Published
1. Don't tell me you have abdominal pain as you eat Doritos in my triage booth.
2. If you come to the ER by ambulance, the first thing I will ask you is how you are getting home. No, we don't have people on staff to drive you home, and don't tell me you don't want to "bother" one of your family members at this hour. You had no problem bothering 911 for the back pain you've had for 3 years.
3. You DON'T get to pick your own IV site. This will irritate me and I will probably miss your IV on purpose and start your site in the place I wanted to initially to prove a point.
4. "Butterfly" is not an IV size, this word signals me to put in a larger bore needle, preferably a 16g.
5. Nausea is not a reason to come to the ER. If you are not in severe abdominal pain, are not vomitting or pooping your pants in front of me, your butt goes back to the waiting room.
6. How can you have the worst migraine of your life, but you are able to yell at me about the wait time after you just put down a magazine you were reading?
7. Don't ever say things like, "I usually get 4mg of Dilaudid." Requesting your med and dosage will promt me to squirt out half of the med before it's injected, then lie about the dose.
8. If you are allergic to Tylenol, Toradol, and Motrin, I have already assumed you are a drug seeker.
9. I don't care if you are neighbors with the GI specialist. Unless he drove you to the ER himself, you can't be that friendly.
10. Just because "my doctor sent me here," does not mean you get right back to a treatment room. This tells me you are a pain in the a$$, and he's pawning you off.
11. The louder you moan and wine, the bigger size IV needle you get.
12. Foley catheters cure psuedo-seizures and intoxicated persons.
13. If you are on more than 2 medicines at home, bring a list. Don't say, "you know, the little white pill," or ,"look it up, it's on the computer." I am NOT a pharmacist.
14. RN is not synonymous with waiter/waitress
15. Don't wine about missing breakfast when I am on the tenth hour of my shift and still haven't even peed or eaten yet.
16. Broken toes are not an emergency. We'll make you feel stupid by putting a little piece of tape down there and kicking you out.
17. I am currently inventing a trapdoor system in triage to be triggered when you say the word "toothache".
18. Cover your mouth for crying out loud when you cough, sneeze, or belch. This is just common courtesy. When you neglect to do this, I am tempted to bust butt in your room, then close the door.
19. If you tell me you have fibromyalgia or chronic fatigue syndrome, know that I'm rolling my eyes and thinking you're a loser.
20. If you list Haldol, Geodon, Xanax, and Trazadone as allergies, don't ell me you have no psych history.
21. Although you've been in the ER four times this week, you cannot list the ER doc as your family physician.
22. Do not talk to me while I'm trying to listen to your lungs.
23. Don't tell me you have no money for medicine while you have a carton of cigarettes in your purse (next to your cell phone), and each of your seven children are playing their own PSP's.
24. Gravida 7 at age 22 means you are a tramp.
#35-Don't expect me to believe you passed out at home if you just drove yourself to the ER#36-If you tell me you have Chest, arm, shoulder, neck, AND leg pain, a REALLY bad cough, your hands and fingers are tingly, your SOB, AND you can't see, don't expect me to believe you.
#37-If you are taking 20 different meds, don't tell me you're pretty healthy and don't have any medical history
#38-The ambulance is not your personal chauffer. If the crew tells me that you met them at the curb then I'm not going to take you seriously
#39- If you are yelling at me you are not having that much trouble breathing
#40-If you're not going to follow the advice you are given then quit coming to the ER
You know, I work on an ambulance. It's been my experience that the ones who meet you outside tend to be in truely bad shape. I had a 'difficulty breathing' call awhile back. It was 28 degrees outside and sleeting/snowing. When the patient was outside beside the road in shorts and a tank top in the standing tripod position, I knew this was bad. I've come to realize that the ones who meet you outside tend to be the ones who figure that if they're going unresponsive or whatnot, they wanna be as close to your arrival point as possible.
You know, I work on an ambulance. It's been my experience that the ones who meet you outside tend to be in truely bad shape. I had a 'difficulty breathing' call awhile back. It was 28 degrees outside and sleeting/snowing. When the patient was outside beside the road in shorts and a tank top in the standing tripod position, I knew this was bad. I've come to realize that the ones who meet you outside tend to be the ones who figure that if they're going unresponsive or whatnot, they wanna be as close to your arrival point as possible.
Or they don't want the EMS personnel to have to break down a locked door? That would be my other thought.
here is some advice, all humor aside, if you don't like fat people you are in the wrong profession because that is going to be a ,no pun intended, large part of your patient population. Can you say comorbidities? Sorry but I heard so much of this especially in the OR it really got old and pointless. I also know of obese patients who simply stop going to the ER because they got so much attitude. They just died at home of their heart attack so they would not bother you.
here is some advice, all humor aside, if you don't like fat people you are in the wrong profession because that is going to be a ,no pun intended, large part of your patient population. Can you say comorbidities? Sorry but I heard so much of this especially in the OR it really got old and pointless. I also know of obese patients who simply stop going to the ER because they got so much attitude. They just died at home of their heart attack so they would not bother you.
Insert belabored sigh here. Feel free to navigate your cursor to the red x. You are clearly on the wrong forum as previously warned. You may want to repost on soap box page.
happy little gatekeepers.
evolution depends on fitter individuals breeding. so they would only need to breed before becoming too fat. so you know nothing about Darwin or his theories.
the tone of the "humor" of this thread is inappropriate. Punishing patients for perceived wrongs. And your defense is off base as well.
I had a patient who had complained of abdominal pain bleeding family history of diverticulitis. She lost over 90 pounds and was merely told that was good. So now she poops into a bag and nearly lost her life. The nonprofit corporation she got her health care from is known for outcompeting for new docs as it expands and absorbs competitors so there's way too many inexperienced doctors. But where were the patient advocates, the nurses? snickering because she was fat? also congratulating her on her weight loss? yep.
If you feel this way perhaps you should seek new opportunities. You could maybe work for an insurance company finding pre existing conditions or other ways to deny care. Think of the power.
happy little gatekeepers.evolution depends on fitter individuals breeding. so they would only need to breed before becoming too fat. so you know nothing about Darwin or his theories.
the tone of the "humor" of this thread is inappropriate. Punishing patients for perceived wrongs. And your defense is off base as well.
I had a patient who had complained of abdominal pain bleeding family history of diverticulitis. She lost over 90 pounds and was merely told that was good. So now she poops into a bag and nearly lost her life. The nonprofit corporation she got her health care from is known for outcompeting for new docs as it expands and absorbs competitors so there's way too many inexperienced doctors. But where were the patient advocates, the nurses? snickering because she was fat? also congratulating her on her weight loss? yep.
If you feel this way perhaps you should seek new opportunities. You could maybe work for an insurance company finding pre existing conditions or other ways to deny care. Think of the power.
Wow...all I can say is that you have totally stumbled onto the wrong thread ...& that maybe somebody is a little self concious about their weightWe are going to keep this thread going for another 116 pages...either read in silence, or just go away!
This has been hilarious and yes I did just waste a wee bit of time reading this thread! I teach full time and expect my students to be respectful in their interactions with faculty and patients, but this is a great forum to vent and share some of the unbelievable nonsense we see! Love the "red box" and the long list of warnings- worth price of admission.
ThrowEdNurse, BSN, RN
298 Posts
When you've grown into and around the wheelchair to the point that we have to extract/cut you out of the wheelchair, it's time to lose weight.
When your wheelchair gets a flat tire, it's time to lose weight.
When all IM injections go SQ because the longest needle we have is only 2", it's time to lose weight.
When the MD wants to consult veterinary medicine "for Shamu" it's time to lose weight.