitely not unwritten! Lol That was literally on my nursing exams 🤭

Oh yeah, you mean the doctors who didn’t put in my mother’s file that she had a blood transfusion because her (ectopic) tube burst on the table? Either they’re negligent, ignorant, or “covering their ass” for a mistake they made. I have no faith in doctors any more.

@@LexKaiNix you wanted them to leave her there and go write it down immediately? I have seen plenty of people like you ending up in long term treatment later in life and seeing things properly, then. Or when your own family member go into medicine and get sued and lose everything.

Yes sooooo true. And please don’t order a chem 12, potassium and sodium and complain we (or the computer) canceled it. Bro we canceled it because those are in the chem 12.

@@truenorthpositivejuniorten4628 tell me more of the legend of the CBC, H&H and manual diff on a normal patient. 🙄 stay strong!

Don’t order stat urines on every patient just because you can!

I was so disappointed when we didn't even get a mention... Maybe things work differently at his hospital, but I have NEVER seen a Dr draw blood.

I've been a Med Tech since the early 80's....when do you think they usually put the lab in the basement (no windows) and next to the morgue!😁?

lol

What?

💀💀

@@brendielahooha the kitchen people leave the meal cart right outside the unit and a nurse couldn’t get it cause they were short staffed and couldn’t leave patients in a room alone so she gave one of the patients her swipe and told them to get it 😩… they returned with police a few hours later

hahahahaha thats hilarious...

I love this story. What a humble and considerate surgeon. I love that he clearly took pleasure in you asking such candid and justified and pragmatic questions. Like hell yeah patients should care about exactly those things, I like to think I'd be as pleased with you if I were in his shoes lol. Thanks for sharing this, I'll remember this one.

Thank you!

Not cool to lie

@@Freeyourself206 Do you work in heath care? These kinds of RNs are absolute SAINTs. Not every patient request is urgent or even remotely necessary. A good RN will recognize when a doctor is needed and when not. White lies are the fabric of society, medicine is no different. Patients who think they are entitled to bother a busy doctor with every little unese question are one of many contributors to burn out. Would you rather your doctor answer your questions fresh and rested in the more or tired and annoyed in the middle of the night?

@@pochopmartin perhaps she means just be firm and say No that does not require me waking an MD for, let's try this instead. Vs a made up story.

Yeah, do that until someone dies, then see how your guilting the patient pans out.

They're the unsung heroes. I was hospitalized a lot last year (during covid times, but not for covid reasons) and every time a custodial staff came to sterilize my room or I saw them working in the hallway, I always greeted them and thanked them for their hard work.

Oddly specific

Yes the backbone of the hospital. When I was a RN student many years ago the ems staff was on strike. We had to clean what we could and take care of our patients. The amount of work was just as impossible as a patient load. There is not a "pecking order" in the hospital. Literally one dept cannot function without the other.

Y@@elisalatinasag bub

True!

I can totally understand that! :)

Yooo I did my medicine in Manila We did the same thing once month but we actually collected money and order pizza, chicken and drinks It was like a self party to self 😂

Agree Emily. This is basically an issue of trust. We pretty quickly figure out the people who dump stuff on the next shift and those who only leave stuff when they are truly slammed. If you're in the second category, the next shift will not complain, we'll just get it done.

Totally agree! It's one thing to have a random start or to rarely clean up after a person. It's different if that person is always dumping on the next shift. But you figure out really fast which ones do that!

“That sounds like a DSP (day shift problem)”

@@calebnation6155 I cringe every time I hear a nurse say that… lame 😒

@@miketj2516 It's ok to leave stuff if you've already executed the plan to get it done.

God bless you.

Exactly! When I call a dr at 2am, it's because the orders aren't working. With new drs, I usually voiced my concern that the order is unusual during rounds, and by 2am the patient is decompensating on said orders, and we need to regroup. I'm calling because: patients first.

Well... you should because you're making the other nurses who do, look bad. XD

I was just thinking the same. I don’t know anyone who does. Professionalism comes first. Even if the doctor is an ass.

Yes, well some do and some don't. Don't sound so high and mighty.

@@dianeaustin2414 I bet you’re fun at parties.

Nurses eat their young!

? You can go into the ed with chest pain without an ekg? Pretty sure that’s protocol.

Chukah literally every patient in my ED gets a 12 lead for anything that isn’t an isolated extremity issue.

@@chukah9484 unless the protocol is accumulating law suits.

Were you really young? Don't know why EKG wasn't done unless you were really young. Also you yourself said that study came out later. How can doctors know things before?

I've had nurses think I didnt hear them and say shit in the hallway. One time I heard the charge nurse telling a patients family my personal info. Definitely contacted patient relations on her. Shes no longer a charge nurse. Have also had a nurse make me wait two hours for meds bc she swore I was trying to get high. Also had a nurse pocket a vial of dilauidid right in front.of me. I knew she shorted me bc I was sick and detoxing an hr later. Never reported her me being an addict know what it is and figure shell screw herself in the long run...

@@michaelwaldman5023 you were a patient, and the nurse was giving another patient your personal info??? Why?? That's just..... no. I can't believe someone would do that, but very clear why they are not in charge anymore. Well, I guess the moral of your story is not only act like patients can hear you at all times, but also act like they can see you

"And if they can't, what harm (will this) do?" THIS! This is the part that people desperately need to understand about this and so many other best practices in life. For instance: I was raised on "there are two ways to use your turn signal -- always, and never". The principle and habit has stayed with me, and more than once I've been teased for using my signal even alone in a parking lot, but I prefer to keep the constant muscle memory intact because it's *best practice darn it*, and the inherent nature of a harmless communication is that it's not necessarily for cars I do see, but in some cases sometimes it may be useful to communicate to ones I *don't* see. If something is harmless and trivially costless, and carries even slight rare chance of benefit, then just frickin' do it. I think it's legitimately terrifying how much work it often takes to explain this basic principle to people. I went off on a broad application of this idea lol but yeah particularly in medicine and particularly when people are in uncertain neural states, this is so, so, so important. And I swear patients respond to subtleties of kind intentions. Who knows what subtle physiological shifts happen in the caretaker when actively practicing kind and caring speech, which might make us release some sort of trace pheromones that we won't identify until 300 years from now or whatever which aid other humans in healing from neurologic damage or some wild thing like that. And even if the difference doesn't exist or is so subtle as to be effectively nonexistent, then at least the person doing the caring is absolutely benefiting their own mindset and health by being mindful and compassionate as a matter of consistent practice. The fact that anyone would argue against this or mock it just blows my frickin' mind. (But hey, I'm the type of loser who once explained how a little countertop lab test worked ... to a dog >.> ... So who knows, maybe I'm just crazy 🤣 His bro was on the exam table getting attention from their mom and the vet, so this guy wandered over to see what I was doing, so I told him how I was taking his bro's blood sample and mixing it with the diluent to check for heartworm and blah blah, and I honestly was just on autopilot and didn't even give it a second thought until I realized his mom had noticed our little chat and was giggling at me, and then it clicked that I was explaining a lab test to a dog lmao. In my defense, he DID ask!) This unintentionally very long comment brought to you by worn off ADHD meds and sleep dep, thanks for coming to my TED talk

@@janr.1077 - Then there's ALWAYS the cases of "selective" hearing loss. My mother told me when I was a teenager about my great grandmother - my maternal grandfather's mother - who lived with them in the early 50s. My grandparents had a farm after WWII, and my grandfather got out of the Army, after being part of Patton's staff. They bought this nice farm, with a beautiful house, and his mother came to live with them, because she was getting on in years and it was either that or going into a "home" which she was adamant about not doing. My mom and my grandmother noticed that she had recently developed a hearing "deficit," and wanted to take her to see the "hearing doctor" as Great Grandmother called him. She also called him a few other things, including a "quack" and refused to see him. She said all he wanted was to get his hands on people's money, instead of really helping them. So, mom looked at Grandma, and Grandma looked at mom, and they both shrugged, and decided to talk to Grandpa about the situation that night after dinner. After all, she was HIS mother. Later that evening, after finishing dinner, Grandma and Mom were clearing the dinner dishes, and talking in the kitchen about what they could do. Grandma had an idea. She called Grandpa into the kitchen, and told him what was going on, and what they wanted to try to do about it. He agreed, because he had noticed the same problem. So, they got the ice cream bowls out for the three of them, dished themselves out some Neapolitan ice cream, and carried it back to the dining room. Great Grandma had made herself scarce the minute the conversation at the table had shifted to the subject of clearing the table, washing the dishes and cleaning up the kitchen. She was truly nowhere to be found downstairs when they came back with their ice cream and sat down at the table. They heard a noise upstairs, and realized that she was upstairs in her bedroom, But not sure what exactly she was up to. Grandma tried calling her - once. No response. They continued to finish up the ice cream, and once they were done, stacked those dishes up, adding the spoons to the top. They waited a minute, before getting up and leaving the table, taking those dishes and a few other odds and ends off the table and putting them up on the buffet, or taking them to the kitchen for washing. Mom and Grandma finished up the dishes, rinsing, drying and putting them away. Some got put away in the China cabinet, others in the kitchen cabinet. Once they were done, and drying their hands in the kitchen, suddenly Great Grandma reappears, and sits herself down in her rocker in the living room, and picks up her knitting. The rest follow, turning on the radio at low volume for some music, or a radio program - not sure which. The subject turns to the dinner they had just finished, discussing each item, with some sly smiles and a few winks. Someone mentioned the "dessert" they had just finished, happy they had found their favorite ice cream in the freezer! Suddenly, Great Grandma's ears perk up, and she stops knitting, turning her attention to their conversation! "Why didn't I get dessert - nobody told me they had ice cream for dessert!?" Grandma looked at my mom, then at Great Grandma, and said, "We talked about dessert at the end of the meal, but as usual, you had disappeared once it was also time to talk about washing dishes, cleaning up the kitchen, and sweeping the floor. We figured you weren't interested!" Grandma left it at that, and Great Grandma was left to stew in her own juices, knowing that missing a dish of ice cream wasn't going to hurt her a bit. "There is no more ice cream," was the answer when she asked about getting her a dish of her own. "We figured you weren't wanting any, since you left the table right after dinner, so we divided it up among the three of us. There's some apple pie left from this past weekend." Knowing she didn't care for the way my mom made apple pie, that was left to sit in the fridge for Grandpa's lunch the following day. From then on, Great Grandma's "hearing issues" suddenly improved significantly! She heard and responded when anything was discussed within her earshot, including things like dusting and tidying up the downstairs, and she never missed ice cream, or any other favorite dessert item again, even when it was mentioned along with the usual discussions of tidying up after meals, and so on.

@@sharidavenport5283 thanks for giving me a chuckle;)

Worked with a cardiac surgeon who treated maintenance staff as if they were equal. So rare and so wonderful. Everyone lovedhim

Agreed, but I would place addiction in that "disabilities" category too, for this context. It's very much a disease, and someone will be no less prone to it just because they routinely see its consequences in patients. Someone trying their best is making valid effort toward health, and as long as that's what they also expect from patients instead of expecting perfection, it's not hypocritical.

Thank you! I trust a doctor with a disability WAY more treating my disability than I'd trust an able bodied doctor

Doctors don't realize that It's really the RNs world and they are just guests.

Custodial staff save more lives than everyone else in the hospital combined. I have told them this and they sometimes start to cry.

Glad I could help!

Important things to know before starting to rotate in the hospital!

I was coming to say that!

RT’s know EVERYTHING going on in the hospital! They are your best source of information!!

including the non clinical staff, 😄

@@margaretbertoldi2271 The hub of the hospital is the ED unit secretary.

@@sana-cm7oc oh yeah!

I would push back on #2. I can't speak for every physician or rotation but being honest about what you actually prefer can allow your attending/chief resident to tailor your rotation experience towards your interests, if possible. I love neuro and psych so during my IM rotation, when a new admit had a complaint under one of those fields, I was given those patients to follow

God the 2nd one Had rotation in ob-gyn told them i wanted to pursue Medicine i think she got pissed told me make a referral to IM and then we will see how much you medicine I hated my life for those words And yes obviously i was grilled badly never forgetting that Though i still want to pursue Medicine

Wall phone rings, juuuuust miss it, immediately return their call and get ‘sorry can’t talk I’m rounding’ LOL ok pal 😅😂

That happened to one of my best friends his intern year. And he WAS wearing a face shield. You can't be too careful, it can literally mean your LIFE.

Sick with what if you don’t mind

Omg how did the scrub nurse even allow thay

@Monica sick with erectile dysfunction

I use to live in Bristol has Brandon hill changed since 2016?