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 -.

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-aggressive holier-than-thou business doesn't generally fly with ER nurses

I mean, I am just a nursing student, so I have had no experience in the ER....If I were an ER nurse I would obviously know what you mean and wouldn't be asking questions.

I don't see how me telling any nurse I am a student would impress them and I don't see how asking a question means I have a lot of insight....?

I'm not saying I know better than you, I am saying I don't know much at all, therefore could someone explain the joke because I don't have much knowledge. Please don't try to turn this into a personal attack against yourself because I honestly didn't mean it that way and apologize if it came out sounding that way.

I was just wondering if people come into the E.R expecting you to treat these chronic conditions a.s.a.p ...?

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

I was just wondering if people come into the E.R expecting you to treat these chronic conditions a.s.a.p ...?

Yes they do... ahead of the person with partial limb amputation from MVA or pulmonary embolus cause they were here FIRST!

Specializes in -.

Yikes Karen that's terrible..I can understand the frustration !

Thank you for answering my question :)

Specializes in student nurse.

Is this supposed to be a joke or do nurses get that desensitized that they actually act like that. I remember my son having asthma when he was younger and i went to the er and the nurse took one look at him and told me to go back in the waiting room. I was confused because i know that asthmatic usually get prompt tx, so i sat back in the waiting room. When i finally got into triage and my son's sao2 was seventy something the put him in the asthma room immediatly. He ended up staying in the hsptl for a few days..i wrote the nurse up but nothing came out of it. Just thinking about my sons face and how weak he was i feel like crying, i was younger then and that nurse intimadated me so i sat back in the waiting room knowing my son needed immediate tx. Some nurses are so mean....and i PRAY to GOD that i dont act like that no matter. LORD PLEASE.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
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-aggressive holier-than-thou business doesn't generally fly with er nurses

i mean, i am just a nursing student, so i have had no experience in the er....if i were an er nurse i would obviously know what you mean and wouldn't be asking questions.

i don't see how me telling any nurse i am a student would impress them and i don't see how asking a question means i have a lot of insight....?

i'm not saying i know better than you, i am saying i don't know much at all, therefore could someone explain the joke because i don't have much knowledge. please don't try to turn this into a personal attack against yourself because i honestly didn't mean it that way and apologize if it came out sounding that way.

i was just wondering if people come into the e.r expecting you to treat these chronic conditions a.s.a.p ...?

if we have to explain the joke to you, that means you won't get it. it won't be funny. this is probably not the thread for you. no one can tell you not to read it, but by posting the above, you risk making an ass of yourself . . . . leave it alone until you have enough experience to get it.

Specializes in -.

I was just interested, that's all. My apologies.

And no, I don't care if people on the internet think I'm an ass...It's the internet after all, I don't give a damn what a chunk of text in another country thinks.

Hey, I'm just a student too and I find these freakin' hiliarious! But I used to be a cop so my sense of humor is a little warped.

# We wanted to put on a free community seminar to demonstrate how to properly kill yourself.

(Yes, suicide is a real issue and is devastating to friends and family but when you've dealt with the same guy 20 times who gets drunk, calls 911 crying saying he's "really gonna do it this time"....you get a little cynical)

Keep em comin'! You guys rock!

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

Shystudent, I do think that the triage nurse should have taken your sons o2Sat before sending you back to waiting room. It is not that hard to grab a pulse oz and take it while you look-see a pt in the waiting room. Call it a window triage. Peds pt's are differant and can go downhill fast. However not being there don't know if your son was in immmediate distress and the nurse had a er full of pt's who needed emergent care. Glad your son did ok and God bless. Don't judge the ER until you work there for a while. Its a whole new world from regular nursing.

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

bds165, Good luck with your nursing career, cops and er nurses often have a symbiotic relationship. We know how cops deal with the stress as we do...with humor. If you can't see the humor in it it will drive you crazy!

Ruby Vee, I thought your post was innapropriately mean. Not everyone will understand every joke. There was more than one person who did not understand that particular joke as can be see in earlier posts. People have every right to ask for clarification. Now I fully understand the phrase, "nurses eat their young". Sheesh. What a great way to discourage people from persuing nursing.

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 ?

Chronic Fatigue and Fibromyalgia are controversial diagnoses. Some consider them to be actual diseases, while others consider them to be malingering. The malingering camp thinks that Chronic Fatigue and Fibromyalgia patients use their "illnesses" to get things they want (narcotics and other mind-altering drugs), and to avoid things they do not want (having to work for a living).

Wikipedia has excellent articles on malingering, Chronic Fatigue Syndrome, and Fibromyalgia.

Specializes in Ante-Intra-Postpartum, Post Gyne.

I am guessing you have to be an ER nurse to find this stuff funny...but if they are funny to E.R. nurses it makes me glad I am in "fluffy" OB...to find these humorus must mean you put up with a LOT of "BLEEEEEEP"

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