This is sort of funny. It's about one of my favorite ER techs, but she annoys the heck out of me by being pushy and bossy at times. I had a nose bleeder, an old man, history of nose bleeds since childhood, now made worse by now being on Coumadin. A&O, we started the whole deal that we do, with him in charge since he was very familiar with his nose bleeds and likes to be in charge. It wasn't a really bad one.
Then he says " I feel like I'm going to pass out like I did last time", he briefly bradyed down to the 40s, probably a vagal response, right? I quickly pop in an IV and notify the Doc. This tech, always wanting to be prepared says "Do you want the rapid infuser?" LOL.
I'm thinking, that's the most idiotic suggestion I've heard in a long time. But I hate to put people down, so I tell her, no, he probably just vagaled. He was fine with a position change, he didn't even need a rhino rocket this time.
I have worked with a couple of techs going on MDs as we call it. It is frustrating and dangerous at times with pushy and bossy techs who think they know it all. I think that is what OP is referring to.
Why would you and Emergent feel the tech was pushy/bossy .. in this case? It was a suggestion.. no?
The RN needs to to respond.. yes thank you, or no thank you.
I'm encouraged by all these responses. As a CNA going to nursing school I've heard the phrase "nurses eat their young" so many times. In my thinking, it's better to be over prepared than under prepared. I've seen far too many cnas take the lazy route by sitting on the couch playing on their phones instead of tending to their patients. The fact that so many of you nurses on here are compassionate and are eager to teach those of us who don't really know what we're doing yet gives me hope.
For the record, this is NOT a NETY moment. PLEASE drop that phrase from your vocabulary now, before you become a nurse.
OP stated the tech was pushy/bossy in general. And this person said something stupid, she laughed, she vented online.
I wasn't referring to that scenario as being dangerous, just generalizing and going from my own personal experience that nursing assistants who think they know it all can be dangerous.
OP stated the tech was pushy/bossy in general. And this person said something stupid, she laughed, she vented online.
I wasn't referring to that scenario as being dangerous, just generalizing and going from my own personal experience that nursing assistants who think they know it all can be dangerous.
Asking the nurse if they need the rapid infuser is "stupid"?
I have worked with a couple of techs going on MDs as we call it. It is frustrating and dangerous at times with pushy and bossy techs who think they know it all. I think that is what OP is referring to.
The issue I see with some ED techs…and don't get me wrong, I work with some great ones…is that they only want to be there for the interesting stuff.
Helping an elderly lady walk to the bathroom? They can't be found.
Can you help me clean up an incontinent patient? "Oh, no, I've got to take room 23 for his CT scan."
But a cardiac arrest? They are right there. Patient needs to be intubated? They have all the supplies and they have the laryngoscope out for the doc.
I realize that techs have things that have to get done, and, no, they are not idiotic. However, sometime the rapid infuser is not needed, and basic care is needed.
You sound like an insecure RN, Emergent. I also seriously doubt you have 21 years of experience. The old Iron Horse nurses are able to hold their own with strong personalities and actually admire initiative in their CNA's/PCTs. Careful about putting the "little CNA" down too much. They spend the most time bedside with patients and often have their ear and heart. If you're nice, she might just save your ass someday, honey.
Also, who refers to their patient as a "nose bleeder?" Seriously.
... Please enlighten me!
been there,done it
84 Posts
Why would you and Emergent feel the tech was pushy/bossy .. in this case? It was a suggestion.. no?
The RN needs to to respond.. yes thank you, or no thank you.
Why do you feel this could be "dangerous"?