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View Full Version : What the ER Nurse is "really" thinking



MmacFN
01-05-2008, 06:45 AM
1. Don't tell me you have abdominal pain as you eat doritos in my triage
booth.

2. If you come to the ER by ambulance, the first thing I will ask you is
how you are getting home. No, we don't have people on staff to drive you
home, and don't tell me you don't want to "bother" one of your family
members at this hour. You had no problem bothering 911 for the back pain
you've had for 3 months.

3. You don't get to pick your own IV site. This will irritate me and I
will probably miss your IV on purpose and start your site in the place I
wanted to initially to prove a point

4. "Butterfly" is not an IV size, this word signals me to put in a
larger bore needle.

5. Nausea is not a reason to come to the ER. If you are not in severe
pain, are not vomiting or pooping your pants in front of me, your butt
goes back to the waiting room.

6. How can you have the worst migraine of your life, but be able to yell
at me about the wait after you just put down a magazine you were reading?

7. Don't ever say things like, "I usually get 4 mg of Dilaudid".
Requesting your med and dosage will prompt me to squirt out half of the
med before I inject, then I lie about the dose.

8. If you are allergic to Tylenol, Toradol, and Motrin, I have already
assumed you are a drug seeker.

9. If you came to the ER having a family doctor appointment that same
day, I will make sure you are still in the department well past the time
of your original appointment.

10. I don't care if you are neighbors with the GI specialist. Unless he
drove you to the ER himself, you can't be that friendly.

11. Just because, "my doctor sent me here", does not mean you get right
back to a treatment room. This tells me you are a pain in the *ss, and
he's pawning you off.

12. The louder you moan/whine, the bigger size IV needle you get.

13. Foley catheters cure pseudo-seizures. They also cure intoxicated
persons.

14. If you are on more than 2 medicines at home, bring a list. Don't
say, "you know, the little white pill". I am not a pharmacist.

15. RN is not synonymous with waiter/waitress.

16. Don't b*tch about missing breakfast when I'm on the ninth hour of my
shift and haven't peed yet.

17. What gives you the right to complain about your sore throat for a
week while I have diarrhea from the antibiotics I've been taking for
pneumonia?

18. Broken toes are not an emergency. We'll make you feel stupid by
putting a little piece of tape down there and kicking you out.

19. I am currently inventing a trapdoor system in triage to be triggered
when you say the word "toothache".

20. Cover you mouth when you cough/belch. This is just common courtesy.
When you neglect to do this, I am tempted to bust butt in your room,
then close the door.

21. If you tell me you have fibromyalgia or chronic fatigue syndrome,
know that I'm rolling my eyes and thinking you're a loser.

22. If you list Haldol, geodon, Xanax, and trazadone as allergies, don't
tell me you have no psych history.

23. Never sign in with chest pain because you were too embarrassed to
write "p*nile sores" or "foul smelling discharge". This will p*ss me off
that I bumped you ahead of other people and I'll make your visit horrific.

24. Although you've been in the ER four times this week, you cannot list
the ER doc as your family physician.

25. Do not talk to me while I'm trying to listen to your lungs.

26. Don't tell me you have no money for medicine while you have a carton
of cigarettes in your purse (next to your cell phone), and each of your
seven children are playing their own PSP's.

27. Gravida 7 at age 22 means you are a sl*t.

CCU_Mike
01-05-2008, 07:05 AM
(As I get up off the floor with a stomach ache from laughing so hard)..
Mike.......... You are crazy man... but this is sooooooooooooo true!!!

tractorRN
01-05-2008, 09:07 AM
Funny and strangely accurate

RAYMAN
01-05-2008, 09:31 AM
:pound:
can't :pound: type :pound: laughing:pound: too :pound: hard :pound:

Mophet
01-05-2008, 06:29 PM
Amen for the choir

James

Namaste
02-07-2011, 11:49 PM
Ahhh I miss the ED! Here are a few more "ED rules :)"

1.If it requires the ambulance team and entire
 truck crew of firefighters
 to transport you and safely place you on a hospital
 stretcher, it is time to
 go on a diet.


2.When asked how much you weigh, please do not
 give the
 "Deer-In-The-Headlights Look", and tell us you
 "really don't know". It's a simple question with
 a simple answer.
 ·

3.Just because you have a phone and know how to
 call 911, we are not
 impressed by your arrival on an ambulance
 stretcher. You had better be sick.
 ·

4.One complaint/ailment per visit, please.


5.Do not ask us how long it will be. We don't
 know. I don't know what is
 coming through my door 30 seconds from now,so I
 sure as hell don't know when
 you're getting a room.
 ·

6.We have priorities. We understand that you have
 been waiting for two
 hours in the waiting room. If you don't want to
 wait, make an appointment with a
 doctor. The little old lady that just walked in
 looking OK to you is
 probably having a massive heart attack. That is why
 she goes first.
 ·

7.If your mother is a patient and we ask HER a
 question, let HER answer 
 it.
 ·

8.If your child has a fever, you had damn well
 better give him Tylenol®
 before coming in. DO NOT let the fever remain high
 just so I will believe the
 child has a fever. Do you want your child to have a
 seizure? DO YOU?
 ·

9.Do not utter the words "it is in my chart", I
 don't have your chart, and
 I don't have the time to call and get it. Just tell
 me. It is faster.
 ·

10. We know how many times you've been to an ER. We
 can usually tell if you
 are faking it during the first 5 seconds of talking
 to you. Do not lie to us.
 If you lie about one thing, we will have to assume
 you are lying about
 everything. You don't want that.


11.If you are a female between 16 and 42 and your
 last period was between
 28-35 days ago, please don't waste our time if you
 are here for Abdominal Pain
 & Vaginal bleeding. Guess what!!?? You got your
 period, again.
 ·

12.Every time I ask you a question, I learn more
 about what is wrong with
 you. I don't care if I asked you what day it is
 four different times. Each
 time I ask, it is for a reason. Just answer the
 questions, regardless whether
 you have answered them before.
 ·

13.If you want something, be nice. I will go out
 of my way to piss off rude
 people.
 · (oh so true)

14.Please.
 If you see someone pushing a big cart down the
 hall at full speed and
 you hear bells going off, do not ask for a cup of
ice. Someone is dying, you
 inconsiderate a*****e.
15.If you can bi**h about the blood pressure cuff
 being too tight, or the
 IV hurting, you are not in that much pain.
 ·
16.Physicians and nurses are not waiters. We are
 not customer service
 representatives. This is not McDonald's®, and you
 very well may NOT have it your
 way. Our job is to save your life, or at least make
 you feel better. If you
 want a pillow, two blankets, and the lights dimmed,
 go to the Ramada®.
 17.If you are homeless, don't ask for a bus token
 or cab voucher to get
 home. It just confuses the staff.
 ·
18.Please don't bring in a "show and tell". If you
 have to fish it out of
 the toilet, it's really not necessary to bring it
 in, we will take your word.
 If you did fish something out of the toilet, you
 may not use my pen.

bettermj
02-08-2011, 06:40 PM
WOW this is like my favorite thread so far!! While my ER experience is limited to 1 shift, I can add what the SICU RN is thinking....

1.) No, I don't know what your momma is trying to say. Do you think I'm magic? She has a tube in her mouth and she's medicated. She's not trying to communicate with you some special message from another dimension, at least not one that I have special abilities to decipher.

2.) No, you can't just come in here after visiting hours because you want to. Oh??? You came from out of town? They have clocks where you're from??? How about phones? Perhaps you should have called before you drove 3.5 hours to get here at 2 am.

3.) No, I'm not going to keep the headphones on your son when you leave. Matter-of-fact, I'm going to take them off the minute you walk out of the door.

4.) Yes I know Jesus raised Lazarus from the dead. Please don't question my faith. If your faith is as strong as you think, then sign this DNR.

5.) I have no idea what happened to all the candy you left for him.

6.) If you untie your momma's arms again, I will inject you with some insulin.

7.) <on the phone> "Maam, I don't care if you have a password, I'm not discussing my patient's condition with you..... not because HIPPA says I can't, but because I don't like being bothered by people who call me on the phone to ask me how mamma's doing, but more because I don't like talking on the phone, and mostly, because I don't like you and I like the feeling of authority I have at this moment."

8.) Yes, I see you staring at me, but I can ignore you while I pretend to be busy taking care of THIS patient a whole lot longer than you can watching me ..... like 12 hours longer.... wanna see?

9.) Yeppers, he's been bathed.... you on the other hand????

10.) Does this smile look real to you?? You are right..... I'm NOT smiling. Don't tell me how to do my job, and I won't tell you how to do...... oh you don't say..... you don't HAVE a job!

JCKeck1
02-08-2011, 07:21 PM
You have bad naseua, cramps and a pounding headache. When was your last period?

Two months ago, huh. Is there any chance you're pregnant?

Oh, no? Are you sexually active?

Of course. Are you on birth control?

You forgot to renew the script? Do you regularly use a condom?

You're alergic to latex... maybe we should start again. Is there any chance you're pregnant?

cgoldenteal
02-12-2011, 07:57 AM
Hysterical. Oh how fun those ER days were......especially the consistently unemployed, healthy, 20-30 year old, frequent flyer (who of course uses the ER as their PCP because they have none), who is outside the ER smoking up a storm and comes in and is irate during their triage for bronchitis cause they had to wait SOOOO long to get in. Did I mention the carton of brand name cigarettes in their designer pocketbook?? And you sometimes wonder where the difference between our gross and net pay goes....