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Rules for the ER (long)



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No. 50
from bellarn75
Old Jul 29, 2006, 07:43 AM
Updated Jul 29, 2006 at 07:46 AM by bellarn75

Default Re: Rules for the ER (long)
1. Do not use 911 EMS for a ride to the ER for arm pain you had for a year because you didn't have a way to get here or you think you will be seen by a doctor faster.

2. We are not a hotel and I'm not your housekeeper!

3. Don't come in with the complaint of decreased appetite & not eating x 1 week and the first thing you ask me is..."can I have something to eat? I haven't been able to eat for a week" So all of a sudden you can?

4. If you plan on committing suicide, do it right the first time. Oh and don't call 911!

5. Don't rate your pain 10/10 when you were sleeping or can barely stay awake when I ask you to rate your pain.

6. We are an ER, not a free pharmacy or medical supply store.

7. If you come in for nausea & vomiting and refuse to have an IV inserted for IV fluids, don't bother coming in cuz we can't help you!

8. The ER is not a One Stop Shop. Just because you were here to be seen for your boil does not mean you need to check in all your 5 kids with different last names for their runny noses, coughs, and their fever of 98.6.

9. Don't bring your child in for fever and then ask if I could dispense some tylenol at discharge. It is against the law for us to dispense meds. And don't ask me what you are going to do about your child's fever because you don't have the money to pay for it. Well I wonder how the hell you are going to pay for this expensive ER visit then? One suggestion would be maybe selling your LV purse and name brand clothing...then you could perhaps afford some tylenol for your child's fever.

10. Don't ask me if you are going to be admitted before a doctor even examined you or before we could find out what is wrong with you. Sorry if you needed to know because you have to catch the bus home before it stops running.

Thanks for all the other funny comments. I've been an ER nurse for about 7 yrs, and I'm already getting burned out with all this nonsense!
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No. 51
from Lurksalot
Old Jul 29, 2006, 07:51 AM

Default Re: Rules for the ER (long)
If you are talking on your cell phone and hold your finger up to me when I call your name, you will lose your triage assessment spot. No, I am not making the 35 other people sitting in the waiting room with hang-nails wait to be assessed. Your hangnail goes to the back of the line.
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No. 52
from yvonnemuse
Old Jul 29, 2006, 08:49 AM

Default Re: Rules for the ER (long)
I want to add this to the list posted in the waiting area:
Yes the nurse will be kind as possible to you while you are here,however please refrain from chasing her and calling her name at the top of your lungs when you see said nurse in Wegmans.She is NOT your friend,free dispenser of advise or missing you or caring in anyway how that sebaceous cyst turned out.
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No. 53
from weirdRN
Old Jul 29, 2006, 09:43 AM

Default Re: Rules for the ER (long)
To OP:

Thank you and everyone elese for a really good laugh.
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No. 54
from PedsER-RN
Old Jul 31, 2006, 03:18 PM

Default Re: Rules for the ER (long)
I didn't read all the posts, so some may be repeats:


Don't chat us up and then 6 weeks later write complaint letters full of lies. We have copies of your chart-we know what time everything happened and what was done. We're not stupid.

Don't withold Tylenol/Motrin b/c you wanted us to see you child really does have a fever.

Do you take something when you have a headache? Good, how about sharing some with your kid when he/she has one. Kids feel pain too, you know.

Just because your quack of a doctor sent you here after diagnosing you with strep or an ear infection doesn't mean we'll do anything different. And yes, you will run fever.

Don't call us and ask for someone to come pick you up to take you to the hospital. Call a cab. Better yet, stay home.

Demanding plastics for a 1/2 cm lac won't go over too well-better to just shut up and let the ER doc do his/her job.

Diarrhea/vomiting x1 does not = emergency.

Don't come in for a work excuse. If you get me for your nurse, chances are good you won't get one.

Don't bring your kid in for RLQ AP and then leave AMA b/c you don't "have time to wait" for lab results.

Glaring at me from the doorway will not make me move any faster. In fact, you'll only wait longer.

If your kid(s) can chow down on Big Red and Cheetos then they probably aren't too sick.

No, you can't give your baby her bottle since she just threw up.

Sorry you have to wait for xrays. They just don't teach us how to operate the machines in nursing school.

No, I don't know how long the wait will be. Longer if you keep asking.

No, pain for X months isn't an emergency.

Coming by ambulance won't always get you back quicker.

If you bring your child in b/c he "won't talk" and then whines about taking some medicine, there's a clue that he might be pulling your leg.

If you see a car marked "medical examiner" outside the ER, maybe you should reconsider if you really have an emergency. If you decide to stay, don't ask how long it will be, and don't ask what happened. It's none of your business.

When I ask your child to rate his/her pain, don't point to the 10 on the chart and say "you feel like this one, don't you?" It doesn't work with me. If you do that then I'll rate his/her pain myself. There's a reason I direct questions at certain people.

I'm sure there's more to come....
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No. 55
from irmaRN
Old Jul 31, 2006, 07:35 PM

Default Re: Rules for the ER (long)
sooooo true nurses!!! here are some of mine...
1. dont try to hand me 20 bottles of meds that you take when i am in triage... for i will make YOU read the name and dose... these are YOUR meds and you should KNOW what you are taking!!!!
2. dont ask me to feed the army that you came with... its bad enough that i have to feed and cater to non emergent bs.....
3. dont get ****** at me that i cant "pull" up your past medical history, 27 allerigies and 50 medications that you take... especially if you frequent our er 3-4 times a month!!
4. dont get ****** at me if the doctor doesnt give you your favorite narcotic....
5. dont expect a wheelchair or warm blanket in the waiting room if you are waiting to be seen... you dont get that at your doctors office and we should not be doing it here!!!
6. unfortunately, our hospital gives out taxi vouchers if you dont have a way home... but if left up to me... get your own way home!! and quite a few know that we offer this service...
etc etc etc....
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No. 56
from pmednurse
Old Jul 31, 2006, 08:18 PM

Default Re: Rules for the ER (long)
Thank you all for the laughs !!!!!!! Having spent 10 years as a paramedic I can relate to every single one of these !!!
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No. 57
from momdebo
Old Jul 31, 2006, 08:44 PM

Default Re: Rules for the ER (long)
These are great! I am posting them in our locker room!
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No. 58
from tddowney
Old Jul 31, 2006, 11:01 PM

Default Re: Rules for the ER (long)
Originally Posted by MLOS
OOOH .. good one. Almost forgot about that one! You could also use the money that you just pumped into the vending machines to feed yourself, your significant other & 3 kids.
Love those $300/ month smokers who also have a $50/week bar bill...........but "can't afford" health insurance.
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No. 59
from ERheart
Old Aug 01, 2006, 04:14 AM

Default Re: Rules for the ER (long)
You can always tell who the ER nurses are! Some of my fondest memories are:

1) Can't you do something with that "Person" (one of my weekened boyfriends=homeless drunk). He smells. Yes mama, I'll shove him up your %&*(((). Then maybe the smell would go away. We love that smell, it means were home.

2.)Don't attempt to attack me when I'm doing chest compressions on a patient. I'm not a nice person when that happens.

3.)As mentioned before. Don't fake your illness. If you say you can't walk, then it's probably not a wise idea to walk into the ER prior to the next shift coming on.

4.) If you feel like your going to vomit, please vomit in the trash can or the emesis basin that was given to you. Not on the floor.

5.)As mentioned before. Don't call 911 from our waiting room. We have great communication with the local EMS. They tend to ask questions. Not smart!

6.)Remember your not in Wal-mart. We charge you for those kerlix's, tongue depressors and Alcohol swabs that you let your kids play with.

7.)Please be honest about extra curicular activities. I'm an ER nurse I've seen almost everything. Therefore maybe I could diagnoses why you look like Dr. Suess's hat. (Meth user gone bad)

8.) Don't scream @ me or my staff when you don't get the diagnosis your seeking for. I'm sorry Anxiety disorder isn't koser for your Workman's Comp case.

I work at a specility hospital in their ER. There's not a day goes by that I don't mess my weekened boyfriends and the crazy people I met.
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