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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 have to agree with the comments about arrogance running amok in this field. Not just emergency medicine, but ALL areas of medicine.
I used to be friends with someone who was going to school to be a paramedic. She became a very arrogant, know it all, jerk of a person. But then I realized that she was like that BEFORE she entered the field. I guess having a little bit of control over whether someone lives or dies made her worse. Perhaps this attitude has more to do with the person themselves, than it does the profession.
Jeeze, talk about bad memories. Now I'm all ticked off. Thanks, guys
have you ever noticed that most people who belong to a church have "their pew" and they almost always sit there? we had "our pew" at church, and the lady who habitually sat in front of us had a propensity for passing out during the service. dh and i are both icu nurses, and several other icu nurses and physicians of our acquaintence were memebers of the same congregation.
one warm july morning, the lady in the pew in front of us (let's call her agatha) fainted. dh and i watched her friend prop her comfortably on the pew and whip a wet wipe out of her purse and begin bathing her face. usually after a few minutes of this, agatha would wake up and continue to participate in the service. a few other church regulars turned to look, and, recognizing agatha in her habitual slump turned back and continued with their singing. all of a sudden, this woman comes leaping (literally) over six or seven pews from the front of the church to get to agatha shouting "i'm a nurse! can i get some help here?" (or something to that effect.) dh and i recognized her as a management nurse from the other icu at our hospital. then she starts shaking agatha, shouting "annie, annie are you ok?"
dh and i could not contain our giggles at this point. management nurse glared at us, at least a dozen people whipped out cell phones and dialed 9-11, and the priest stopped the service. when the paramedics got there, they said they'd recieved dozens of 911 calls about the situation. "and she always wakes up in a few minutes anyway." of course, agatha was awake and couldn't see what the fuss was about.
they actually put an announcement in the church bulletion that next time agatha faints, just make her comfortable until she wakes up.
I'm afraid I might have been a "leaping nurse" early in my career having worked in a level I trauma Burn Center large teaching hospital. Fortunately for me(and all involved) I got schooled on how much I didn't know about what first responders really do until I took a c.e.r.t course from the local firehouse just to broaden my horizons. I realized all the many things that they do and are responsible for.
I'll stop at an accident if no one or just a few are there but I'm not taking over or standing in anyone's way.
We're all on the same team we just have different roles.
I think that all of us on emergency scenes can appreciate people's desire and drive to want to help. Heck, it's why we all became nurses in the first place. It's more so the gung-ho take charge attitude or the thought that a nurse out ranks an EMT - which i am not saying is false - i am just saying that you don't bring a knife to a gun fight, you don't bring a nurse who has no experience with emergency scenes and use them to replace your EMT's. We all have our place.
On the other hand, i faced a bit of the other side of the fence this past weekend. I was on an ambulance call and went into the back of the rig to assist the paramedics. I kept my mouth shut and let them do their job - after all - i am there in the capacity of an EMT, not as a nurse in that moment. One medic was having trouble with the IV pump. I watched him struggle while his partner did something else only for a few moments and it was not until it looked like he was getting frustrated that i gently told him the solution. Another EMT announces that i am a nurse and that i know what i'm talking about. Well, then it started... the attitude from the medic that wasn't working with the pump (the other seemed greatful - i think he was new )
Great thread! Have to finish reading all the posts.
When I was going to LPN school I came upon an accident (roll over). I was a EMT and had been one for 12 years. I got out to try and get the young lady bleeding and moaning stablized and here comes a lady announcing very loudly...I am a nurse, step back. I said excuse me, I am a EMT, if you want to help, you can stablized the head and try to help me calm down this lady. Oh no, she had to start getting vital signs. EMS was on scene quickly and I let them take over. Come to find out the "nurse" was in fact a nursing student.
I no longer am a EMT, but I will stop and help if needed. But I will always step back for the real EMS folks that know what they are doing and are currently up on the new emergency procedures.
I dunno, some of the stories rnffemtguy has told about nurses seem a bit much.
From being in his shoes, I can tell you that he is not lying. Once again...it is because of these postings that people are really not understanding the true reason for the OP. And yet once again, just my opinion***
I have come up on a couple of scenes. Having been in the ER for almost 4 years I have come to respect that we all have our jobs to do..both in the field and in the ER. I am friends with alot of EMS personnel and Firefighters. I have rolled up on a scene prior to any EMS arrival but once they get there im gone. They are specifically trained in that area and i respect that fully. Just like when they pass off the victims to me in my ER they know they have done their job..and now its my turn. It is most definitely a show of respect as well as safety for the victims on scene.
To those who are first responders...you guys/gals rock!
Well I used to be a hospice nurse. If I happen upon a guesome accident, I can hold the pts' hands while they die.Also, because I am a nurse, I know to sit down and lower my head so I don't faint from the gore.
I used to be an EMT and am now a hospice nurse.
So, now I'm likely to reach for the Roxanol. While holding the hand, of course.
rnffemtguy, BSN, RN
78 Posts
Thanks mcknis, well said.....