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 Rural Health.

#49-This is not a pharmacy, if you were running low on your meds then don't wait till an hour after the pharmacy has closed then come to ER expecting to get enough to get by for the weekend.

#50-Don't tell me your asthmatic and have been taking your albuterol nebs, but you still can't breath if you smoke a pack a day.

Specializes in ED.

Originally Posted by roses1130j

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:

priceless :lol2:

Specializes in Cath Lab, OR, CPHN/SN, ER.

- Bad things happen to good people. Bad people survive and get away with probation.

- Do not bring luggage to the ER.

Specializes in Neuroscience, ED.

Bringing luggage to the ER!

It amazes me when people bring a suitcase to the ER when they come in for a cold or minor belly pain. They are only in the treatment room 5 minutes and haven't seen a doctor and ask "Do you think I will be staying overnight?"

Nevermind we don't have any rooms for the sick patients.

Specializes in ED.

Ok, for all those afflicted with some disease mentioned here in this thread, this is not an attack at anyone. This is a vent thread. If we do not vent adequatly we will burst and that will cause much paperwork, stress and clean up. Don't be hate'en!

And to the new ER nurse, welcome to the family. We all have a rough job. We also love our job. We have developed a very sick sense of humor that gets us through the mondaine crap people throw our way. Don't be hate'en! lol

-never, never call and seriously ask for a ride from us to the ER because you believe you are entitled due to being here the day before and think we screwed up on your care. We did not screw up, just didn't give you the pain meds you want, and will absolutly NOT leave here to give you a ride here.

Specializes in ED, Trauma.

#51 The number of times you come out of the room and up to the desk to ask when your loved one is going to go upstairs is exponentially related to the time it will take to get you there.

#52 Please eat before you come to the ER so that I don't have to listen to you whine about "starving to death!" because you haven't been allowed to eat in a whole afternoon.

#53 Please ask to pee before I get you hooked up to the 30 wires and BP cuff and O2 sat monitor, IV tubing and side rails up x 2.

#54 Men, learn to pee lying down for goodness sake. I am NOT going to compromise your spinal immobilization "just this once" and let you sit up and pee on the side of the bed. My son could do it from the first day he was born (I have pictures to prove it) so don't blame it on Gravity!!!

Specializes in OR, ER, TRAVEL, SURGICARE, WOMENS HOSP.

This is the best thread ever... Venting feels soo good. You can't make it up.

If you are a nurse and you bring your family in to ER, don't unhook the monitor and unlock the break and start out the door to the floor before I (the primary assigned nurse) say it its time. Just be a daughter and not a nurse for your loved one. You can give them that tender care we don't have time to. (fluff pillow, warm blankets x 3, glass of ice water, etc.)

You may call it venting - I think its unprofessional and a bad reflection on all nurses. As for wasting 1/2 of a prescribed medication and charting it as given, I think that's called malpractice, and you should lose your license for it. It certainly isn't something I would brag about or post on a nursing forum. I would not want to be a patient or a nurse anywhere where patients were discussed with so much contempt and judgement, whatever you want to call it.

Specializes in Trauma/ED.
You may call it venting - I think its unprofessional and a bad reflection on all nurses. As for wasting 1/2 of a prescribed medication and charting it as given, I think that's called malpractice, and you should lose your license for it. It certainly isn't something I would brag about or post on a nursing forum. I would not want to be a patient or a nurse anywhere where patients were discussed with so much contempt and judgement, whatever you want to call it.

Wow...I'm glad you don't work with me...I'd have you off my crew in no time flat...you would run away with your tail between your legs the first time I got on you for holding your patient because "they just don't feel very good after the meds we gave them....DC them NOW I have a new CP for you"...:)

Specializes in Emergency.
You may call it venting - I think its unprofessional and a bad reflection on all nurses. As for wasting 1/2 of a prescribed medication and charting it as given, I think that's called malpractice, and you should lose your license for it. It certainly isn't something I would brag about or post on a nursing forum. I would not want to be a patient or a nurse anywhere where patients were discussed with so much contempt and judgement, whatever you want to call it.

Let me take this opportunity to introduce you to a friend. You'll love it. It's called the little red x and you can find it at the UR of your screen. If at anytime anything you read online is personally offensive to you, you can put your cursor on the little red x, click, and the offensive material will magically go away. This is true of any website. I suggest you try it...now. And leave those of us who have to deal with pts more atrocious than you can imagine while nursing them back to health to vent in peace. So sad, our pts don't come with red x's.:crying2:

Specializes in ED, Trauma.
You may call it venting - I think its unprofessional and a bad reflection on all nurses. As for wasting 1/2 of a prescribed medication and charting it as given, I think that's called malpractice, and you should lose your license for it. It certainly isn't something I would brag about or post on a nursing forum. I would not want to be a patient or a nurse anywhere where patients were discussed with so much contempt and judgement, whatever you want to call it.

Do you WORK in an ER?? I find it hard to believe that you do. We all have infinite compassion for those who truly need to be there--otherwise we wouldn't do it! It is the ones who come in via ambulance for knee pain that they've had for literally one year and take up room and resources that the child in the lobby having an asthma attack, the little old lady with an acute GI Bleed needs and the gentleman with a STEMI need. And, we the tax payers are paying for that EMS ride.

Specializes in ER, Trauma, Advanced Care.
You may call it venting - I think its unprofessional and a bad reflection on all nurses. As for wasting 1/2 of a prescribed medication and charting it as given, I think that's called malpractice, and you should lose your license for it. It certainly isn't something I would brag about or post on a nursing forum. I would not want to be a patient or a nurse anywhere where patients were discussed with so much contempt and judgement, whatever you want to call it.

:spbox::anbd:

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