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.
OMG this is tooooooo funnyyyyy.....
Hilarious forum,and oh so true.My ER coworkers and I can relate to everything.The sickest people make the least amount of noise...
Student nurses who call us mean don't even know what they don't know yet!!. Talk to me in 5 yrs.
My mom used to be a nurse 50 yrs ago and when patients pissed them off they'd blunt the needle before an IM injection..
If you are going to stick a foreign object up your butt,attach a damn rope to it so you can extract it.. Pt 2 weeks ago had his "girlfriend" insert a toilet brush up his butt while having sex!.{Brush end out,picture that!!}Of course ended up in surgery.
If you are a gang member and get shot[non lethal],don't cry for your mom,it makes you look like a big -ussy.Not so tough now,huh..
Your fingers will never move faster than a lawnmower blade.
Medicaid is not 'your' insurance. We're the suckers paying for your 9 kids.
If you can say." I'm having a seizure" You're not!!
If you pretend to be passed out,but can still flutter your eyelashes,and fail the arm drop test..I have a sternal rub that will wake the dead and an ammonia capsule with your name all over it..
People ALWAYS get a ride home.How many bones have you seen outside the ER???..
And the party never ends......ED nurses rock....
Keep 'em coming - this thread is tooooo funny!!! I agree with all of them!
If you are the patient or the patient's family, you came here (or brought your loved one here) because you (or he/she) were (was) sick. It takes time and lots of tests to find out what is wrong, then we have to treat you. Yes, we need the tests so we can provide the appropriate treatment. No, we don't have a diagnosis 2 minutes after your blood is drawn. If you came to be treated, sit down, shut up, and let us treat you. Don't stand at the door, tapping your foot, and looking at your watch, asking every 30 seconds "How much longer?!". Every time I have to stop and answer you, it's that much longer. If you can be up asking "how much longer?", you did not need to be here, you still don't need to be here, you can sign out AMA and go see your PMD or the health clinic tomorrow, and free up my @^#$!!! room for someone who needs it!
When I am assessing you, do not interupt me to answer your cell phone or make a phone call.
When I came into your room, I saw you laughing and talking with your visitor and on the phone, so here is your $500 Tylenol - see ya!
If you can keep yelling "I can't breathe...I'm dying!", you CAN breathe and you are NOT dying.
If you are going to be drinking or doing drugs until you are found lying on the pavement unresponsive ... think ahead and wear gender-appropriate underwear.We will make fun of you.
Many years ago a CPR in progress came in wearing only undies. Because of the hairstyle, makeup, conflicting physical atttributes, etc., we kept staring at the pt and asking each other, "Is it male or female?" Nobody was sure until we cut the undies off! Pt was male.
Please do not threaten me with a lawsuit then come to the ED I will not be very rushed to get you in to be seen.
A male called the ER from home and demanded a portuguese interpreter for a newborn who is crying. I told him we do not have one available but if he came in we will send for one. He threatened me by saying if I do not get one now your baby will die and it will be my fault. He then come to the ED with his perfectly normal healthy infant.
Please do not threaten me with a lawsuit then come to the ED I will not be very rushed to get you in to be seen.A male called the ER from home and demanded a portuguese interpreter for a newborn who is crying. I told him we do not have one available but if he came in we will send for one. He threatened me by saying if I do not get one now your baby will die and it will be my fault. He then come to the ED with his perfectly normal healthy infant.
Did I understand this right, the man wanted a portugese interpreter for the infant?! The infant who cannot speak! If he is the parent why does he need an interpreter?
I just couldn't help it, I have to jump on this band wagon for a minute. Speaking about ED nurses and how we act towards patients is a particularly sore subject with me. I feel like I'm one of the most compassionate people I know, but when things get crazy, I don't feed into that, I step back and slow down so I can assess the situation, not join in the insanity.
I was working in reception one night and a woman and her daughter came in the door...losing their minds, crying and just stressed to the max. The girl was 18 weeks pregnant, and had been to the OB that day and was told that everything was ok, then she presents to the ED that night on the verge of a miscarriage. We are trained to "please fill out the form" if you can breathe and are not in the middle of a stroke or MI., so I asked them to fill out the form. The mother's trying to tell me she's having a miscarriage, I'm trying to tell the mother that if she is indeed having a miscarriage, nothing we can do will stop it, the girl's saying she needs to sit down, no wheelchair available, I'm on the phone trying to get someone up to the front with a wheelchair, I went and got a wheelchair and when I got back, now she can't sit down because she's trying to deliver this fetus. I call my charge nurse and tell her I need a stretcher so this girl can lie down and she says to me "where do you want me to put her, in the hall"? Well....yeah, if that's what we gotta do....Now the girl's bleeding, the masses are oohhhhing and ahhhhhing. Finally my charge nurse calls me and voila', there's a room. I lead the girl and her mother to the back and run back up to recept the next patient. Later on I went to the back to check on her and she was shaken up but stable.
Later I get called into the director's office because the mother filed a complaint about me. ME! I didn't show enough compassion. I acted like it was no big deal. I acted like I didn't care what was happening to them, just wanted them to sign my form. Would they rather I had stood there and made nice to them, or would they rather I take care of business? HOW DARE THEY ASSUME TO KNOW HOW I WAS FEELING JUST THEN. Little did they know, I had just gone thru the exact same thing with my neice who delivered TWINS at 20 weeks, a stillborn and a live birth.
Please folks, just because we don't feed into your anxiety and get in a flitter, don't assume we don't care or know what we're doing. Sometimes it's better to be detatched so we can do our job. And please don't assume to know what is in our heart. Yes, it's your perception of your own personal emergency, but it's us up there trying to sift through each individual case and just trying to do the best job we can for as many people as we can.
OK, I'll step down off of my soap box now. Thanks.....whew...I feel better.
After doing a few shifts in ER I realize that I couldn't handle it. Way, way too many pts families breathing down your neck. Oh, and I'm not a nurse - just a CNA but these have actually happened to me.
The Hilton this isn't. Your hands aren't painted on - pour your own ****water. Wipe your own butt - you do it at home, you can do it here. It's disgusting to have a fetish with nurses wiping your butt. Grow up.
See that sign that says "no cell phones"? That means YOU!
When I walk into the room do not continue with your cell phone conversation on how to cook a turkey and then when you hang up say "sorry, it was an emergency."
Do not come into the ER with CP, refuse blood draws and EKG's, get admitted and then leave AMA four hours later. Why the h*** did you come in the first place????
Do not go out to smoke a cigarette when you have bronchitis, CP, pneumonia, etc then come back in and complain of shortness of breath. DUH! You would be short of breath after smoking 6 packs a day.
Don't come in with hyperglycemia, state that you don't take your meds and then proceed to eat chocolate and Mountain Dew.
No one ever died from a hangnail.
jojotoo, RN
494 Posts
LOL!!!:rotfl: :rotfl: :rotfl: :rotfl: :rotfl:
This post just goes to show that the ER is the same all over the country.
Same story - different actors!