Accident Scenes: Do You Always Offer Assistance?

Nurses General Nursing

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Had an interesting experience when I took my sister and BIL to Portland International this morning: as I was pulling into the terminal, we saw a woman lying on the ground with several people standing around, looking frantic. Of course, I'd rather NOT have to be a nurse on my days off, but there were no EMS around, and these people looked like they had no clue as to what to do, so I jumped out of the car and ran to the scene. The poor lady, who was of indeterminate late middle age, had just been pinned between two cars and had sustained probable crush injuries from the hip to the knees....it didn't appear that she'd lost much blood, but as I assessed her she started to shiver violently and I knew right away she was going into shock---her pulse was rapid and thready, and she was beginning to fade out. There was a bystander who volunteered his recently-acquired CPR skills if needed, so I knew we could keep her going if we had to, but at the same time I was hoping we wouldn't have to!

So I yelled for someone to find me something to cover her with, and luckily another bystander had a couple of fleece blankets in his truck.....otherwise, there wasn't much I could do for her except hold her hand and keep her talking, and thank goodness someone had already called EMS, because they got to the scene about two minutes after I'd arrived and took over from there. Now I'm back home, hoping she's OK, because she was beginning to look pretty bad just before the paramedics got there..........and I'm wondering, does everybody here feel that being a nurse requires them to assist at accident scenes, or whenever they see someone in distress?

I don't mean when there's an ambulance on the scene and the REAL experts are available---I figure the EMTs are a whole lot better equipped and better trained in emergency situations than I am---but when it's obvious someone is in trouble medically and you can't tell whether anyone at the scene is trained to deal with it? I wanted nothing more than to get my people to the terminal---we were running late anyway---park my car, and get some lunch before they had to board, but I just couldn't NOT stop to see what was going on and try to help.

In these lawsuit-happy times (despite "Good Samaritan" laws that help protect first responders, nurses are still held to a higher standard than the average guy-on-the-street), I'm always nervous about treating strangers, even though I've rarely had occasion to do so. But again, I can't just walk away......and yes, I have to admit it made me feel pretty darn good to leave a scene knowing I've helped, if only a little. :)

Specializes in NICU.

Since becoming a nurse, I've only passed one accident where EMS was not yet on the scene. I didn't stop. There was nothing I could do - an SUV rolled over going down an exit ramp and was still upside-down with the occupants inside. What was I supposed to do? Crawl inside and risk my own life? There were already at least 5 or 6 people on the scene to help. Had no one been on the scene or had someone been thrown out of the vehicle I might have stopped, but I didn't feel safe offering assistance if I couldn't even reach the victims. I did call 911 from my cell phone and reported the accident immediately - good thing, since the dispatcher said no one had alerted the EMS about it yet.

I'm still unsure of the laws - some say you have to stop if you're a medical professional, others say you don't.

I agree with the other poster who mentioned being careful stopping for minor "accidents" as I too have heard of people getting mugged or worse this way. Sick, but true.

I cannot emphasize this enough...PLEASE don't do anything that will:

1. Get you hurt.

2. Make you uncomfortable.

3. Is outside of your scope of practice.

I myself always had to wait for the fire department to deal with people in an unstable car, even on duty! Those guys had the equipment and the training to take care of that; I am not a firefighter and my expertise in that area is minimal. I would not expect one of them to intubate! If I did something that I was not adequately prepared for, and then got hurt or injured a pt., workers comp. or the city's insurance would not even touch me.

Also, I noticed that someone mentioned something about helping out on a scene AFTER EMS arrived, which is perfectly acceptable if you are asked to help and don't mind doing so (nurses have saved my bacon on more than one occasion!)

But DO AVOID doing something invasive (like start an IV) or any heavy lifting (like the patient.) I myself would have never asked someone that I was not 200% familiar with to do something that might hurt a pt., or ask someone that was not a fellow crew member to lift anything heavier than a jump kit. It is a huge responsibility to guard the safety of everyone on the scene, including bystanders.

If you offer to do something and the EMS folks decline, please don't be offended...if you were hurt and defenseless, you would not want the people that are supposed to protect you to allow "just anyone" to start their IV or give you medications or defibrillate you. Nurses at the scene tend to do really well at taking a history, gathering up meds, cards,and information, talking to family members, reassurance, and a whole lot of other things that are so important!!

Once, I had a doctor pull over to "help" and basically take over the whole scene, even though he had NO training in this particular area. After he started yelling at me because I would not let him intubate, I just handed him a cell phone with my medical directors home number typed in and told him to ask my boss. After a few minutes of heated conversation, he threw the phone at my partner and drove off at a high rate of speed...what a nuisance.:rolleyes:

Specializes in LTC, assisted living, med-surg, psych.

See, that's what I mean........you have to stay within your scope of practice and expertise, recognize your limitations, and let the people who do this sort of work everyday get in there and do their job. Personally, I'm as good as anyone when it comes to starting IVs, but out in the field? Huh-uh. I would no more initiate an IV on a patient lying in the road than I would let a paramedic give meds to a post-op patient on my floor.....we are both trained to perform these tasks, but it's when we stray off our "home turf" and take our practice into unfamiliar territory that we risk getting into trouble. :uhoh21:

Specializes in ER, ICU, MED-SURG, SUPERVISION.

There are a lot of strange people out there that profess to being what/who they are not, but in 27 years and several states I've known a few nurses like this. Actually, one works in my hospital right now. And FYI, Cake Mate gel is terrific for an unconcious hypoglycemic. Just give it sublingually and it will absorb. Also, this product comes in a tube that is handy to carry as it won't leak or break and also lasts for months without spoiling.

Specializes in ER, ICU, L&D, OR.

I carry no supplies at all in my car

except my golf clubs

And I do not stop to render aid anymore

The Good Sam Law (in my state) may protect us somewhat but can be overturned if we accept a reward or payment for professional services, then we will be held under higher scrutiny. A famous case here in Texas which is used in legal seminars is the nurse who allowed family members to pay for cleaning of her uniform soiled while assisting at an accident scene. She was succesfully sued later for some attorney concocted lapse in professional duty at the accident scene. It involved less than perfect immobilization of a fractue and apparently the attorney proved harm was caused by her negligence. So...be careful out there nurses.

We must know we take a risk if we stop but we do have to follow our own consciences and live with ourselves if we walk away too. I tend to leave accident rescue to the professional EMS and police whenever I can personally. Not to say I haven't helped, but I am cautious.

I carry no supplies at all in my car

except my golf clubs

And I do not stop to render aid anymore

What if I passed out on the golf course and my body was in your way?

The Good Sam Law (in my state) may protect us somewhat but can be overturned if we accept a reward or payment for professional services, then we will be held under higher scrutiny. A famous case here in Texas which is used in legal seminars is the nurse who allowed family members to pay for cleaning of her uniform soiled while assisting at an accident scene. She was succesfully sued later for some attorney concocted lapse in professional duty at the accident scene. It involved less than perfect immobilization of a fractue and apparently the attorney proved harm was caused by her negligence. So...be careful out there nurses.

We must know we take a risk if we stop but we do have to follow our own consciences and live with ourselves if we walk away too. I tend to leave accident rescue to the professional EMS and police whenever I can personally. Not to say I haven't helped, but I am cautious.

:o OUCH!! What a crappy thing to do!! What kind of judge/jury could sleep at night after that? And how badly did she immobilize that arm? It was most likely so badly mangled so in the first place, no matter what a bystander did, it would have lost some function anyways!

:o OUCH!! What a crappy thing to do!! What kind of judge/jury could sleep at night after that? And how badly did she immobilize that arm? It was most likely so badly mangled so in the first place, no matter what a bystander did, it would have lost some function anyways!

I agree, a very crappy thing to do - I don't see how anyone involved in that case slept at night.

judge - shame on him/her for not throwing out the case

family/victim - how dare they sue someone for trying to help

attorney who took their case - :angryfire

jury - :angryfire :angryfire It is one thing to try to get money for greedy a-holes, it is another thing entirely to hand it over to them...and out of the hands of someone who was trying to help.

The thing is, it does happen, and it happens more often that we know. It's sad, but true.

Just because you don't stop at every accident doesn't mean you aren't a nice person.

I came across an accident this morning on my way to work, it was on a busy interstate and there were about 6 cars lined up to give assistance. I did not stop because there were already a lot of people around and I knew that EMS was less than a mile away. I did however call 911 to make sure that someone had called. I was able to give them the exact location of the accident which the previous caller wasn't able to give. I was reasured that EMS was enroute. The person in the accident was going to be in good hands. I wouldn't have been able to do anything as I didn't have any equipment with me and no backboard in my trunk. As it was there were a lot of people milling around on this busy highway and I was concerned that they were putting their own lives in danger by the way they were parked and running back and forth across the road.

I carry no supplies at all in my car

except my golf clubs

And I do not stop to render aid anymore

With amused affection, I am not surprised. You have very definite opinions, and the liberal "help all at all cost" just doesn't seem like you. (I agree)

I am soooo chuckling while I write this.

Reminded of a golf joke:

Man came home from goling, wife asks how was the game? Man said terrible, Jack had a heartattack. wife said, oh no, how awful for you, Man said

"Yeah, it was 'hit the ball and drag Jack', 'hit the ball and drag Jack".

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