Whats your biggest pet peeve working in the ED? - page 15
Id have to say my biggest pet peeve is when someone hands you a medicaid card as they pull it from their Louis Vuitton handbag with bling on their hands after having rolled up to the ER in their... Read More
Jan 28, '13Quote from N1colinaIt's very difficult if you can't identify what language they speak. Even worse when the patient refuses to speak to the translator because they don't know them and are in fear for whatever reason.
I really appreciate when they stick around also, but don't you have translator phones available for when they leave?
Had one individual who never had any ID or information for family (phone number, address, etc). We managed to figure out he would call his sister to pick him up when he was discharged. She refused to talk to anyone as well. They just wanted him treated for pain or for headache or whatever complaint.
We managed to get his name and DOB and history the one time for all future admissions because he was combative, police were called and he was fingerprinted. He had a record in a different state at a correctional facility.
Even when we told him we wouldn't send him to prison on other admissions and that we needed him to communicate to staff or interpreters, he refused. This went on for over 4 years.
Jan 29, '13Oh wow, well wouldn't that be ground to not treat? I mean, without past medical history or chief complaints or any of that, if nothing is apparent like active bleeding, how can you know you won't do something contraindicated? What if patient is on medications, won't tell you, he received something that has interactions with his meds or condition? I mean, sounds like this person was hoping on a medical mistake that was no fault of the medical staff so they could cash in on a lawsuit...
Jan 29, '13Quote from Jeweles26Took the words right outta my mouth...great minds!!!!!Oh wow, well wouldn't that be ground to not treat? I mean, without past medical history or chief complaints or any of that, if nothing is apparent like active bleeding, how can you know you won't do something contraindicated? What if patient is on medications, won't tell you, he received something that has interactions with his meds or condition? I mean, sounds like this person was hoping on a medical mistake that was no fault of the medical staff so they could cash in on a lawsuit...
Jan 29, '13Quote from Jeweles26I wish. We just figured he was fine but EMS said he seemed confused. We would do work ups and he had lab work all over the place and the docs had to either treat him with electrolytes and/or admit him. Some times his labs would be normal and we would discharge him.Oh wow, well wouldn't that be ground to not treat? I mean, without past medical history or chief complaints or any of that, if nothing is apparent like active bleeding, how can you know you won't do something contraindicated? What if patient is on medications, won't tell you, he received something that has interactions with his meds or condition? I mean, sounds like this person was hoping on a medical mistake that was no fault of the medical staff so they could cash in on a lawsuit...
Other patients are unable to read their own language so when we hand them the paper and ask them to point to their language, they don't understand what we are asking.
Language. Something that can bring us together or drive us apart.
Feb 5, '13Oh, Lord... Where do I start?
1. "Good luck. My veins roll/are deep/can never be found" --a.k.a. "I'm a hard stick."
Me: I'm persistent.
2. "Susie here is a diabetic and needs a snack box. She hasn't eaten since yesterday." (It's 3 am. Why not?) And while you're at it, my three kids need one too.
3. When you are speaking to the patient but all 17 family members are answering the questions.
Me: I really need to hear what JOE has to say about this right now.
4. Moms who don't check or medicate temps or rotate Motrin and Tylenol. Or rush to the ER for a "FEVER" of 99.1 and get mad because "at home" it was 105!!!
5. "Y'all should have my med list here."
Me: nope. Our computer doesn't keep that information between visits.
6. "Vaginal bleeding and abdominal pain" preggers who just want an US. No bleeding. NAD. Happy, smiling, eating, texting, laughing.
7. "Nurses" in ANY department who have forgotten how to provide basic care.
8. Ancillary departments ignoring that STAT ER order to do routine floor orders so they don't have to backtrack or walk an extra step.
9. Unnecessary huge work ups on EVERYBODY!!
10. "No, I don't take any medicines." KASPER shows a million narcs and UDS lights up like a Christmas tree.
11. OBVIOUS drug seekers... Get angry when they don't get exactly what they want, will not attempt any other meds, get verbally abusive and their pain magically disappears as they storm out the door. I frequently use the generic name for Toradol when giving it because not many people know what ketorolac is and it !miraculously! Makes people dizzy, drowsy, and immediately relieves any type of pain. I love Toradol, myself. It is a really great pain med for those that can take it. But when a seeker finds out it is non-narcotic, they are instantly allergic to it.
12. Medicaid patients who "can't" afford their antibiotics or meds, but can pack around an iPhone, iPad and wear more expensive clothes than I can buy my own kids.
13. I brought my kid to the ER at 3:15 on Wednesday, but we need a school excuse for Monday and Tuesday, because Jr. Was sick then too, as well as well as Wednesday, Thursday and Friday. Sorry. My ER can only excuse 2 days. Exception? Flu + and your kid's splinter doesn't qualify.
14. When you explain that children under 14 are not allowed to visit in the ER or no more than 2 visitors per patient, and no matter how nicely you state this you suddenly become SATAN.
15. Non-ER docs that come to ER to check-in on/see a patient before they leave the facility and forget that the ER is not the floor. Do they really expect us to drop everything and carry out their routine orders and accompany them on rounds and take verbals?
16. "YOU'RE JUST A NURSE."
Me: And without this nurse, YOU couldn't do YOUR job.
17. "Why haven't you gotten this urine?"
Me: um, because I'm busy with three psych patients and two critical patients here. It's called prioritization.
18. "How busy are you?"
STANDARD REPLY: we're always busy. If you have an emergency, you'll be assessed and treated as quickly as possible based upon your condition. We cannot guarantee how fast you will be seen.
19. "I need a bedpan."
You walked in here. And have been all over this ER. The bathroom is down the hall.
20. "I was here before that man."
Let me tell that man to just stop having his heart attack and ill give you his bed, okay? (No, I didn't say that, but I really, really wanted to!)
Feb 5, '13Quote from KentuckyNurseKimOooo I hate that one too. We do store med lists....but if it's been 3 years since you've been to the ER, or you've had recent changes to your meds, guess what? Our list doesn't magically update itself. Be responsible and know your meds by memory or have it written down.
5. "Y'all should have my med list here."
Me: nope. Our computer doesn't keep that information between visits.
Feb 8, '13One night I had a pt complain about the wait, which followed with "do you understand! I have pseudo seizures! I need to get a room!" I almost fell out my chair laughing when she left.
Feb 8, '13-Pregnant patient 39 weeks gestation who had preeclampsia leaves AMA cause we didn't give her dilaudid.
-Patients who refuse meds or vital signs and honestly think I give a damn. What do they expect me to say" Oh, please take your meds and let me do vitals, if you don't I'm going to loose my job." I explain the risks and benefits, notify the doc, chart and keep it movement.
-Patients who are allergic to anything PO and need only IV drugs
-Patients who expect to their child to be seen right away because the parent have to work in the AM and it is late at night. Why the heck did you wait this late? Better yet, why didn't you give any motrin or tylenol.
-Patients who have complaints that are over a month old. One lady said she had chest pain for a year.
Feb 8, '13Quote from ImKosherYes sir... this is the pseudo room... for our pseudo seizure patients.One night I had a pt complain about the wait, which followed with "do you understand! I have pseudo seizures! I need to get a room!" I almost fell out my chair laughing when she left.
Feb 10, '13Yesterday's peeve was random family members coming up to me asking questions like 'how much longer is my mom going to be here' and 'can he get something to drink'. When I have no idea who 'mom' is or 'he' is.
Of course I have no problem helping them and getting them the info they need but I was just peeved that people think I just know who they are talking about.
Feb 10, '13Quote from ♪♫ in my ♥Not an ER nurse. (But I love reading your threads!) My pet peeve is the non-English speaking elderly person who has been in the US for forty years. Grandson HAS to spend the night because he is the ONLY person who can translate for Grandpa. (He's 15; visiting age is 16 and older.) So at 3AM when Grandpa is increasingly agitated and trying to communicate to me -- and I speak no Cantonese -- I try to wake up the grandson who is sleeping on the sofas some anonymous donor has provided for "family comfort" in the ICU, and Grandson pulls a pillow over his head and tells me to leave him alone; he's sleeping. If you wanted to sleep all night, you should have stayed home. You're supposed to be here to translate!Pet Peeve:
When families send in or drop off their non-English-speaking elderly and then refuse to stay around to help us communicate with them.
When families do the right thing and stay the course, I be sure to thank them profusely and explain what a service they're providing to their loved one. Said families often express surprise at my gratitude and then amazement when I explain how often families fail to follow through.
Feb 10, '13Another set of peeves:
Me: "So the good news is that the next time you're constipated, you can pick up exactly the Dulcolax as this, over the counter at CVS."
Pt: "Well, I can't afford it there." (while sporting a new set of Vibram 5-fingers, no less)
Pt only a bit older than me, totally manipulative, noncompliant, and a flagrant abuser of the EMS system: "I need a TAR for that medication. I'm disabled... I can barely get around because my knees hurt so badly."
Me, with osteoarthritis throughout and a hx of a knee fracture: "Yes, I understand. My knees hurt all the time. It's very hard to have to be on my feet for 12-hours ever shift."
Pt: "I need you to help me up."
Right up until the point the doc refused to admit for the 6th CP workup in 3 weeks... at which time they pt almost kicked the door down storming out.
Me: "Wow, doc... you healed them."
The doc who comes into the office complaining about the obvious drug-seeking behavior... followed by an order for IM Dilaudid...
Pt's who complain that their 'insurance' (Medicaid, right?) doesn't cover their abx which is why they didn't take them and are now back with a raging abscess and cellulitis.
Oops, time to toss on the and hit it again for another 12...
On the flip side, y'all.
Feb 10, '13"How much longer?" is a pet peeve question because I don't know, and can't even guess with any accuracy.
"Can he/she have a drink of water?" is usually within the first five minutes of some very sick patient that needs their ABC's attended to. Family wants to help somehow, so they ask the patient if they'd like a drink. And then they ask us to GET the drink while we're applying O2 or drawing blood.