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 Med-Surge.

I know this sounds terrible, but I never stop! I call 911 and keep on going.

I think some of the nurses who get in the way at accident scenes are recalling their training that tells them to offer assistance. They might never have been to an accident scene before and don't know how to act (I learned all this the hard way :selfbonk:). But I have to tell a couple of stories about me helping (or not!) at accident scenes:

My husband and I were at a "skin" show in Vegas when one of the performers literally flew off the stage and landed hard on the floor. I already had a couple drinks in me--I KNEW I wasn't going to be any help :p Thankfully there were other people in the audience who knew what they were doing. But it got me thinking that I should get more training.

Next story: My husband and I were driving on Hwy 1 near Big Sur in CA (two lane road, no exits, very remote but lots of traffic). We came up on a line of traffic stopped dead on the road and we could see fire up ahead. No emergency people in sight. I walked up to the scene (couldn't see it from our truck) and saw a multiple-victim accident and a car on fire. The victims were lined up on the side of the road with only one person trying to assess them. I told him I was a nurse and asked what he wanted me to do--he was a PA. So we worked together until other by-standers came in to help. We were there nearly 45 minutes before the EMTs could arrive. Unfortunately there were fatalities in the fire but we managed to stabilize the other victims for transport. It felt pretty good to be able to assist these poor folks and my husband said he was very proud of me (he'd never seen me in action before) :redbeathe

First of all, I think you are really full of yourself and your greatness to mock people who are willing to stop and try and help. Remember that when you find yourself in an accident and NO ONE stops which is often the case. Second, I have stopped before, but only if there are no emergency personnel on the scene. No, I do not carry the jaws of life, but I can do CPR, calm a frightened person, keep them from severing their spinal cords from trying to move, and apply pressure to a bleeding wound. I can call 911, and cover a freezing child with my coat. Hope I never meet you, but I will still stop in spite of your rude post. I hope your post does not discourage others from stopping also. Just do what you can, and let emergency personnel take over when they get there.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
i know this sounds terrible, but i never stop! i call 911 and keep on going.

i'm with you -- i never stop, either, unless i see the accident happening and/or there is no one else around! i stopped once years ago when there was a guy lying across the road as if he had just been run over. i got out of the car to check on him, and when i did, several guys emerged from the ditch and brush next to the road and started to surround my car. i jumped back in, locked the doors and sped off, and i'm not altogether sure that i didn't hit one of them with my car as i did so. at the next town, i looked for a pay phone and found instead the sheriff's department. i went inside to make a report and found that there were a number of unsolved rape/murders of young women (i was young at that time) whose cars were found abandoned on the highway . . . it could have been me!

Specializes in ER/EHR Trainer.

Like everyone else, I'll stop if the accident just occurred, or no one else has responded. My stop begins with that 911 call. Even though I work ER and keep a blanket, glove and some stuff in my car-I have absolutely no illusions about my first aid skills when compared to a first responder. And am happy to leave when they show up. If needed I would always stay, but I know how it goes.

My curiosity has recently gotten the better of me and now I want to ride with our Paramedics and see it done first hand. I have been considering critical care transport, as well as, serving my town. It will be interesting.

As far as know it alls, we have them teach our ACLS and PALs classes....drives me crazy!

Specializes in LTC, Critical Care, Med Surg, Dialysis.

I have not read all the replies to this thread....but as an ex-paramedic for 8 yrs and as a LPN....I can say....BY LAW NURSES HAVE NO...NO jurisdiction outside of the facility they work in....meaning as nurses we cannot override any prehospital personnel...PERIOD...the only person that can do that is a Doctor...period...so it does not matter that the nurse has worked in the ER for 30 yrs or blah blah blah....outside of the hospital/clinic/dr's office/etc...that nurse is nothing more than a bystander and legally a liability if they decide to do ANY care

just my :twocents:

In BC canada the only one who can give instruction to the paramedic is the er doctor at the receiving hospital. Certainly no other health professional including drs have any say at the scene. I have to say that having been the one stuck in the car after hitting a tree on a dark stretch of highway I appreciated everyone who stopped to help.

Specializes in EMS, ER.
My curiosity has recently gotten the better of me and now I want to ride with our Paramedics and see it done first hand. I have been considering critical care transport, as well as, serving my town. It will be interesting.

That is awesome, I truly applaud you for having the interest, I'm sure that if you have a volunteer squad/department in your area they would be very greatfull to welcome you aboard. Best part too is all the training is usually free, can't beat that......go for it!!!!! :yeah:

Specializes in Cardio-Pulmonary; Med-Surg; Private Duty.
I swear that accidents happen all the time in front of me...not little fender benders but Level 1's.

Note to self: Always travel BEHIND awsmom8, never in front!!!!

Specializes in ER/EHR Trainer.
Note to self: Always travel BEHIND awsmom8, never in front!!!!

:lol2::lol2::lol2::lol2:

Love it!

Specializes in ER, IICU, PCU, PACU, EMS.
First of all, I think you are really full of yourself and your greatness to mock people who are willing to stop and try and help. Remember that when you find yourself in an accident and NO ONE stops which is often the case. Second, I have stopped before, but only if there are no emergency personnel on the scene. No, I do not carry the jaws of life, but I can do CPR, calm a frightened person, keep them from severing their spinal cords from trying to move, and apply pressure to a bleeding wound. I can call 911, and cover a freezing child with my coat. Hope I never meet you, but I will still stop in spite of your rude post. I hope your post does not discourage others from stopping also. Just do what you can, and let emergency personnel take over when they get there.

I think you missed the point of the OP. He is not discouraging nurses from helping, he was venting about the ones who do not let EMS personnel do their job and provide patient care. The call & scene is suppose to be about the patient, not the bystanders.

I'm glad you do stop and by what you stated in your last sentence - you would be the ideal person to help.

Specializes in ER, IICU, PCU, PACU, EMS.
I dunno, some of the stories rnffemtguy has told about nurses seem a bit much.

Seriously, if a person has spent anytime in EMS, he's not embellishing. And...it's not ALL nurses, but there are some.

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