EMTs Ever Look at You Like You're Dumb? - page 8
I'm a new school nurse at a High School, and more than once I've felt that they look at me like I'm dumb. The funny thing is that the nurse who oriented me told that they do that (lol) Earlier,... Read More
Apr 29, '16Joined: Aug '15; Posts: 6; Likes: 2Oh my goodness, yes! I work in a group home with people who are mentally/physically handicapped. I called for an ambulance for one of my patients the other day and told dispatch that her right pupil was dilated, her left pupil was pinpoint, and neither were reactive to light. He asked if there were any other signs of stroke. I said no. There was no facial drooping or one sided weakness. (She is nonverbal, so I am unable to assess her speech). When the EMTs got there, I showed them her pupils and demonstrated with a flashlight. She looked at me like I was an idiot and asked me why I told dispatch there were no signs of stroke. I had to explain the conversation I had with dispatch and that I had said there were no OTHER signs of stroke. Thanks for the wasting those precious minutes just to accuse me of not knowing my job. Oh, and also, thanks for not calling ahead to the hospital to let them know they were bringing a possible stroke patient. (The hospital had to call me to ask, because they got no information from the EMTs)
Apr 29, '16Occupation: EMT-B/CPT-1 Specialty: 2 year(s) of experience ; From: US ; Joined: Jan '16; Posts: 78; Likes: 60Former EMT here!
I apologize if we ever look at you like you're less than..typically we don't get any HX,allergies,RX or literally anything useful we can tell the triage nurse or even in our base contact. It sucks because we're then looked at like the stupidest people on the face of the earth when we deny HX per facility then the PT states a slew of conditions and medications. No idea why but pts are healthy in the back of the rig and then tell the triage nurse they have every condition in the book. Quite interesting honestly but makes EMS look foolish. We're often looked down upon when bringing in or discharging and aren't given adequate information because we're "just EMTs". We also deal with nurses who don't quite know what they're doing anymore(or if ever) SNF/Assisted living homes scare the living bajeezus out of me from my experiences.
-Nurse, this PT has rigor mortis and is colder than a popsicle. When was last rounds? What's his HX?
"No, he's sick. Saw him at dinner 20 minutes ago. Probably UTI. Only a little hypertensive"
-->PT is trached with NG tube. Med list 3 pages long.
I'm not generalizing to all SNFsbut it's crazy that a city will have 7+ SNFs and somehow 911 is called at only 2 consistently for severely critical patients.
Soooooo frustrating. again, I apologize but you don't know where we come from until you walk a mile in our shoes with our unique experiences. I was never that EMT since I knew I wanted to be a nurse and of course, I understand in a school setting you can't know every single kids HX.
Apr 30, '16Specialty: 12 year(s) of experience ; From: US ; Joined: Jun '05; Posts: 1,033; Likes: 1,769Quote from Kooky KorkyDo you have the ability to update the emergency cards with pertinent school health happenings, during a period of relative calm? That way they would be accurate, right?
And maybe you could get parents to update them at least each semester with news from the home part of the students' lives.
School nurses, you know what I mean
Apr 30, '16Joined: Sep '14; Posts: 19,387; Likes: 67,893Quote from mc3I feel ya. They just don't know.
School nurses, you know what I mean
May 1, '16Occupation: LPN Charge Nurse Specialty: 4 year(s) of experience in Nursing Home ; From: LA, US ; Joined: Jan '12; Posts: 282; Likes: 394I'm not a school nurse. But I am a Nurse, LPN in LTC. I can relate to being looked at like I dumb by EMTs. The fact of the matter is EMTs will never understand the work load and responsibility of a Nurse. I was an EMT-B before becoming a Nurse. Ratios for EMTs are 2 Prehospital Care Providers per usually 1-3 patients and usually always 1. EMT training is so focused on gathering data, hx, etc they don't understand the struggle of having 40 plus patients under your care at one time. Many EMTs also don't understand that we don't call them for there opinion we call them to transport our patients to a hospital quickly. With all due respect I'm a Licensed Nurse and when I decide to send one of my patients out in collaboration with the physician or by my judgement I carry my own license to do so and shouldn't meet resistance. EMTs are certified to provide pre hospital care under a medical director. They are not practitioners of medicine and its very dangerous and unethical for Nurses to take advice from them.
With that being said I was an EMT for a major ambulance company and it does help if Nurses are able to get all the ducks in a row on time. But like I would tell my partner on the rig, we are EMTs, why should we expect ducks to be in a row! That's not how emergencies work anywhere [emoji23]
May 1, '16Occupation: LPN Charge Nurse Specialty: 4 year(s) of experience in Nursing Home ; From: LA, US ; Joined: Jan '12; Posts: 282; Likes: 394Quote from emtpbillSo just because a patient pulls there G-Tube out that's grounds for the EMS crew to come to the nursing home and have an attitude toward the nursing home staff? Have you ever been an LPN or a Nurse of any kind for that matter ? A patient with dementia and a behavioral history may pull her G-Tube out again and again, how is this the Nurses fault ? Do you know that when a Nurse in LTC sends his/her patient out to ER it's not something we're eager to do. This often takes a half hour or longer and almost always interrupts a med pass of 40 plus residents.Ok , everybody needs to simmer down a little. Before everyone says nurses have more education and such, while yes it may be true in the form of classroom stuff, medics have two year degrees now and with most states requiring 18 hours of conED along with ACLS, PALS, PHTLS, CPR, Hazmat certs and other certifications required for the job, everybody needs to respect the others job and position. (Steps off soapbox).
As a medic in a nursing program right now I am seeing the responsibilities and knowledge required for nurses.
I have seen every type of call there basically is (20 years as a medic). The attitude that may be conveyed towards a school nurse probably isn't personally directed at the person who met the EMS crew but rather is slight burn out that they just took Mary Smith from the local nursing home 1/2 hour earlier because the LPN said the patient pulled her gtube out for the 90th time this year and has to go to the ER again, it gets a little old. Yes, i know it's part of the job, but in the same sense if the same kid came to the school nurses office every other day complaining of a hang nail, you would become a little desensitized.
I assure you that the medic isn't on the way to your school thinking to himself " oh this is a school nurse, I'm gonna be rude, disrespectful and ignore any information they may provide. That is just not the case. When a medic gets on scene they get so focused on the patient that everything else gets blocked out. While they may not acknowledge you or even look at you while you are speaking to them, I guarantee they are listening to you for key words: allergies, Pmx, meds.
Everybody is on the same team, to take care of the patient to the best of our abilities.
So I'm gonna ask you while I got you on the line Mr Paramedic what would you like the Nurse to do when a patient pulls there G-Tube out in the nursing home ? Let them stay there and not receive any enteral feelings that was ordered that night, any meds? How would an LPN as a licensed nurse explain that to a board of nursing? To family member, to an attending physician? It may be frustrating and I get that because u used to be an EMT but we all got to do what we got to do and there should be no excuses for cocky, rude, or any behavior that inhibits actual patient care and communication.
May 12, '16Specialty: 4 year(s) of experience ; From: AU ; Joined: Jul '14; Posts: 30; Likes: 25Quote from tiningTHIS IS THE MOST HILARIOUS THING I HAVE EVER READ!Usually after report I am then placed on ignore - which is worse idiot or ignored?
Great EMT story; in the summer I work as a camp nurse in the Poconos - Honesdale if anyone knows the area. Weekly trip to Wal-Mart (I believe the one that started "People of Wal-Mart" web sight). Pouring rain as another nurse and I are heading to the exit. We see a guy on his back in the parking lot at the entrance (knock-off Crocs - worn smooth). The other nurse has on a rain jacket and takes the lead. We can clearly see blood on the back of his head. There are now several people around him and my nurse looks up with an OMG get me out of here look. In the distance sirens are approaching. She gets up and we all scramble to our car. I ask what was that look about? She tells us a guy came up and said "someone write these numbers down - I am a paramedic" She's thinking "great, all's well - we have support here." 'Paramedic' holds injured mans wrist for a minutes and says "120/80" - we laughed ALL summer about this man and his finger blood pressure. We did x-rays, temps, & cat scans all summer with our 'magic finger.'
Aug 2, '17Joined: Jun '12; Posts: 3; Likes: 1I'm an emergency room nurse. For the best interest of the patient and to continue providing medical care history and as much information as possible is great not only for emts but so that they can pass that information on to the nurse and provider in the ed.
Obv if he has AMS and you need to do something like maintain airway etc then it might be hard to get that information from the computer. However you should have also delegated someone else to get that information if you are unable to. Having files for each patient ready to go in emergency situations is honestly what I would do as a school nurse. You can keep it locked ina file cabinet with a key on your person at all time to maintain hips and then all you would have to do is grab it quickly. You could even do that while ems is loading him up. The way it works is they roll in.. while they are coming in you are verbally giving report (name , dob, allergies , soap) .. and then while they are putting him on monitor and getting him loaded you can say I'm going to go get his medical hx for y'all and hand it to them as they are rolling out the door so they can read it and pass it along to the next person. That is what a RN should be doing. Then I promise they won't look at you like your dumb anymore
Aug 2, '17Joined: Dec '11; Posts: 3,580; Likes: 7,834Quote from starrernurseWith all due respect (and I have an enormous amount of respect for ED nurses) Some times we are the ONLY medical person in a building or on a campus. There may be anywhere from 500 to 1500 kids (and staff) we are responsible for. Sometimes spread out over multiple buildings....Before you dispense any ideas on how you would do our job, do our job.Having files for each patient ready to go in emergency situations is honestly what I would do as a school nurse. You can keep it locked ina file cabinet with a key on your person at all time to maintain hips and then all you would have to do is grab it quickly. You could even do that while ems is loading him up.
30-40-50 kids per day (in a 7 hour period) where we assess and care for any number of medically complex kids with trachs, insulin adjustments, g tube feeding etc etc....not often, if ever, time to put together a little dossier that can be shared.