it definately can go both ways. i am not defending either or, im just playing both sides of the fence.
i am a paramedic, and also a nursing student who happens to be doing clinicals in a nursing home at this moment. the thing ive noticed, is when a patient needs to be sent out, before the EMTs even get there, the nurses are talking about how much they "hate EMTS because they dont know what they are doing and are cocky", and when the EMTs get there, they have a chip on their shoulder kinda like "oh god not this place again. these nurses are dumb."
i truly do respect nurses who work in LTC, god bless you all, because i dont know how you do it. it is incredibly difficult work.
honestly, my experience while working in the field with nursing home pts has not all been good. i dont relate it to the nursing staff, but the lack of nursing staff. the nurses and aides are so overwhelmed with so many patients and so many things going on that when we would arrive it was difficult to find anyone to explain what was going on because nurses always had to run and scoop someone off the floor, fumble through medical records to find labs, get nana off the potty, etc etc, and EMS wants to go, go, go. the one thing i know that would upset me (and i admit i am impatient) is when i wanted information and the primary nurse was no where to be found to give it to me.
i have learned alot from being in clinical at the nursing home, and i now see how incredibly stressful and busy the job of an LTC nurse is.i have responded to many calls at LTC that were organized and the nurses were very helpful and the patient was transported quickly. i have responded to calls where we have saved lives together.
but, i have also responded to many calls where as soon as we arrived, eyes were rolled at us and orders barked. i have picked up patients who have been dead on the floor for hours, and no one knows what happened. i have picked up patients that have DNR/DNI/DNH orders, and if we refuse to take them, we are the bad guys for not wanting to get charged with assault and battery.
i think something ive learned from being on the other side, and spending clinical time in a nursing home is that we as EMS dont know the facilities protocols, and vice versa. recently, a patient at my nursing home coded, and CPR was not initiated because the patient was a DNR per their facility. when EMS arrived, they did not have a copy of the state DNR, only the facility DNR, and EMS is obligated to perform CPR until a copy is produced. ugly words were exchanged and heads were butted. i pulled the ADON to the side, and once i explained this to her, she calmed down and the patient was transported and pronounced at the hospital ER. she also told me that she doesnt hates paramedics... she just doesnt understand why we do the things we do.
i know there are definately impatient and nasty paramedics. but there are also not so friendly nurses. im not trying to upset anyone, just seen it from both sides, and it definately goes both ways.... just two totally different worlds colliding.