Whats your biggest pet peeve working in the ED?

[Whts_Ur_Emergency?]

Id have to say my biggest pet peeve is when someone hands you a medicaid card as they pull it from their Louis Vuitton handbag with bling on their hands after having rolled up to the ER in their Mercedes Benz! After that I'd say when someone comes to the ER for a UPT. Dont they know they are available at the dollar store now adays?

[canoehead, BSN, RN]

Oh! And I am sooooo sick of seeing able-bodied people WALK through the door and grab a wheel chair and suddenly become totally incapacitated right before my very eyes

YES!!

They make it to the triage chairs, and then collapse, or send their BFF to the secretary to let us know they are about to pass out. I just say "go ahead, you're in the right place."

[canoehead, BSN, RN]

You're still swallowing a bolus of food after it's been chewed. And yeah, I chew my food. Sometimes I even cook it first and use cutlery.

But if you're honest you'll admit that the cutlery only came into play after you went to nursing school, amiright?

[Sassy5d]

Tonight's was : Providers who order 1 test at a time. So you can never get caught up. And they are off the wall, never saw it coming.

[Lynn Jenkins]

^^I just chart 10 when they do that. And also, when I'm assessing a medication's effectiveness, "did the medicine help you?" "Yes, a little." "What would you rate your pain now, 0-10?" "10." *Eye roll, chart 9/10.

I want to step on their big toe with the heel of a stiletto shoe and tell them THAT is a 10!

[UK_RN_AJ]

Last nights peeve

Doctors prescribing stat meds , but keeping the chart, not telling you about it and then having a go at you for not giving it to the patient.

[Lynn Jenkins]

I never mentioned anything about needles on my post. This is about sensation. My blood sugar seems to drops everytime I get blood withdrawn, so I pass out. I do not pass out by getting pierced or tattooed. What's so difficult to understand?

Really....that's unlikely due to your blood being drawn. You do not lose enough blood to even touch your blood sugar.

[Altra, BSN, RN]

I never mentioned anything about needles on my post. This is about sensation. My blood sugar seems to drops everytime I get blood withdrawn, so I pass out. I do not pass out by getting pierced or tattooed. What's so difficult to understand?

Drop in blood sugar? So, you only regain consciousness after your blood sugar is corrected?

You'll learn about vaso-vagal effects in class. Or you can google it.

[N1colina]

Vasovagal syncope (vay-zo-VAY-gul SING-cuh-pee) is the most common cause of fainting. Vasovagal syncope occurs when your body overreacts to triggers, such as the sight of blood or extreme emotional distress. The trigger results in vasovagal syncope — a brief loss of consciousness caused by a sudden drop in your heart rate and blood pressure, which reduces blood flow to your brain.

[Lynn Jenkins]

The patient with no veins that tells me I get one stick and that's all.

[XmasShopperRN, ASN, RN]

The patient with no veins that tells me I get one stick and that's all.

Yup! Even better when they have no veins thanks to a 20 year hx of IVDA! Sorry buddy, not my problem!

[funfunfun550, BSN, RN]

I wish you could order a "stat" audiology test for people that rate their pain more than a 10 or tell them it is policy to state they are lying if its more than 10..tee hee

[funfunfun550, BSN, RN]

I chart what they say and if it is over 10 I leave it blank and make a comment

THEN I FLAAC score their pain(typically its a 0) and make sure to write a note in the interdisciplinary not as to summarize my findings...very useful if behavioral med gets involved...