Whats your biggest pet peeve working in the ED? - page 2

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 Mercedes Benz! After that I'd say... Read More

  1. 5
    The patient dictating to me their course of care and what I'm going to do. Sorry, no. You are in my bed, in my room, under my care. You are here because you need me to take care of you. Emphasis on the need me part. I don't need you bossing me around. You do, however, need me fixing whatever is wrong with you.
    jax67, shamrokks, Nscorpiored, and 2 others like this.

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  2. 6
    My biggest peeve, even bigger than medicaid abusers are the entitle rich ones who don't think but KNOW you are there to perform every tiny task to their slightest whims.

    ...I don't think so.

    Just a funny: Had a pt who "couldn't" answer basic yes/no questions for triage but could rant for 8 sentences about how he's too sick to do so. Called him out on it, and the night got a little easier.
    Last edit by NurseOnAMotorcycle on Oct 11, '12 : Reason: typo
  3. 31
    Quote from Poochiewoochie
    Aren't you supposed to chart what the patient says? If they say 10 that's what you're supposed to put down, not "eyeroll" and put down what you think it is.
    1- Telling somebody your pain is 10/10 is actually impossible. 10/10 would be the most pain imaginable, which would obviously render a person speechless. The best way to make somebody understand this is to do something truly painful to somebody after they report pain of 10/10.

    2- Poochiewoochie, why are you here?

    You aren't a nurse, and and have a low regard for nurses.

    "From my experiences over the past year and a half my perception of them has changed a lot and not for the better"
    "maybe some of these nurses that are acting holier than thou "
    "those who live in glass houses shouldn't throw stones. A lot of people in the medical field need to get over their prejudice "
    "That's the problem-everyone is a drug seeker to some nurses and other medical professionals"

    You are a patient who feels poorly treated by the medical system in general, and by nurses in particular:

    "I've had 5 surgeries in the past 2 years"
    " the one that was assigned to me the first night was too busy"
    "Then I had to deal with some snotty CNA "
    "doctors who treated me as if I was a drug seeker"

    Maybe you should start a forum of likeminded folks. Or even better, a patient advocacy group.

    If you read the heading of this particular sub-forum, you will see this isn't the place for you:

    Emergency Nursing is available for the nurses and personnel from the Level 1 Trauma Centers to the smallest, most remote ED facilities, the Emergency Nursing forum is your place to discuss common practice issues, share knowledge, and even vent about the chaos that is your landscape.

    Please note that it does not say that this is a place for people who feel they have been mistreated to educate nurses.

    3- Answer to the OP: My pet peeve is how we validate all the nonsense people come in with. For example, somebody comes in c/o "dehydration", obviously tolerating po, and we run ivf. We are validating their concern. We are essentially saying "your problem is so severe, we ran the risk of poking a hole in a vein, and running stuff out of a plastic bag into your body"

    Or- after multiple visits to a pcp, a pt does not get the medicine or procedure they want. They come to us, and get their perceived needs met. We arre essentially saying: "You were right to bypass your PCP. We know better than the provider who knows you best, and is familiar with your history. Come on back any time you don't get what you want from your pcp."
  4. 5
    Yeah, that is a big pet peeve...treating the patients perspective...now how am I supposed to do that....especially if that perspective is sort of irrational. Sometimes I would love admin to try it themselves. I can't be whatever you want me to be...otherwise maybe I'd make alot more money in a different profession. My sane patients give good feedback, but when you get a three page letter written in crayon how lousy the nurse was...I mean, how can you give credence to that sort of complaint? Laughing. How can you even ask me to explain it? I'm not real happy with the way admin is going...it's like they have no brains...or experience dealing with the public. That is my biggest pet peeve...learn to read between the lines admin.
    My second biggest peeve is other nurses that take things from my rooms without telling me...especially stock....if you are out, go get a handful from the stock room, its not that much farther away....and don't take my IV pumps when I'm expecting a stemi in a few minutes. Grrrrrr.
    nrsang97, shamrokks, canoehead, and 2 others like this.
  5. 6
    My pet peeve is the customer service garbage where we give the patient whatever they want. Pt c/ o ankle pain, no swelling noted, nothing on X-ray but insists she can not walk and needs crutches. Why do we give these people them? Ugh.Same for the mvc people who turn their completely negative exam into a major drama. "Oh! Doctor says I can't go back to work for days." Or... You asked for an excuse For work and got it.
  6. 9
    I'm sure you've all expeienced this one . . . "My pain is a 10/10 (while texting) and I need 8 mg Dilaudid and some phenergan and benadryl . . . IV push only, not pills." I love it when they think they can place a medication order. Nothing yells more loudly "Narc seeker" than this.
    NYC68, funfunfun550, JustaGypsy, and 6 others like this.
  7. 2
    The ones that get me?

    The homeless that have an entitlement attitude, upset because they missed curfew for the homeless shelter and EXPECT the ER to provide them a place to sleep, with no medical complaint what so ever.

    I've had my share of these pts in the last week, and I tell them no, I will NOT put my signature on any paper stating you were seen in the ER so you can show you were here. It's not required nor is there a law that says I HAVE to. Your discharge papers will show the time you checked in and the time you were discharged. If you leave prior to being seen by a doctor, you will NOT get discharge papers and that's too bad. It is NOT the ER's responsiblity to provide you with somewhere to sleep for the night because you missed your curfew for the homeless shelter due to your shenagians. Next time, plan accordingly and be in by curfew. It is not the ER's problem you have no where to go.
    uRNmyway and Du3du3 like this.
  8. 0
    ecerrn... wat is a stemi??
    Im a 4th year student and i want to work in the ER...
    Im studying in Palistine and i might have a chance working in America... but that word just got to me since its not used here :/
  9. 0
    Quote from Du3du3
    ecerrn... wat is a stemi??
    Im a 4th year student and i want to work in the ER...
    Im studying in Palistine and i might have a chance working in America... but that word just got to me since its not used here :/
    What is a STEMI? : Code STEMI
  10. 0
    Quote from Du3du3
    ecerrn... wat is a stemi??
    Im a 4th year student and i want to work in the ER...
    Im studying in Palistine and i might have a chance working in America... but that word just got to me since its not used here :/
    ST Elevation Myocardial Infarction

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