24 Things ER Nurses Know All Too Well

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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 Neuroscience, ED.

My co-worker said the other other night - more than three complaints - and the chief

complaint becomes "weakness"

It is so funny how people think when they come in for some problem they might as well get "all checked out" so we have c/o combos (for adults) such as "ear infection/constipation"

"abdominal pain/hang nail", "eye pain/STD check", etc.

Specializes in ED.

"*BTW-there are no PCP's at the ER...that's how hospitals and managed care get into financial trouble. "

Then someone needs to tell the patients this tidbit of information, cause I swear we know more about these patients then their own primary care physicians do.

Specializes in Emergency.
My co-worker said the other other night - more than three complaints - and the chief

complaint becomes "weakness"

It is so funny how people think when they come in for some problem they might as well get "all checked out" so we have c/o combos (for adults) such as "ear infection/constipation"

"abdominal pain/hang nail", "eye pain/STD check", etc.

We always triage them as "multiple complaints" Some nureses tell them they only get one so pick!

i think these are accurate and fabulously funny...and for those who have found offense, it's obvious they have not nor could not deal with what er nurses deal with daily. it's obviously a vent thread, and i am new here....i found it quite funny....:yeah:

ellie

Specializes in Emergency.

People really need to lighten up!!!

#? Don't come to the ER with a green colored discharge and foul odor from your "va-jay-jay" if you're not prepared to open your legs so the doctor can get culture swabs to find out what's wrong with you. You obviously didn't get that STD from keeping your legs closed!!!!

Specializes in ICU, ER..

As Ron White stated in one of his stand-up routines, "You can't fix stupid."

Specializes in ED, TICU, Burns, Medical/ Cardiac.

# When patient tell you (the triage RN) one thing and when the doctor examines them they change their story completely! Making you look like an idiot, 'cause you didn't do an EKG on the patient who is having chest pain!!! :angryfire

# When you are talking to the patient who is wide awake and orientated and a self-designated interpretor keeps answering you, despite your best attempts to ignore them completely :banghead:

Specializes in ED, Ortho, LTC.

#? No, I can't give everyone of your family members a work note because they came with you to get your stitches out.

Specializes in ED, TICU, Burns, Medical/ Cardiac.

# I saw my GP this afternoon and he gave me some antibiotics, but now I have a headache and I have a fever! How do you expect to feel better if you have only had 1 dose of antibiotics and it has only been 6 hours since you saw your GP! :smackingf

Specializes in -.

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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.

I am not an ER nurse, just a nursing student so really unsure what this quote means, and why its funny? Do you mean if you presented to the ER complaining of Chronic Fatigue or Fibro, or if you had a history of it and presented with something else?

I am just unsure how a chronic pain syndrome can be 'loser-ish' or funny ?

Specializes in ED.
I am not an ER nurse, just a nursing student so really unsure what this quote means, and why its funny? Do you mean if you presented to the ER complaining of Chronic Fatigue or Fibro, or if you had a history of it and presented with something else?

I am just unsure how a chronic pain syndrome can be 'loser-ish' or funny ?

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Specializes in Trauma, Tele, Neuro, Med-Surg.
I am not an ER nurse, just a nursing student so really unsure what this quote means, and why its funny? Do you mean if you presented to the ER complaining of Chronic Fatigue or Fibro, or if you had a history of it and presented with something else?

I am just unsure how a chronic pain syndrome can be 'loser-ish' or funny ?

Why would you begin with telling us you're "just a nursing student?" Is it because you'd like us to be impressed that a student has such "insight?" That sort of passive-agressive holier-than-thou business doesn't generally fly with ER nurses...or any nurses, for that matter. When you're working somewhere for 12 hard hours, and EVERYTHING is now your responsibility, but not under your authority or control, you will need to let loose a little to survive the stress. If the joke upsets you, you have two choices: (1) don't read any further or (2) start a genuine thread seriously discussing chronic fatigue/fibro or whatever you find interesting. Beyond that, when you gain some experience, you'll understand exactly how people coming to the emergency room for chronic conditions--real, imaginary or somewhere in between--results in eye-rolling.

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