i didn't know this actually happened - page 4

Had a patient who called 911 for her water breaking at full term. I mentioned it to another nurse who was like "and why are you surprised by that?" i didn't know people actually did that.... Read More

  1. by   Medic/Nurse
    dawngloves- Most paramedics "diagnosis" all the time, but few want the opinion of the paramedic, plus I did not carry many of the joy-joy drugs - so it's off to the ED. For the biggest part of my practice - I know in my case - the only reason to really go to the hospital is confirm that I got it right! (kidding, but only a little)
  2. by   txspadequeenRN
    Please tell me that this dont happen.....

    Quote from SC RN
    Not me!!! I teach Prepared Childbirth classes and I tell my class that this is NOT a big deal, and for Pete's sake, please, please, please do not fish it out of the toilet and bring it to L&D with you ... we don't want to see it!!!!!
  3. by   oramar
    At least a person with minor medical problems actually have something wrong with them. A few years ago a medic told me that sometimes people use the city ambulance service as a cab. Ducking out the door when they arrive and going to the place they actually want to go. City ambulance service is still free I think but then of course it is not, the tax payer foots the bill.
  4. by   dawngloves
    Quote from NREMT-P/RN
    dawngloves- Most paramedics "diagnosis" all the time, but few want the opinion of the paramedic, plus I did not carry many of the joy-joy drugs - so it's off to the ED. For the biggest part of my practice - I know in my case - the only reason to really go to the hospital is confirm that I got it right! (kidding, but only a little)
    That's ineresting, because nurses are not capable of making a medical diagnosis. Sure I can look at someone and say, "He's having an MI" but the doctor is the diagnostician in that case. I can only make a diagnosis of " Pain secondary to MI".
  5. by   TrudyRN
    Quote from EricEnfermero
    While it most likely didn't justify a 911 call, the reality is that far less emergent patients arrive by ambulance in emergency rooms every day.

    Examples I've encountered: Patients with jammed fingers, little kids with colds, people who have had a cough for two weeks. It can really boggle the mind.
    I guess the 911 staff are required to transport, legally, or they would tell them to get their own ride some other way. Does anyone know the legalities on this issue? It is a horrible waste of public funds, yet it does happen all the time.
  6. by   TrudyRN
    Quote from snowfreeze
    Community behavior, someone else is always responsible for me. Call 911 to take my drama queen self to the 5 star facility who will give all my friends bus passes to get back home and free lunch tickets too. Hey I am entitled to this as a US citizen and where is the social worker so I can not get evicted as I have not paid my rent for 3 months cuz I am pregnant.

    Why the bus tickets and lunch passes? To non-patients? I could see providing a little something to eat for the father but why the whole clan?
  7. by   BSNtobe2009
    I collapsed at work once (I found out later it was from exhaustion), and I got a bill from the ambulance service.

    Do some people get this paid for?
  8. by   smk1
    I was so embarrased to keep showing up at the hospital "in labor" only to be sent home that I didn't want to go when the labor was really progressing. (i was quite embarrasing to be recognized by several different nurses. However, I really was "in labor" each time. Contractions felt the same each time as the time they kept me, and they dilated my cervix and effacement was happening to...the progress would just stop. I think the tons of prenancy books out there make you think you know whats going on when you actually don't.
  9. by   smk1
    on the other hand there is some great info in there because some stuff nobody tells you about. That whole mucous plug, bloody show stuff... that would have shocked me if I hadn't read about it in the book. Probably would have shown up at the hospital emergency for it too! lol
  10. by   mitchsmom
    Quote from TrudyRN
    I guess the 911 staff are required to transport, legally, or they would tell them to get their own ride some other way. Does anyone know the legalities on this issue? It is a horrible waste of public funds, yet it does happen all the time.
    Someone else surely knows the details more than me, but I understand that this varies from place to place. Apparently, some HAVE to take anyone who calls and some services can assess the situation and decide.
  11. by   OB_or_NICU_hopeful
    deleted because I'm tired and saying dumb things.
    Last edit by OB_or_NICU_hopeful on Oct 15, '06
  12. by   NewERLPN
    As an ER nurse I can tell you MANY stories of blatant abuse of EMS. For example- Chronic Foot Pain
    N/V x1
    The list goes on and on...
  13. by   medsurgnurse
    Quote from Miss_Chybil
    I'm not a nurse, yet, but I've been around the block a few times. When I am a nurse, I plan to focus on fixing up my patients and sending them on their way with as little judgement over their circumstances as possible.
    Enough said. And you think we that actually nurses don't take care of our patients and try to educate with as little judgement as possible.

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