Sassy5d

Now it should be how do you deal with rude management who is coming down on you hardcore because the scores are lousy?

I just wish there was a way to make people understand being rude and nasty, treating staff like pond scum is not doing them any favors. Good, solid, fantastic nurses and techs and docs are walking away from healthcare, ER's primary care ect because ...

I have no advice. I have yet to master the art of dealing with this. Lately, I've been dealing with rude visitors. I guess what really bothers me is how rude and nasty family/visitors can be to you and you're supposto take it. I had a happy pt, no ...

Every day is different. The problem I run into, if I'm triage by myself, take a pt back to room and do bedside triage, that leaves the waiting room empty, no staff at the window. If I arrive them, room them and not triage them, it could be 20 minu...

Isn't that a fine line? I trust if I was in trouble, the paramedics have the ability to think on their feet and intervene. I think they are medical professionals. I'm sure in the field, if frequent caller for a narc refill called, and granny fell and...

Maybe there could be a triage system in place like at ER. If you need a ride for a med refill, they can wait for the ride.

The culture is different now. With pt satisfaction, we encourage the behavior. The other problem is cost. Nobody in their right mind, who has 50+ $ copay's plus % costs for ER visits is going to frequent fly the ed. So there's nothing making the ER...

Had a pt come from a facility for med clearance for a psych eval. Pt was basically, just a jerk. Can't pink slip someone for being a jerk. Especially if they are a-o x's 4. Not threatening to hurt himself or others. The facility nurse was beyond ru...

Registration told a mum tonight her Medicaid required a $3 copay. Mum proceeds to say 'I'm going to get that back, right'? Registration tells mum that Medicaid covers the 1,000's of $ for the ER visit and requires a $3 copay. Which mum aggressively ...

Like, oh mi gawd, I'm so dizzy, the room is spinning. I feel like I'm going to pass out. But I drove myself here........

I have people steal all the time. Everything. Towels/washclothes. All the juice/boxed lunches/TV dinners/sugar. The corded phone in the room. Peroxide, remove wipes 1 by 1 from the container. It really used to bother me but I'd be spending most my...

Pt to dr: no drugs, no alcohol ect ect use Md orders a narcotic. I go to push it Pt: should I get that? I'm in recovery? Whatttt??

I don't get into it with them. But I find it funny that certain days, when certain people are working, I get a call 5 minutes later that every tube I sent was hemolysized. They didn't even try to spin it, it's not possible. So some days if I'm busy, ...

How does that work with emtala? You could say you're jumbo smith, don 01/01/1929. We can't refuse you treatment just cuz you like to lie. What do the palm readers do? You get no treatment unless you're honest? I also like the twin situation.. Lots ...

I think it's a grey area. In the big picture, was any harm done to the pt by calling the code? Take my experience, for example. Pt needed adenosine. Grabbed the defib when I grabbed the med. opening package for pads. PA asks what do I think I'm do...

Out hospital system is so focused on pt satisfaction scores that I really don't think they care about narcotic abuse, lying about anything, visiting 4 ER's in 1 day ect ect. Not giving them all they want leads to poor scores/lower reimbursement

It would be nice at my job. But I'm finding a huge surge in fake names/fake info.

You kinda get that here. There are plenty of non-ER nurses who don't work ED that probably jaw drop at some things that are said. I had worst shift of my life 2 days ago, compounded by our glorious computer system crashing midshift and having to rev...