An open letter to the ER triage nurse

Published

I wrote this letter to a Triage nurse. I don't know her name as she did not introduce herself to me. I haven't decided what I am going to do with it...but I figured I would post it here to start. It's an interesting experience being on the other side of the gurney for a change.

Let me know what you think.

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I write this letter to the ER triage nurse who was on duty May 11, 2011 at a local hospital.

On that day I was taken to the ER by ambulance. I had experienced sudden neurological symptoms, was having trouble standing and walking and was very frightened even though I was trying very hard to stay calm. Anyone who's been in that situation knows how awful it is and how your mind races thinking up the worst case scenarios. I had chosen your hospital because I had been there in the past and know it to be an excellent hospital.

When you called me in (the ambulance attendants had to take a number and wait to be called) you sat down in front of your computer and started to take the report from one of the ambulance attendants. You barely looked away from your computer screen, and from my perspective didn't make eye contact with the ambulance attendant. You did not look at me or acknowledge me.

When you were done, I asked you if it was possible for me to go to the bathroom. You waved past the triage room towards the waiting room and said, "There's a bathroom over there, you can walk there."

My friend, who had accompanied me, responded, "But she's having trouble walking."

You responded, "That's not my problem. I can't go to the bathroom for her. There are wheelchairs all over the place."

The ambulance attendants helped me into a wheelchair and my friend took me to the bathroom.

You didn't know this at the time, but I will tell you this now....I am a Registered Nurse and have been for 26 years. I know what it is to be overwhelmed, overworked, undervalued, underpaid and frustrated. I know what it is to be stressed and I know how it feels to burn out. I've been there, done that and have the t-shirt so to speak.

I truly understand that your job can be difficult at best, But let me ask you something....how is all that my fault?

What did I, as your patient, do to deserve to be treated so rudely? Do you think I wanted to be there strapped to that ambulance gurney? Do you think I timed having my bladder being so full it was painful right for that moment? How much would it have cost you to turn to me and actually look at me? A nursing assessment consists of at the very least looking at your patient and not just relying on the report of the ambulance attendants. How difficult would it have been to simply tell me that you would get me a wheelchair once you were done? (There was one right next to my gurney) How difficult would it have been to crack a little smile? I wasn't asking anything complicated, all I wanted was to pee.

Remember, I am one of you. I too have been on your side of the bed and I too have felt the sting of the profession we chose. So I think it is safe for me to say, with some authority borne from experience that there is never an excuse for a nurse to treat his or her patient the way you treated me.

I'm writing this to put a voice to this problem. I know I'm not the only patient who's had to go through this or worse. Sadly, this kind of behaviour has become rampant. I see examples of that everywhere. Our current health care system with all its problems has put our profession is in crisis. The lack of funding, lack of resources and lack of staffing means that nurses are shouldering a huge burden. I get that! But our patients are in crisis as well and we are the professionals who are caring for them. That's why we are nurses, to care for people. Caring means kindness, not rudeness.

My friend, who is not a nurse, was aghast. She later told me that while we were in the triage room she witnessed another nurse yelling at a very elderly woman and dragging her down the hall by the hand. My friend was going to say something but was told by the ambulance attendant not to say anything because the nurse would "make a spectacle of her."

That is a sad statement considering we are talking about a profession known for caring. Have some of us really forgotten who and what we are and why we are doing what we do? Maybe we should all spend some time on "the other side of the gurney" for a change.

I do have to add one thing however, the ambulance attendants were phenomenal. They were caring, gentle, patient and knowledgeable...literally everything a health care professional should be and more.

Specializes in ER, Rehab, TCU, Medsurg.
don't read the "things you'd love to tell patients and get away with it" thread. your head will probably explode.

thanks for the tip.

i try to rise above the negativity.

ignore ignore ignore.

Specializes in Making people feel better.

What an ******* she is...is all I'm sayin-- hope that's allowed on this forum.

How you feelin now??? I hope you're all better!

Specializes in Making people feel better.

Ohhhh....when you say nasty stuff on this site they bleep you lol!...anyway, I wish you the best!

I hope you are feeling better . Unfortunately I have been on the wrong side of the gurney a few too many times. I hope that when I graduate and work (hopefully in a hospital) that I never meet nurses like that. I chose nursing to help people, not yell at them or ignore them, because it sure doesn't feel good. :nurse:

As an ER nurse (who sometimes works triage) let me say I am truly sorry for your experience. I am very pro-patient and pro-nurse, and I know I will take some heat for this, but I have a few comments. First, I'm glad you had such wonderful care and attention for your "ambulance attendants". This being said, perhaps you could show them the respect they have certainly earned by their education and licensure and call them paramedics (I am also a LICENSED paramedic as well). Ambulance Attendants are people who put patients in the back of a car and then go up front and drive. Paramedics are licensed personnel who make medical decisions about care. Attendants stopped being used 40 years ago.

There is no excuse for your treatment in the ER. I have been on all sides: as a medic waiting in line with a patient with a AAA and an OR waiting, as a patient, as a family member and patient advocate and nurse. I've also been a triage nurse in an ER that sees more than 350 patients a day. Unless you have tried to weed out actual sick people from those just looking for 3 hots and a cot, or been the sole care taker of 15 sick patients in a room designed to hold only 3, and more keep coming through the door, you will never understand the stress involved.

I agree with those who said you missed the opportunity to "out" yourself as a nurse and get better treatment. Unfortunately, sometimes we don't get the help we need unless we start bugging people. I think you should definitely send that letter. I would imagine that you wouldn't be the first person to have complained about that nurse, and the only way to get these people out of those jobs is to have enough patient complaints.

In addition, I think that a letter of praise would be in order for the medics who took care of you. I would though, Use the term Paramedic or EMT (whichever they were) and NOT Ambulance Attendant :) Notes of praise are few and far between and this crew sounds like they deserve it.

If you do indeed send the letter to the hospital, let us know the outcome, will you?

Specializes in Rodeo Nursing (Neuro).
Ohhhh....when you say nasty stuff on this site they bleep you lol!...anyway, I wish you the best!

Yes, the Terms of Service prohibit bad language, even when justified. FYI, some words, like ass, can refer to an animal or a body part. In former times, to refer to someone as an ass meant to compare them to a donkey. Which is not entirely fair to donkeys, who have many admirable qualities, but can be a bit stubborn. Usually, I don't think of a jackass as someone who is remarkably sure-footed. And I've never heard a woman called a jennyass.

I'm glad I could be of assistance in this important debate.

Specializes in oncology,med/surg,psych..

We must speak out against such rude abuse ! Everyone has a boss to answer to and that boss should be able to address such rude behavior with their employees. I also agree that hospitals run short staffed all the time to save money and the Nursing staff pays the price for this. I worked the ER & Triage for 10 years and always applied the Golden rule to all my pts. Kindness can save you from a law suite ! Let us work hard to be kind to each other and enjoy the blessing as a result. Alter your Attitude and you can Alter your life !! Stress is a killer and we must try to control our response to it !:yeah:

First of all, you should have acted as your own advocate. That being said, I will say this, I have been in nursing for a long time, and the changes I have seen in those entering our profession have scared me. So many of the newer graduates have little or no compassion or kindness in them, to the detriment of our profession. I have observed many of them being cold and callous to pts both in triage and in treatment rooms. My answer to that is to walk up to them, take them aside, and ask them "would you want your family treated this way, or talked about in this manner?" You would think that they would stop and think, but they shrug their shoulders and go on talking about the stuffy "old Nurse"--I don't know what the answer is. I know that I can only be responsible for my actions and I will do the best by my pts.:confused:

Specializes in TELE, CVU, ICU.

So glad I'm not in Canada. In any case, after reading every single post in this thread I still wonder if some people have their halo on straight. We are not hand holders anymore. Haven't been for a long time. That being said, it is truly an art to get the job done right and show compassion at the same time. I will definitely try to cultivate that talent as a nurse after reading this. If I'm ever a patient, I will use the experience to take better care of patients. I will not choose to be vindictive, and ruin the career of someone who ****** in my Cheerios. Being a nurse manager hardly makes one an expert on the field, and I think someone's sense of entitlement is showing.

So glad I'm not in Canada. In any case, after reading every single post in this thread I still wonder if some people have their halo on straight. We are not hand holders anymore. Haven't been for a long time. That being said, it is truly an art to get the job done right and show compassion at the same time. I will definitely try to cultivate that talent as a nurse after reading this. If I'm ever a patient, I will use the experience to take better care of patients. I will not choose to be vindictive, and ruin the career of someone who ****** in my Cheerios. Being a nurse manager hardly makes one an expert on the field, and I think someone's sense of entitlement is showing.

As several other posters have mentioned, the exists the possibility of the nurse being severely reprimanded or fired.

What does it say about the state of our "profession" when something so trivial could result in something like that?

Specializes in OR, public health, dialysis, geriatrics.

You need to send this to the hospital administer, the director of nursing and the ER/ED director at the very least. I would also send it to the local paper.

Specializes in icu/er.

if you write a letter of complaint you need to put your name on it if it is to carry any wt. if you were treated in the fashion that you descibed, im sorry for you and feel your disgust. but ive seen many a complaint without the complainers name attached to it and it carries much less wt and may even be tossed. ive seen it happen before.

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