had a full load of 5 pts in rooms and 3 in my hallways and was also responsible for the trauma bay in my area which had been blessedly empty for an hour or more when we got a notification of gsw to the head and neck 27 yo male 2 minutes out - we all kicked in to high gear as we do - i quickly eyeballed all my pts (some of whom were very sick – but not dying!) and closed doors and curtains as the fd ambulance and pd escorts came flying into my trauma bay....sadly the young man did not survive - he had been shot by the jealous former bf of his fiance. we worked really hard on him and family arrived in shock, and everyone was a wreck, docs, rns, techs....it was really sad because we had a couple moments when we thought we had him back...
i shook it off best i could and went to quickly re-asses my district and this one lady, walkie-talkie, who was there for abd pain n,v x 1 day was standing in her doorway where she had seen everything, and grumbling. i wasn’t surprised, she had been loudly moaning and complaining about the wait all night. i always kill em with kindness because i hate to let them know how much they irritate me. she gave me a nasty look and said “i pay just like he does, i shouldn’t be left to pee in my bed!” i go in her room and see she peed all over the bed and floor! a 48 yo woman who, all night, had walked to the bathroom in her room - a &*#$!^% ensuite bathroom mind you – had just urinated all over the place! i was livid and knew i could not open my mouth because i would regret what would come out. so i just stripped the bed, cleaned up the mess, gave her a new gown, called housekeeping with a mop and walked out of the room.
when i had to return to give her more zofran i was like a robot. she kept trying to bait me with her whining and complaints but i could tell she had some awareness she had crossed the line. gee was it the mournful sobbing of the family across the hall maybe?
i gave her zero energy and zero attention. in our ed the residents d/c the pts so i was just done with her. she tried to catch my eye as she left, dramatically, holding her belly and practically limping. ugh!
another pt, a little old lady who had also waited patiently during that whole trauma, who was really feeling low and was getting transfused and was going to get a ca dx in a few hours, was the opposite – it always amazes me the spectrum of human behavior – i came in to re-assess her and she was all “i’m fine, you look tired, that poor fella, oh the poor family, i’m fine, you should go get a coffee!” i wanted to hug her.
thank god i meet more like her than the a##hole who left with seemingly no appreciation of her decent health status. i sometimes feel like people don;t know how to be sick – like if your symptoms are minor have a chat with your doc on the phone get into bed with a tea or gatorade and lay around for 2 or 3 days for heaven’s sakes!!! every illness is not an emergency but some folks never learned that......