Need to vent and process this

Published

At the tail end of my day today , I got a call from a teacher who was sending student up to my office thinking student was having an allergic reaction.

Student has full body hives, no further symptoms. I try to call mom, no answer. Get my AP, take vitals, think for a minute, still can't get ahold of mom, decide to give stock epi.

Paramedics arrive and question why I gave stock epi and why they were called-in front of the student!!!! Emergency contact arrives (still can't get ahold of mom) and they subtly try to convince them to refuse transport to the ER. What?!?! Of course, by the time emergency contact asks for transport (thank goodness), paramedic looks at student and hives have dissipated, redness still present (thanks epi!). Tells emergency contact that it wasn't hives, probably just a rash. I KNOW it was hives.

I cannot believe this just happened!

Regardless of what the paramedic had to say, I know that I did the right thing. And to add, I am so incredibly thankful that the teacher noticed this and called me right away and so thankful that admin and the secretaries were there to help and have my back.

3 more days until break.

Specializes in Community and Public Health, Addictions Nursing.

Recently, one of my relatives required EMS at her home for what she thought was, and what turned out to be, a pretty significant heart attack. They tried to convince her to stay home and go to bed. She's elderly and lives alone in a two-story home. And this happened the night before a major holiday. I'm still trying to figure out how to compose myself enough to call that fire station and tell them what the outcome was after they (begrudgingly) brought her to the hospital.

Whether you're a nurse, EMT, whatever, our common goal should always be to get a person to a safe, higher level of care for their medical problem.

I wonder what the issue is with some of the EMT people - if I was an EMT I personally thought that transport wasn't needed I would just do my job and transport the patient and be glad it was an easy, no stress day.

Specializes in School Nursing, Pediatrics.

You did the right thing! Sometimes the paramedics are idiots! It happened to me earlier this year. A kid fell and hit the back of his head, he had a HUGE gash and it wouldn't stop bleeding. Called the parents, they came, and I called 911 because I knew he needed he stitches and I also knew the parents are very poor, have no car and no way to get to ER. Well the EMTs say he doesn't need to go, they wont take him, just put pressure on it. I was LIVID to say the least, they then talk the parents in to just taking him home to rest. Well, guess what, they end up calling 911 AGAIN from home later on because it wouldn't stop bleeding and he needed 10 staples to shut it. I was livid when I found out the next day and I made a report against EMTs.

You did the right thing! Sometimes the paramedics are idiots! It happened to me earlier this year. A kid fell and hit the back of his head, he had a HUGE gash and it wouldn't stop bleeding. Called the parents, they came, and I called 911 because I knew he needed he stitches and I also knew the parents are very poor, have no car and no way to get to ER. Well the EMTs say he doesn't need to go, they wont take him, just put pressure on it. I was LIVID to say the least, they then talk the parents in to just taking him home to rest. Well, guess what, they end up calling 911 AGAIN from home later on because it wouldn't stop bleeding and he needed 10 staples to shut it. I was livid when I found out the next day and I made a report against EMTs.

Holy bad judgement, Batman! What is wrong with those EMTs? Are they getting bonuses to NOT transport?!

Specializes in Occupational Health.

I've not had to call, yet. But EMS were the same way when I worked LTC.

Specializes in kids.

I would say all who questioned, need a lesson on biphasic reactions.

Specializes in ICU/community health/school nursing.
I wonder what the issue is with some of the EMT people - if I was an EMT I personally thought that transport wasn't needed I would just do my job and transport the patient and be glad it was an easy, no stress day.

When I'm feeling charitable I wonder if it's like when I see a frequent flier? No, you don't need ice for that. No, you're not sick enough to go home.

And then I remember that I fully assess errything just in case I'm wrong. Because I sometimes am.

You did the right thing! Sometimes the paramedics are idiots! It happened to me earlier this year. A kid fell and hit the back of his head, he had a HUGE gash and it wouldn't stop bleeding. Called the parents, they came, and I called 911 because I knew he needed he stitches and I also knew the parents are very poor, have no car and no way to get to ER. Well the EMTs say he doesn't need to go, they wont take him, just put pressure on it. I was LIVID to say the least, they then talk the parents in to just taking him home to rest. Well, guess what, they end up calling 911 AGAIN from home later on because it wouldn't stop bleeding and he needed 10 staples to shut it. I was livid when I found out the next day and I made a report against EMTs.

JUST WOW!!!!!! It was my understanding that only the patient (or parent/guardian) could refuse. That seems like a huge liability to me. I have gotten questioned by EMT's why i did not give albuterol to an asthma kid. Well, because I do not have any for this kid - that's why. They really have no clue how limited we are in the school setting. WE ARE A SCHOOL NOT A HOSPITAL!!

Thank you everyone for your support :)

Specializes in school nurse.
I would say all who questioned, need a lesson on biphasic reactions.

Thank you, you beat me to it! It's all well and good when the patient appears okay (the Epi is working, transport-avoidant EMS personnel) but it can wear off in 15-20 minutes...

Those EMTs were jerks. And so unprofessional!

Allergic reactions can take a turn in seconds. Epi and transport was the right call!

Specializes in anesthesiology.
Coming from the ER to school nursing, I can assure you they treat them much differently than the school nurse. They do not ask me for report and pretty much disregard anything I report as if it were false. I called 911 for a teacher with a HR of 170 earlier this year. When medics arrived, it was "only 140" at rest, laying on their stretcher. Yeah... I lied. I lied about his HR of all things, and the fact that he has chest pain, dyspnea, and is diaphoretic. *eyeroll*

OMG I couldn't deal. No way...

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