I apologize - page 2

by uRNmyway | 5,038 Views | 27 Comments

To my ER colleagues, I am very sorry. Sometimes you try and try and try to teach patients about what symptoms require ER visits vs PCP or urgent care clinic. You can only beat your head into a wall so long before throwing your... Read More


  1. 8
    Quote from That Guy
    You can lead a horse to a PCP....
    I don't want to see a horse on PCP, bad enough all the homeless on it!
    DeLanaHarvickWannabe, JBudd, jrwest, and 5 others like this.
  2. 9
    Quote from Rhi007
    Can I just say that although it may not seem like an emergency to you, a headache can be a symptom of something more sinister!! Instead of assuming how about asking 'when is the pain worse?' Or 'do you have any visual issues/disturbances?' If the answers are in the morning and yes then get a neuro-ophthalmologist to look for papiloedma which is indicative of IIH!!!
    Lol, just because my post doesn't describe my evaluations, doesn't mean I didn't ask questions. I did evaluate her pain, and possible associated symptoms. Nothing. Her mother told me they ALREADY saw her neuro because of it, he thinks it is linked to her BiPap (when she was on Cpap she didn't have headaches like that) They are ALREADY waiting on overnight oxymetry to be scheduled. This patient has heavier analgesia on hand than tylenol, just wanted to go to the ER. Maybe YOU shouldn't assume I didn't do my job properly
    canoehead, psu_213, Ir15hd4nc3r_RN, and 6 others like this.
  3. 2
    I think more and more ED's are developing to include a "minor care" department. If we had a system that had a 24 hour urgent care we would have ED's less clogged and less overwhelmed nurses... believe me, I had to go for stitches at 2 am once and I felt so guilty about walking past all the RN's and docs I knew, but where else was I supposed to go?
    Ir15hd4nc3r_RN and tewdles like this.
  4. 0
    Quote from SpaceCoastRN
    I don't want to see a horse on PCP, bad enough all the homeless on it!

    There's a comedian who does a bit about some B-list celebrity who was arrested for DUI while under the influence of PCP. Apparently he thought he WAS a horse!
    Would have loved to be a fly on the wall of that police interview lol.
  5. 1
    Quote from bebbercorn
    I think more and more ED's are developing to include a "minor care" department. If we had a system that had a 24 hour urgent care we would have ED's less clogged and less overwhelmed nurses... believe me, I had to go for stitches at 2 am once and I felt so guilty about walking past all the RN's and docs I knew, but where else was I supposed to go?

    Well see there is a huge difference between using the ER during hours when no Urgent cares are open, to something happening in full daylight, near one of the biggest metro areas in the country where I'm sure she could find something if she really wanted to. She just has an addiction to the ER. I don't know if it's an attention thing, or hypochondria, or what, but it just drives me nuts to continually reinforce education that goes in one ear and out the other!
    bebbercorn likes this.
  6. 1
    @Jeweles26 I agree with you and I must say I always enjoy your posts.
    uRNmyway likes this.
  7. 7
    Just think of it all as job security...
  8. 0
    Quote from FlorenceNtheMachine
    I tell my family and friends, "ARE YOU GOING TO DIE?!" Then it can wait.
    Believe me, I agree... but also see the fallacy in the reasoning as I've seen several patients die because they didn't present with the sx of sepsis nearly soon enough.

    Before I became a nurse, I very nearly lost my own mother and my own daughter by delaying trips to the ER.

    I think the SIRS triggers should be getting the same publicity as do stroke and chest pain.
  9. 1
    Quote from Jeweles26
    Well see there is a huge difference between using the ER during hours when no Urgent cares are open, to something happening in full daylight, near one of the biggest metro areas in the country where I'm sure she could find something if she really wanted to. She just has an addiction to the ER. I don't know if it's an attention thing, or hypochondria, or what, but it just drives me nuts to continually reinforce education that goes in one ear and out the other!
    We have one like that too. Comes in every few days cause of her "migraines" but refuses to get care outside the ER. Its so bad she asks which doc is working and if it is a certain one, she just leaves.
    TheSquire likes this.
  10. 4
    Quote from Rhi007
    Can I just say that although it may not seem like an emergency to you, a headache can be a symptom of something more sinister!! Instead of assuming how about asking 'when is the pain worse?' Or 'do you have any visual issues/disturbances?' If the answers are in the morning and yes then get a neuro-ophthalmologist to look for papiloedma which is indicative of IIH!!!
    I don't think this sort of thing is what the original vent was about. We all know about "the worst headache I've ever had". Even me, and I'm an ICU nurse. I think the OP was venting about folks who go to the ER for no good reason . . . .
    JBudd, Medic2RN, canoehead, and 1 other like this.


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