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.

From reading the entire thread, I see that most of the posters agree the triage nurse didn't sensor her words and as a result offended the OP. We don't know what was going on behind the scenes. I would have grace and write the nurse herself how it made me feel in a short and simple letter. Sometimes, you don't realize how you are coming across until someone points it out. It *might* make her reflect on different ways of handling different situations, or not. Things happen and are said we are all human. What ever the OP poster does you can't make someone apologize or change. That can only come from the person themselves.

Most of the ER nurses that have responded in what could be said as uncaring or brash are exactly the nurses who *I* would want as *my* ER nurse because I know the patient *I* am. I need someone who will clearly and with authority give directions to me when I am in pain or sick.

I can respect that, but I think the bolded can be done without giving a patient rude, snarky comments for reasonable requests.

There may be patients who expect the ER to run like a restaurant, but I don't think the OP was one of them. Neither am I. I only mentioned the restaurant because restaurants provide a service where you judge the product and the person providing the product. Whether you like it or not, that happens at hospitals too. I know that a hospital is NOT a restaurant and nurses are not waiters (how many times do I have to say that:uhoh3:). Sometimes in the hospital you are not going to "Have It Your Way" (Burger King) because your way may not be good for your health. Heck, your way might kill you.

I completely know the difference between restaurant service and a hospital ER. Let's not go there.

I think that people in whatever profession can do there job, taking care of patients or whatever their profession, without being rude. And no, I don't support patients being rude to staff just for the he11 of it. You don't have to have a nursing degree to know that.

Why do you think my post was directed specifically at you? Not every post I write in this thread is aimed at you.

It was another poster who asked if I thought "patients were that stupid?" which was why I re-emphasized that point. Spidey's mom said succinctly what I've been trying to say myself.

I can respect that, but I think the bolded can be done without giving a patient rude, snarky comments for reasonable requests.

From reading the entire thread, I see that most of the posters agree the triage nurse didn't sensor her words and as a result offended the OP. We don't know what was going on behind the scenes. I would have grace and write the nurse herself how it made me feel in a short and simple letter. Sometimes, you don't realize how you are coming across until someone points it out. It *might* make her reflect on different ways of handling different situations, or not. Things happen and are said we are all human. What ever the OP poster does you can't make someone apologize or change. That can only come from the person themselves.

Most of the ER nurses that have responded in what could be said as uncaring or brash are exactly the nurses who *I* would want as *my* ER nurse because I know the patient *I* am. I need someone who will clearly and with authority give directions to me when I am in pain or sick.

Please read my bold. :) People mess up and say things. We need to have grace.

Please read my bold. :) People mess up and say things. We need to have grace.

Oh - I like that. Grace.

I agree.:up:

Specializes in ..

fribblet,

you sure are investing a lot of energy into this post. some things are indefensible. if this much energy and effort are required to ‘make your point’, you probably don’t have a point. let it go.

Specializes in ..

The Ghost Whisperer just spoke with the Horse Whisperer and the dead horse says to 'please stop beating him.'

fribblet,

you sure are investing a lot of energy into this post. some things are indefensible. if this much energy and effort are required to 'make your point', you probably don't have a point. let it go.

i agree and so would anyone else with an ounce of compassion.

fribblet,

you sure are investing a lot of energy into this post. some things are indefensible. if this much energy and effort are required to 'make your point', you probably don't have a point. let it go.

thank you for expending your own energy to tell me how to best expend my energy.

your point also rings true for those engaging with me. interesting that you fail to mention that...

Specializes in Emergency Medicine.
ABSOLUTELY POSITIVELY send that letter to the nursing director of the hospital, the ED manager and the nurse (use her name and describing characteristics ie hair color, glasses, etc). Also, CC each individual on the bottom so they know it is going to everyone. SO sorry you were treated that way! SHAME ON THAT NURSE!

Besides the fact that you shouldn't treat a person like that, I would NEVER let a pt experiencing neuro changes walk to the BR without MY assistance. I probably would have requested that you use a bedpan for your safety and pulled the curtain for your privacy.

SHE WAS IN TRIAGE!~

I would NEVER let a pt experiencing neuro changes walk to the BR either. And working on both sides of the ER door I am assuming since this pt was brought in by EMT's or Paramedics (which by the way is so demeaning to refer to them as "attendants".) with what the OP refers to is "neurological symptoms" the severity of the symptoms had to of been downgraded that this crew was advised to take the pt to triage and not back into the ED for IMMEDIATE evaluation.

I have no tolerance for ingnorance on either side. It is unacceptable from the pt AND the nurse. I work ED, I work trigage, I know what the "battle field" is like. And I also know, THERE ARE TWO SIDES TO EVERY STORY.

Thank you for expending your own energy to tell me how to best expend my energy.

Your point also rings true for those engaging with me. Interesting that you fail to mention that...

After spending all that energy this morning reading this entire thread in one sitting, I think there still are issues to discuss.

The consensus regarding the nurse's comment is yes, most of us think it was rude.

But does it merit all this . . . hysteria?

I favor the posts where people mentioned talking to the nurse herself before going over her head or to the newspaper.

Others think we should . . . basically slaughter her.

I just don't think the event merits that kind of reaction.

And yes, that is important to discuss.

As is general public rudeness.

Good nursing care.

How being a triage nurse works.

How every nurse feels frazzled and makes comments we wish we could take back.

Why we feel frazzled.

(I have noticed that some folks haven't read the whole thread because the "attendant" issue keeps coming up and the OP is from Canada and explained that already).

Specializes in Rodeo Nursing (Neuro).

While I still disagree with several posters on several matters, I am not being forced at gunpoint to participate in this discussion, nor do I imagine many others are. If the horse is dead, he won't mind being beaten.

I think it is a bad idea to give the letter to the media (yes, I have worked in media). It will be made into a much bigger issue than what it is by the time the media is done with it. The only way I would alert the media is if it was a more serious issue, or health was compromised and the hospital was doing nothing about it.

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