Nurses & Emergency Scenes

Nurses General Nursing

Published

Ok, I've just got to ask this, what is up with nurses and accident scenes, please forgive the length becasue this is kind of a rant on both stupidity & safety :icon_roll

Here's the background, I'm an RN, and I'm also a volunteer firefighter/EMT and I've had 2 interesting experiences in the last year, most recent today.

The first was a fairly serious vehicle accident, I ride out on our ambulance and walk up, looking the vehicles over immediately thinking "oh crap this is going to be a jaws call, looks bad". I go over to the drivers door of the vehicle which is the most seriously damaged (in full firefighter gear & jump bag over my shoulder) and find a woman in scrubs looking in the window, staring at the obviously unconscious driver. I ask her to step out of the way and she replies "I'm an LPN at such & such hospital", to which I respond, "ok, what's going on with the patient", and she goes, "she's bad", I'm like "ok, just step out of the way please", and she goes "what are your credentials", at this point I'm like "I need to get in and assess her airway, I'm an EMT", she says, "well didn't you hear me I'm an LPN", my response, "get the hell out of the way". She goes off the side of the road and starts pitching a fit to the Trooper (who is a friend & member of the same FD I'm with), and he tells her, "look he's an EMT, and an RN, did you see the accident occur?, no?, do you have anything to contribute to the accident report, no, ok, maybe you should be on your way". WOW!

The second was today and was much more humorous, we have a 2 car accident in a major intersection, all patients have been removed from the vehicles and in the ambulances (both still on scene), an Assistant Chief and I are getting the information off the vehicles when this woman comes running, I mean really, really running down the road past all of the Fire Police & State Troopers who are yelling at her "STOP, STOP", and busts into the middle of this accident scene yelling "DO YOU NEED ANY NURSING STAFF!!!!!!!!!!" Pretty much all we could do was give her a dumbfounded look and say "what?", so she yells again "DO YOU NEED NURSING STAFF!!!!!!!", so I smile and say, "yeah, if you're paying about $35 an hour I'll take the job" everyone busts out laughing and she's all confabulated and says, "wow this really looks serious, is anyone hurt bad", the chief replies "no, it's worse than it looks and everyone is out of the vehicles, could you please step out of the puddle of gas & anti-freeze or I'm going to have to have that guy over there with the hose wet you down so you don't catch on fire", she says, "well, I'm an RN & I can help", someone else speaks up & says "we have people that are actually trained in emergency medicine", she goes "oh, you do?, ok", and turns around and walks off. WOW!

I understand the need to want to help, been there, been doing that for a long time, but honsetly, holy cow, what the heck. What I've observed is: 1. If you have no idea what you're doing, never done it before, think ABC's are from Sesame Street, please, you're not much help. 2. If there is fire equipment/ambulances there, chances are the scene is under control & the patient(s) is/are in good hands, don't add to the mayhem. 3. Don't rush into something and become a victim yourself, and compound the situation, if you don't have proper PPE don't place yourself into a dangerous situation be it from BBP's, fire, cuts, hazardous materials, getting run over etc etc etc.....

Think before you act please, yes some situations warrant your assistance and others don't, use a little common sense & be safe!

Specializes in EMS, ER, GI, PCU/Telemetry.

i'm a paramedic/LPN and although i do stop at accidents if i see them happen or if someone looks very badly injured and there are no first responders there, if the police/ems/fd are already there.... they don't need my help.

i've actually twice pulled up to an accident scene and been graciously helped, once by an LPN and once by a nuclear med tech. the LPN stopped at a MVA and climbed in the window of the car and stabilized someone's neck until we arrived, and the nuc tech pulled up to a MVA and actually held pressure on a profusely bleeding head wound until we got there.

but i have also had to ask a few nurses who've stopped to please step out of the way because once my partner and i got there we want to assess and go and i know they mean well and want to help but in the field i cannot really use many more hands than we've already got just because we are not in a controlled situation.

i do remember this one time i was at disney world with my mom and my sister and my mom tripped and fell and cut her knee. this woman came flying over like almost she was waiting for it to happen and had this fanny pack in hand with all these medical supplies in it. we were all laughing histerically that my mom had tripped over nothing and were just sitting there for a minute (we're a weird family) and this woman thought we were crying i guess, so she was like "i'm a nurse! where are you hurt! let me help! step out of the way miss!" and proceeds to shove me and pull out all sorts of like kerlix and peroxide from her fanny pack. my mom was like "no it's ok, i'm a nurse and my daughter is a medic, we got it" and she would not leave! she was like "No ma'm let me assess you!" the thought was nice, but wayy tooo much.

Specializes in ICU/Critical Care.

I don't even carry my penlight but she's ready to wrap a limb. lol.

Specializes in ER.

I'm from the ER too, and once EMT's get there I move out of the way, or follow orders. I once came upon an accident scene without EMT's and tried to help but felt like I lost about 20 IQ points without all the ER gear around to help me.

Specializes in EMS, ER.

If you think these are good, I've got two more I can think of off the top of my head.

Back in the early 90's (dating myself here) when I was a new EMT we were dispatched to a car pedestrian accident w/possible serious PI. I roll out of the station with 3 guys with about 9 months experience between them, I had been in about 3 years & figured we could at least get the guy stabilized untill more help showed up. We get on scene and there is a guy laying in the street who had obviously been thumped extremely hard, he had a huge hematoma on the side of his head and I could see his abdomen distending just standing & watching. No one is showing up & I have the 3 rokkies fetching what I need when our local super surgeon shows up and asks if I need help, so of course I'm all like "surgeon, HELL YEAH I NEED HELP!" The doc leans over looks at the guy and goes "he needs a CT scan", I'm all like, "yes he does, help me get the c-collar on him" and the doc says again "he needs a CT scan" the panic rising in his voice. I tell the doc, "hold manual stabilization on the c-spine while I collar him", you can guess what the good doctors response was LOL I stood up, took the doc by the shoulders and said as calm as I could "doc I left my cat scanner in the back pocket of my other pants", he goes, "oh ****, I'll meet you at the ER" jumps in his car and goes screaching off with the tires smoking.......

Another time we did a non emergency transport of a family member to an out of town hospital, she had a PCA so we took an ICU RN with us on the transport. We're on our way back and come across a car on its roof, so naturally we stop, the nurse goes, "I'm not getting out, bring the patient to me", okee dokee, no problem. We get the guy in the back of the truck, primary assessment is nothing serious, but he has a cut on his lip from the airbag. The nurse turns about 5 shades of green, jumps up, bails out the side door and tosses her cookies right there on the side of the road, she gets back in and the guy is laying there collared and boarded and says to her "are you ok" and she goes, "just a little nervous, never been to an accident before"....

Specializes in EMS, ER, GI, PCU/Telemetry.

Another time we did a non emergency transport of a family member to an out of town hospital, she had a PCA so we took an ICU RN with us on the transport. We're on our way back and come across a car on its roof, so naturally we stop, the nurse goes, "I'm not getting out, bring the patient to me", okee dokee, no problem. We get the guy in the back of the truck, primary assessment is nothing serious, but he has a cut on his lip from the airbag. The nurse turns about 5 shades of green, jumps up, bails out the side door and tosses her cookies right there on the side of the road, she gets back in and the guy is laying there collared and boarded and says to her "are you ok" and she goes, "just a little nervous, never been to an accident before"....

:lol2: this actually made me laugh out loud.

I think it's nice that people are still willing to help even in today's litigious society. A simple, "Thank you for stopping to help but we have it covered" could go a long way. It would be nice if all medical professionals showed one another proper respect on all sides.

Specializes in EMS, ER.

For every funny/horrifying story I can tell there really are alot of good ones too, nurses who help out and lend a hand. We had a call at the local walmart recently for a pt having chest pain, I get there and there is a nurse that has done a good hx/ quick assessment, those are the days I thank god that that person didn't walk by and say, "oh that doesn't look good". A couple years ago we had a call at the county nurses office for a diff breathing, that was sweet, I stood with the clipboard and wrote while the RN staff put the pt on o2, monitor, did vitals, lung sounds etc, what an awesome profesional bunch to work with.

Specializes in Psych, ER, Resp/Med, LTC, Education.

They can only sue you if you abandon them before someone of equal or greater credentials arrives to relieve you...(and EMT's/Parametics qualify as that)......and the care that you give while waiting, as long as you tried, is not puting you at risk. You are still covered under good samaritan.

Specializes in EMS, ER.
I'm from the ER too, and once EMT's get there I move out of the way, or follow orders. I once came upon an accident scene without EMT's and tried to help but felt like I lost about 20 IQ points without all the ER gear around to help me.

We have a fairly new EMT who has 15+ years of ER experience, she will admit that it took her about a year to get used to the EMS side of things but let me tell you once she got her feet wet & got some experience the melding of the 2 disciplines have made her one hell of an EMT. We have a joint understanding, I'm a fairly new RN and I have to say someday I hope to have half the knowledge she does about nursing and she'll help me out with that as long as I help her with EMS, pretty sweet deal :)

When I was a new nurse I took an EMT-1 class just for fun.

In order to work in our ER, you have to be an MICN, so I took that class too.

We have one RN and a Paramedic and EMT-1 in our 3 bed ER. Well, 5 beds if you count the gyn room and triage.

We all work very well together as a team.

Oh . . I forgot . .. the doc!! We have one doc also.:coollook:

steph

I swear that accidents happen all the time in front of me...not little fender benders but Level 1's. But I always stop and render aid til the Fire Dept or Ambulance gets there and sets up then I tell them I'm leaving. Since I'm in a rural area they frequently have me stay and help. But it is their scene, and it's under their control, and I do what they tell me to do.

I don't want to hijack this thread but here is a post from a Dec. 23 accident I stopped at and saved the guys life:https://allnurses.com/general-nursing-discussion/i-saved-life-357774.html

The man is doing well, minus one arm at the shoulder.

Before nursing, I was also a FF, EMT in a small town. I've experienced the want-to-help nurses and doctors. Some are great, and some are a big safety headache. Some seem to just want to show off.

We went to a bad MVA with three serious injuries one time. There was an MD on scene, and we were holding our collective breaths to see if he was going to be an asset or liability. He was great. Told us he wasn't an ED doc, but an endocrinologist. Asked us what we wanted him to do. He was definitely an asset, and that scene ran as smoothly as could be.

Lots of people, EMTs included, think they can function more or less independently in an area they haven't been trained it, and it's almost always not ture.

+ Add a Comment