Why you love/hate ER - page 3

hi everyone! i am considering a move from ortho/trauma to er but am nervous about moving and being the "new guy" all over again. so, i wanted some opinions from those of you in the er. can you tell... Read More

  1. by   NurseDennie

    I think I've noticed something that might ADD TO the problem of non-emergent situations being taken to the ER. The home doc TELLS them to go!

    I have been fighting off something that presents a lot like a kidney stone. It hurts a lot - sometimes more than others. I can't tell you how many times during the work-ups from various types of doctors that, if the pain becomes unbearable when I'm not there in the office, I should just go to the ER. I was just disgusted - I told one of them No WAY was I going to an ER for pain that has been variable for over a month!!

    Today, I was in a doc's office on business, a patient called in c/o bx shoulder pain. Doc couldn't see her today, told MA to make her an appointment and if it hurt too bad before he could see her at the regular appointment, tell her to go to the ER.

    I think the ER docs need to have a "chat" with some of these office docs and SPLAIN to them what "emergency" means!


  2. by   l.rae
    originally posted by teeituptom
    howdy yall
    from deep in the heart of texas

    i love er, because pizza is the stable diet food

    yes....that is the litmus test!!!....lol
  3. by   k simon
    Why I hate ER--
    you may not want to read this, but I am about to leave ER after about a year. I did 12 yrs of floor nursing and loved it, just wanted a change. And boy did I get one. Much of this was already said in other posts--- but the most aggravating part is the Freeloaders. Folks bring their kids in for colds, black and blue marks (no joke), and I was there the night a kid was brought in for a temp of 102, by AMBULANCE!!!!! And then there are the drunks who come in every so often cuz they are found in the street. I call the ER "our tax dollars at work." And I feel it's totally unrewarding. I do think ER nurses have the most awesome skills in the world, and unfortunately I never did get to their level.... but I can't wait to get out of "the free clinic."
  4. by   Tiiki
    Wow, so much has been said, what can I add? My biggest surprise in going to the ER from the floor was seeing the pts first hand, not "prettied up" as they were when they usually got to me upstairs. I love not knowing what/who is going to come in next, and how their condition can turn on a dime. It's such an adenelin rush. I love that its a constant learning experience. I leave each shift with new skills and new knowledge. I love being able to give the personal touch to my patients, whether it's holding a hand, or listening to their concerns. We may not consider their maladies life threatening, but when you are elderly and alone, aches and pains can be frightening. We must remember it's relative.

    There isn't a lot that I don't like. One of the things is that there is no down time in the ER. it's go go go. It's so emotionally and physically draining that after a shift I have little left for my children. I also get pissed at ungrateful pts. The ones who think the ER is the Hotel Hilton and we are bellhops. I have very little patience for that. I actually had one couple in....the husband would always talk for the wife (who was the pt). I finally said.."why can't she answer." His reply stunned me. He said.."she doesn't deal with the hired help!" I answered.."well she had better start dealing with me, A, I am NOT working for you, and B, I am the one who will be treating her." Unbelievable!!

  5. by   teeituptom
    Howdy yall
    from deep in the heart of texas

    I agree to many private docs are sending their pts to us for workups because its faster and easier than arrangiing it themselves or they are too busy.
    I placed a pt the pther night in 2 bed cubicle and the pts wife said, Oh you putting us in a ward..
    I just smiled
  6. by   JBudd
    originally posted by bluebear
    hi everyone! i am considering a move from ortho/trauma to er but am nervous about moving and being the "new guy" all over again. !
    it feels really odd to go from being the senior know it all(:chuckle ) to being the raw newbie, been there done that. but it is worth it. just don't be afraid to ask lots of questions. i worked lots and lots of years on the floors and step downs before going into the er, from being the preceptor to preceptee. these are two different worlds! so keep asking. the good thing is, you (we) don't have to relearn how to organise time, or assess people the way new grads do, so you are already a couple of steps ahead.

    come on in, the water's fine! 'course the smells are something else...........
  7. by   kathkrn
    I am in agreement with pretty well everything that has been said.
    I've gotten use to the drunks (I usually the pool winner in the 'alco-lotto'), the frequent flyers, the name droppers (I'm friends with/related to/my doctor is...). I came from a reconstructive ortho/gyne/ENT floor. I loved it there, but the amount of knowledge that you utilize and that you gain, nothing can compare.
    My BIGGEST problem is people that reproduce when they really shouldn't be allowed. Bringing a child in with a fever x >24hrs. and when asked if they have given Acetaminophen/Advil etc., I am told no because their child does not like to take medicine. Well, after a 4 hour wait, at least, and one of us talking to the child, the parents usually don't have problems with their kid refusing. And these are the ones that will walk into the acute room and ask home much longer as the patient with the acute MI is going into pulseless v-tach after thrombolytics!
    An ER nurse is a different breed of nurse, though. A sense of humour, and usually a warped one, in manditory - you won't survive without one.
    I love what I do, I have an amazing group of colleagues and friends. I would not change it for the world.
    Best of luck.
  8. by   kathkrn
    It's love and hate.
    I hate the stupidity of people who come in at 0200 for a pain that their family doctor has been assessing for 2 years, for people that were referred by docotrs with ECG changes at 1400 and it is now 0100 (because the 'pain wasn't really that bad), people that should not have been allowed to reproduce...

    I love my co-workers, the excitment, the critical thinking...I love what I do. The complaints/what I hate, that's second to why I love it. I have learned to do the PR, and bite my tongue...
  9. by   teeituptom
    Howdy yall
    from deep in the heart of texas

    Had a patient tell me the other night he had donated 50,000 dollars to the hospital last year, and for that I should triage him ahead of everyone else....... I just smiled.........

    Maybe he is one of those people at disney world who spend the extra money for one of their special tours so he doesnt have to wait in line like evryone else.
  10. by   tinyrn
    I am a relatively new ED nurse (3 1/2 months) but a floor nurse many years before- I absolutely LOVE the ED. There's always something different coming in, and even the ones we think are repeaters (aka Frequent Flyers) sometimes turn out to be truly sick- keeps you on your toes. It's a challenging environment, especially when you're trying to chart on your patients and the crew from "Alcoholic's Alley" all start chanting "Nurse...Nurse!" at the top of their lungs. Where else can you experience the beginning, middle and end of life all in one day?! My biggest frustration is the 'I'm-gonna-die-if-you-don't-fix-my-hangnail-right-now-syndrome' while you're trying to treat a stroke-in-progress, a fresh MI and an active GI bleed all at the same time. Our staff is truly great and we all help each other- Docs are great too! I just feel lucky to be able to work in a place where I can do what I love and feel appreciated by staff and sometimes patients. Wouldn't go back to the floor for ANYTHING!
  11. by   Faby
    Hi. I've been reading all these posts and I realized that nursing in ER is the same all over the world. I love it I've been in ER for 8 years ( about 8 years ago ) It seems to me the most challenging nursing area., where you see the results of your actions inmediatly. You can also learn a lot. I think the most challenging patient and the one I love to care is the "multi traumatized", is this how you call him?
  12. by   teeituptom
    Howdy yall
    from deep in the heat of texas

    we call them a lot if things, trainwrecks, to plain old trauma patients. Here they call them PORTs. priority one response teams, cute name. Just means ya gotta work
  13. by   ibweebles
    well said everyone but my 3 most disliked er's is the, "1 wheelchair rollover at the nursing home" we send out a ambulance so the NH nurses won't have to pick the patient up off the floor and put em to bed. we get em and nothing is wrong but we have to see em and treat em -- and more than likely keep em since they came in by ambulance.
    another 1 is also NH related - get a call of a nonresponsive pt at local NH and that they are a full code, we get em and they are "wide eyed and bushy tailed" and talking to us and telling us that the NH is so boring they wanted to get out for a few to see what was happening in the real world.
    the last 1 i dislike is the mothers that come in with a baby in their arms and tell me that the baby has a 104 temp, and when i take it i get a 97 temp. they tell me that they haven't tried tylenol or advil or a cool bath or anything to help lower a temp just picked em up and brought em to the er. but they swear that the baby had a high fever, " i just know it" . but don't know how to read a temp on a therm.,,,,, then find out they don't even own 1 ! ! ! ! !
    well so much for my grumbling but thought i'd add my thoughts --- have a good day and keep up the