I get it, we on the floor don't see what you see- gunshots, knife cuts, fights, rape victims. But you chose that. Nursing is a wide, varied profession and ER is just a piece of it. So you work with firefighters, paramedics, police. Okay. But you're not a firefighter, paramedic or a police officer. You're a nurse. When you call the floor for report and we say we're too busy right now, we'll call you back, please don't call your boss, or the House Supervisor, and tell them we refused report. Again, I get it. Nobody is as busy as you. But we may have had our hands deep in poop, or in the middle of a dressing change, or with a doctor, or administering chemotherapy. Or we may be already getting report from the offgoing shift. And yes, another nurse is just as busy and can't take the report I would rather get first hand anyway. When we get report from you for a hip fracture patient and you say the BP is 191/92 and she has a history of hypertension, please don't get offended if I ask if you've covered the blood pressure. I know she's being admitted with a hip fracture and not for hypertension. But hypertension is something we're aware of, because it is also bad. If you send the patient up without covering the BP, by the time she's moved from gurney to bed that BP has spiked to over 200 and I have a possible stroke to add to that fracture. Will it kill you to walk over to your MD, the one with whom you enjoy a closer relationship, and ask for some Vasotec? And while you're at it, could you not forget some pain meds before you send the patient to the floor? You see, I have to call the admitting MD, that very MD your doctor just spoke with to admit the patient, and wait until he calls back, before I can give any medications. That can and does take hours. Meanwhile I have an increasingly uncomfortable, unstable patient and a family who is getting very concerned that this new nurse can't help their mother.
I'm sorry for the long post, but I just read another Megalomaniac ER blog slamming floor nurses as stupid and lazy, refusing report, fighting with ER because they're uncomfortable taking unstable patients ER wants to move because they need the beds. There is more than just you, ER.
Well, considering the thread started as a vent about ER nurses and how we all think we're too cool for school (and do X, Y and Z stupid things)....is it really surprising?
Just like that blog touched a nerve with OP: insulting people (that blog calling floor nurses lazy) is usually, well, insulting. And it's ok to be insulted when you're being insulted.
IDK. Guess I'm different then. (This is a huge surprise to anyone who knows me, for the most part, I am the measuring stick of normalicy).
If an ED nurse started a thread about how unit nurses "Could never handle a real..............new "Emergency" to save their lives", it wouldn't hit a nerve with me. W/E. When the day ends, what do you want to have accomplished? Impress the other nurses or impress your patients? What got you into nursing................the great socialization between nurses (baaa haaa haaa) or the opportunity to make a difference to a patient?
OK. That sounded too campy and cheesy. I'm diving back into the mud slinging.
Eriksoln say's: "ED nurses never clean up their patients before sending them up. I used to think they were just lazy. Now, I know. They actually are developmentally delayed. They don't even know how to wipe their own butts, much less someone elses. Most of them have HUGE hershey swirls on their undershorts."
IDK. Guess I'm different then. (This is a huge surprise to anyone who knows me, for the most part, I am the measuring stick of normalicy).
If an ED nurse started a thread about how unit nurses "Could never handle a real..............new "Emergency" to save their lives", it wouldn't hit a nerve with me. W/E. When the day ends, what do you want to have accomplished? Impress the other nurses or impress your patients? What got you into nursing................the great socialization between nurses (baaa haaa haaa) or the opportunity to make a difference to a patient?
OK. That sounded too campy and cheesy. I'm diving back into the mud slinging.
Eriksoln say's: "ED nurses never clean up their patients before sending them up. I used to think they were just lazy. Now, I know. They actually are developmentally delayed. They don't even know how to wipe their own butts, much less someone elses. Most of them have HUGE hershey swirls on their undershorts."
That'll get'em going.
Eriksoln - Are you still on "vacation"? If so, put down the rum and coke and back slowly away from the keyboard!
IDK. Guess I'm different then. (This is a huge surprise to anyone who knows me, for the most part, I am the measuring stick of normalicy).
If an ED nurse started a thread about how unit nurses "Could never handle a real..............new "Emergency" to save their lives", it wouldn't hit a nerve with me. W/E.
Dude, c'mon. A thread like that would easily be just as long as this one. Maybe it wouldn't hit a nerve with YOU, but you'd have 3 posts in there repeating your initial 8 foot long posting all the same
I'm actually pretty impressed that this thread has, for the most part, been avoiding TOS violations.
Eriksoln - Are you still on "vacation"? If so, put down the rum and coke and back slowly away from the keyboard!
Shhhhhh. I deny it all. Be quiet. Seriously.
I deny that I woke up this AM and had, yes, another rum/coke/crown/ginger-ale before even eating breakfast. As I was drinking it, I thought to myself......................."Those little pamphlets we give to patients who think they have a problem. One of they questions is: Do you drink first thing in the morning."
<_>
>_>
Eh, you guys don't know what time zone I'm in. In fact, I am in w/e time zone that is 6PM right this very second.
I especially deny that I was very "happy" while posting before, hence rambled lmao.
But the point was sound....................no?
Oh, I think that thread would be twice as long, easily. Like I said...............unit2unit fighting MUCH worse that unit2ED. Why? Well, if you ask me, its cause unit nurses tend to be more............catty. Never seem to be able to just move on.
Wait. I'll have to put a disclaimer here for all the exposed nerves.
"This means SOMETIMES........................................................................................................" I need a function key that inputs disclaimers for me.
I don't recall reading about anyone having to eat worms because nobody likes them... you lost me.
But the song goes "Nobody likes me, everybody hates me, going to the garden to eat worms. Long thin shiny ones, short fat fuzzy ones, ooey gooey gooey gooey worms." Something like that. Used to love that one as a kid.
If you read a page or two back someone explained it perfectly. I wouldn't have even brought it up, but LegzRN (I think) said something about an ER nurse looked at him wrong and it ruined his whole week.
But please, carry on the flaming, uh, I mean discussion...
Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
My first smart a**ed answer was......"Because we are....:smokin:"
but seriously......
Listen to us.....each one slamming the other......Every single one of us are specialites in our own right. Each one without the other would cease to function. Each floor, ICU, telemetry or pedi floor has their own special set of skills that are required to do the job well.
Just to address the last few posts......ED nurses place IV's in the anticub because when the patient comes in an IV is usually in the anticub already.....why is the anticub a good spot? When people are anxious and afraid they go through peripheral vasoconstriction and a lot of patients are removed form an outdoor situation and are cold. The anticub is the only site to find and the biggest to find in a moving object. The shift change admission is a complicated process......mostly MD driven and can be averted ONLY wih COOPERATION of the MD's. ED nurses do a focused assessment.......and when the chest tube has been placed and confirmed on x-ray time to move on. I agree they should do a more focused report and sometime get carried away with the "I'm busy" stuff.....you should hear how the ED nurses are treated by flight crews and terciary facilities because the little hospital nurses are so "dumb":uhoh3:. NOt all sates have continued with divert statuses......many have stopped diversion status due to some limited abuse by one facility and overburdeing the next and pulling fire resources away from their home towns. BUt diversion means you are busting at the seems and people in the halls.......ambulance traffic and be diverted by street traffic cannot be turned away. The secretary is the traffic cop and registrar operator and air flight controller....without which the whole hospital would not function.
But the biggest point to be made is if we could stop throwing each other under the bus and pretend that we can play nicely in the sandbox....thing would be smoother. There is NO excuse for poor nursing and assessment nor is there time for boasting "I can intubate and you can'" because if the other person could learn, ICU nurses usually don't like the ED because even though they can be just as sick the are too mobile,always going here and there, this test to that test.....twisted IV lines everytime they move:uhoh3: and ED nurses dislike the focused attention to detail of necessary to the ICU nurses survival (and her patient) and ED nurses essentially ADHD. focus pattern is better suited to the ED. And floor nurses...........I have NO clue how you keep up!!!!!!
I think we should stop picking at one another and celebrate each others specilities........but this discussion is as old as the profession itself.......
I have always been a strong advocate of shadowing......walking a mile in someone elses shoes......trust me it brings a whole new prospective to the table. I LONG ago LOST the ability to do floor nursing. I can code them if they go down the crapper but keep track, make beds, give baths,transport to tests, prepare discharges,accept new admits AND pass meds on 10 people? I lost that the first year of nursing when I left the floors for critical care.
To the OP.........I'm sorry you had a bad day. Feel Better???? :)
After caching up with the entire post I still feel the same way........I wonder though....those who are not nurses or even in school posting opinions about the internal workings of a profession they have no access to.....ineresting.....
If you read a page or two back someone explained it perfectly. I wouldn't have even brought it up, but LegzRN (I think) said something about an ER nurse looked at him wrong and it ruined his whole week.
But please, carry on the flaming, uh, I mean discussion...
Who flame who?
U flame?
I'll flame you. Your teeth are crooked. In fact, you'd fit right in with the ED nurses, the one's with missing teeth from being assaulted.
If you read a page or two back someone explained it perfectly. I wouldn't have even brought it up, but LegzRN (I think) said something about an ER nurse looked at him wrong and it ruined his whole week.
But please, carry on the flaming, uh, I mean discussion...
The "once, an ER nurse looked at me the wrong way and it ruined my entire week" post was SARCASM -- written by an ER nurse.
ER Nurses’ tears cure cancer. Too bad we never cry.
ER nurses can count to infinity - twice.
An ER nurse sold his soul to the devil for his rugged good looks and unparalleled nursing ability. Shortly after the transaction was finalized, the ER nurse roundhouse kicked the devil in the face and took his soul back. The devil, who appreciates irony, couldn't stay mad and admitted he should have seen it coming. They now play poker every second Wednesday of the month.
When the Boogeyman goes to sleep every night he checks his closet for ER nurses.
ER nurses built a time machine and went back in time to stop the JFK assassination. As Oswald shot, an ER nurse met all three bullets with his sweet aviator sunglasses, deflecting them. JFK's head exploded out of sheer amazement.
They once made a ER nurse toilet paper, but it wouldn't take sh!t from anybody.
A blind man once stepped on an ER nurse’s shoe. The ER nurse replied, "Don't you know who am? I'm an ER nurse!" The mere mention of being an ER nurse cured this man’s blindness. Sadly the first, last, and only thing this man ever saw, was a fatal roundhouse delivered by the ER nurse.
ER Nurses' tears cure cancer. Too bad we never cry.
ER nurses can count to infinity - twice.
An ER nurse sold his soul to the devil for his rugged good looks and unparalleled nursing ability. Shortly after the transaction was finalized, the ER nurse roundhouse kicked the devil in the face and took his soul back. The devil, who appreciates irony, couldn't stay mad and admitted he should have seen it coming. They now play poker every second Wednesday of the month.
When the Boogeyman goes to sleep every night he checks his closet for ER nurses.
ER nurses built a time machine and went back in time to stop the JFK assassination. As Oswald shot, an ER nurse met all three bullets with his sweet aviator sunglasses, deflecting them. JFK's head exploded out of sheer amazement.
They once made a ER nurse toilet paper, but it wouldn't take sh!t from anybody.
A blind man once stepped on an ER nurse's shoe. The ER nurse replied, "Don't you know who am? I'm an ER nurse!" The mere mention of being an ER nurse cured this man's blindness. Sadly the first, last, and only thing this man ever saw, was a fatal roundhouse delivered by the ER nurse.
Eriksoln say's: "ED nurses never clean up their patients before sending them up. I used to think they were just lazy. Now, I know. They actually are developmentally delayed. They don't even know how to wipe their own butts, much less someone elses. Most of them have HUGE hershey swirls on their undershorts."
That'll get'em going.
. NOt all sates have continued with divert statuses......many have stopped diversion status due to some limited abuse by one facility and overburdeing the next and pulling fire resources away from their home towns. BUt diversion means you are busting at the seems and people in the halls.......ambulance traffic and be diverted by street traffic cannot be turned away. The secretary is the traffic cop and registrar operator and air flight controller....without which the whole hospital would not function.
eriksoln, BSN, RN
2,636 Posts
IDK. Guess I'm different then. (This is a huge surprise to anyone who knows me, for the most part, I am the measuring stick of normalicy).
If an ED nurse started a thread about how unit nurses "Could never handle a real..............new "Emergency" to save their lives", it wouldn't hit a nerve with me. W/E. When the day ends, what do you want to have accomplished? Impress the other nurses or impress your patients? What got you into nursing................the great socialization between nurses (baaa haaa haaa) or the opportunity to make a difference to a patient?
OK. That sounded too campy and cheesy. I'm diving back into the mud slinging.