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

by Whts_Ur_Emergency?

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. 8
    Quote from psu_213

    We were just having the discussion today at work. I had a pt who needed I tetanus shot...."do you really have to give it to me? I hate needles." Ugh.

    My response to the "I hate needles" comment: "I know, everyone does."
    I say that too. I just switched to an adult er from a peds er and I have been SHOCKED at how whiny adults are. Whining about needles, whining about the BP cuff being tight, whining because they want pudding and more orange juice for blood sugar that was 78 and is now 137 after orange juice #1 and not the turkey sandwich or peanut butter crackers offered instead because they don't like peanut butter. Gah. I miss working in peds: when they whine it's developmentally appropriate at least.
  2. 3
    Quote from psu_213
    We were just having the discussion today at work. I had a pt who needed I tetanus shot...."do you really have to give it to me? I hate needles." Ugh.

    My response to the "I hate needles" comment: "I know, everyone does."
    That's what I tell them, I usually say "no one likes needles, but unfortunately if you want us to help you, this is what it's going to take. It will go quick and you will be ok." I once had a patient freaked out about needles and I had to do an IV. She was high on meth, she had piercings EVERYWHERE. But she was freaking out over the 20 guage IV. I get it in, get good return, go to tape it down and she freaks out and jerks her arm back and the IV comes out. I look at her and was like "well guess what, now you get to get stuck again, how well did that work out for you?"
  3. 7
    Quote from hiddencatRN
    I say that too. I just switched to an adult er from a peds er and I have been SHOCKED at how whiny adults are. Whining about needles, whining about the BP cuff being tight, whining because they want pudding and more orange juice for blood sugar that was 78 and is now 137 after orange juice #1 and not the turkey sandwich or peanut butter crackers offered instead because they don't like peanut butter. Gah. I miss working in peds: when they whine it's developmentally appropriate at least.
    I went from working on a Peds unit to the ER. Peds patient definitely can be far less babies then adults. In fact when charting my assessments and we have all the things we can pick, multiple times I have picked "fussy" on my adults under behaviour. LOL
    me1989, shamrokks, brillohead, and 4 others like this.
  4. 1
    Quote from ~Mi Vida Loca~RN
    I went from working on a Peds unit to the ER. Peds patient definitely can be far less babies then adults. In fact when charting my assessments and we have all the things we can pick, multiple times I have picked "fussy" on my adults under behaviour. LOL
    I'm just remembering the 27 year old I had recently who was crying and carrying in about a lac on his hand. I've had 6 year olds deal with lacs more stoically.
    canoehead likes this.
  5. 0
    I had a pt the other night who insisted I stick him in the hand and no where else. My reply? I'll stick you wherever I can, and I'm going to stick you where I can make sure I don't have to repeatedly stick you. Luckily he had great hand veins and he got an 18. 24 year old with tats, piercings, and who informed me he passes out when he gets stuck. He ended up in trendelenburg.
  6. 1
    I think if a patient knows where their best veins are listen to them. No one wants to be stuck multiple times. I can tell you where the best vein is to cannulate me and get it first go, instead of the six or seven times ( including the doctor) it was attempted.
    DeLanaHarvickWannabe likes this.
  7. 4
    Quote from Rhi007
    I think if a patient knows where their best veins are listen to them. No one wants to be stuck multiple times. I can tell you where the best vein is to cannulate me and get it first go, instead of the six or seven times ( including the doctor) it was attempted.
    I don't think anyone disagrees with you, but I have had patients tell me "they always get this vein on the back of my arm." Well, many times, that vein has previously been 'gotten' its final time.
    nrsang97, Esme12, Altra, and 1 other like this.
  8. 2
    My biggest pet peeve is rude patients. I had a pt. last week who made me so mad I was shaking. First she yanked the call button out of the wall because she had been waiting 20 minutes! When we get in there she insists that she needs IV Fentanyl for and I&D of 3 small (I'm talking less than a dime width) abscesses in her armpit. I'm sure they were incredibly painful... but she was so rude I didn't even want to help her. I did my best to smile and be kind, said I was stepping out to get her some pain medications, she said "well do it quickly!" When I get back to her room she mimed clapping and said "good job!" Just rudeness from start to finish. She ended up leaving happy, with 2mg IM Dilaudid on board. I finished the day wondering what I could have done to make the entire encounter less painful for me.
    Which made me think of another pet peeve... people who take no responsibility for their health or care. Had a parent take her kid in BY AMBULANCE for mild abdominal pain x 1 day... kid was running around the room bouncing off the walls. When I go to discharge them, she says she needs medical transport back home...? And I give her the number for the cab company that takes her insurance. Does she know her number? No, of course not. Did she bring her purse/wallet with ID and insurance info? Nope. So here I am with pt. reg digging through old files of hers to find her *$^&#* insurance card info. Mind you this is a healthy, able bodied, young woman with her more than healthy 8 yr old child. Blew my mind.
  9. 1
    While I am not an ER nurse yet, I am the mother of 2 kids and have had my fair share of visits to the ER. I do NOT get the people complaining about ER wait times. We have never waited more than 45 minutes and even that was because they had 3 ambulances pull in about the same time as us. Just yesterday, I took my 14 yr old son to the ER for a deep gash to the bottom of his foot. So there we are at the admit desk getting signed in. Another patient comes up and says that he has "cut off his finger". Now mind you, there is no visible blood on the paper towels that he has it wrapped in. But my son has a bath towel wrapped around his foot saturated with blood. A triage nurse comes out to look at the 2 patients with lacerations. They promptly get a wheelchair for my son and we are wheeled back. The man gets all upset because "I cut off my GD finger off, his can't be that bad, I should go first" The nurse said "Yep, he definitely has you beat. And by the way, you did not cut your finger off" Later, when the guy is finally seen, I can hear the man getting upset because he did not get stitches, only steri-strips. And of course wants a pain med. All I could think was, it takes a real man to try and outdo a kid for severity of injury at the ER & then go for the pain meds.

    When we have needed the ER, we have never had to wait and unreasonable amount of time. Now that being said, we also only go to the ER when it is an emergency.

    I'm in nursing school now and hope that we will get a chance to see what the ER is like before graduation.
    rangerlil likes this.
  10. 2
    I spent 2wks in neuro/stroke unit at Easter this year due to low pressure headaches after a double tap. When I went home I got twice daily calls from pain management and my neurologist as well as 3 docs in ED. ended up back with brain irritation and vomiting from pain.
    teeniebert and Kgibson089 like this.


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