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/Surg, ER.

I am so glad you posted this! I too am an EMT/FF and an RN. We have had other nurses and even doctors from out of town pull up on our scenes and try to tell us how to do our jobs. We are a volunteer fire dept but we all take what we do seriously and are well trained. To those who try to "help" and tell EMT/FF's how to do their jobs, remember, they would never walk into a hospital and tell you how to do your job!

My husband brought a pt into ER that had been run over on a major interstate by over 100 cars before recovery. The JMR wanted to do a HR before pronouncing (fire had already pronounced vai protocol....but the newbie had to save his ego) They actually reached in the body bag to hand him the heart....he got over his ego real quick!!!!

Don't paramedics have their own website somewhere so they can bash nurses to their heart's content? I have seen them act like real clowns in the field a few times, but I don't spend my life bashing them as a group.

Specializes in Nephrology, Cardiology, ER, ICU.

I'm a pre-hospital RN (licensed in IL) and volunteer firefighter as well as an experienced ER RN and APN.

I don't think this is a bashing thread by any means. Its okay to vent, just not to target one individual. We have all encountered folks in many careers that are just too full of themselves to be functional. However, we need to get over ourselves and realize that sometimes we can contribute to the problem.

Specializes in Clinical Research, Outpt Women's Health.

Dear Gawd,

I am thrilled to turn things over to the medics when they show up! I just wish they got there faster minutes seem like decades.:chair:

Specializes in ER, IICU, PCU, PACU, EMS.

I know this thread is eight pages long now, but perhaps if it was read from the beginning one would see this is not a nurse bashing thread.

Specializes in Med Surg, ER, OR.
I know this thread is eight pages long now, but perhaps if it was read from the beginning one would see this is not a nurse bashing thread.

Amen to that!!!!

Specializes in Cardio-Pulmonary; Med-Surg; Private Duty.
I know this thread is eight pages long now, but perhaps if it was read from the beginning one would see this is not a nurse bashing thread.

What, you actually expect people to become informed about something before forming an opinion on a subject? :bugeyes:

Specializes in EMS, ER.
I know this thread is eight pages long now, but perhaps if it was read from the beginning one would see this is not a nurse bashing thread.

Exactly Medic2RN, if the time was taken by some to read the whole thread they would see that this isn't to bash anyone, in fact I started it to get a point across, something along the lines of common sense & safety I beleive?

Thanks to all for their replies, similar stories, feedback, defense, etc..........:yeah:

Specializes in Critical care, neuroscience, telemetry,.

I don't think it's nurse bashing at all. I've been a nurse in ICU for awhile now, and I've had the same experience at accident scenes. I'll stop if I see it happen or think I might be of use, but otherwise, I keep rolling and get the hell out of the way so that EMS can do their jobs.

Hubby and I saw a lady's car door get torn off on the 125 here in So Cal one Sunday - she'd been bashed on the driver's side and the other car kept going. We stopped, saw that she had been hit in the head pretty hard, and called 911. I sat in the front passenger seat beside her to reassure her and keep an eye on her, because it looked like she was going in and out of consciousness. I sure as hell wasn't going to move her, and since I had left my CT scanner in my other vehicle, there was not much else I could do.

Suddenly, a creature in scrubs is at the passenger door beside me. She proceeds to lean in over me and ask the driver, "What day is it? Who's the president?" She informs me that she's doing a neuro check.

Huh?

By now, she's practically in my lap and shoving me toward the door. I figure out that she wants to take over (I'm intuitive that way), and I get out and head back to my car. When the paramedics show up a few minutes later, this nurse has the patient in a hug and is praying with her.

Now, I'm all for the power of prayer, but if you're moving that person, you'd better pray that she doesn't have a C-2 fracture. If she does, you'd better pray that your misguided sincerity and abject stupidity didn't just make it worse.

The paramedics seemed pretty disgusted with the lot of us and I didn't blame them. We're in the car, ready to leave when she walks up to us. "Oh, I stabilized the neck when I hugged her", she informed me. "I'm a rehab nurse. " You'd think anyone working in rehab would understand cervical spine injuries, huh?

I was embarrassed to have even stopped to help. Hope the paramedics didn't think we were together.......

Specializes in School Nursing.
Excuse me but you started the whole thing with "what is up with nurses and accident scenes?". Heck of a way to win friends and influence people. How about "I would like to describe some things that I have seen at accident scenes where nurses stopped to help, and would like to share how this could be done better". Then maybe we would embrace your wondrous knowledge base and positive light instead of wondering what kind of massive ego you must have.

Do people talk that way?

I don't see any generic nurse-bashing, more annoyance at certain nurses who don't know their role in emergencies. Carry on, OP!

Do people talk that way?

Perhaps not, but they write that way. It is an introductory statement. What school did you attend that you think it is improper?

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