I know it is cynical, uncaring, and abrasive to say these things.... and I would never actually say them. I really do love my job, I just had a day where everything was wrong... I guess I'm just venting. Feel free to add to the list.
1. The world of ER does not revolve around you. There are sick people here, and you aren't one of them.
2. Our definition of sick is not your definition of sick. If a member of the ER staff says that someone is sick, it means that they are in the process of DYING. They have had a massive stroke, are bleeding out, having a heart attack, or shot. We don't consider a tooth injury sick. Painful, yes. Sick, no.
2. At any given time, one nurse has four patients. One doctor has up to 15. There is a law (similar to Murphy's) in the ER. If you have four patients:
3. Physicians and nurses are not waiters. We are not customer service representatives. This is not McDonalds, and you very well may NOT have it your way. Our job is to save your life, or at least make you feel better. If you want a pillow, two blankets, the lights dimmed, and the TV on channel 14, go to the Ramada.
4. If you have one of the three, go to your own doctor in the morning:
5. If your child has a fever, you had better give him tylenol before coming in. Do NOT let the fever remain high just so I will believe the child has a fever. Do you want your child to have a seizure? Do you?
6. We have priorities. We understand that you have been waiting for two hours in the waiting room. If you don't want to wait, make an appointment with a doctor. The little old lady that just walked in looking OK to you is probably having a massive heart attack. That's why she goes first.
7. Do not ask us how long it will be. We don't know. I don't know what's coming through my door 30 seconds from now... so I surely don't know when you'll be getting a room upstairs.
8. We are not for primary care. Get a family doctor, and go see them.
9. If you have diabetes and do not control it, you are committing slow suicide.
10. We know how many times you've been to an ER. We can usually tell if you are faking it on the first 5 seconds of talking to you. Do not lie to us. If you lie about one thing, we will assume you are lying about everything. You don't want that.
11. If you are well enough to complain about the wait, you are well enough to go home.
12. If your mother is a patient and we ask her a question, let her answer it.
13. If you see someone pushing a big cart down the hall at full speed and you hear bells going off.... do not ask for a cup of coffee. Someone is dying, you inconsiderate %#@^. In the ER, bells don't ring for nothing. Sit down, shut up, and let us work.
14. If you have any sort of stomach pain and you ask for something to eat, you are not that sick.
15. If you can complain about the blood pressure cuff being too tight, or the IV needle hurting, you are not in that much pain.
16. If you want to get something, be nice. I will go out of my way to tick off rude people.
17. Do not talk badly about the other members of staff I work with. The doctor that you hate? I work with him every day, and I know that he knows what he is doing. I trust him a lot more than I trust you. I am not here to be your friend, and neither is he. I will tell him what you said, and we will laugh about it. If you want a buddy, go somewhere else.
18. Every time I ask you a question, I learn more about what is wrong with you. I don't care if I ask you what day it is four different times. Each time I ask, it is for a reason. Just answer the questions, regardless of if you have answered them before.
19. Do not utter the words "It's in my chart." I don't have your chart, and I don't have the time to call and get it. Just tell me.
20. Do not bring your entire posse with you. One person at the bedside is all you need. It is really difficult to get around seven people in the event that you are really sick.
i'm sorry you feel it makes you want to rethink your career - however though you are right that these things shouldn't be seen by everyone - think of where you are - this is a nursing forum so its quit the appropriate place to have the banters. honestly try to look past the exaggerations and find a little humor - being a nurse you will need it so you don't feel like crying everytime you go to or from work. the best to you. hugs.
Thank you for understanding my side of the story, thats I wanted... I think I made some people kind of angry, but I didn't mean to... I understand people need to vent, but some of the things just went too far, thats all I had to say
At 700pm I had a mother who brought her 1.5 year old with vomittingX1 4hours ago. She had waited for 30 minutes when she started yelling her kid was dry and needed a popsicle. We try to explain that we had a lot of sick people and she would be taken in turn she would have none of this. We sent them home with instructions to take clear fluids for 24 hrs (only the kind you can see through a glass we told her). At 2 am we got the pt back choking victim (he choked on a dorito while in bed) while we were trying to revive the kid the mother had to listen to another angry mother yellling that her kid was wet and needed changing when we told that mother we were dealing with a very sick child. She said "I don't care my kid is just as important. I know the mother of the sick kid overheard this because she looked at the door then me and cryed saying "I am soooo sorry". Don't think she will do that again. By the way the kid made it so far. Sometime people just need a dose of reality to change.
I understand people need to vent, but some of the things just went too far, thats all I had to say
You had way more to say than that. Your words told us that we are uncaring people with nursing licenses who are cruel. To say these things to patients is uncaring and cruel. To say these things here, where it's safe, is venting. The fact that most nurses here disagree with you should tell you that. THIS is the place where the things we say shold be seen and heard, and this is where we said them.
You had way more to say than that. Your words told us that we are uncaring people with nursing licenses who are cruel. To say these things to patients is uncaring and cruel. To say these things here, where it's safe, is venting. The fact that most nurses here disagree with you should tell you that. THIS is the place where the things we say shold be seen and heard, and this is where we said them.
Big T...While I agree this thread is therapeutic and not mean spirited in any way, we have already had non-nursing posters admonishing our therapy. This is not a secure site and anyone from the public may read this and like others misinterpret the content. I'm just pointing this out because it isn't excactly safe... from public scrutiny anyways. That being said, I'm all for punitive wait times , so don't tick me off when I'm assigned triage !
I think it would be a good thing if MORE non-nursing oersonnel read this thread. It's called reality orientation. This is not being mean. Not rushing non-emergent patients to the back is not punitive. Allowing them to sit in the waiting room and spend some time thinking that maybe they should have made an appointment with the clinic or their PMD for the problem that they have had for the past three, six, or twelve months is behavior modification.
We do no service to our patients (the public) by not educating them in the proper use of the ER. And every "patient" that comes through the door is not entitled to unlimited treatment. What they are entitled to is a medical screening exam and stabilizing treatment. If we could get more ER physicians to stick to this, we ALL would have more time / resources for those who truly need our help. Cruel? I don't think so. It's called limit setting.
Big T...While I agree this thread is therapeutic and not mean spirited in any way, we have already had non-nursing posters admonishing our therapy. This is not a secure site and anyone from the public may read this and like others misinterpret the content. I'm just pointing this out because it isn't excactly safe... from public scrutiny anyways. That being said, I'm all for punitive wait times , so don't tick me off when I'm assigned triage !
This site may be read by non-nurses, but it is a site FOR nurses.
The non-nursing posters who slapped our wrists were non-RNs, not non-nursing people......students, etc.
"Big T"?
4. If you are a volunteer, and it is your first day, and you utter the "Q" word, you will have objects thrown at you. happy initiation!
- Oh My Word!!! I remember the first time I ever uttered the "Q" word. I was about thrown out of the unit. I was working as a nursing tech in the ER during nursing school. That was the first of many lessons that I learned (many not taught in the classroom,) but were extremely helpful when I started practicing. I've been loving this post. Keep it going!!!!!
OK, I'm scared now. I volunteer in the ER and have no idea what the "Q" word is. Seeing that the ER has numerous sharp objects, can you please tell me before one impales me :uhoh21: ~ Diane
4. If you are a volunteer, and it is your first day, and you utter the "Q" word, you will have objects thrown at you. happy initiation!- Oh My Word!!! I remember the first time I ever uttered the "Q" word. I was about thrown out of the unit. I was working as a nursing tech in the ER during nursing school. That was the first of many lessons that I learned (many not taught in the classroom,) but were extremely helpful when I started practicing. I've been loving this post. Keep it going!!!!!
I believe it's "quiet" but I could be wrong.I know we throw things at people who say it on our unit, and I'm not even in the ER.
You have now attracted the ire of every ER/ICU nurse in existence. "The opposite of 'loud'" would have given the same information!!!!
My family isn't even allowed to say that word to me on the phone when they call me at work!
TazziRN, RN
6,487 Posts
Naaaaaa!
Or what about the phone call I took from a girl who had forgotten to take her BCP's for over a week, so she took the missing pills all in one handful, then got scared when she became nauseous.