24 Things ER Nurses Know All Too Well

Specialties Emergency

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.

I had 7 pts the last 3 nights, no CNA's because they had to do one-on-ones for the "psych" patients. Average weight of the seven was 400 lbs. I know this because I did the math. I am 5'9'' 160 lb 52 yo woman. How do you think my back feels after lifting, transfering, toileting, repositioning, butt wiping 2,800 lbs of human flesh?

Specializes in Emergency.
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.

Darwinism is also about survival of fittest. As in the wild, the fat cats can't hunt down prey. Ergo they die or lose weight. The same isn't true of humans. Just ask my 65 yoa back attatched to my 32 yoa body.

This isn't a bariatrics forum, again, I suggest you move this another page. You are missing the point of this forum. Take a deep breath and move on.....to the red X!

Specializes in ED.
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.

It's possible that some of them stopped coming to the ED because doing so would have required them to remove a part of the wall to get them out of their house.

Specializes in Pediatric, LTC , Alzheimers, Behavioral.

Thanks to all who responded with a wild, witty or hilarious response. This has been so much fun reading and made my day. To those of you on the holier-than-thou soapbox, I see the 80-90 yr old version of you everyday. You are my geriatric resident sitting alone in your room because the other residents have had enough of your crappy attitude. You eat alone because God forbid someone try to strike up a conversation with you, because no is allowed to find anything humorous and laugh with you around. You are also the ones who's family has long stopped coming d/t the infinite # of years of being preached at. Seriously, loosen up, learn to find the humor in everything and you may actually not end up the TIA down the hall. ;)

I'm really interested in ER nursing....this list doesn't scare me off any. I realize this is a vent thread....but I have to admit it does make me a bit frightend to go into the ER with a problem that my be misconstrude **nervous look inserted here**

Specializes in ED/trauma.
Thanks to all who responded with a wild, witty or hilarious response. This has been so much fun reading and made my day. To those of you on the holier-than-thou soapbox, I see the 80-90 yr old version of you everyday. You are my geriatric resident sitting alone in your room because the other residents have had enough of your crappy attitude. You eat alone because God forbid someone try to strike up a conversation with you, because no is allowed to find anything humorous and laugh with you around. You are also the ones who's family has long stopped coming d/t the infinite # of years of being preached at. Seriously, loosen up, learn to find the humor in everything and you may actually not end up the TIA down the hall. ;)

hahahahahahahhahahahahahahahahahahahahahahah!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!:D:D:D:D

Specializes in orthopedics, trauma/ acute surgical.

I understand that everyone has the right to state their opinions, however (with all due respect) if you are a nursing student or a new grad with only a couple of months experience, spare us from your insights about our"sick and cruel" sense of humor and how you are so full of love and compassion for all patients. I dare you to tell me the same after you take care of the 100th drunk driver who ran over and killed innocent pedestrians, or the IVDA with HIV that spat and threw urine at you because the MD refused to prescribe IV Dilaudid, or the baby full of cigarette burns caused by his daddy because "he wouldn't stop crying when the game was on". And for the "experienced" nurses that are offended by our venting, stop acting like if you were angels walking the earth. You know you have felt the same type of frustration with the system, and at one point in your career you wanted to express your feeling to these type of patients/relatives. ER nurses deal with this shift after shift, feeling both physically and mentally abused, going home with their scrubs full of vomit, blood, urine and feces. What is our reward? if we are lucky, 1 out of 40 patients will say thank you. We are not burned out, we are only using humor as a coping mechanism. As a matter of fact, we love what we do. We help total strangers at their worst time of their lives. We don't need anyone's appreciation or recognition, but do not attempt to patronize us.

#(umpteenmillion) Do not stroll into my ER talking and laughing then the minute you hit the bed you are unable to walk without assistance and need help to the bathroom...No I will NOT wipe your A*%!

Do not get mad at me and threaten to Sh*$ yourself because we will not let you go to the bathroom alone since you are here for SI and attempt. All you will get from me is a bucket full of cold wash cloths.

Specializes in Emergency.

Don't be mad at EMS when you call them for a family member's near syncopal episode when they get a dangerously low bp and insist on transporting him instead of using your at home machine to recheck the pressure and just sit at the house and monitor him like you wanted. Don't then come into the ER and complain about them. They are my friends and you are stupid and have your lipstick on crooked.

Specializes in Vents, Telemetry, Home Care, Home infusion.

Closed it for a time out.

After Admin review, we feel the thread has run it's course and will remian closed.

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