ER Pet Peeves - page 8
Omigod, i was just browsing through another forum that listed pet peeves. It was so good, but so big. I was trying to browse through for ER stuff. It's great!!! Let's start our own!!! ... Read More
Dec 6, '05Quote from babynurselsaI'm guilty!! I did this on my 2nd or 3rd night in the ER.Have you ever smelled 2 week old fish bait left in an ice chest in 95+ degree temps? I would liken that to some of the people I have taken care of feet. Think someone who drinks listerine to the point that they urinate and defacate on themselves but are still capable of standing so it all runs down. Add this to the fact that they do not change socks until they rot off. (usually the socks not the feet) Now think of this next time you are tempted to remove someones shoes. You will only have to do it once.
I won't do it again ... enough said.
Great thread ...
Dec 7, '05Quote from Simba&NalasMomOh... don't you HATE that? As the night shift supervisor in an LTC, I sent a resident out early Thanksgiving morning. She was unusually confused, low O2 sats, epigastric pain radiating into left chest and down left arm. THEY SENT HER BACK WITHIN TWO HOURS. No new orders, just "Monitor patient and notify MD if emergency." I was soooo mad, I KNEW she needed a cardiac workup. When I called the ER they said "Oh, she didn't seem to be in much distress. We actually were wondering why you sent her." I had called report myself before sending her, so they knew about the pain and O2 situation. Two days later, she had an almost fatal MI. She is still in CCU. Don't ever let their attitudes make you doubt your own judgement!Thank you, Angie!!! I'm in my first year, and the last facility I worked for had me scheduled to "orient" on the LTC side but they had nobody to orient me so I hit the ground running on an unfamiliar unit. One of the residents spiked a temp about an hour after I got there and had already been given Tylenol within the last two hours and she was very lethargic. The CNA told me that she was not usually that lethargic, etc. so I called the doc, told him what was going on, and HE ordered me to send her out. An hour later, I got a call from BOTH the ER RN and MD asking me why I had sent her out...ummmmm "Because I had an order to?!?! If you have a problem with it, why don't you call Dr. so-and-so and asked why HE decided to send her out?" :angryfire
Dec 8, '05Quote from BSNDec06FYI if you've ever had a migraine so bad that it requires medical attention, you'd know that it's impossible to drive yourself to the ER or urgent care. You need someone else to bring you (ie. a spouse or relative).
But do they have to bring their entire familie plus their screaming little kids
She isnt having a migraine she just wants relief from her screaming little kiddies, who all need a firm dose of parenteral control
Dec 12, '05Questions by pts or their families:
"How long is the wait?" as they walk into a full ER w/ cc of a sore throat
"Why was he seen before me, I was here first?"
"You need to call Dr. XXXX (or XXXX speciality)" don't pts know docs don't give out home phone # for a reason.
"Do you really need to do that?"
and the many frequent ER phone calls asking medical advice.
Lab for calling about a hemolyzed sample 2hrs after it was sent
Floors that will not, no matter what, take pts between certain set times.
Docs for spending 10 minutes looking for someone to do a 1 min task (ie empty a urinal)
Million dollar work ups for walkie talkies
Mother w/ abd pain in NAD bringing multiple children with her.
Revolving door vistiors to a pt. Only two aloud at bedside but the entire clan needs to see grandma, two go out, two come in, 10 minutes later the two leave, two more come in, repeat all day.
Thats it for now, oh yah, I had a bad day at triage.
Dec 12, '05Co-workers who come in through the back door to have something "looked at" by the ED doctor and there aren't but about 20 patients to be seen. They tend to get mad when they are told to check in and wait their turn.
Also, the patients who come in and when you ask about their meds, the reply is "it should be in my records at the clinic."
Dec 12, '05These are all so true, funny to read-but not at the time! I have been a nurse for 18 years. Just went to ER/trauma a couple of years ago at a Level l Trauma center. It is the same hospital I have been at all these years. I work with some really great human beings, RN's, techs, docs, housekeeping- just great lovely people. However, my question to all you long term ER people- Does the ER have a tendency to attract RN's that have a need to be just unkind, critical, and hateful to other coworkers? Our turn over rate is 40% in 1 year. One of the new (male) nurses (he is very experienced) hired on told me it is like that everywhere. I came from L and D, this is a different world, or is it just my hospital? Poorly managed, and brutality amongst staff is tolerated. Please tell me there is hope for better as I start to travel. It is just a group of them, but they are brutal, not just to me, but to all. HELP? Advice.
Dec 12, '05Quote from austinranchThese are all so true, funny to read-but not at the time! I have been a nurse for 18 years. Just went to ER/trauma a couple of years ago at a Level l Trauma center. It is the same hospital I have been at all these years. I work with some really great human beings, RN's, techs, docs, housekeeping- just great lovely people. However, my question to all you long term ER people- Does the ER have a tendency to attract RN's that have a need to be just unkind, critical, and hateful to other coworkers? Our turn over rate is 40% in 1 year. One of the new (male) nurses (he is very experienced) hired on told me it is like that everywhere. I came from L and D, this is a different world, or is it just my hospital? Poorly managed, and brutality amongst staff is tolerated. Please tell me there is hope for better as I start to travel. It is just a group of them, but they are brutal, not just to me, but to all. HELP? Advice.
Austin, you might get more responses if you make a new thread to address your concerns in the ER nurses forum.
Dec 14, '05Oh, man.....
I have to admit I was one of *those* patients when I thought I was having an asthma attack and couldn't breathe (tingly fingers, hyperventilating probably) but when I finally got to the ER everything was fine, sat in high 90's... Boy did I feel dumb...
Dec 14, '05When you are lied to at triage. The chest pain at triage is now a rash that has been there for 3 weeks.
My child is vomiting or will not eat, but is munching on cheetos as you weigh them.
The parents of a blue baby will wait patiently in line, but the parents of a scratch will go blistic if they have to wait longer then 15 minutes.
I work at a children's hospital. Infact it is called Children's Memorial hospital. That doesn't mean if you act like a child you should come here, especially when an adult hospital is less then two blocks away
When people call ahead to make an appointment. My child has a fever of 100 and I will be there in 15minutes can you put me on the wait listLast edit by Kidrn911 on Dec 14, '05
Dec 14, '05Had another the other night where a guy brought his wife in by car, chased by the police. Turned out he had been driving at speeds over 80 mph and ran several redlights and sideswiped a parked <fortunately empty one> car. And he was intoxicated also. He ran into the ER demanding a WC for his wife. We go out and get his wife as the police are showing up. His wifes problem a small cut on her foot, nothing serious at all. The officers asked me if her condition was serious, I said of course it wasnt.
Needless to say he was arrested and cuffed and stuffed in the back of a squad car and their car was confiscated and towed in. His wife was crying and screaming that we had profiled him and we were predjudiced. That we should have saved her husband from arrest.
Morals of the story
1. I dont expect to be put on their Christmas List
Dec 17, '05Those 'calls for information'.... one night shift employee actually had the guts to say this (had worked there 15+ years).
Caller: "I have a _______ (fill in the blank - rash, lump, etc). Can you tell me what it is?
Triage: "Why don't you hold the phone up to it so I can see it?"
Caller: Silence. "Well, what do you think"?
One wishes one could say "I'm sorry, my x-ray vision doesn't reach to your location". "Your webcam isn't reaching my PC".
Another pet peeve: Having patients/family members go ballistic because the ambulance takes them to triage. "If I am in enough pain to call the ambulance (broken toe) I am urgent enough to have a room immediately!".
"I thought coming by ambulance meant you automatically get a room!" (cough, congestion x 3 days)
"I called the ambulance because when I called earlier you said there was a 4 hour waiting time. Why am I going to the waiting room?"
"If I knew you weren't going to give me a room, I'd have saved my money and driven myself!" (DUH!!)
Dec 22, '051. pts referred to the ed to be seen by a physician other than the ed docs. "well our doctor told us to come directly here and the surgeon would be waiting on us, and you're telling me you have a 6 hour wait?" reply, "why yes, this is utopia hospital and our doctors, surgeons, nurses, etc are all waiting around the last available bed for you with everything you need." :spin:
2. upon d/c the pt tells me that they can't take vicodin; only lortab works for their pain. reply, "did you tell the doctor that?" of course they didn't:angryfire . now the doctor is in intubating a sick pt, my charge nurse in breathing down my throat for a bed:angryfire , the pt refuses to leave the room:angryfire , press gainey tells me to do everything for the pt (even when they're low life, stupid individuals):angryfire , jcaho tells us that the additional script pads are to be locked up :angryfire and no one can find the key :angryfire and it's gonna be about another 45 minutes before i can get the daggum script changed:angryfire .
3. l&d: "this pt is how far along?"
me: "15 weeks and 5 days."
l&d: "we only take pts who are 16 weeks with abd pain."
me: "but they're 15 weeks and ......."
l&d: interrupting, "16 weeks with abd pain."
l&d: interrupting, "have a nice day."
4. the 650 pound lady placed in 180 degree trendelenburg still slides out the foot of the bed. (and my techs/ct staff wonder why i tie the head of the bed sheet?)
5. speaking of ct techs....
sending an outstanding pt with an outstanding supportive family to ct in outstanding fashion and comfort, only for them to return with the bed sheet wadded under them laying on exposed mattress, bed sheet thrown over them without thought, cattywompus in the bed like they were thrown over from the scanner.
6. walking a pt to a room from triage when they've waited 3 hours, get them undressed and as i'm approching the right shoulder with the white lead they ask, "can i go to the bathroom, i've got to pee.":angryfire
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