@badradger saidAbsolutely not, in fact the customer is rarely right. The saying is a old adage I remember from my retail days; it was a big mission statement then and it was as wrong then as it is now imo.
Working in a service industry for many years I have met my fair share of awkward customers
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@divegeester said2 sides 2 most coins/have u ever been an awkward customer ( or perceived as one).
Absolutely not, in fact the customer is rarely right. The saying is a old adage I remember from my retail days; it was a big mission statement then and it was as wrong then as it is now imo.
@badradger saidMost of the time.
2 sides 2 most coins/have u ever been an awkward customer ( or perceived as one).
@badradger saidIt is actually not relevant if the customer is "right" as in having the absolute truth.
Working in a service industry for many years I have met my fair share of awkward customers
The relevant point is if the customer feels that his opinion is taken seriously, he is inclined to return...so the (in absolute terms untrue) saying "the customer is always right" should probably be replaced by "if you give a (potential) customer the feeling that he is served well and his needs are considered to be valid, he will stay your customer"
@divegeester saidI believe this would work on a case by case, sometimes the customer is right, then again sometimes he/she is wrong. So long as in the end he/she feels they have been treated fairly, he will return. We should keep in mind word of mouth can help or hurt a business.
Absolutely not, in fact the customer is rarely right. The saying is a old adage I remember from my retail days; it was a big mission statement then and it was as wrong then as it is now imo.
-VR
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The idea is to allow the customers to think they're always right; no matter what. Angry consumers help no one and make for very long shifts.
Recently, drug seeking behaviors have become quite an issue.
In such positively identified cases:
If asking for Tramadol, offer ibuprofen.
If asking for Vicodin, offer Tylenol.
If asking for morphine, offer Tramadol.
If asking delaudid, offer morphine.
Give nothing away easily.
@wolfe63 saidDo you really think that morphine is going satisfy someone looking for dilaudid which is considered to be a very addictive drug is going to replace it with morphine.
If asking delaudid, offer morphine.
Give nothing away easily.
That would be highly unlikely, think you would still run into a problem there.
-VR
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The ultimate aim is pain control.
If a patient complains of level 10 pain (highest), but has normal blood pressure (+/- 120/70) is not sweating or pale and has a history of drug-seeking: Deception is suspected.
Do not feed the monster of addiction any more than necessary.
Just placate.
But it's agreed: In some cases, this is not possible
@wolfe63 saidmorphine is used before they even decide to go to dilaudid. If someone is looking for dilauded then the morphine doesn't kill the pain for them anymore. I know this from personal experience. You can also only stay on it for a certain amount of time because it is so addictive.
The ultimate aim is pain control.
If a patient complains of level 10 pain (highest), but has normal blood pressure (+/- 120/70) is not sweating or pale and has a history of drug-seeking: Deception is suspected.
Do not feed the monster of addiction any more than necessary.
Just placate.
But it's agreed: In some cases, this is not possible
Interesting FACT is that morphine is in dilauded. Hydromorphone, also known as dihydromorphinone, and sold under the brand name Dilaudid, among others, is a centrally-acting pain medication of the opioid class. It is made from morphine.
120/70 is not everyones normal blood pressure. Age and the shape one is in along with medical issues can make another number different and normal i.e. 130/80 etc., etc., for that particular person. The PERFECT blood pressure would be 120/70 as you say.
-VR
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A normal human response to intense pain is elevated blood pressure.
If a patient is admitted with complaints of extreme pain and has a high BP; one way to measure the efficacy of analgesic therapy is through a noticed decrease in BP from baseline.
A patient's baseline is determined at admission and/or noted from previous admissions.
@wolfe63 saidAbsolutely true, but you would have to know the normal blood pressure of the patient to know if it is elevated or not.
A normal human response to intense pain is elevated blood pressure.
If a patient is admitted with complaints of extreme pain and has a high BP; one way to measure the efficacy of analgesic therapy is through a noticed decrease in BP from baseline.
A patient's baseline is determined at admission and/or noted from previous admissions.
No disagreement that BP does rise with pain. But does the same thing after a hard work out. 😉
-VR
@badradger saidhumans are flawed,
Working in a service industry for many years I have met my fair share of awkward customers
we're designed that way...
for if we were perfect,
none of us would pray...
@rookie54 saidOne must take into account the people who do not believe in prayer! 😉
humans are flawed,
we're designed that way...
for if we were perfect,
none of us would pray...
-VR