Doctor vs Nurse - page 9

I understand and respect that you have had both experiences and that makes you more sympathetic to the LTC nursing side of the equation but frankly, I think this makes your response more emotional and less insightful. As an ER nurse, it is not my fault that your job basically consists of a long med pass. I get that that it is but frankly, and I am being really honest, I don't care and it doesn't give you an excuse to abuse the ER for what is otherwise, a nursing activity well within the scope of your practice.

Do I pull my IVs on discharged patients? Yes, I do. Did my coworker screw up? That's rushing to judgment. She actually thought she was helping. She thought the nurse might need the IV on this difficult stick. Did the LTC nurse screw up by calling 911 to REMOVE A FREAKING IV? Are you kidding me??? I have to say one is more ridiculous than the other.

I am not stupid. I realize they probably have a machine that belongs to another patient but having a massive patient load, any excuse not to take their patient back is a good one. If you don't have one, get someone to phone one in for you. LTC would like the ER to babysit their patient until they can fill a script. Unacceptable. We have a waiting room full of sick people to take care of. Just because you abuse us because of EMTALA doesn't mean you should.

Finally, I am aware of the warning on haldol. Thanks. In health care, we have lost touch with reality. We don't use phenergan in our ER anymore either because of the potential for necrosis. In the two years I did use, we ran it in 50 ml bags and I never not once saw any irritation and an MD I spoke with said he went years and years without problems. We continue to jump through hoops to avoid uncommon side effects when there is a very real risk to the patient if we don't treat them for their confusion. If you don't like what we do to your patients, convince the family to keep patient in the facility but then that doesn't lessen your work load and would require some effort. The ER is simply easier for most people. Maybe you weren't like that but I think most people are. Sorry. True story.

I am reading the threads. I learned so much insights from the replies. Thank you so much.

Now it makes me wonder on what field of nursing that I really want to be in. This had been a reality check for me that ltc is not going to work for me.

I am reading the threads. I learned so much insights from the replies. Thank you so much.

Now it makes me wonder on what field of nursing that I really want to be in. This had been a reality check for me that ltc is not going to work for me.

Finally, I am aware of the warning on haldol. Thanks. In health care, we have lost touch with reality. We don't use phenergan in our ER anymore either because of the potential for necrosis. In the two years I did use, we ran it in 50 ml bags and I never not once saw any irritation and an MD I spoke with said he went years and years without problems. We continue to jump through hoops to avoid uncommon side effects when there is a very real risk to the patient if we don't treat them for their confusion. If you don't like what we do to your patients, convince the family to keep patient in the facility but then that doesn't lessen your work load and would require some effort. The ER is simply easier for most people. Maybe you weren't like that but I think most people are. Sorry. True story.