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.

Specializes in M/S,TELE,ORTHO,ER.
The real question is ........ are we expected to fix stupid, or is ignorance the same thing?

Just chant to yourself "job security, job security,job security..." You have hit on the one thing there will NEVER be a shortage of.;)

Specializes in Rural Health.

Too bad we're the one's footing the bill for the people providing 'job security' most of the time ;)

#2-I've so had to deal with this way too many times!

#34-If you were laying in bed when you passed out it's called FALLING ASLEEP

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.

#6-

I get horrible migraines- and yes I can read a magazine in the ER while in excrutiating pain. It at least distracts from the pain a little.

Thanks goodness there are now really effective non-narc po RX migraine meds- so I know longer have to wait for hours in horrific pain in an ER only to be written off as a "seeker.":angryfire I have never yelled at the nurse.

"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."

Why is that?

Specializes in Rural Health.

#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

Specializes in M/S, Tele, Peds, ER.
#6-

I get horrible migraines- and yes I can read a magazine in the ER while in excrutiating pain. It at least distracts from the pain a little.

Thanks goodness there are now really effective non-narc po RX migraine meds- so I know longer have to wait for hours in horrific pain in an ER only to be written off as a "seeker.":angryfire I have never yelled at the nurse.

:vlin:

Specializes in ED.
#31. Stop badgering me about how much longer it will take me to move your family member to a room upstairs if you and the 6 other hangers-on with you are going to keep asking me to get the doctor for one more question, asking me for the 100'th time what the numbers on the monitor mean, where the vending machine is, or generally crowding around the patient's bed keeping me from getting all the stat orders done so I can transfer said patient.

#32. Don't stop me from going in the room with the heparin/nitro/dopamine drip the doctor ordered to help save your loved-one's life just because your minister is there praying. Right now, I am praying, too, and I think God is big enough that He won't get distracted because I entered the room.

Ah!!!!!!!! LOL

41. If you tell me that you had bilat le numbness w burning/tingling sensation p standing, you should try getting off the couch every once in a while to let blood circulate… :anbd:

42. I realize that your hang nail hurts but you will have to wait until after I take care of this blue child

43. No I cannot give you alcohol to stop your dts

44. If you get something stuck in an orifice where things are not meant to be shoved, someone is going to have to see it to get it out; and yes, everyone is going to know about it

45. When you are yelling at me it is difficult for me to believe that you cannot breathe

46. If you’re c/c is cp w hx of recent CABG, you may not bring your briefcase, laptop, & printer to the bedside and proceed with your conference call while you finish eating your whopper

47. No, I do not know how much longer!

Specializes in Rural Health.

This is my most favorite thread ever:)

#48-No you may not go outside to smoke unless you're going to go home and stay out of my ER

Specializes in Med Surg/Tele/ER.

48. Do not stand prancing by the triage chair unable to sit.... c/o "severe rectal pressure" & tell me you cannot be pregnant because you have never had sex......miracle birth 20 mins later. :uhoh3:

Specializes in Neuro ICU and Med Surg.
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.

OMG you sound like the medsurg floor I used to work on. Except can we have the trap door system for those who have pressed the call light too many times. (All this applies to my ICU as well. ) Can we also have the trap door for the annoying family members too? I would love to use it on the family who keeps following you around.

Specializes in Trauma, Tele, Neuro, Med-Surg.

46. If you're c/c is cp w hx of recent CABG, you may not bring your briefcase, laptop, & printer to the bedside and proceed with your conference call while you finish eating your whopper

LOL! And PLEASE put down your cell phone long enough to answer my questions!

I'm a new new ED nurse fresh out of school. I have only worked 4 months thus far and have already seen some of the instances you named here many times. I know we are EMERGENCY nurses and like to see actual emergencies, (unless were slammed busy, short of nurses, taking over 5 sick sick pts at a time with hospital bed holds because admitting floors have no open beds) but... I try and take these pts as they come and tell myself they keep coming and keep influx for our hospital and keep my job insured, haha. I could see how if I stay in ER nursing too long and let these pts wither my patience...I will begin to hate the profession.

Maybe its time for a swtich for you? Go for trauma then you will be missing these pts. haha.

Specializes in ER.
I'm a new new ED nurse fresh out of school. I have only worked 4 months thus far and have already seen some of the instances you named here many times. I know we are EMERGENCY nurses and like to see actual emergencies, (unless were slammed busy, short of nurses, taking over 5 sick sick pts at a time with hospital bed holds because admitting floors have no open beds) but... I try and take these pts as they come and tell myself they keep coming and keep influx for our hospital and keep my job insured, haha. I could see how if I stay in ER nursing too long and let these pts wither my patience...I will begin to hate the profession.

Maybe its time for a swtich for you? Go for trauma then you will be missing these pts. haha.

:yawn:

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