Will nurses in the ER soon hear the following?

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" I'm vaccinated you ***** you have to take care of me,  NOW!"

Remember you can't deny treatment to the belligerent.

Specializes in mental health / psychiatic nursing.
39 minutes ago, DesiDani said:

That's where we keep the entertainers until their performance is over. Amazingly when they don't have an audience they chill out.

Your hospital seriously keeps patients hanging out in an ambulance bay (which is presumable being used by ambulances and thus not a safe place to hang out for anyone) for patients who are detoxing???  I don't buy it.  If they are actively detoxing then you need them on detox protocols - if they're well enough they don't need ED care you send them elsewhere - if they they are so belligerent they are a danger to themselves/others they get put in the mental health beds.  

 

" I'm vaccinated you ***** you have to take care of me,  NOW!"

Remember you can't deny treatment to the belligerent.

I don't understand what you are trying to communicate. Yes, we cannot choose not to treat belligerent patients, but I'm not sure what is causing you to connect patient behaviors to vaccine status. Is the point you are trying to make that vaccinators are rude? Or that people get angry when there aren't beds? (in which case what does vaccination status have to do with the patient angry they can't get care right away?).  And your response post about throwing people who've been drinking out to the ambulance bay to keep them away from having an audience.... 

Do you even work in healthcare at all? 

 

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Anyone and everyone can be rude. I'm connecting that why should pts be denied based on vaccination status. It is equating them to a truly belligerent pt.

As for ER hold. When I float to ER on occasion a pt will be there. I never mentioned detox. Some etoh just need to sleep it off. Plus an unruly pt will only disrupt those on a mental unit. So yes after they don't have the attention. They sleep and a few hours later they are d/c home.

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2 hours ago, verene said:

patient behaviors to vaccine status

Behavior and status are not equated?

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Specializes in Mental Health, Gerontology, Palliative.
On 9/14/2021 at 4:35 AM, DesiDani said:

" I'm vaccinated you ***** you have to take care of me,  NOW!"

Remember you can't deny treatment to the belligerent.

Really?

When people come into our EDs they are greeted by a sign that says something long the lines of "get treatment' or 'get arrested'

I have no troubles not one in calling the cops on a patient acting like an ***

They'll get treatment in the police watchhouse

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I am thinking maybe there is a point you are trying to make, but it hard to know what it is.  Maybe there is a language barrier?

You started by saying something really crazy, then you seemed really confrontational.

What are you trying to say?

Also.  No.  Nobody is sleeping it off in the ambulance bay while they are a patient.

Where do you float down from?

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14 hours ago, DesiDani said:

[...]

Don't play contrived ignorance. In the acceptable media, some are openly questioning if unvaccinated people should be denied medical treatment [emphasis added]. ...

Source?

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Specializes in Peds ED.
14 hours ago, DesiDani said:

Not all COVID positive patients on isolation in a hospital are on their death beds in ICU. Some are on med/surg units. Yes they are on O2, but they are alert, talking, and using their call lights. Did you think I wasnt going to point out that fact?

 

Don't play contrived ignorance. In the acceptable media, some are openly questioning if unvaccinated people should be denied medical treatment. To expand on my question a vaccinated person who is belligerent who has no medical issues, is yelling and cursing to the point that they have to be placed in the ambulance bay. Is there to eventually sleep of their etoh. Is more welcomed than a civilized patient who can't breath who is not vaccinated?

 

So, Utah is considering prioritizing vaccinated COVID patients because their resources are so scarce and stretched thin and nonvaccinated COVID patients have such bad outcomes: they are essentially instituting mass casualty triage. 

Also do you work in the ED? Because your whole premise reads like someone who has not actually worked in an ED. Patients can be belligerent but that doesn’t affect my ESI.

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Specializes in Community and Public Health, Addictions Nursing.
7 hours ago, hherrn said:

I am thinking maybe there is a point you are trying to make, but it hard to know what it is.  Maybe there is a language barrier?

You started by saying something really crazy, then you seemed really confrontational.

What are you trying to say?

Also.  No.  Nobody is sleeping it off in the ambulance bay while they are a patient.

Where do you float down from?

More like where did they float up from. This thread is pretty bizarre. 

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Specializes in mental health / psychiatic nursing.
20 hours ago, DesiDani said:

Anyone and everyone can be rude. I'm connecting that why should pts be denied based on vaccination status. It is equating them to a truly belligerent pt.

As for ER hold. When I float to ER on occasion a pt will be there. I never mentioned detox. Some etoh just need to sleep it off. Plus an unruly pt will only disrupt those on a mental unit. So yes after they don't have the attention. They sleep and a few hours later they are d/c home.

And we have obligation to treat ALL patients who need care. Should it get to a crisis-triage situation then you treat based on survivability as defined by disaster/mass-casualty guidelines. 

Sometimes belligerent patients are just jerks, many times they are individuals in pain, intoxicated, or in mental health crisis, or otherwise physically unwell --- and can be very reasonable and even likable people when the crisis has passed. Anger and belligerence are not uncommon following a TBI either - so maybe reserve some judgement until you actually know what is going on with the patient and if "being belligerent" is a baseline state or a symptom of the reason why they are seeking care at ED.  

No one puts patients in an ambulance bay to "sleep it off". Alcohol withdrawals are one of two (commonly abused) substances (the other benzos) where the withdrawal can be FATAL.  This is why patients intoxicated on alcohol require monitoring (and would NEVER just be dumped out of sight/out of mind so they don't get "attention".)  Alcohol also increases risk for impulsive actions such as suicide in those who are already in mental health crisis or distress.  

Someone coming in highly intoxicated is in need of help - the ED may not be the appropriate place to get all of what they need, and they may not want or accept the recommended assistance - but if someone is heavily using substances - chances are good the substance use is symptomatic or cooccurring to other issues in their health and life. 

 

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Specializes in Primary Care, Military.
16 hours ago, HiddencatBSN said:

So, Utah is considering prioritizing vaccinated COVID patients because their resources are so scarce and stretched thin and nonvaccinated COVID patients have such bad outcomes: they are essentially instituting mass casualty triage. 

Also do you work in the ED? Because your whole premise reads like someone who has not actually worked in an ED. Patients can be belligerent but that doesn’t affect my ESI.

Disaster triage is so misunderstood by those who don't work ER or don't have military backgrounds, I swear. The media love to portray it in the most dramatic ways possible and common people see it as so horrible. Well, yes, it's a terrible situation to be in. That's why it's disaster triage. It's a mass casualty situation where, literally, there are not enough resources for everyone to survive. No one wants to hand out black tags. We all want to believe that we should be able to save everyone. The problem is that it's a delusion. You can't. People make their choices. Sometimes bad things just happen. People are just in the wrong place at the wrong time. So, yes, in this situation the lack of vaccination will factor in with their symptoms to determine if they receive a black tag. It's all about putting the resources towards those most likely to survive. It's not personal. It sucks for everyone. Especially when it involves children. Trust me. 

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Hard to know what the OP was getting at.  In likelihood, it may have been a misunderstanding of resource allocation in this emergency.

Anybody have a link to any information on Utah, or any locale these measures are either being discussed or in place?

Also- possible people are putting it out there in discussions in the ER out of frustration and anger with those who choose not to vaccinate, then divert resources from others. It's not just killing the unvaccinated.

In the ER I keep my values out of my care, as does any nurse deserving of the title.  I would put every possible effort into resuscitating a Nazi, despite the fact that it would be fine by me if he was run over by a bus after discharge.  It doesn't matter to a real ER nurse why somebody got so sick.  That doesn't make it not frustrating.

But..... Running to evidenced based medicine, and diverting it from others after refusing vaccination is the definition of ironic.  I would like a seperate facility set up, staffed by unvaccinated staff, under the medical direction Dr. Joseph Mercola.  

PT's can Google search for the cure they want, with a focus on Ivermectin, Hydroxychloroquine, and in severe cases, bleach and really bright lights.

Nurses can choose what PPE, if any, they use.  Free care for any staff who becomes infected.

This would be a great facility for those who nobly left their other jobs to protect their beliefs, and keep that poison out of their body.

 

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Specializes in A variety.
21 hours ago, HarleyvQuinn said:

Disaster triage is so misunderstood by those who don't work ER or don't have military backgrounds, I swear. The media love to portray it in the most dramatic ways possible and common people see it as so horrible. Well, yes, it's a terrible situation to be in. That's why it's disaster triage. It's a mass casualty situation where, literally, there are not enough resources for everyone to survive. No one wants to hand out black tags. We all want to believe that we should be able to save everyone. The problem is that it's a delusion. You can't. People make their choices. Sometimes bad things just happen. People are just in the wrong place at the wrong time. So, yes, in this situation the lack of vaccination will factor in with their symptoms to determine if they receive a black tag. It's all about putting the resources towards those most likely to survive. It's not personal. It sucks for everyone. Especially when it involves children. Trust me. 

This thread has been comedy! LOL it's like a game of charades where everyone tries to figure out what the original post is about???

I think they're speculating people are going to demand concierge, blue ribbon, priority bed service based on their vaccination status.... 

If I understood you correctly there are situations this may be applicable (I've only floated to ED so you'd know better than I).

If so, how do they determine for sure who was vaccinated? How possible is it People catch on and lie?

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