Death after two-hour ER wait ruled homicide - page 18

Death after two-hour ER wait ruled homicide "WAUKEGAN, Illinois (AP) -- A coroner's jury has declared the death of a heart attack victim who spent almost two hours in a hospital waiting room to be... Read More

  1. by   GLORIAmunchkin72
    "Well said, CritterLover! Until you posted, I just imagined an almost empty ER, with the patient slumped over in the chair, and the Nurses doing nothing. Not a jam packed, overload ER with various TRAUMA situations coming in. We do not know the other circumstances, and we probably never will."

    This is why you have triage.
  2. by   EmerNurse
    Until you've done triage, you'll never understand that weight of responsibility that drags on your shoulders all shift. The constant checking, second guessing, dodging the angry hangnail patient who "has a right to medical care and I demand to be seen!!!".

    Triage is it's own little microcosm of nursing and it's got to be one of the toughest I've ever done. If 10 people sign in a the same time to be triaged, you do your best to go in order. Does the chest pain go before or after the guy with the bullet in his abdomen (yep had that WALK in), the lady with the SOB and crap sats and hx of CHF with intubation, the 3 other people with chest pain? If you have 3 chest pains at once (it happens) who do you triage first? The oldest? The one who yells the loudest, or the one who sits quietly waiting (that's the one who's gonna code on ya, btw). And what if you've got all these people come in within 30 minutes, and the ER is FULL FULL FULL and has 4 ICU holds, 3 tele holds and minor care is closed? That is the weight that sits on every single triage nurses' shoulders.

    Every nurse I know loves her license and protects it as best she can. I cannot even remotely imagine a triage nurse who would blow off the symptoms presented. So my assumption is... there was way more going on. Systems issues as someone above stated. I simply cannot imagine that this triage nurse sat there with an empty ER and said "yeah sweetie go have a seat, we'll get to ya" as she merrily went into the back to check her email. Just can't see it.

    I'd love to see ALL the details of this case. If it's ANYTHING like my lil ER, then she needs to be given a valium and a big hug - NOT criminal charges!
  3. by   Victoriakem
    Quote from EmerNurse
    Until you've done triage, you'll never understand that weight of responsibility that drags on your shoulders all shift. The constant checking, second guessing, dodging the angry hangnail patient who "has a right to medical care and I demand to be seen!!!".

    Triage is it's own little microcosm of nursing and it's got to be one of the toughest I've ever done. If 10 people sign in a the same time to be triaged, you do your best to go in order. Does the chest pain go before or after the guy with the bullet in his abdomen (yep had that WALK in), the lady with the SOB and crap sats and hx of CHF with intubation, the 3 other people with chest pain? If you have 3 chest pains at once (it happens) who do you triage first? The oldest? The one who yells the loudest, or the one who sits quietly waiting (that's the one who's gonna code on ya, btw). And what if you've got all these people come in within 30 minutes, and the ER is FULL FULL FULL and has 4 ICU holds, 3 tele holds and minor care is closed? That is the weight that sits on every single triage nurses' shoulders.

    Every nurse I know loves her license and protects it as best she can. I cannot even remotely imagine a triage nurse who would blow off the symptoms presented. So my assumption is... there was way more going on. Systems issues as someone above stated. I simply cannot imagine that this triage nurse sat there with an empty ER and said "yeah sweetie go have a seat, we'll get to ya" as she merrily went into the back to check her email. Just can't see it.

    I'd love to see ALL the details of this case. If it's ANYTHING like my lil ER, then she needs to be given a valium and a big hug - NOT criminal charges!
    :yeahthat: The Triage Nurse has all sorts of things going on with numerous CP's that come in groups, back ups of pt.s while just trying to get an EKG done & labs drawn on all those congregating in your small work space. What do people think we can do when ambos are lined up in the hallway, no beds to be found anywhere & not a single Doc or PA who can come out to see anyone???!!! Plus all the people that are rude & demanding & give you dirty looks while you are frantically trying your best to see & treat all those you are responsible for as the Triage Nurse. And when many people show up for a limited amount of resources, & they all are REALLY SICK, who goes back first? The VIP pt? That happens. "I'm a friend of the Hospital President." God forbid those big money donors have to wait like the rest of humanity....It just makes me crazy & find 8 hours doing Triage is MORE than enough on the best of days. Gee, I let out a lot of frustration there.
  4. by   PANurseRN1
    That's something that always cracks me up about triage. People seem to think that if they sit there glaring at you long eough, a bed will magically open up.
  5. by   truthtutor
    healthcare has become a business assembly line unfortunately. nurses as well as doctors are overworked-not as appreciated as in the past, nursing is not a distingusted profession anymore, but if we are going to remain in this line of work, we need to remain advocates for patients and listen to them to advoid deadly mistakes. we never know when we or our loved ones will be that patient in triage in an understaffed, overcrowed waiting room not able to speak up for our selves with classic symptoms of a pending medical crisis that will be missed or overlooked. It is sad.
  6. by   elizabeth321
    There is no use getting bogged down in the demise of health care....every shift I try to go to work and do the best for the patients I have in the setting I am in........when I am in ER triaging....and I am worried or unable to determine the severity of what is wrong.......I find a space somewhere to do an ekg or whatever I feel needs to be done.....and shove it in a doctors face and document.........it is the only way I can work........we can only do what we can with what we are given......

    L
  7. by   walk6miles
    Where I come from, that is called N-E-G-L-I-G-E-N-C-E!!! And for any licensed professional healthcare-giver to say otherwise (Cool Hand), is not only tragic, but deadly ... please let me know which hospital you work for so I can avoid it!

    Women, particularly, show different signs/symptoms of heart attack...some women only show with shortness of breath.

    Anyone presenting to ER with any complaint referring to MI is considered an MI until ruled OUT! Anyway,anyday, anytime!

    What if that were your mother or wife!
  8. by   walk6miles
    And I repeat (experience: large, overworked, understaffed, trauma center) ANYONE WITH S/S RELATING TO MI is treated as a positive MI until ruled out!

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