An open letter to the ER triage nurse

Nurses Relations

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 TELE, CVU, ICU.

I think someone already mentioned how we are being turned into glorified waitresses.

I'm just thinking, where are all my tips?

Specializes in CCU-ICU, Informatics.

You absolutely need to send that letter to everyone you can think of sending it to including the ER manager, the CNO and CEO of the hospital, and if you know who they are, the members of the Board of Directors of that hospital. I would also send it as an open letter to all local newspapers in your area. The experiences of you and your friend highlight that there are some very serious problems with that facility that need to be addressed immediately. Unfortunately, it seems that all too frequently these matters are swept under the rug unless the situation is brought out in the public. Please use your terrible experience to speak out for those who will be unable to do so when they are wheeled through those ER doors.

Apples and oranges.

Um, no not really.

Yes, I will admit, there have been many situations in the ER that have gone worse than what the OP has posted. But just because she received decent care and made it out alive doesn't excuse the nurse's behavior. In the same time it took to tell the OP that having to use the bathroom was not the nurse's problem, she could have explained herself better in probably the same amount of words.

I am still waiting to have it explained what was so outrageous about what the OP asked and expected? I don't understand why people are posting about fluffing pillows and nurses being waiters. It is not like she is writing a letter because the nurse brought her a Sprite that didn't have enough ice in it. I mean, if she had to pee, wasn't she SUPPOSED to tell the nurse? And what if she had come alone instead of with her friend? Who would have helped her to the bathroom then?

Um, no not really.

You cannot equate and ER with a restaurant. It's absurd, but highly indicative with what's wrong in healthcare.

A lot of people consider them to be equivalent.

Specializes in LTC.
You cannot equate and ER with a restaurant. It's absurd, but highly indicative with what's wrong in healthcare.

A lot of people consider them to be equivalent.

Never mind. :yawn:

You cannot equate and ER with a restaurant. It's absurd, but highly indicative with what's wrong in healthcare.

A lot of people consider them to be equivalent.

I am floored that I have to explain this:eek:

The only way the ER and a restaurant are similar is that they both deal with the PUBLIC. I am not trying to make nurses into waiters. When I was in the hospital the nurses would often get on me for trying to do too much for myself. I am saying that just because you render a good service or product to someone does not mean that you can talk to or treat that person any kind of way. I mean, if the only standard the ER has is "well, you made it out alive, didn't you?" then that is sad (and yes, making it out alive carries a lot of weight, :lol2:).

You STILL didn't explain what was so outrageous about what the OP wanted or expected...because you can't!

If you are being treated like a waiter/maid in your profession then I can kind of understand your frustration. I am a stay at home mom, so I get treated that way and don't even get a pay check or health care for it:uhoh3:

You cannot equate and ER with a restaurant. It's absurd, but highly indicative with what's wrong in healthcare.

A lot of people consider them to be equivalent.

I would be willing to bet money (something I don't have a lot of) that what is "highly indicative with what's wrong in healthcare" is inadequate staffing. That would probably solve so many problems on so many levels.

Specializes in CVICU,ED,ICU,Nursing Supervisor.
I would be willing to bet money (something I don't have a lot of) that what is "highly indicative with what's wrong in healthcare" is inadequate staffing. That would probably solve so many problems on so many levels.

I believe you also asked what if the OP had been by herself..well if she had been by herself i can probably bet you money the triage nurse would have assisted her to the bathroom. as to the above remark, it is also highly indicative of what is wrong with healthcare that a) i have a patient telling me how an er nurse should have done her job without knowing what that job entails and 2. that said patients and lay people feel the need to judge and dictate how i should do that job.

blast away as always.....

You don't have to have a nursing degree to know how to talk to and treat people with respect. I never said she should have taken her to the bathroom, I think I remember saying the response to the OP was wrong. I am not trying to tell anyone how to do their job, and I don't think I have done that in any of my posts.

I think they should start offering reading comprehension skills in nursing school, or at least stress it more in grade/high school. This is getting silly.

Some observations:

-- There sometimes seems to be, esp. in ER, ICU, etc., an abyss between the physical part of care and the human part of care. I know. I know. It's all the same -- theoritically. But too often in some situations, the body becomes separated from the person.

-- This idea of "equating" the ER with a restaurant, and then the comment: "A lot of people consider them to be equivalent." Oh, really? Are patients that stupid? Professionals in the ER often see the worst of humanity and they get jaded. Patients aren't stupid. Thus...

-- Whether ER people (and everyone in medicine) like it or not, what they do is a "service." There is an economic transaction that takes place. They don't do it for free. I know -- you don't like the word customer or perhap seven client. But the caregiver/patient relationship, though a complex one, still has economic elements to it. You can't get away from that. People pay for a service. Now, don't give me this "They have insurance" stuff. Many people "pay" for insurance, or have earned it over the years. So...just because they're not paying out of pocket doesn't mean they haven't paid.

--- Yes, some patients don't understand the pressures caregivers, esp. ER people, go through. But some ER people don't understand the very personal aspects of certain conditions, like what it feels like to have (or think you're having) a stroke. More empathy is needed from both sides.

-- Finally, as I said earlier -- what bothers me most, is that patients don't complain, then hold it in and let it all fester, and complain on threads like this. IMO, it's best to get that complaint out, make sure the right people get it, and then move on. Believe it or not, the rightly phrased complaint put in the right hands can cause changes for the best.

Some observations:

-- There sometimes seems to be, esp. in ER, ICU, etc., an abyss between the physical part of care and the human part of care. I know. I know. It's all the same -- theoritically. But too often in some situations, the body becomes separated from the person.

-- This idea of "equating" the ER with a restaurant, and then the comment: "A lot of people consider them to be equivalent." Oh, really? Are patients that stupid? Professionals in the ER often see the worst of humanity and they get jaded. Patients aren't stupid. Thus...

-- Whether ER people (and everyone in medicine) like it or not, what they do is a "service." There is an economic transaction that takes place. They don't do it for free. I know -- you don't like the word customer or perhap seven client. But the caregiver/patient relationship, though a complex one, still has economic elements to it. You can't get away from that. People pay for a service. Now, don't give me this "They have insurance" stuff. Many people "pay" for insurance, or have earned it over the years. So...just because they're not paying out of pocket doesn't mean they haven't paid.

--- Yes, some patients don't understand the pressures caregivers, esp. ER people, go through. But some ER people don't understand the very personal aspects of certain conditions, like what it feels like to have (or think you're having) a stroke. More empathy is needed from both sides.

-- Finally, as I said earlier -- what bothers me most, is that patients don't complain, then hold it in and let it all fester, and complain on threads like this. IMO, it's best to get that complaint out, make sure the right people get it, and then move on. Believe it or not, the rightly phrased complaint put in the right hands can cause changes for the best.

God bless you. Thank you for getting it:up:

I am floored that I have to explain this:eek:

The only way the ER and a restaurant are similar is that they both deal with the PUBLIC. I am not trying to make nurses into waiters. When I was in the hospital the nurses would often get on me for trying to do too much for myself. I am saying that just because you render a good service or product to someone does not mean that you can talk to or treat that person any kind of way. I mean, if the only standard the ER has is "well, you made it out alive, didn't you?" then that is sad (and yes, making it out alive carries a lot of weight, :lol2:).

That's not at all what your comparison implied. Getting "service" at a restaurant is not like getting "service" an an ER. The only similarity is that you're getting service. The services, however, are not equivalent.

You STILL didn't explain what was so outrageous about what the OP wanted or expected...because you can't!

You must not have read all of my posts.

If you are being treated like a waiter/maid in your profession then I can kind of understand your frustration. I am a stay at home mom, so I get treated that way and don't even get a pay check or health care for it:uhoh3:

:anbd:

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