Your least favorite patient.

[errn7]

Whats your least favorite type of patient to take care of in the ER.....

Mine would have to be the drug over dose....had one on my last shift the treatment is pretty much the same What we normally get are the ones that havent done it right only taken enough to make them sleepy or beligerent so they dont end up intubated......Its pretty standard care....Large bore IV's monitor....foley....narcan/romazicon....charcoal...which always ends up all over the place........lol.....and sometimes NG tubes...they can be a real work out of your nursing skills....iv's, foley's, ng tubes...an of course restraints and the restraint paper work that goes with it.............Give me a lunger or MI any day.

[littleRNthatcould]

I've developed a sort of uneasy tolerance with our very creative drug seekers and our very dramatic "imminent death by snotty nose" patients. Gives me something to laugh at...

But what I can not stand is any female with abdominal pain because if she's in my room, the doc will inevitably order a pelvic exam. And I am just at the point in my career were I'd rather gnaw my own arm off than have to submit to the heinous misadventures of what's going on below some belts:eek:

Seriously I had a spell recently where if I saw and treated say 30 patients..well over 50% would get pelvic exams. I was starting to think that someone was slipping cat-nip into my pockets for all the sick kitties following me around!!!:rotfl:

[nuangel1, BSN, RN]

definately for me it the drunks and druggers that come in swearing threatening wanting more drugs .etc i have no tolerance for that nonsense

[AngelfireRN, MSN, RN, APRN]

Oh, lord, the GI bleed. I throw up every time. I was in with an upper GI bleed last month from a bleeding ulcer. That did not bother me, so apparently it's the lower GI bleed smell that gets me. I even threw up with my own grandmother.

Of course, the upshot is, I'm a pretty good barometer. Unless I have a migraine, I usually will not turn a hair as far as my stomach. So, if I go in to assess, and come out of the bay like a bull out of a chute, making for the bathroom, odds are pretty good as to what the diagnosis is.

Downside.....embarrassing for both parties, but it's just that one thing in nursing that I can not tolerate. Some of my colleagues can not suction d/t the sound, it makes them sick. They have theirs, I have mine. This is a good thread.

[TraumaNurseRN]

oh, lord, the gi bleed. i throw up every time. i was in with an upper gi bleed last month from a bleeding ulcer. that did not bother me, so apparently it's the lower gi bleed smell that gets me. i even threw up with my own grandmother.

of course, the upshot is, i'm a pretty good barometer. unless i have a migraine, i usually will not turn a hair as far as my stomach. so, if i go in to assess, and come out of the bay like a bull out of a chute, making for the bathroom, odds are pretty good as to what the diagnosis is.

downside.....embarrassing for both parties, but it's just that one thing in nursing that i can not tolerate. some of my colleagues can not suction d/t the sound, it makes them sick. they have theirs, i have mine. this is a good thread.

i totally understand.....where i have no problem with smells, and big time traumas......the thing that gets me....almost syncopal is the removing an infected finger or toe nail.....they remove (after medicated) like a sardine can....omg....i am faint thinking of it....hahahahahahahaha

[chicagobsn]

The patient who called 911 themselves, asking to be brought specifically to our hospital...comes in complains of everything..and flat out REFUSES any and every medical tx possible then signs out AMA.

[mmutk, BSN, RN, EMT-I]

PID's, Vag Discharges, bullsh*t fibromyalgia patients.

[schizo_maja]

The other hundreds of people who works in the hospital... from the housekeeping department to contractual employees! As soon as I see them in the triage with their ID's on I have to take a really deep sigh and be as cordial as I could, especially if their first line is "I'm an employee" or "I work here"... Let's not forget the long lost relative of a co-ER staff who would call them (staff) on their day off to call the ER extension for the relative to be seen first... I just hate this game... for what? headache? cough? colds? fever? post tussive vomiting?

Another would be a father of febrile kid who stopped me in the middle of my dash to get inside the critical room to attend to a 2 month old who's wining her race to death because "we forgot" her daughter who came in because of 101 fever with cough and colds, Tylenol 120mg PR given! I almost told him "when your child is dying, rest assured that you will have the whole staff's 110% attention and more" (but my nurse supervisor said I cannot say that... so politely explain that we have an emergency inside that needs our immidiate attention and fled back to room swith with the chest compressions.)

Another would be a 13-16y/o female "sexually assaulted", with very concern mom/ family who insisted that they will press charges... notification is made to the SART team, Special Victims from NYPD, Social Workers, Child Services got into the action, will later reveal that she "lied" and she did so because she went home late and her friends told her to lie that she was raped

[JessicRN]

Mine is the screaming unrully child with parents who think it is funny when the child kicks and screams when you are trying to do vital signs it is one thing when they are one and twon not 4 and 5 and above.

My other least favorite are our frequent flier who come in with fake complaints only because they got kicked out of the shelter. They are usually covered with feces and urine and then refuse to change but demand everthing "get me an F****n pillow you B***"

[I love my cat!]

bullsh*t fibromyalgia patients.

Interesting!

[Iam46yearsold]

The last one I truly disliked the most, let me know as soon as I walked into the room and introduced myself. Stopped me and told me he was a Republican, an Attorney, and also a former Aggie.

I truly did not like him at all. Can you guess what size IV he got.

[smk1, LPN]

People who insist upon gathering every last relative known to man around there bedside and people are still comeing up to visit at 2 am. If you are really sick then you need rest. Visitors need to roll out.

[kimbernurse]

Chest pain, hx of CABG-quad bypass, HTN and cholesterol. Presents 2am c/o nausea, diaphoresis and left shoulder pain and says "This is how I felt with my last heart attack". While explaining and applying monitors, ivs O2, pt's wife says "Oh, we've done this so much, we know everything your doing. Our daughter's also a nurse". Go to give nitro ASA and morphine and pt refuses meds and says "Do I really need all this stuff?" Are you freakin kidding me? Wanted to say, well sir, you and your wife know better than we do, so you can write me some orders and I will do what you think you need.

Then, once upon a time my obtunded overdose EMS had just brought in with no gag and unintubated was going south fast. We were getting ready to RSI and the wife of a man with a cold/URI came out to the desk yelling "WE'RE IMPORTANT TOO!!!"

AARRRGH...