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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!
I'll be honest...I am seeing what the OP wrote in a very, very different light.Cursing at people, making sarcastic remarks, and getting your EMT friends to laugh at another healthcare professional, doesn't really add anything to your profession but give it a bad name.
I can equally probably list quite a few horror stories of EMT's that thought they were physicians and seemed to move at a snail's pace when the situation was grave.
I used to have class with one, and the instructor barred him from bringing up his "scraping off the sidewalk" stories from class because they never contribute to the discussion. He eventually dropped and when I saw him outside of class and asked him why he dropped he said (while spitting tobacco into a cup), "I just don't need to take a step backwards in my career by being a nurse."
I'm not sure how things are in other parts of the country...but around here, unless you need to get cut out of a vehicle...they are not held in high regards.
I'm not saying that all EMT's are like that...but most of the ones that I have met, are pretty arrogant.
why, thank you, i'm glad to know that you think that we emergency service providers are not held in high regards.
i don't think any of us have said it was ok to bash other health care providers. this thread is a vent, made by an EMT who is ALSO A NURSE. i've been a paramedic for years, before i became a nurse, and i've had many nurses obstruct a scene, and many nurses help a scene. it all depends on the situation and the approach..
i don't think it's fair for you to judge all EMS based on the ones you've met, as arrogant. do a ride-along. you might change your mind.
why, thank you, i'm glad to know that you think that we emergency service providers are not held in high regards.i don't think any of us have said it was ok to bash other health care providers. this thread is a vent, made by an EMT who is ALSO A NURSE. i've been a paramedic for years, before i became a nurse, and i've had many nurses obstruct a scene, and many nurses help a scene. it all depends on the situation and the approach..
i don't think it's fair for you to judge all EMS based on the ones you've met, as arrogant. do a ride-along. you might change your mind.
Thank you flightnurse2b for comming to my defense, I wasn't going to put alot of stock in BabyLady's comment, take a look at what she wrote in another thread:
"Re: If you could invent nursing supplies, what would it be?
Acme Physician Shut-Up Spray
It would come in an aerosol can and whenever a Physician said something rude or stupid, you just spray it in their face...it would paralyze their vocal cords to where they couldn't make a sound."
Yah I see she also holds Physicians in high regards
I also am a RN/EMT and I can totally relate to some of these situations. One of the situations I have experienced that stands out in my mind was when I was eating in a cafeteria and the only medical people there just happened to be me and a table of nursing students. Well a lady started choking and no one realized it at first until she was face down in her food... how no one noticed, I will never know! Someone finally saw her and came over and tapped me on the shoulder (I was in my scrubs) and told me "I think that lady needs some help" So I look over to where she was pointing and I see that she is face down in her food and she is completely blue. I get over there and that she isn't breathing (obviously) and I can't find a pulse, so I began calling for help while I attempted to lower her to the floor. All of the nursing students come over and most of them stood back with that "deer in the headlights" look while one decides that he thinks he knows more than I do. He refused to help me lower her to the floor and kept saying that we needed to stand her up to do the Heimlich, so finally I told him to back up because I was getting her to the floor one way or another. Another student steps up and says "well don't drop her" so I told her that she better help me or get out of the way and the 2nd student finally helped me get her to the ground, but she was concerned about hitting the ladies leg on a chair, so I had to tell her that bruises would heal, but if we didn't get the lady to the ground she was going to die. So we get the lady to the ground and I start cpr while the 1st student still keeps trying to push me out of the way telling me that we need to stand her up and do the Heimlich!?! Even after more help arrived, the first nursing student kept trying to push people out of the way!?! I am absolutely amazed at how some people react to situations, some are very helpful, others get scared, and others become know-it-alls. I hope that I will always stay in the "helpful" category!!
I once was the first medical person on a scene at the Portland airport where an elderly woman had got pinned between two vehicles and was going into shock. People were standing around gawking, and I just jumped out of my car and dealt with the situation; e.g. covering her with a blanket borrowed from someone's van and getting another bystander to call 911 while trying to keep her calm. As soon as the EMTs arrived, however, I gave them a brief report and got out of there......I know darn well they know more about how to handle these situations than I do. I'm under no illusions about my critical care skills, and I'm more than happy to get out of the way and let the experts do their jobs.
Also, I don't stop at accident scenes if there are police and/or paramedics present........I figure they've already got it under control.:)
I'll be honest...I am seeing what the OP wrote in a very, very different light.Cursing at people, making sarcastic remarks, and getting your EMT friends to laugh at another healthcare professional, doesn't really add anything to your profession but give it a bad name.
I can equally probably list quite a few horror stories of EMT's that thought they were physicians and seemed to move at a snail's pace when the situation was grave.
I used to have class with one, and the instructor barred him from bringing up his "scraping off the sidewalk" stories from class because they never contribute to the discussion. He eventually dropped and when I saw him outside of class and asked him why he dropped he said (while spitting tobacco into a cup), "I just don't need to take a step backwards in my career by being a nurse."
I'm not sure how things are in other parts of the country...but around here, unless you need to get cut out of a vehicle...they are not held in high regards.
I'm not saying that all EMT's are like that...but most of the ones that I have met, are pretty arrogant.
Perhaps you mistake confidence for arrogance. EMTs have to operate under far less than ideal conditions, have little to no support from physicians, no IV teams, code teams, and none of the other trappings of the hospital. They don't have sophisticated diagnostic tools available. In fact they may be easily an hour away from any of these in rural areas. Yet, they have to keep the Pt alive until they can get to a hospital. Most often they do.
They also have to keep a constant eye out for safety concerns, be it the careless or impaired driver who doesn't slow down for the flashing lights, the freaked out family member, or the shooter who wants to finish off the guy he only wounded.
So, yeah, a little arrogance might just be a desirable trait. Or is it the confidence that comes from doing a very tough job well?
Perhaps you mistake confidence for arrogance. EMTs have to operate under far less than ideal conditions, have little to no support from physicians, no IV teams, code teams, and none of the other trappings of the hospital. They don't have sophisticated diagnostic tools available. In fact they may be easily an hour away from any of these in rural areas. Yet, they have to keep the Pt alive until they can get to a hospital. Most often they do.They also have to keep a constant eye out for safety concerns, be it the careless or impaired driver who doesn't slow down for the flashing lights, the freaked out family member, or the shooter who wants to finish off the guy he only wounded.
So, yeah, a little arrogance might just be a desirable trait. Or is it the confidence that comes from doing a very tough job well?
i have to agree with babylady- I have also experiened the macho, swaggering EMTs who think they know everything, and are standing around smirking when a situation is dire.
One such incident- I was working at an indian reservation in an outpt clinic, when a cuffed, jail inmate who was brought into my unit w/ a law enforcement escort started c/o CP during a treatment. I called EMS. They arrived and loudly proclaimed the pt to be "faking it" and were rolling their eyes, smirking and not doing anything. One EMT started loudly stating some of the pt's medical hx that she was aware of, in front of other pts.
The EMS people were arguing w/ me about the pt's condition. I got on the phone and called their supervisor who ordered them to transport the pt to the ER- which was less than 1/2 a block away.
Turns out the pt had an acute MI, and was in the hospital for several weeks. He ended up being air-vacced to a large, metro hospital.
I was the only licensed person at the clinic, no docs, and no other nurses. No back up, no partner- just me
Their behavior was arrogant, inappropriate, negligent, and was in no way related to "doing a hard job well."
Thankfully, when I had to call EMS again on other occasions, I got great personnel who responded appropriately and professionally.
i'm not going to deny that there are not "paragods" as i like to call them out there.... because there certainly are... but not all of us are like that.
i'm the first one to admit i've become quite hardnosed from being a paramedic for so long... but i have never, ever, to my knowledge disrespected anyone or their judgement.
... All of a sudden this lady runs up with scrubs on, bringing her stethoscope and blood pressure cuff. She proceeds to take the victim's blood pressure.
This person should not be in health care, in my opinion...
And what is with all the people that go out on daily tasks with scrubs on? (This woman showed up in her scrubs)
Maybe it's just me that thinks it's odd, but our teachers have driven it into us that we can't be properly keeping asepsis when wearing scubs outside of work (restaurants, grocery stores, etc.) Tracking illnesses outside of the work place and back into the workplace.
BabyLady, BSN, RN
2,300 Posts
I'll be honest...I am seeing what the OP wrote in a very, very different light.
Cursing at people, making sarcastic remarks, and getting your EMT friends to laugh at another healthcare professional, doesn't really add anything to your profession but give it a bad name.
I can equally probably list quite a few horror stories of EMT's that thought they were physicians and seemed to move at a snail's pace when the situation was grave.
I used to have class with one, and the instructor barred him from bringing up his "scraping off the sidewalk" stories from class because they never contribute to the discussion. He eventually dropped and when I saw him outside of class and asked him why he dropped he said (while spitting tobacco into a cup), "I just don't need to take a step backwards in my career by being a nurse."
I'm not sure how things are in other parts of the country...but around here, unless you need to get cut out of a vehicle...they are not held in high regards.
I'm not saying that all EMT's are like that...but most of the ones that I have met, are pretty arrogant.