Yes, some of the "attitude" from EMS is a bit hard to take for the faint of heart. Their actions DOES NOT mean that they are uncaring and fail to DO THE RIGHT THING. Even if not immediately apparent to anyone watching.
I saw "stuff" in the field that just BROKE MY HEART - I would literally go home after 24 on, scrub myself head to toe in the shower and cry like a baby! Then I'd find myself kneeling at the foot of the bed deep in prayer. Nothing, that's right NOTHING -I've ever seen in the hospital will even break the TOP 25 tragic things I was a part of in EMS. I had to get a bit "hard" or I'd have lasted a week and I'd would have been near desperate myself. It was a defense mechanism. I needed it to survive. Sometimes I even surprised myself at just how "tough" I'd gotten! (And you can bet, when the 4am "demons" enter my dreams - they are from my time spent in the field)
Now, to the "behavior" - yep, it was bad. Yep, the patient heard them and I cannot imagine how it must have made her feel. No excuse. Also try, to Imagine "extricating" an alert LARGE, filthy, foul person that has cared so little for themselves (whatever the "reasons") from a house that you can NOT WALK through for the crap, garbage and feces too! Then imagine finding roaches crawling in YOUR hair in the truck, or stepping on a live large mouse (rat?) while tying to "carry" this patient out of "nest". This situation DID NOT happen overnight.
You were the absolute beacon of light for this patient. Your behavior is to be commended and you did the RIGHT thing. Bless you. :angel2: You were an angel to this patient!
But, the description of the house and conditions should have set off reporting to Adult Protective Services, the Department of Health, Fire Department (for residential inspection/possible need for condemnation due to code violations if in an enforcement area) and anyone else that could assist. Reporting is generally MANDATED for EMS and HOSPITAL providers alike.
Wow, but this is not an uncommon as you might imagine.