Whats your biggest pet peeve working in the ED? - page 5

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

  1. Visit  hodgieRN profile page
    5
    I love it when someone says "They usually stick me right here."

    I think "Usually? How often do you come here?"
  2. Visit  hiddencatRN profile page
    5
    Quote from brillohead
    And people wonder why we don't want to go to Universal Health Care in the US? Can you imagine the wait times if it suddenly becomes "free" to go to the ER here?
    It's already "free" for plenty of patients. I'd like to see universal healthcare with better incentives for physicians to specialize in primary care and an upfront copay required for nonemergency ER visits.
    Skips, Daisy Doodle, psu_213, and 2 others like this.
  3. Visit  brillohead profile page
    1
    Quote from hiddencatRN
    It's already "free" for plenty of patients. I'd like to see universal healthcare with better incentives for physicians to specialize in primary care and an upfront copay required for nonemergency ER visits.
    And the ability of EMS to "just say no" without fear of being sued!

    And non-emergent ER visits should be COD only -- not just a copay, but payment in full for services rendered. (Exception: things that should be "urgent care" in a town with no urgent care facility.)
    Daisy Doodle likes this.
  4. Visit  Luc79LPN profile page
    0
    Quote from brainkandy87
    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.
    Amen!
  5. Visit  Luc79LPN profile page
    2
    Quote from ERnurse1983Ontario
    One of many pet peeves: patients who come to the ER presenting with abdo pain/ chest pain going on for almost a week and finally come to the ER and complain how long they have to wait to be assessed by a doctor. You've "waited" almost a week to come seek treatment, a few more hours wont kill you. Oh and your troponins/CK are negative. Oh and eating that slice of pizza while you say you've been having abdo pain probably is not going to help, especially if you need surgery...there is thing called aspiration...so maybe wait to eat till you're labs are back and the doc assesses you, here are some ice chips.
    I hear u... Almost an everyday thing in the ER I work in.
    DC Collins and amarilla like this.
  6. Visit  bbaileyRN profile page
    5
    Had a patient who came to the ED complaining of chest pain. Come to find out her electrolytes were out of control and her blood glucose was off the charts. Guess what? She left AMA before we could even treat her because she "HAD to play her lotto numbers"!! Seriously?? Why'd you even bother coming to the ED?! Oh, but don't worry she promised she'd come back the next day. AND SHE DID!! And she brought her bad attitude back with her. Not only did she demand a food tray, but when she actually got it she threw a fit because it was the same meal she had last night! Well excuse us for not personally whipping up something for ya! The nerve of some people! I swear some people just have no clue what the ED is actually for!
  7. Visit  DC Collins profile page
    4
    One of biggest pet peeves is a parent coming in with a small child / infant with a fever saying s/he could not afford the tylenol. The parent smokes a pack-a-day.

    DC
    shamrokks, KaroSnowQueen, canoehead, and 1 other like this.
  8. Visit  TheCoppertop profile page
    5
    My biggest pet peeve lately is management! I work in a craaazy busy ED and end-year overtime has been forbidden. So we start off every day with minimum staff, and if there are any call-offs, we're screwed. They'll try and call in nurses for 4 hour shifts (so as not to exceed 40 hours) but everyone knows its insanely busy if they're calling, and non-ot, why bother.Last week I worked a 12.5 hour shift with no lunch. There were 4 call-offs and no call-on takers. We also, thanks to mgmt now have to keep all drinks and food in the breakroom and sadly, I was so busy with criticals all day I couldn't make it to the breakroom. Usually a neighboring nurse will cover me but my neighbors had huge, high acuity loads and I had intubated, trying-to-dies and I had to stay at bedside. I got the opportunity to have a blissful 30sec to pee off my morning coffee but that was the only time I left all day. Starving, frazzled, and dehydrated at 6pm (11 hours in!) I see a perky manager coming through to HELP! "Our" big goal this year was to get new pts back to the beds within 8 minutes so the manager came in to help housekeeping by cleaning beds, then running out to triage to bring pts back... For nurses to care for, nurses who were super TIED UP, and had worked 11 hours without food or drink. I was furious, I mean, if you want to HELP, watch these pts for me, or hang this heparin on my PE so I don't accidentally hang it on my 8cm AAA because my brain has run out of carbs. Thanks!
  9. Visit  whichone'spink profile page
    0
    Alright, it's been 9 weeks on orientation, and I've developed another peeve: Patients being dumped on me while I have a fresh patient to complete orders on. And sometimes the patients, either the ones I'm settling or the new patients, are chest painers or SOBers. If the new patients are ESI 4 or 5, then it wouldn't peeve me, but chest pain or SOB can be anything.
  10. Visit  momo72 profile page
    0
    My biggest pet peeve is with management and the new rule of having our ER pt's with admit orders, be placed in their rooms upstairs within 30 minutes of getting the bed assignment. We don't have transporters or extra staff to cover our other pt's. How they expect this to happen, I don't know. All I know is I have never been able to accomplish that rule. Personally I really don't care if my times are too long, I know all my patients are being cared for, and when I get the chance to transport that patient, I will.

    Michele RN
  11. Visit  SionainnRN profile page
    0
    This is my favorite: went in to discharge a pt (mid 30's), she's on the phone with her Dad complaining that they're discharging her. She hands me the phone and he starts yelling at me that she needs someone to rub her back and he isn't going to do it so I had to keep her to rub her back till she felt better. I tried explaining that the doctor had seen her and she was being discharged. Then he started swearing at me, didn't even bother telling him to stop just hung up the phone. Then I gave her the discharge papers and told her she could wait in the lobby for her ride. We had pts in gurneys in the hallway. She was a major PIA!
  12. Visit  SionainnRN profile page
    5
    Quote from DC Collins
    One of biggest pet peeves is a parent coming in with a small child / infant with a fever saying s/he could not afford the tylenol. The parent smokes a pack-a-day.

    DC
    Or the husband who is yelling at staff cause his wife is SOB...for three days....and on O2....and he smokes a pack a day. Sigh.

    And of course the people who are covered in piercings and tats but cry when you start an IV.

    But I did have a great Mom who's 17 yr old had been taking someone else's adderall. The ER doc said it was basically meth but the kid should be fine. The mom looked at her son and told him..."stop mething around"!! Twas the funniest thing ever.
  13. Visit  SionainnRN profile page
    0
    Quote from momo72
    My biggest pet peeve is with management and the new rule of having our ER pt's with admit orders, be placed in their rooms upstairs within 30 minutes of getting the bed assignment. We don't have transporters or extra staff to cover our other pt's. How they expect this to happen, I don't know. All I know is I have never been able to accomplish that rule. Personally I really don't care if my times are too long, I know all my patients are being cared for, and when I get the chance to transport that patient, I will.

    Michele RN
    Especially when you try to call report and the floor nurse is too busy to take report. Like we have a choice when we get our patients.

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