Discharge orders you'd LIKE to write!!! - page 7

Hey, this quote from MLOS was in the middle of another thread: <quote MLOS> "Maybe this is better suited to an ER thread, but here's a brief list of discharge instructions I would love to give... Read More

  1. by   Suninmyheart
    Am I the first reader that has found 75% of this thread to be sadly lacking in compassion. I understand the need for humor but come on - some of the disgust is so seething.

    The homeless man was a child once who didn't PLAN to grow up and be a homeless drunk. Alcoholism IS a disease and so is mental illness.

    Hating oneself so much that they actually put a gun to their head and pull the trigger is a tragedy - the comment about not doing it properly was cruel.

    I hope to god I am never an ER patient for any reason that could be "annoying" to the nurses.

    Call me an idealist, or a party pooper
    yet I had to put in my 2 cents
  2. by   teeituptom
    Quote from suninmyeyes
    Am I the first reader that has found 75% of this thread to be sadly lacking in compassion. I understand the need for humor but come on - some of the disgust is so seething.

    The homeless man was a child once who didn't PLAN to grow up and be a homeless drunk. Alcoholism IS a disease and so is mental illness.

    Hating oneself so much that they actually put a gun to their head and pull the trigger is a tragedy - the comment about not doing it properly was cruel.

    I hope to god I am never an ER patient for any reason that could be "annoying" to the nurses.

    Call me an idealist, or a party pooper
    yet I had to put in my 2 cents
    Can I give you 1.99 cents back in change.
  3. by   MMARN
    Quote from suninmyeyes
    Am I the first reader that has found 75% of this thread to be sadly lacking in compassion. I understand the need for humor but come on - some of the disgust is so seething.

    The homeless man was a child once who didn't PLAN to grow up and be a homeless drunk. Alcoholism IS a disease and so is mental illness.

    Hating oneself so much that they actually put a gun to their head and pull the trigger is a tragedy - the comment about not doing it properly was cruel.

    I hope to god I am never an ER patient for any reason that could be "annoying" to the nurses.

    Call me an idealist, or a party pooper
    yet I had to put in my 2 cents

    Unfortunately, there are times that people do such stupid things that you just HAVE to laugh. If any of the nurses or people who posted in this thread took things too seriously, I doubt any of them would have a sense of humor: they would all be insane.

    A nurse's sense of humor is sometimes warped (this I know from experience because my aunt is a nurse and when she tells a joke, I'm pretty much the only one who gets it in our family. I'm a nursing student.) It just happens that way. I hope you don't take things too seriously in life. (This isn't meant as an attack to you) You would be broken-hearted most of the time.
  4. by   Jen2
    Am I the first reader that has found 75% of this thread to be sadly lacking in compassion. I understand the need for humor but come on - some of the disgust is so seething.

    The homeless man was a child once who didn't PLAN to grow up and be a homeless drunk. Alcoholism IS a disease and so is mental illness.

    Hating oneself so much that they actually put a gun to their head and pull the trigger is a tragedy - the comment about not doing it properly was cruel.

    I hope to god I am never an ER patient for any reason that could be "annoying" to the nurses.

    Call me an idealist, or a party pooper
    yet I had to put in my 2 cents
    suninmyeyes is offline Report Bad Post Reply With Quote

    I can understand what you are saying and why you take offense to such comments. I noticed from your public profile that you are still a student. It has not been long ago myself when I was a student that I was appauled by comments such as these. I am an ER nurse now and things change. Are the comments innappropriate? Yes! However, they do not change the way we care for our patients. What my co-workers and I joke about in the med room or break room does not mean that I am a bad nurse and that my patient is recieving poor care. Any floor or specialty in nursing is stressful, but I am sure that most here will agree that it takes a certain type of personality to be able to work in the ER. It is a way of getting through the day so that you are able to take care of that next cardiac arrest or GSW that comes flying into the trauma bay. I'll never forget the day that we unsuccessfully coded a 4 year old little girl that was setting in the back of a pickup truck and was thrown when the driver swerved to miss a dear. We worked on her for an hour and a half. I came out of the trauma bay with tears rolling down my cheeks and it was then that they brought a patient back from triage that was shaving her privates with an epilady and her labia minora got sucked up into the blades. By no means was it funny because the patient actually had to go to the OR and have the dang thing removed under general anesthesia, but the patient saw the humor in the situation and was great about the whole thing. That situation and taking care of that patient helped get me through the rest of the day. Since she went to the OR I did not get to write discharge instructions but under patient teaching I wrote "Patient instructed in regards to safe genital hygiene/pubic hair removal such as waxing and use of disposable razors and verbilized understanding." Yes we were all just consumed by the situation, but it was also the nurses who made sure she was getting morphine q5 minutes and was as comfortable as she could be until she was able to go up to the OR. So you see it's not just a hard ass uncaring attitiude, it's just a way of dealing with the situation and you have got to find humor in some things or else you will be burnt out and truly hardened and hateful if you allow it.
    Last edit by Jen2 on Feb 21, '06
  5. by   Marie_LPN, RN
    they brought a patient back from triage that was shaving her privates with an epilady and her labia minora got sucked up into the blades
    OMG OW OW OW OW OW OW OW!!!!!
  6. by   Jen2
    OMG OW OW OW OW OW OW OW!!!!!
    __________________

    You aint kiddin sista! When the attending physician wrote for 1mg of morphine I told him he was out of his mind and if it was a scrotum I'll bet he'd write for a dilaudid PCA. He then smiled and wrote me a standing order for morphine 2mg IVP q 5 minutes PRN.
  7. by   Altra
    Quote from Jen2
    You aint kiddin sista! When the attending physician wrote for 1mg of morphine I told him he was out of his mind and if it was a scrotum I'll bet he'd write for a dilaudid PCA. He then smiled and wrote me a standing order for morphine 2mg IVP q 5 minutes PRN.
    AMEN!
  8. by   Suninmyheart
    Thanks Jen2 for your reply.

    Er um, I am 2nd semester student in a 2 year RN getting therapeutic communication drilled into into me from every direction...
  9. by   SaraO'Hara
    Criminy. I'm only a pre-RN student (working on the pre-requisites to the pre-requisites to the nursing program), and I find this thread and others like it hilarious. I hope that isn't an indication of total insanity becoming likely by the time I'm licensed :spin:
  10. by   camay1221_RN
    Find a primary care MD and quit using the ER as your "primary care" facility.
  11. by   camay1221_RN
    That rant had to be therapeutic for the RN who wrote it! I know it was crass, but I'm sure she wasn't saying anything many of us haven't felt or thought at some time in our careers.
  12. by   NYCRN16
    Quote from suninmyeyes
    Am I the first reader that has found 75% of this thread to be sadly lacking in compassion. I understand the need for humor but come on - some of the disgust is so seething.

    The homeless man was a child once who didn't PLAN to grow up and be a homeless drunk. Alcoholism IS a disease and so is mental illness.

    Hating oneself so much that they actually put a gun to their head and pull the trigger is a tragedy - the comment about not doing it properly was cruel.

    I hope to god I am never an ER patient for any reason that could be "annoying" to the nurses.

    Call me an idealist, or a party pooper
    yet I had to put in my 2 cents
    Wait until you become a nurse, you will feel differently. Sometimes we need humor to get through the day and this is just an expression of that. It does not mean that we do not take care of our patients. BTW, when you graduate if you come to work with this kind of holier-than-thou attitude, you will not be very well liked by your coworkers.
  13. by   NurseJacqui
    I work with an ER doc who firmly believes that everyone over 70 should be required to wear a helmet.

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