What was the MOST ridiculous thing a patient came to the ER for?

Now really. Do you expect anything else from Nursing Home nurses. Granted there are a few that really love their work and really love the elderly.
All the rest Ive met are losers who cant cut it working anything else.

According to EMTALA, you can refuse to treat things that are not considered emergencies. The trick is, though, it has to be determined through a medical exam that it is not an emergency. Triage does not count. so you've got to get the person back there for the exam, and since they're back there, might as well treat them.

After patients walk in or come by EMS we have an offload area/room right next to triage. We call a doc in for an RME (rapid medical exam). Usually they do 3 or 4 of these at once. They order basic stuff and decide if the patient is stable enough to go back into the waiting room pending labs/tests or needs immediate bedding. The hangnail guy would have been discharged immediately with our RME. Someone with abdominal pain, for example who is stable would be given a vomit bag, told to go the waiting room and not eat or drink anything and wait for tests. Lab, etc would then go out into the waiting room and grab them, bring them in for draws, etc. then back out the the waiting room. We have patients who never see the inside of the ER. Its fairly efficient. We have an RN and security stationed in the waiting room to keep an eye on people.

After patients walk in or come by EMS we have an offload area/room right next to triage. We call a doc in for an RME (rapid medical exam). Usually they do 3 or 4 of these at once. They order basic stuff and decide if the patient is stable enough to go back into the waiting room pending labs/tests or needs immediate bedding. The hangnail guy would have been discharged immediately with our RME. Someone with abdominal pain, for example who is stable would be given a vomit bag, told to go the waiting room and not eat or drink anything and wait for tests. Lab, etc would then go out into the waiting room and grab them, bring them in for draws, etc. then back out the the waiting room. We have patients who never see the inside of the ER. Its fairly efficient. We have an RN and security stationed in the waiting room to keep an eye on people.

I had an AMBULANCE bring in a lady with a cat scratch on her arm - 'just to be sure!'

Don't even think the skin was broken, from what I can recall - it was difficult to see the scratch!!

Of course she had no ride home......