ER disclaimer

Specialties Emergency

Published

Had a bad day and would like to have some fun. Thought I would try to put together a disclaimer upon signing into the ER that almost sounds professional enough to hand patients.

Thank you for choosing __________ hospital for your emergency care. You have rights as a patient (list patients rights). We also have rights as a facilty to protect you while you are here in our care. We are unsure how long your wait time will be as our patients are seen on level of acuity and not time entering the department. We are seeing ambulance patients as well as patients comming off of helicoptors at any given time through out the day. Please place your cell phones in the box located beside the triage area. You may pick them up upon discharge or we will get it for you if you are admitted. There may not be no more than two visitors at your bedside at any given time. We reserve the right to remove anyone from your bedside that is being disruptive to your care. If you leave your exam room for any reason other than testing purposes, you will need to be re-triaged and made to wait again. We will try our best to make this experience as pleasable as possible for you. Once we get your emergency taken care of we will make every attempt to make you as comfortable as possible. Please do not stand in the hall way once you are in your exam room, all of our patients have a right to their confidentiality and this will not in any way expedite your care any faster. Thanks for your understanding and cooperation.

AKA: I don't know how long it will be before you get seen. You have had that ingrown toenail for 3 weeks and it's not more important than the patient I just took back in the wheel chair. I don't care that you have been waiting for 3 hours and no I will not tell you what was wrong with that patient because the law will not allow me. If youre in your room and text messege all of your sorority sisters on how cool it is that you are in the ER getting I.V. fluids because you are dehydrated from out drinking/vomiting all night than you are not sick enough to be here. If you leave your room every 5 minutes to go outside amd smoke than you are not sick enough to be here. I am a pack a day smoker myself and laid in one of these beds for 8 hours with appendicitis and never once thought about a cigarette. Your second cousin here kids and here two sister-in-laws can kindly wait in the waiting room. You do not need that much family support for your genital warts. I understand that you are tired, sick, hungry, and cold, however once I get your BP above 60 systolic I will get you a warm blanket, call your sister in Florida for you and something to eat if you are allowed. If by any reason you find it necessary to stand in the hallway and stare at me, you will be introduced to the #16 or #14g angiocath so that I may give you the Toradol for your back pain.

Whew I feel better.

Specializes in ED.

I don't think they hate you. They just love themselves more (heh, heh!) I also despise triage. What's really interesting is the long list of complaints and the "Oh yeah, I'm also having chest pains." Curious, I though the chest pain would have come before the ingrown toenail and constipation, but then I'm just a silly nurse.

Some try to up the ante by adding things in if they think it'll get them seen quicker.

As far as Mr Cocaine overdoser goes, I think if you're stupid enough to do the same thing that landed you in the ER for a second time within 24 hours, you've run out of "We'll yank your butt out of the fire." miles and nature should be allowed to take it's course.

Don't get me wrong, I enjoy the work I do, but I don't see where it's wise that we enable stupidity on a massive scale. That's part of the job that I hate.

Joe

What if they have to go to the br?

I was thinking the same.

Specializes in Emergency.

Do you think they put you in triage because they HATE you? Is it to keep you away from everyone else? Is it PUNISHMENT? Sure, felt like it last night - maybe they hated me last night and that's why I'm in triage again tonite? Do they put the crappy nurses in triage to be mean?

I only put my BEST nurses in triage - someone who's clinical judgement that I can trust.

Specializes in Emergency.

IF YOU ARE RECEIVING DISABILITY CHECKS AND COME IN BECAUSE YOU EITHER FELL OUT OF A DEER STAND, FELL OFF YOUR ROOF OR A LADDER, OR WERE COMPETING IN A MOTOCROSS EVENT....GET A JOB!

AND REMEMBER OUR MOTTO: YOU GOTTA BE TOUGH IF YOU ARE GONNA BE STUPID

HaHaHaHa!!!!

:rotfl: :rotfl: :rotfl: :roll :roll :roll :yelclap: :yelclap: :yelclap:

Specializes in Tele, ICU, ER.
I only put my BEST nurses in triage - someone who's clinical judgement that I can trust.

Thanks jojotoo - I needed to hear that! They must trust me ALOT - cause I'm in there again (3rd night) tonite!

You all are great - thanks for the encouragement.

Many times at work we joke about "goody bag checklists" to be handed out by security prior to triage. The patient could select options such as:

1. vicodin or percocet (depending on pt preference) x2 tabs po

2. Phenergan 12.5mg po (in case the pt feels the extra needed drama to impress enterouge of supporters by puking at the guards feet)

3. Emesis basin (again for that extra dramatic effect)

4. work note (the patient could specify amt. of days off)

5. ______________(the pt could fill in whatever else they feel they need. i.e. ace wrap, crutches, sling.....)

Specializes in ER, ICU.
What if they have to go to the br?

Glad you feel better. I think pts should have to sign that when they get triaged.

I've always felt that if you need to go to the BR more than once and it requires my interventions then foley it is;)

Specializes in Hospitalist.

ER Rules:

1. This is an ER, not a bakery. You don't take a number to be seen. If you don't like that, the bakery is up the street and to the left. See if they can help you.

2. (As my wonderful friend with the Southern accent says), "Listen up, people! You get in in the order that you're dying and I decide who's dying, so don't ask me when you get to go back."

3. If you could have visited your primary care physician any time in the last 72 hours with this complaint, it's probably not an emergency. If it were, you would be dead already.

4. Migraine headaches who are "allergic" to Toradol and Imitrex, should just state which narcotic it is that they are seeking in order to expidite things for everyone.

5. Anyone caught faking seizures will a) be moved down on the triage list if still in the waiting room b) Will receive Dilantin 1 g IVPB as minimally diluted as possible as fast as possible (yes, I know it burns like hell, but we don't want you to have another "seizure".

6. We are working on the concept of the drive through ER. Pull up, tell us what narcotic you want, how many days you need off work, and would you like fries with that?

I was out in the penalty box recently and was up to my A$$ in alligators. I had about 35 people in the waiting room and there were always at least 5 people who needed to be triaged. I had a drunk wanting to be detoxed (yeah, I'll jump right on that) and a lady who's kid cut his finger. As luck would have it, the next 4 people who checked in were having big time chest pain, strokes, etc., so I had to triage them first. I'm so busy that the charge nurse is out helping me and I can triage faster than anybody else in the ER. The drunk keeps coming up and harassing my secretary wanted to know why he hasn't been triaged. I finally get up and tell him that he's third to be triaged. He tells me that he was third to be triaged an hour ago. I go through the usual "dying goes first", etc. but he doesn't want to hear it. I tell him that every time I have to get up to talk to him, it takes me that much longer to get to him. By this time, my male charge nurse is standing behind me. The drunk goes on complaining, so I pick up the next chart to be triaged, move his up in the rack and say, "Look, now you're second" and walk away. My charge nurse almost wet his pants laughing.

I work in the ER for the entertainment value. Remember our motto, "If they ever outlaw stupidity, we'll all have to go work at Walmart."

Specializes in ICU, ER.

I like your motto Dixielee, here is the one we toss around at work "you can't cure stupid"

Specializes in Tele, ICU, ER.

Someone post something. I love this thread but I'm too tired. And would someone PLEASE tell patients that it's not our job to feed them 6 box meals at 1am because they "ain't had nothin to eat in 6 days", when they've only been in my ER for 2 hours? For vague back pain. Again. Wearing the socks we gave them yesterday.

You need a sense of humor to work in ER- and a STRONG sense of irony.

A nurse was fired for this comment (and some choice other comments to patients), but I love it:

"You just passed twelve fast food restaurants on your way here and now you're hungry and want me to pull a meal tray out of my ass?!"

+ Add a Comment