1. Ambulances for clearly non-emergent conditions (my personal most notables are of dental pain and a "possible UTI" but I know they're used for far more silly complaints than that. Just the two I've seen myself).
2. Chief complaint of fever, yet they have not so much as taken a temp at home, and if so, even taken tylenol or ibuprofen
3. Mom who brings in all 3 kids because they all have colds at the same time.
4. I'm allergic to tylenol, ibuprofen, codeine, aspirin, hydrocodone, oxycodone, morphine, and zofran. All of them have caused anaphylaxis.
5. The patient that claims their police report PROVES their medications were stolen.
Patient's using cell phones, iPads and other electronic devices when I'm trying to obtain information or trying to go through their discharge instructions.
I think there is a HUGE difference between someone who says they "have" XYZ diseases, and someone who "suffers from" XYZ diseases. Ex: "I *suffer from* high blood pressure, low thyroid and diabetes." GRRRRRRR!!!!
Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
I think there is a HUGE difference between someone who says they "have" XYZ diseases, and someone who "suffers from" XYZ diseases. Ex: "I *suffer from* high blood pressure, low thyroid and diabetes." GRRRRRRR!!!!
I don't think I've ever heard anyone tell me they "suffer from" high blood pressure, low thyroid and diabetes! Is that common where you are? Here it's "I gots da sugahs."
I don't think I've ever heard anyone tell me they "suffer from" high blood pressure low thyroid and diabetes! Is that common where you are? Here it's "I gots da sugahs."[/quote']
Here it's:
Do you have any medical problems? No
Do you have high blood pressure? Yes
Do you have diabetes? Yes
Why do you see a kidney doctor? Cause I get dialysis.
They probably want to know if their favorite, most generous with Dilaudid Doc, is on.
In school, I noticed that the ambulance crew called the hospital before they took someone in. This was so they could take them to whichever hospital was had the least number of clients.
Maybe these potential clients don't want to overwhelm an already busy E.R. staff.
Even though clients might line up in great numbers at any time, this does not always happen.
I would not want to plant myself in an already busy emergency room if I had any option. A lot of people and myself included have a choice of two or more hospitals they can go to.
Maybe these potential clients don't want to overwhelm an already busy E.R. staff.
Maybe it is different in your part of the world, but our patients (sorry, I refuse to call patients by any other name...really, for me, calling them "clients" is a pet peeve of its own) are far less benevolent.
Plus, if our hospital administration saw that ambulances were skipping us to go to less crowded EDs...they would be POed (thanks almighty $$).
Specializes in Complex pedi to LTC/SA & now a manager.
In school I noticed that the ambulance crew called the hospital before they took someone in. This was so they could take them to whichever hospital was had the least number of clients. Maybe these potential clients don't want to overwhelm an already busy E.R. staff. Even though clients might line up in great numbers at any time, this does not always happen. I would not want to plant myself in an already busy emergency room if I had any option. A lot of people and myself included have a choice of two or more hospitals they can go to.[/quote']
No EMS calls to alert of arrival not check patient census. This is to let the ER know that there is a trauma or chest pain/possibly STEMI or stroke alert. This way ED staff is not blindsided and can have equipment and staff ready for patient arrival. EMS is well aware before they call in if a facility is on divert as dispatch notifies crews as soon as aware a faculty is on divert except for trauma/stroke/ pedi/etc (whatever they are mandated to accept.)
The rule in EMS is closest appropriate facility. Not look for least crowded ER. You don't take major trauma to local community ER when regional trauma center is 20 min north. You don't take pedi respiratory distress to local geriatric/ general ER when local children's hospital pediatric ED is 15 minutes east
The (S.O.) that cannot just SHUT UP, and has to answer for the patient all the time!!! I run out of patience with these folks IMMEDIATELY! I completely ignore them in an instant, no eye contact, nothing...big mouth people
turnforthenurse, MSN, NP
3,364 Posts
Patient's using cell phones, iPads and other electronic devices when I'm trying to obtain information or trying to go through their discharge instructions.