Sometimes you just can't bite your tongue.....

Specialties Emergency

Published

Not too long ago, I had an assignment in our fast track area, working with a notoriously slow provider. Folks were waiting longer than usual for their non-emergent and often not-even-urgent complaints, and getting more upset than usual. I had one family start to carry on:

"Is there only one doctor in the ER??"

"OMG, this hospital sucks, someone could be dying and they'd be waiting for hours!"

Well, the second one did it. I turned to the family and said "There's one doctor in this section, so that more doctors can get to the dying patients in the other section quickly, so that they do not have to wait. Are you worried that your child might be dying? Because I can assure you, he is not."

Of course it didn't quiet them down, they kept going on and on about what the "poor dying people" in the ER must be doing waiting all this time. I told them not to worry about those other patients, and what exactly I could do right now to help them. Surprisingly, that actually got them to quiet down.

I think the hard part about this time was that the provider really WAS moving slowly, despite my efforts to speed things along. And in keeping with my nightly theme of not biting my tongue, I actually told the provider that he needed to work more quickly and multitask better in the fast track area. You can probably guess how that went over.

Specializes in SNF, LTC, MED/SURG, ER.
I got a round of applause for this one, but it wasn't a patients' family it was an intensive care paramedic who is known to be an arrogant and nurse despising jerk. He is one of those ambos who will phone through critical patients only because he has to, then refuse to tell you the patients' vital signs, preferring to only speak directly with the senior doc. He also thinks he knows a little bit more than he does. Most of us have little love for this man. The patient was an 18 year old with a new (undiagnosed) AML- pancytopaenic, febrile, and peri-arrest en-route, had atropine etc. He had treated him as a suspected meningococcal infection (moron). It was one of those days in resus, all our senior physicians including our director, that's 5 ED ninjas (attendings? FACEM or consultant in OZ) were in different bays doing the following, 2 were intubating, one was doing a chest drain on a tension ptx, one was running a multi trauma with a massive transfusion in progress and the other was running a PEA arrest. I had sourced these guys from the back offices when everything turned to rubbish, usually we only have 1! Yes this was the worst resus shift I was ever in charge of in case you were wondering. Anyway, in rolls this poor kid. They transfer him across and 3 nurses and an intern are onto him straight away doing what we do and this guy is just looking at us refusing to handover until a senior doctor arrives. I couldn't find one straight away but one was coming, as soon as he finished intubating-This ambo says this in front of the patient "Um, what the F is going on here? Where is the Facem?". My response, probably a little too loud "Every senior physician in this department at this very moment is performing a life saving procedure, YOU are going to have to wait, or you can tell me and my colleagues so we can start treating him properly, I will pass on your OPINIONS as soon as they arrive if I think they are relevant and if you could keep your profanities to a minimum we would all appreciate it". He was speechless, and everyone else was smiling, including his partner.
To quote Alias on clerks 2 " ooooo sick burn!!" you ninja, you!
Sorry. Had to laugh. Been there done that. Drama queens are the same everywhere you go I guess. Just to remain mysterious... I would have added, "our provider in this area is very methodical and thorough." and let them chew on a response to that.

And they start the behavior in elementary school............

mc3 :paw: (a worn out school nurse)

I simply sit down and very empathetically talk to them about their choices for nursing homes after they suffer pneumonia, DVT's, and general deconditioning...

HAHAHA. Ah you are my hero. That is awesome.

Once had a seeker calling 911 from the phone in her room *in the ED*.

Only once? We get this at least once a month.

+ Add a Comment