What not to say / do while you are in the ER... - page 11

If you come in to be treated for a STD, don't hit on the nurse... Read More

  1. by   sadrn
    The wierd, funny, rude, strange- lets face it, they keep our job interesting.

    So many stories to chose from...

    30 something FF comes in. Had been obviously huffing some spray paint just prior to entering triage area as evidence by the gold paint around his mouth, nose, and bilat hands. Chief complaint is toothache. Its 0430 in the am- slow night so we bring him back to a room, barely able to keep from laughing directly at him because, lets face it, we all know what he wants. Pt is directed to his room and he immediatly asks to use the bathroom. While in the lue, he is trying franctically to wash the paint off- as though we haven't already seen it (should have thought about that a couple of minutes before). The doc enters the room upon the patients return, aware of the situation and is choice of color that night. The patient has the gall to ask for "30vicodin, 15 percocets, and 15 darvocets". When the doc and myself muffel our laughs and tell him "NO" he starts to yell "How am I to fill all my orders". I quess he was self employeed and needless to say escorted off the property.

    Maybe we are as stupid as they think we are? Why else do they keep coming back!?!?!
  2. by   Aneroo
    Quote from nekhismom
    well, in defense of those receiving Rocephin.....IT DOES BURN! Especially if it isn't mixed with lidocaine. I know nurses who use saline instead of lidocaine for IM injections.

    Now, I totally agree with the "if you had kept your pants up in the first place I wouldn't be giving you this shot" statement. But maybe they know it burns!
    Again, if they had kept their pants up, how would they know it burns? How many other times had pt been seen for same? -A
  3. by   z's playa
    Quote from Jacquie RN
    I occasionally float to the ER. I usually get the old and broken, waiting for a bed on Ortho. One night, I was asked to assist with an internal on a woman with pelvic pain. BF in the room. (Did I say that all pelvics make me nevous? I had a few women deliver 20 weekers on me). So I am helping the doc get everything ready. A bit of a funny smell in the room, but OK here goes. Undies off, legs up!!!

    GROSS.......

    Huge purulent drainage, yellow green goo coming out. The worst smell ever. IM abx, teaching about wearing cotton undies and good pericare etc...

    As they were leaving BF asks when can they get intimate again!!!!

    I'm like, excuse me??? You want to stick what, where???

    He goes on about how the only reason that they came in was that she was having pain while sharing an intimate moment. He didn't mind the smell so much, she has had them before.

    Gag Moi with a spoon.

    I just couldn't believe what I was hearing.

    I just about puked right there.

    Ohmigod! And that happened here? Ick. :chuckle

    I'll PM you on Tuesday to catch you up!

    Z
  4. by   JessicRN
    Quote from edib1
    Talk about wanting to just tell someone to get the hell out. People forget that they will soon be old like that to and hopefully they will not get sick all the time. I love the ED so much but I really hate some people. I understand that people mare nervous and dont know what the hell is going on, but come on. I remember that I had this 11/f c/o n/v and I felt bad because she was vomiting alot, everone in the world was either having an asthma attack or a heartattack, it was so busy I had no where to put her. Her mother thought that it would be a good idea to sit her right by the entrance doors, thinking that would get her in faster. I had to tell her numerous times to please move your daughter away from the door. Finally after 2 hours and calling me numerous names, I brought them back. Her mother was still cussing me out when I left and went back up to triage. I think it was like 2 weeks later and was working part time teaching a medical assisting program, can you belive that her mother was one of my new students. HAHAHAHA You know the first thing I said was people make sure that you always respect each other, we all know that people dont like to be treated badly when they are doing thier job:chuckle This is the kind of thing that happens when you live in a small town
    I was involved in a code and this women burst into the room demanding food for her husband. Her husband was already seen treated admitted and awaiting a bed on the floor. When we told her to leave as we were really busy right now trying to save a life she yelled "I don't care if that person is dying, my husband is hungry" go figure
  5. by   FutureNrse
    Quote from RNin92
    Leaving would have been a bonus!!
    We could not get them to go!!!!!



    These people are the most frustrating.
    I know they have the coping skills of a flea.
    I know they have extremely limited reosurces.
    We have given them every resource known to man...

    Outpatient social worker set up medications to be brought to their apartment
    Family Services set up counseling
    Meals delivered daily...free

    And they STILL KEEP COMNG BACK!!!

    They did NOT get their narcs though (YEA)

    :uhoh21:

    Ok...I will try to stop venting...
    Thanks
    I have only begun to vent...I know pain patients are frustrating, and I know the drug-seekers are a pain, but sometimes it seems like both groups are lumped together. The previous post mentioned a patient leaving after hearing what dr. was working, now in that case it might be for the stated reason, but I know there are other reasons that this happens. I've left an ED after finding out which dr. is on because he's simply a jerk. In a small town where it's hard to get good doctors the ED, we have too many doctors who should have gave it up years ago. I left the ED that night because of this dr. who had previously seen my son in the ER after a football injury, refused to x-ray his hand which turned out to be broken. I literally put my own health at risk rather than be seen by a dr. I consider highly incompetent.
  6. by   Vikingkitten
    Quote from Baby Catcher
    I can just see it. He puts his pants back on after getting cultured and he looks over at you all suave and debonair and says, "so hey baby, did you like what you saw?" YUCK!!!
    Had this one happen to one of my female medics working my STD Clinic on the military base I was on , many moons ago. He thought he was being cute with a similar line, until my medic showed him the bayonet-sized needle on the end of the 2.8 mil. units of PCN, x2! Fortunately, she had the foresight to have him sitting down at the time, as the drop to the floor wasn't nearly as painful!
    Classic!

    And now, for something completely different!
  7. by   Vikingkitten
    Quote from jayna
    Ahaaaaaaahh .............heard this one many many moons ago when I was working in the ER back home.

    DO YOU KNOW WHO I AM?!!!!. This was a finance minister of the country.
    I said........... yes , so?!!!!!!!!

    I AM THE FINANCE MINSTRY OF THE CROWN??!!!!(yelling)

    That got me clouded, ...........So whats the difference does that make you from these very very sick people we have, I will be seeing them first and you LAST!!!!!

    I WILL REPORT YOU TO THE MEDICAL SUPRITENDENT!!!!!!!!! and he stapped his feet and left steaming.

    Waited for the complains nothing came over.
    Had one similar in one of the military EDs I was in years ago: Same scenario, only it was the wife of one of the many Colonels on the base. It doesn't take these spouses and children to learn the military rank system.
    Anyway, this woman was shouting at the top of her lungs at the newly assigned and inexperienced Private at the triage desk. So, I, being a very senior NCO, calmly asked her if I could help her, to which she begins again to shout, "DO YOU KNOW WHO I AM?............." Being the consumate smart-ass that I am (and seeing the disruption she was causing this very busy ED) , I turned to the assembled multitudes quietly waiting their turn, and said, " THIS WOMAN CAN'T REMEMBER WHO SHE IS; DOES ANYONE KNOW WHO THIS WOMAN IS?" After the shocked silence , the laughter began, quietly at first, then louder. She left without saying another word. Never heard anything about it later, either. Think she had a hangnail or something just as ridiculous.:chuckle

    And now, for something completely different!
  8. by   NYCRN16
    Quote from Vikingkitten
    Had one similar in one of the military EDs I was in years ago: Same scenario, only it was the wife of one of the many Colonels on the base. It doesn't take these spouses and children to learn the military rank system.
    Anyway, this woman was shouting at the top of her lungs at the newly assigned and inexperienced Private at the triage desk. So, I, being a very senior NCO, calmly asked her if I could help her, to which she begins again to shout, "DO YOU KNOW WHO I AM?............." Being the consumate smart-ass that I am (and seeing the disruption she was causing this very busy ED) , I turned to the assembled multitudes quietly waiting their turn, and said, " THIS WOMAN CAN'T REMEMBER WHO SHE IS; DOES ANYONE KNOW WHO THIS WOMAN IS?" After the shocked silence , the laughter began, quietly at first, then louder. She left without saying another word. Never heard anything about it later, either. Think she had a hangnail or something just as ridiculous.:chuckle

    And now, for something completely different!
    :chuckle:chuckle:chuckle:chuckle

    That's a good one!!! I will have to use that one sometime!!!
  9. by   MassED
    Quote from traumaRUs
    "No MF white bi$%h is gonna stick me!" Wanna bet???
    ha!!!!!!!!!!!!!!!!!!!!!!! Yes, I love those patients who "threaten" the nurse they only get one try for the IV..... not the best stance to take with your nurse.
  10. by   MassED
    Quote from mstewart
    Okay, my hubby said this to a nurse when he was in college "you miss on the first try-I'll stick you with that thing"...in the ER for dehydration from DRINKING...Okay, I am a first semester LPN student, so I don't know what rights a nurse has. I think I would just give the look of death "fine have it your way-you'll have to wait until one of the IV team/expert IV starter has time to start yours" and walk away...maybe after PT has to sit for awhile-providing they are not in a life threatening situation-they'll be more inclined to let me try. And of course, document, document, document. Hey, I'd consider it a threat. I can't imagine it would be easy to get a line on some one that is dehydrated.
    um, yeah, that would be a threat on a nurse - and his *SS would be restrained in my ER. And the ER nurses are the expert "IV starters" FYI....
  11. by   MassED
    Quote from edib1
    I LOVE ER I SWEAR. LIKE I SAY TRIAGE IS ALWAYS THE BEST I HATE IT SO MUCH SOMETIMES CAUSE I JUST CANNOT FATHOM PEOPLES THINKING PROCESSES. WE HAD A PSYCH EVAL CAME IN VIA AMBULANCE SHE WAS TRYING TO KILL HERSELF AND HER FAMILY MEMBERS CALLED 911. SHE GOES TO THE BATHROOM ACROSS THE HALL FROM THE TRIAGE ROOM. OKAY ABOUT 5 MINUTES PASSED, I KNOCK ON THE DOOR MAAM ARE YOU ALRIGHT? NO ANSWER. MAAM YOU NEED TO COME OUT OF THERE. ALL OF A SUDDEN THERE IS A FREAKING PUDDLE OF WATER COMING FROM UNDERNEATH THE DOOR. MAAM PLEASE COME OUT OF THE BATHROOM. SHE FINALLY COMES OUT AND THERE IS FREAKING WATER ALL OVER THE BATHROOM, AND SHE IS SOAKING WET. WE HAVE HER SIT DOWN I PUT THE BP CUFF ON HER AND HELL NO THIS CRAZY BI*@# KICKS ME IN THE STOMACH AND SHE A BIG OL BLACK GIRL. SHE GRABS THE OTHER TRIAGE NURSE AND TRIES TO BITE HER WEDDING RING OFF. HAHAHAHAHAHA I AM LAUGHING BECAUSE I HATED THIS NURSE SO MUCH, SHE WAS JUST ONE OF THOSE I KNOW EVERYTHING AND I KISS THE DIRECTORS ASS ALL THE TIME KINDA NURSE. JUST TO SEE HOW SHE WAS ABOUT TO S@#* HER PANTS MADE ME LAUGH. THOSE EVAL PTS DRIVE ME NUTS BUT SOMETIMES WHEN YOU IN THE RIGHT PLACE AT THE RIGHT TIME THINGS JUST SEEM TO HAPPEN FOR A REASON.

    You laughed when this girl was trying to bite the other nurse's wedding ring off, after you were kicked? It's a funny image, to be sure.... were you in a heap of poo after that with that nurse and management? That's funny as hell, tho - are you a guy or gal? What was she doing in the bathroom with the water? I was waiting for you to write about attempting suicide in some unheard of way....
  12. by   MassED
    Quote from BabyRN2Be
    What??! However, I can just imagine someone saying that.
    Ooohhh you can't? I was in triage one night and it was standing room only in the ER. This female came in with her baby (maybe 5 months old) and holding him like a football, tucked under her arm. She had another toddler with her. It was about 10pm.

    She said she was here for vaginal bleeding (no eye contact, frowning, hostile stance)
    I said, "just so ya know, you'll need a workup which requires a pelvic exam, usually an ultrasound, IV, labs... my point is that it will be a while and you have two kids. Can someone come pick them up?"

    Little miss thang makes eye contact (with dragon-fire, eat my heart out glare) and says "NO, I don't have anyone here, do you SEE ANYONE HERE?"

    So I triage her, suggest she find someone to come get the kids as it will be a while (long wait out in the waiting room.) She proceeds to GO OFF. I call security who can't get her to back off (while holding her infant in a football hold). I had to look away because she was in the lobby, I was on the other side of the glass and watching that baby bobbing it's little head all over the place was making me ill.

    She said "you better call the cops, cause I'm going to kick your ass." When I went to pick up the phone, she was still making threats to me, the ENTIRE waiting room was quiet.... the cops came ....

    MINUS ONE PATIENT TO BE SEEN - Woo woo!!!

    ahhhhh, I miss those days in a drugged out poverty stricken place - life at work was never boring!
    Last edit by sirI on Jun 22, '08
  13. by   MassED
    Quote from AlaskanRN
    How about the agressive, intoxicated, early 20 something male brought in by PD. Placed in four points. When asked to give urine, says yes if we undo his hands...obviously not, but I will assist you in directing yourself to the urinal. After digging through several layers of clothes, getting Mr. Happy in position, and telling him to go ahead, he looks up at me and asks me if I'll play with it?!? After another round of this...and 3 liters of fluid, he tells me he ain't giving a sample and there's nothing I can do about it! Well, much to his dismay, you should never say that to a cranky old ER nurse going into hour 13. He learned that if the base of the penis is held in a tight enough grip, all bucking will cease so as not to rip said member off at the root. And BTW...urine sample WILL be be given...lol
    awesome.

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