I wish I had a nickel for........ - page 5

I wish I had a nickel for every time a patient presents to the ER with an extensive list of medications, that of course doesn't have the list with them because we have it "on file". HELLO!!!!!!!... Read More

  1. by   prmenrs
    I didn't mean to hijack your thread. Go back to discussing those rascal-ly ER/D pts., and don't mind me, just had a very frustrating day.
  2. by   teeituptom
    Quote from prmenrs
    I wish I had a nickel for all the times I've had to attempt to explain, in Spanish, why it's not a good idea to feed your 6 hour old baby 2 ozs of formula, and then think it's gonna breastfeed. Yes, I know it seems like you're not making any breastmilk, but you are making colostrum, which is better than milk, and a gazillion times better than any formula company ever produced.

    Then I get to explain it again to the mother-in-law, who thinks I'm an idiot, and her dau-in-law is trying to starve the grandchild.

    I'm thinking of asking the NM to install a brick wall for me to bang my head against.


    Know the feeling well here in Texasss
  3. by   RNin92
    Quote from prmenrs
    I didn't mean to hijack your thread. Go back to discussing those rascal-ly ER/D pts., and don't mind me, just had a very frustrating day.
    No problem my friend,
    Frustration is the same wherever you work
  4. by   JustaMaleRN
    Sounds like my favorite. Get a call that they are bringing in a respiratory distress patient. Have a Critical care room prepped, vent on standby...usual stuff for asthma season. Patient come in on a gurney, no O2, looking as perky as a daisy after a spring rain. Asked her why she was here..."I have a cold" Any problems breathing? "Only through my nose" Did a quick triage on her, and sent her to the waiting room to sit in line with everyone else. She wasn't happy. "The ambulance brought me in...I should be seen before everyone else!" BAHHH!

    Dave


    Quote from Rain
    AND FINALLY...
    If I had a nickel every time a nonemerency patient took the ambulance into the ER while the sickest -ready to code pt- drove themselves in--I wouldn't be working ever again!
  5. by   RNin92
    Quote from JustaMaleRN
    Sounds like my favorite. Get a call that they are bringing in a respiratory distress patient. Have a Critical care room prepped, vent on standby...usual stuff for asthma season. Patient come in on a gurney, no O2, looking as perky as a daisy after a spring rain. Asked her why she was here..."I have a cold" Any problems breathing? "Only through my nose" Did a quick triage on her, and sent her to the waiting room to sit in line with everyone else. She wasn't happy. "The ambulance brought me in...I should be seen before everyone else!" BAHHH!

    Dave
    How about the patient who is IN the waiting room, but tired of waiting...
    So he calls the ambulance from the waiting room...

    We here the dispatcher tone out to the hospital and we are looking around for the "person in respiratory distress"...

    There he is out front...flagging down the ambulance...cigarette dangling from his mouth!!

    :angryfire
  6. by   Repat
    Did you see the study just out that patients brought in by EMS are seen much more quickly than if you make it in on your own - hope they didn't all see it, or EMS will be overwhelmed!
  7. by   RNin92
    Quote from Repat
    Did you see the study just out that patients brought in by EMS are seen much more quickly than if you make it in on your own - hope they didn't all see it, or EMS will be overwhelmed!
    Someone PAID for a study like that!!!
    Didn't someone with the purse strings just want to say...duh?!!?
  8. by   petiteflower
    Speaking of cigarrettes, what about the ones who want to know if it is ok to go out and smoke while they are waiting for lab results, or waiting for the doctor? (after they get to the room)
  9. by   Rain
    I refuse to let my patients go out and smoke. If they sneak out, then I sign them out AMA and they have to go through the whole process again. I feel if they think they are sick enough to be in the ER then they don't need to smoke. I tell them up front about this. MD's back me up too
  10. by   z's playa
    Quote from Rain
    I refuse to let my patients go out and smoke. If they sneak out, then I sign them out AMA and they have to go through the whole process again. I feel if they think they are sick enough to be in the ER then they don't need to smoke. I tell them up front about this. MD's back me up too
    That's a little extreme considering how much of taxpayers money it costs just to triage one person! I realize how frustrating the addiction is that pts drag themselves out in all kinds of shape but to waste money on making a point? I'm going to just note it and get the doc to confront them appropriately.
  11. by   petiteflower
    I gotta go with Rain on this one. Our hospital policy is they don't go out to smoke. Too many times the doc has gone in to see a patient and they are not in the room, they're out smoking. I agree that we shouldn't waste taxpayer's money, but we shouldn't waste already stretched ER staff either, having to chase a patient down so the doc can assess them or review labs/xrays etc.
  12. by   TaraER-RN
    z's playa you must not work in an ER yet (I think you wrote when you become a nurse)...in the ER you can not be responsible for a pt who goes out side to have a cigarette...if they were to be hit by a car or something or have some other complication (like cardiac arrest or resp distress) and they didn't sign out AMA then you are responsible for whatever happens to that pt...so you have to CYA and log them out of the ER either by having them sign an AMA form indicating that they are wanting to leave to have a cigarette or if they go out without telling you then you sign them out as leaving without notifcation of staff and they should by all means have to go through the whole process again...you said worry about the resources/money it takes to triage someone..what about the resources/money it has taken us to worry about this pt who's only concern is to treat their nicotine habit...if its that bad then I'm willing to get a patch but our policy is no leaving the building. When I have explained this to pts who are truly sick they tend to understand, and those who don't understand tend to be the ones who don't need to be in the ER in the first place. I love my job...I'm there to treat EMERGENCY conditions, so the when you see people abuse the system then this is the place to vent
  13. by   veetach
    Our hospital is a smoke free campus, SO we can tell them that they cant smoke outside anyway. :chuckle

    I wish I had a nickel for every young mother who drags her child in to our ER on a monday morning (after they have been out running around all weekend) and says the baby has "been sick since last Friday". They have the perfect explanation, "I called the pediatricians office and they said to come to the ER" DUHHHHH!! Of course the dr isnt going to work them in to their office schedule today the kid has been sick for 3 days. ARGGGGGGGGGGGGGGGG. Meanwhile, the child looks good, is smiling and playing in triage.

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