I apologize - page 3

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

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    Or, how bout the folks who get sent in, and wonder why they are there? Had a lady sent in from dialysis. no cp, some hypotension, ekg changes- supposedly.She even told me she didn't know why she was there. As we reviewed her ekg and compared it to others from 2010- they were all the same!! That was a bogus admission , and it wasn't even her fault!

    Also had another pt who apparently was drug seeking- she had a aicd, and kept"getting into accidents" where her seat belt would cause bruising at her site.You can only do that so many times before you go hmmmmm.

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    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!!!
    Ok... Really?? Lets not get too over the top.

    I work in an ER, and while this isn't a popular stance I have thought a lot about what would happen if all the frequent flyers up and decided to go to their PCP and be responsible patients... the answer? I would be bored. I know wait times are crazy and that the ER is overused but at the same time my hospital has hired a lot of new nurses to help cover the influx of patients. That means more jobs at a great hospital that offers amazing benefits. Also it keeps us busy, which means our skills are honed and we are on our toes. Would it be nice to have some quiet days and enjoy a steady but manageable pt flow? Sure, but for the most part I work in the ER because I get a great deal of satisfaction out of managing many different crisis', running my rear off and in general doing 5 different things at once. If I didn't like the frenetic pace and crazy shifts I would work in a different department. I might be the only one that feels this way, but there are days I am grateful for that guy who is here every week for some new malady, it's keeps things moving. Don't get me wrong, I don't want it being paid for by my taxes, mind you... but that is a discussion for another thread on another day.
    Last edit by MunkiRN on Mar 16, '13 : Reason: rewrite
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    I've been to the ER for a headache, about 12 years ago. It was the first and last migrane in my life. I had no idea what was wrong with me, but I had felt some bubbling feeling in the back of my head and it really freaked me out. I wasn't a nurse at the time, so I might have reacted differently, but I thought something very terrible was happening to me and it was very scary. When a person doesn't have a medical background and has some new, drastic symptoms, it might seem like an emergency to them. Incidentally, they made me wait over three hours. Longest in my life. I sobbed the whole time.
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    WTH is IIH?

    If it takes a double specialtied doc to diagnose it, I probably will go with "migraine" until there are other symptoms.
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    Quote from That Guy
    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.
    We are not allowed to tell folks who the doc is.

    And they do call in to ask. Some even cruise the parking lot to see which doc's automobile is there.

    As to the folks who use the ER for regular doc visits and don't listen to advice and become frequent fliers . .. . this has been the nature of the ER for as long as I can remember.

    I think I tend to view it as MunkiRN said . . . . we might be a tad bit bored if we only got true emergencies, depending on where we live. I'm in a rural area. Lots of chest pain stuff, not much trauma.
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    Quote from canoehead
    WTH is IIH?
    Idiopathic intracranial HTN...or pseudotumor cerebri (have a friend who has it).
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    or...the guy who checks in at triage, sees a line building and realizes "shucks, my abdominal pain isn't getting in in front of chest pain?" flash forward 90 minutes...this gem returns home, calls 911 c/o chest pain. you know it, comes in code 2, gets right in a bed. yeah, we're onto you buddy...was at the bedside as the doc let him know how the ED rolls.

    priceless...i can gar-un-tee this fool will never pull this BS again.
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    every person is different in his choice and action and his ability to understand what u tell
    thank u for trying

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