Nurses & Emergency Scenes

Nurses General Nursing

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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 Making the Pt laugh..

This thread has been an education, it explains the atitude of the local paramedics when I helped out on a couple of occasions. I have trained in pre-hospital trauma through the army (Medical Corps) and was a volunteer with the local ambulance (St John) for a number of years before doing a bit of nursing. I have an idea though not an expert on roadside accidents.

For example: A 12yo came off his bike (busy road, no parents and two very scared friends for support) ./c obvious communited # of both Tib/Fib of his right leg. I started conservative treatment and waited with him for the Paramedics for about 40/60. I tried to start a handover, MR MIST, GCS N/V status, etc. to be told, "Thanks, we got it, you can go now." I stood by out of the way to have the Paramedic ask in a snarly voice, "Why didn't you splint the leg?" Duh? I had it sandbagged for protection and to avoid movement because I didn't want to have to lift a floppy limb (by myself), especially without analgesia. Maybe I was sensitive but I would have thought that at least first aid treatment and a handover would have been appreciated.

Maybe this guy had a few of the clowns similar to some of the other posters in the past and wasn't taking any chances.

Specializes in CVICU.

I saw a cement truck roll right in front of me before. I stopped and went over. The driver was obviously pinned by the engine, and there were glass shards everywhere preventing me from even entering the cabin. I told him that we had called for help. There was obviously nothing I could do except talk to him and tell him that help was on the way.

Meanwhile, some stupid RN/LPN from the local podunk hospital comes rushing up, screaming, "I'm a nurse" blah blah. Completely ignores me and anything I say about how the poor man is stuck and that there is glass everywhere. I ended up leaving as there was nothing I could do personally except call EMS. I'm suuuure she was of much help to the poor paramedics!

Specializes in Med Surg, ER, OR.

You guys definitely did a great job, and I really feel for you man! As both a vollie FF and an RN, i know how you felt at that time. I would have just looked at her and thought, "Who in the world do you think you are? You have got to be kidding me. Did you not see the big red trucks with all the pretty lights and all of us in our pretty bunkers? That clearly wasnt an invitation for all to join. And you said you are an LPN right? Do you know how to hold c-spine, board, stabilize a hip with a blanket, or use a triangular bandage?" I hate the stupid bystanders on MVAs or fires, let alone, people who feel they can actually help. I have been thankful once when we had an off-duty vollie FF respond first on scene to a vehicle fire. He called it in, made sure all were ok, helped us get line charged, and got the heck out of dodge. (but, we was also on a mutal aid dept, so all was cool).

Specializes in EMS, ER.
Did you not see the big red trucks with all the pretty lights and all of us in our pretty bunkers?

Hmmmm I think I might have figured it out thanks to mcknis, we have yellow trucks so must be everyone thinks we aren't real firefighters and EMT's LOL :D

I have only ever stopped at one accident scene, when the paramedics were obviously already there.

Back in the late 80's I was on my way to work, dressed in full NHS nursing gear (blue dress, belt with buckle and even my nice white cap). I sat in traffic for nearly an hour and finally crawled past the scene. I pulled over and lept out of the car. As I ran towards the nearest police officer, he kept repeating "Miss, we don't need you the ambulance already left". It took me a couple of minutes to get him to understand that the car sticking out from under a very large truck was my father's. Once he did he was very nice, stopped the traffic again do I could do a U turn on the freeway and got me a police escort to the hospital. Of course it wasn't my hospital, but the staff there called my ward to tell them where I was.

My dad was fine - broken colar bone from the seat belt and covered in broken glass.

To this day I can only imagin what I must have looked like, running out if the fog with coat and cap flapping in the wind - nurse Nancy to the rescue!

Specializes in school nursing, ortho, trauma.

I have been a firefighter as long as I have been a nurse. It wasn't until i got into a conversation with a lady i know who is an emt instructor that i decided to get emt certification (she said, it's only a core 13 and an exam for you). I was glad that i took the emt class. I learned an awful lot that simply is not part of nursing. I had never had to place an oral airway, i had never used a KED before. Oxygen comes out of the walls in a hospital, so it took one of my town's police officers to show me how to change the regulator (i mean, i would have figured it out...). But i digress. I have to be honest that as a school nurse, i have found that my emt training is something that has become important to my practice. When you are the olny source of medical aid in a building with boatloads of kids, emergency medical skills come in handy in making snap decisions.

I can remember a lot of times when people would see the accident scene and feel compelled to offer their services. We had one very bad fatal accident involving a child and had a dermatologist (a dermatologist!!) push his way onto the scene to demand that he take over. Mind you, this is while we were upto our elbows in twisted metal and holmatro tools. Needless to say, he was escorted away. On the other hand, there have been times that it's just been myself, the cop and my partner on the rig trying to remove a person from their car at an MVA. Not enough damage to need FD - just have to get this hysterical person onto the back board and then off to the ER. A few of those times i have had a helpful nurse come by and offer to lend a hand - trust me when i say it was appreciated.

My rule of thumb is this: ambulance or fire truck on scene and i am driving on by. If i witness it or there is just a lonely, frazzled cop there, i'll stop to lend a hand. If they don't need me, i continue on.

I am currently fire chief on my department, which comes with a nifty cool incident command vehicle all decked out with lights, enough antennas to reach

as for people coming onto my scene - offering is fine. if i need you, i'll tell you. Otherwise, step aside. If i were in the first scenario given by the OP with me in my bunkers getting the Spanish Inquisition from some person who may or may not be an LPN i'd have probably done that same thing and handed her off to the police to occupy her and show her (or him) to the curb. Though i probably would not have been able to resist asking her for her credentials. but then, i'm a chop buster...

by the way, rrffemtguy:

Hmmmm I think I might have figured it out thanks to mcknis, we have yellow trucks so must be everyone thinks we aren't real firefighters and EMT's LOL :D

you AREN"T a real firefighter unless you have a red truck:lol2:

Specializes in EMS, ER.
by the way, rrffemtguy:

you AREN"T a real firefighter unless you have a red truck:lol2:

Thanks, thanks alot, not like I haven't heard that before LMAO!!!!! :lol_hitti :D

All I can say is whoa.

Specializes in Med Surg, ER, OR.
Thanks, thanks alot, not like I haven't heard that before LMAO!!!!! :lol_hitti :D

You better believe it, man. i think you may be out-numbered here LOL!!!! But, its true, real men (and women) drive RED trucks!:lol2:

Specializes in EMS, ER.

Doesn't matter what color as long as they pump water & get the job done, and hey, at least they aren't lime green :bugeyes:

You better believe it, man. i think you may be out-numbered here LOL!!!! But, its true, real men (and women) drive RED trucks!:lol2:

Sorry, but any other color than red is for wuzzies....:yeah:

Real Men and Women Firefiighters Drive Red Trucks!

Specializes in Making the Pt laugh..

I thought real men used pink stethescopes, thats what my mum told me.......

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