When is a situation considered an Emergency?

Nurses General Nursing

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:D Hi, I am not a nurse yet, so I would like to ask ya'll a question. This post is a little long, so just try to bare with me. What makes a situation an Emergency??? I will explain myself:

Yesterday, my husband had a slight stomach ache all day. He took some pepto thinking that would help, but at about 10:00 PM, he came wake me up and told me I needed to bring him to the hospital. Since we don't have any insurance, we drove about 30 minutes to the Charity Hospital. At this point he is in a good amount of pain. He is having trouble walking and every 2 minutes is seems like he needs to urinate but only a little comes out at a time. We get into the ER and they must have had about 100 people in their. He and I both knew their would be a bunch of people. Well he picks his # and goes sit down, and asks me to go talk to someone to see if they can give him some pain medication. So I went ask a lady (I'm assuming she was a nurse) and she asked if he went through triage yet (I think that is what it is called) and I told her no. She walked away and came back and said that there was nothing they could do, that he had to wait to be called and they would be starting to call #'s soon. :stone He was #9. I could tell she really sympathized for him, but there was nothing she could do.

We sit down for a few minutes and my husband asks me to take him to another hospital. We will just pay the bill, just get me to that hospital, (hoping it would be a little faster since it isn't charity) It is about 15 minutes away. So he gets in this ER and by this time he is obvious pain. :scrying: The lady at the desk looks like she is in NO hurry at all to try to help him. He went to the bathroom again, came out and basically begs the lady at the desk to let him talk to someone. So she says in the rudest, most hateful way, Sure, Go knock at that door. :flamesonb It was the way she said it, with a hateful smirk on her face like she knew the woman behind this door would make him feel like it didn't matter what he was feeling, and that is exactly what this lady did. He knocked on the door, knocked and knocked, and finally just opened the door to try to talk to her; she yells at him and tells him he needs to knock and this & that. He told her that he did knock and that he can't take the pain anymore, then she tells him he needs to wait like everyone else. He is almost in tears. :scrying:

So he tells me to bring him to the other hospital, about 25 minutes away. :confused: I didn't know what to do, I wanted him to just wait but he couldn't. So the whole way to the hospital (which is about 10 minutes from my house in the first place) he is yelling in agonizing pain. :sniff: I feel like crying, he is scaring me to death, & he is also scared to death because he had no idea what was going on, he's never felt pain like this before. I almost wanted to pull over and call 911 but I might have been at the hospital by the time they got their. We finally got to the hospital and I drop him at the door. The nurse looks at him and immediately takes him into triage and into a room. I was so HAPPY :roll .

We eventually found out it was a kidney stone and he did pass it before we left the hospital. So I ask... Do ya'll think this should have been considered an Emergency??? The whole time I kept thinking that he's having an Appendix attack and it is going to rupture or has ruptured and will poison his body while WAITING for someone to acknowledge that he is desperate need to some kind of comfort. Obviously this wasn't the case, but what if it was???

Am I overreacting? Should we have called an ambulance in the first place??? Is their any way that I can complain to someone that will really listen about the hospital's lack of urgency?

If you got this far, thanks for reading.

Maya

I think I wouldve called 911.They at least would have assessed him,and got medical assistance quicker. What ashame.also on behalf of the ER,they might see lots of persons who overreact or are drug seeking on a daily basis.Remember your ABCs.That is usually the precedence.Try C/O of difficulty breathing,youll have a better chance of getting to see the DR more quickly.

Whoa.....I hope I'm reading this wrong. Let's take it piece by piece.

"I think I wouldve called 911.They at least would have assessed him,and got medical assistance quicker."

Not necessarily. When someone comes in by ambulance, they have already been assessed by the medic and a report has been called to the ER. If there are no beds and the problem is not emergent, the pt can be sent to the WR. For someone to call 911 because they're scared is fine. To call just to get seen faster is wrong.

"Remember your ABCs.That is usually the precedence.Try C/O of difficulty breathing,youll have a better chance of getting to see the DR more quickly"

I most certainly hope that this was not an encouragement to people to lie about their complaint to get seen faster. Nothing, and I mean nothing, p***es us off more than a faker taking advantage.

Please tell me I read that post wrong.........

I am a chronic stone forming factory myself. My heart goes out to your s/o. As I found out the hard way, sadly the chances of him passing another stone are quite high. Every time I start to feel that severe "I just wish I were dead and I can't even think to tell you my name correctly" pain I just dread the trip to the hospital. Hopefully this was a one time deal, but if it wasn't my advice to you is to just suck it up and wait. I have to remind myself everytime that I will not die and that there are people in the back that really are life and death. *Best Wishes*

Specializes in Nurses who are mentally sicked.
I have never been working in the ED or ER before....

But I know ER nurses always pay great attention to patients who have airway problems...think about it...patient die very quickly without oxygen.

In the case of your husband, he showed the ER nurse that his airway had no problem...and he was walking around...

I hope this will help you understand better how the ER/ED nurses function in the ER/ED. I felt sorry for what you had gone through...it must have been a very scary experience.

As I stated, I have never been working in the ED., but nurses in the ED and the nurses in the ICU have the similar goal...they

do not want to see any patients die under their care...so...it is really the priority thing..let's say I am assessing your husband's pain..while the other patient is having a SOB...who am I really going to assess first...is it the 1st come 1st served thing...as I stated, the experience you underwent must have been scary to you...but let's say your husband is having a SOB...and the other patient is having kidney stones...should I see the patient with the kidney stone first...then when I finish him...do you think your husband still around...I have seen a few notes written by some nurses right here...if I have to follow what they say...many of my patients would die...sorry!...nursing is not about how much education you have...it is about how much common sense you really have....

Well, I understand how jammed up with non-emergent and non-urgent patients the ER's are. Unfortunately, yes, the patient in pain often has to wait while those who are closer to death's door get seen first.

However - there is no excuse for rudeness, such as by the person upon whose door your husband knocked and she didn't answer then bit his head off for walking in.

He was desperate, crazy with pain. She was probably filing her nails? I'd report her to her superiors. To Administration. They need to know about her rudeness. If she values her job, she needs to act right.

Actually, yes , you can die from pain. Pain causes the body to loose blood to non vital organs, to shunt blood to the place of pain. Pain also causes stress to the body, can have an MI etc. Not to say that ks pain is that kind of pain, but, ks's are worth getting back to ER asap if possible. Ever see a ks pt come in pale , diaphoretic , low bp. It happens. If they can't get back they are most certainly a pt that is worth keeping an eye on and evaluating as much as possible in triage. Ks can cause pylo, that can lead to sepsis.:nono:

So very well said, Lauralassie.

Specializes in Nurses who are mentally sicked.
Whoa.....I hope I'm reading this wrong. Let's take it piece by piece.

"I think I wouldve called 911.They at least would have assessed him,and got medical assistance quicker."

Not necessarily. When someone comes in by ambulance, they have already been assessed by the medic and a report has been called to the ER. If there are no beds and the problem is not emergent, the pt can be sent to the WR. For someone to call 911 because they're scared is fine. To call just to get seen faster is wrong.

"Remember your ABCs.That is usually the precedence.Try C/O of difficulty breathing,youll have a better chance of getting to see the DR more quickly"

I most certainly hope that this was not an encouragement to people to lie about their complaint to get seen faster. Nothing, and I mean nothing, p***es us off more than a faker taking advantage.

Please tell me I read that post wrong.........

Believe what you read...you have 20/20 vision.

What else I can say?

Believe what you read...you have 20/20 vision.

What else I can say?

Not too sure how to take your comment, but it is so easy to misunderstand the intention of something said on the internet. I know what I read, I'm just hoping that it was meant differently.

Specializes in Nephrology, Cardiology, ER, ICU.

I agree that it is easy to misunderstand subjects on the internet. Myself, I count on verbal cues a lot of the time with people and that is glaringly missing on the web.

That said, I doubt that any RN in the ER (or any place else for that matter) is filing their nails or being intentionally rude. I know there are always exceptions but I think we have provided the OP with some solid info as to the how the ER runs. It may not be perfect, but its the system we have.

To the OP -please take care of your hubby and I certainly hope that he is feeling much better.

Specializes in Emergency & Trauma/Adult ICU.
im sorry about your horrible,scary situation.i think i wouldve called 911.they at least would have assessed him,and got medical assistance quicker.what ashame.also on behalf of the er,they might see lots of persons who overreact or are drug seeking on a daily basis.remember your abcs.that is usually the precedence.try c/o of difficulty breathing,youll have a better chance of getting to see the dr more quickly.

wow. just wow. :stone just when i was weaning off my gerd meds ...

Specializes in Nurses who are mentally sicked.
Wow. Just wow. :stone Just when I was weaning off my GERD meds ...

Some nurses just never have any common sense...they give bad advice....not till they know what they are thinking...keep your GERD medication in your pocket...just in case....

Specializes in ER, ICU, Infusion, peds, informatics.
wow. just wow. :stone just when i was weaning off my gerd meds ...

i don't know about you guys, but that wouldn't fly where i work.

[color=#483d8b]

[color=#483d8b]many people come in c/o sob via ambulance and get sent to triage anyway (if there is no evidence of the sob).

[color=#483d8b]

[color=#483d8b]chest clear...sat high....hr and b/p reasonable....no accessory muscle use...triage. esp if the medics didn't even feel as though a neb tx was warrented in transport.

i don't know about you guys, but that wouldn't fly where i work.

[color=#483d8b]

[color=#483d8b]many people come in c/o sob via ambulance and get sent to triage anyway (if there is no evidence of the sob).

[color=#483d8b]

[color=#483d8b]chest clear...sat high....hr and b/p reasonable....no accessory muscle use...triage. esp if the medics didn't even feel as though a neb tx was warrented in transport.

yep. antique's post just ruffled my feathers. we are supposed to be teaching people how to navigate the system but not by lying.

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