i didn't know this actually happened - page 6

Had a patient who called 911 for her water breaking at full term. I mentioned it to another nurse who was like "and why are you surprised by that?" i didn't know people actually did that.... Read More

  1. by   TrudyRN
    Quote from cad4296
    I hate to see people abuse the system. 3 years ago my husband accidentally stabbed himself in the leg while trying to cut a plastic band. He sliced both his artery and vein in his leg and the only thing that slowed the knife down was when it hit his bone. We literally lived 2 minutes away from the hospital, only 1 stop sign between us and the hospital. We called the ambulance because I couldn't get the bleeding to stop. He bled through 3 hand towels in the kitchen and the entire kitchen floor was covered in blood, not to mention it was squirting straight out. It took the ambulance over an HOUR to get there. By the time they got there I had managed to stop the bleeding so the EMT/paramedic (not sure who exactly it was) told him it was fine, wrapped it up and told him he didn't need to go to the hospital. Needless to say 3 years later he has to have surgery because his artery and vein fused together during healing due to the wrapping (according to his surgeon.) Sorry for the off topic vent but I can't help to think that if it weren't for misuse of abulance we could have gotten him proper care and avoided this upcoming surgery. Looking back, I should have just tried to take him myself!
    Or insisted that they take him to the hospital.
  2. by   hogan4736
    Quote from TrudyRN
    You sent him from where?

    He called 911 from the ER for what and to go where?
    He came to our urgent care at 0200 for belly pain...our doc spoke w/ the ER doc (1 block away) and decided to transfer his care to the ER for an ultrasound...We trated his pain w/ demerol, and copied his chart, and sent him, with his friend driving, a block away to the ER. (routine for us at 0200, as we have only xray and urine dip capabilities after MN)...I called report to the charge at the ER. When the pt arrived to the ED, he was seen and kept in triage (their decision)...

    He walked back to my UC, yelled at me for being sent to the ER triage, and called 911 from MY UC waiting room...I layed into him about ambo abuse, he cursed at me...
  3. by   erichRN
    My oldest boy cut part of his hand off in the lawn mower. He was fairly young and so was I, but I called 911 (mistake) and when they arrived, I was greeting with "what did you call us for?" I would drive him today, but it's true-- perception of emergency. With regard to babies, I have driven my wife to the hospital each time (barely making it once), except for the last two, which we decided to skip the drive and have them at home. Depends on your perception.
  4. by   oldshoes
    She might not have been a drama queen. She might have just been uneducated or just really panicked, especially if it was her first baby and she was alone at the time.
  5. by   canoehead
    Geez, cutting a child's hand off, or any part, qualifies as an emergency to me.
  6. by   RainDreamer
    Interesting thread. I don't work OB and I've never had a baby .... so I'm kinda clueless on all that!

    I've never taken a ride in an ambulance. But I have gone to the ER for what might be seen as a non emergent reason. When I was little I stepped on a golden barrel cactus (those of you that aren't familiar with those ..... they've got huge needles .... YOWCH!). My parents couldn't get the stickers out of my foot and it hurt, they were deep. So off to the ER we went. I remember they took me in rather quick too, said I looked pale. So while it didn't seem like a huge emergency, I don't know what else we would have done rather than go to the ER (called the dr's office and they said to go to the ER). So I can see how things can be relative, like someone had mentioned.
  7. by   33-weeker
    Quote from olderthandirt
    where does it say in the hippocratic oath that we as medical personal should judge and comment about patient's decisions?
    so lets look at this, one item at a time:
    1. in this particular patient's situation (and its nice to actually know about her instead of guessing) she had experienced a very quick delivery with her first delivery, generally it's quicker the second time.
    2. she would know if any family member was capable of driving her safely, .......i don't judge, i am thankful if at the end of the day all my patients lived through what they came in for, regardless of how they got there.
    wow... some people just don't get the this-is-a-place-for-professionals-to-vent thing.

    we know there are ligitimate times for people to call 911. i did when i went into chf. the problem is we see so many folks who use it when it is definitely not appropriate. there are many who don't abuse the system - but there are also many who do. and i can guarentee you it isn't the privately insured ones.

    don't worry about being judged. if your situation is legit, any nurse with half a brain can tell the difference.

    i wasted precious time, as my lungs were filling up with fluid, trying to decide if i really needed an ambulance or if i could go by car. i didn't want to run up the bill any more than i had to. i was staying home with my kids back then. we lived on a shoestring. (but we still made 'too much' to qualify for medicaid)

    i have to pay for my insurance, and the co-pays, and the deductables, and 20% of what's left, and for the prescriptions..... all the while my tax dollars go to those who don't pay a dime. the least they could do is not abuse the gift!

    it must be nice not to have to worry about how much health care costs.
    Last edit by 33-weeker on Oct 24, '06
  8. by   Miss Chybil RN
    Quote from 33-weeker

    i have to pay for my insurance, and the co-pays, and the deductables, and 20% of what's left, and for the prescriptions..... all the while my tax dollars go to those who don't pay a dime. the least they could do is not abuse the gift!

    it must be nice not to have to worry about how much health care costs.
    i can guarantee you there are people who have used the "gift" of taxpayer funded healthcare who have worked their entire lives and paid into the taxpayer system until they got sick!

    it seems weird to me so many people are worried somebody might get a free ride to the hospital on their taxpayer dime, but nobody cares about how many of our taxpayer dimes go to blow other people up.

    you don't know how a particular person's healthcare bill is being paid. if i saw you roll into the hospital in an ambulance, i might not know you had private insurance, but if i did, i'm sure i'd think you were a better person for it. (/sarcasm)

    that's my vent.
  9. by   33-weeker
    Quote from miss_chybil
    i can guarantee you there are people who have used the "gift" of taxpayer funded healthcare who have worked their entire lives and paid into the taxpayer system until they got sick!

    it seems weird to me so many people are worried somebody might get a free ride to the hospital on their taxpayer dime, but nobody cares about how many of our taxpayer dimes go to blow other people up.

    you don't know how a particular person's healthcare bill is being paid. if i saw you roll into the hospital in an ambulance, i might not know you had private insurance, but if i did, i'm sure i'd think you were a better person for it. (/sarcasm)

    that's my vent.
    it's not about being better than anyone. it's about the attitude that some people on public assistance have and how they abuse the system.

    i treat all my patients well, regardless of insurance coverage. but that doesn't mean i have no right to feel mad when they give me attitude and blatantly abuse the system.
    Last edit by 33-weeker on Oct 24, '06
  10. by   dawngloves
    Quote from Miss_Chybil

    It seems weird to me so many people are worried somebody might get a free ride to the hospital on their taxpayer dime, but nobody cares about how many of our taxpayer dimes go to blow other people up.

    Because that's not what this thread is about. There is a forum for that too.
  11. by   33-weeker
    Quote from dawngloves
    because that's not what this thread is about. there is a forum for that too.
    right. how does that relate anyway. lol

    i should add, since i was so outspoken before, that i have no problem with people using public assistance the way it was intended to be used.

    i even qualified for wic for a while when i was staying home, and we were really struggling to make ends meet. i did it mostly to get the free loaner breast pump to pump milk for my twin who couldn't nurse well. i pumped 4 or 5 times a day for 5 months so he could get breastmilk. i couldn't have afforded to rent a medical grade pump for that long. (a cheap, grocery store pump would not have been adequate for that type of pumping situation)

    the point is, though, that when the time came that i didn't need their services anymore, i returned the pump and didn't go back to requalify.

    a person who has 'worked all their life' and now is infirm, or the truly disabled, etc.etc... and needs public assitance to get by is not the type of person i am venting about.
  12. by   Miss Chybil RN
    Quote from 33-weeker
    right. how does that relate anyway. lol

    i should add, since i was so outspoken before, that i have no problem with people using public assistance the way it was intended to be used.

    i even qualified for wic for a while when i was staying home, and we were really struggling to make ends meet. i did it mostly to get the free loaner breast pump to pump milk for my twin who couldn't nurse well. i pumped 4 or 5 times a day for 5 months so he could get breastmilk. i couldn't have afforded to rent a medical grade pump for that long. (a cheap, grocery store pump would not have been adequate for that type of pumping situation)

    the point is, though, that when the time came that i didn't need their services anymore, i returned the pump and didn't go back to requalify.

    a person who has 'worked all their life' and now is infirm, or the truly disabled, etc.etc... and needs public assitance to get by is not the type of person i am venting about.
    and how do you know the people who come to the hospital aren't in the same boat you were in when you had to use wic? unless you're their social worker, or live inside their house, i doubt you have the insight or resources to judge whether the person is trying to "get by," or is milking the system.

    i had to use wic, too and afdc and food stamps and ahcccs (az form of medicaid.) i had to use all of this after i'd spent 9 years serving my country and found it a bit hard to get a job while i was pregnant. i stayed home 3 months after my son was born in order to be his mother. i didn't have very nice clothes, or a very nice car, nor a luxury condo. i bet a lot of folks thought i was abusing the system without knowing i was going back to work in a few months. after i went back to work, i had to use the state's assistance in paying for my childcare for a year because i wasn't making enough money to pay for childcare. that year gave me the boost i needed to get back on my feet and i have worked my butt off ever since. six years after my son was born, i bought my own home. i pay taxes just like i did before i needed help. thank you, arizona and america for helping me out!

    i'm sure, though, while i was on "the dole," (i had to live on $256.00 per month in afdc and another $200.00 in food stamps - boy, those were the days!), some nurse begrudged me for taking something from her taxpayer wallet everytime i went in for prenatal care, or when i went to deliver. thank god, i didn't need to take the ambulance to the hospital.

    judge not, lest ye be judged.
  13. by   33-weeker
    wow... this thread has really gotten off course. how did we go from the mom who comes by ambulance for losing her mucous plug (no contractions) to this?!

    we're just venting. please, get over it.

    besides, the scenario you described is not the type i'm venting about. that is what the system was designed for, and i'm very happy to have people use my tax dollars in that way. belive it or not, i am actually a very generous person when someone is in need.
    Last edit by 33-weeker on Oct 24, '06

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