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  • Stories from the front lines...(looong)

    After much suffering and gnashing of teeth, I was finally able to snag a job in the ER and away from my monster boss who was my overlord on the cardiac floor I was on for 2 years. Ive been in the ER now for 4 weeks and I freaking love it. Ive had many people ask why I didn't take this route in the first place due to knowing my personality, but anywho, on with the show.

    1. My first day there I spent a few hours on the "FASTCARE" side which functions more like a clinic or urgent care than a true ER. Had a girl call an ambulance from 4 blocks away for a boil on her thigh.... She walked home.

    2.Ive had several overdose patients. One such came in on the shoulder of his very tall friend who ran up the ambulance ramp and began SCREAMING once he got through the door. The patient is fighting his friend, as hes hallucinating and from what I can tell thinks his friend is a demon. I run for a litter, his friend throws his down and security appears to all but lay on him to prevent him from getting up or hitting people, then they run down a hall to a room. I love the E.R.

    3.Woman comes in for a pregnancy test, when told by another nurse it would be cheaper to go to a drug store (or even the dollar store) she yells: "YOU THINK I HAVE MONEY TO BE TAKING MY HEALTH SERIOUSLY?!" If she doesn't have money to be taking her health seriously, she sure as hell doesn't have $$ for a baby.

    4.Phone call to the receptionist:

    Receptionist: Hello, this is *hospital* ER, can I help you?
    Caller: Hi, I'm going to be calling the ambulance soon to come in there, I need to know how you're getting me home.
    R: Excuse me?
    C: Im going in, but you're going to need me a ride back.
    R: We don't do that, if you come in, even by ambulance, you'll need to get your own ride back.
    C: That's bullshit! I need to see a doctor.
    R: Well, you're welcome to see a doctor, but we do not provide rides home for anyone, period.
    C: THATS BULLSHIT!!! WELL, IM CALLING AN AMBULANCE AND HAVING THEM TAKE ME TO AN URGENT CARE CENTER.
    R: Youre free to call the ambulance, but just so you know, they'll bring you right to the ER. They do not take patients to Urgent Care via ambulance.
    C: **BLARGHHHH**
    Call goes on for a few more minutes, receptionist finally hangs up and starts giggling. I was sitting across from her, so I asked her to fill me in on what the caller had said. We were cracking up.*

    5. Woman comes in via ambulance. A little intoxicated (EMS found her laying in the street). We get her settled and prepare for her to sleep it off. Patient is pretty rowdy for a while (security was restraining her for a while), she calms down, pees herself, strips herself naked and falls asleep on the litter. Every time I try to get a gown on her, she rips it off. I settle for making sure shes decently covered with a blanket and go about my day to see other people. I check in on her every so often, so evaluate whether shes alert and oriented and able to follow commands and also to cover her up if shes hanging out again. About 2 hours after she was brought in, Im standing next to a cart gathering some supplies and I hear a big bump. I look up and see my butt naked patient walking into the wall in a very busy hallway. I drop what I have, run towards her and so do several other people. We get her back into her room and she won herself some restraints until she was sober enough to calm down and go home.

    This stuff happened in the span if less than a week. I have so many more stories, but I wont bogart the board. I know Panacea can relate to the specialness that is the ER.


    *(Ambulance takes people home from the ER if they are from an area nursing home who has a contract with the companies. However, my hospital does not provide taxi or bus vouchers like some hospitals regardless of circumstance...which can be a good or a bad thing.)

  • #2
    Yeah, I've had people treat the ambulance service like their own private taxi many, many times.

    Even at the places I worked where we had cab vouchers, we didn't give them to just anyone. We gave them to people when we knew their circumstances made transportation home an unrealistic expectation, usually first timers to our department.

    We NEVER gave them to the frequent flyers, who usually were the ones to demand them. My usual excuse was, "The budget ran out. We don't have them any more."

    Cue the blargle.

    I had one woman call the ambulance because her kid had ringworm. She did this twice, even though she'd been told on her previous visit that the treatment was available over the counter. She didn't have a ride to the drug store, she said.

    Then there was James. James was a speshul snowflake, a local drunk and homeless dude who loved abusing EMS.

    When he got tired of living on the streets, he'd fake a seizure in the road. Some Good Samaritan would call 911, forcing the medics to bring him to us. He'd then immediately demand food, clean clothing (we kept donated clothes for patients whose clothing had been cut off of them), warm blankets, and then he'd leer at and sexually harass the nursing staff.

    He did this once 9 times in a 24 hour period. The doctors couldn't discharge him fast enough before he was doing it again.

    After that, the fire chief, the police chief, and the hospital administrator all went down to the DA's office and demanded criminal charges be filed for 911 abuse. James got 4 years of hots and cots courtesy of the state, and that was the last I saw of him.

    Man, I miss working in the ER
    They say that God only gives us what we can handle. Apparently, God thinks I'm a bad ass.

    Comment


    • #3
      Quoth Panacea View Post
      Man, I miss working in the ER
      As tired as I am when I get home, I can NOT imagine working anywhere else. Its like I found my home.

      Comment


      • #4
        See, I could never be an ER nurse, well, any nurse, but especially an ER one.

        When my alcoholic ex bf got way too drunk and pulled a Scott Disick, I took him to the ER (he punched a mirror and wall). He was still very drunk and extremely disoriented from the pain and bleeding, and he was ranting and raving away about "faggots" and "stupid little shits think they can start shit with me!" and "Fucking pigs" (cops), and I was telling him to shut up, stop it, shut up, quiet down, do you want to get arrested? and the nurse said "It's ok, I'm used to it. As long as he doesn't start calling ME those names and start trying to attack ME, we're ok."

        I swear, we had the most patient nurses ever that night. They weren't nurses. They were ANGELS.

        Then, in his drunken car accident, when he was in and out of consciousness in the ambulance and right away in surgery, he had to be restrained and given sedatives because he kept trying to attack anyone who touched him!

        I can't imagine the hell you guys go through with pyschos who have only done this to themselves. You guys are all angels for putting up with people like him.
        You really need to see a neurologist. - Wagegoth

        Comment


        • #5
          Quoth Amina516 View Post
          As tired as I am when I get home, I can NOT imagine working anywhere else. Its like I found my home.
          That was how I felt when I had my ER rotation in nursing school. I had planned to be an OR nurse, but hated the actual experience of being in an OR (masks make me claustrophobic).

          The ER felt like home. It's still my favorite place to be in the hospital.

          Quoth blas View Post
          I swear, we had the most patient nurses ever that night. They weren't nurses. They were ANGELS.

          I can't imagine the hell you guys go through with pyschos who have only done this to themselves. You guys are all angels for putting up with people like him.
          You have to have a sado machochistic streak to be an ER nurse: a willingness to be tough and dish it out to people in crisis, and a willingness to accept it back in kind from people in crisis.

          Love it
          They say that God only gives us what we can handle. Apparently, God thinks I'm a bad ass.

          Comment


          • #6
            Quoth Panacea View Post


            You have to have a sado machochistic streak to be an ER nurse:

            Love it
            Tee hee.

            Comment


            • #7
              There's a reason I LOVED being a Paramedic, and can't wait to get back into it. My ER rotations were fun, but I was so used to not having the same patient for HOURS it was a bit weird. OR was meh, not enough fun...lol

              Only bad thing was winter in Michigan and all the drunks passed out/sleeping outside. There were nights where you had to beg dispatch to let you get out of the core downtown area to get something other than drunk transports in your 12 hour shift.

              Comment


              • #8
                Quoth Amina516 View Post
                AI have so many more stories, but I wont bogart the board. I know Panacea can relate to the specialness that is the ER.
                Oh, I'm sure Panacea and our other medical professionals won't mind.

                I know the rest of us won't.

                ^-.-^
                Faith is about what you do. It's about aspiring to be better and nobler and kinder than you are. It's about making sacrifices for the good of others. - Dresden

                Comment


                • #9
                  Quoth Amina516 View Post
                  I have so many more stories, but I wont bogart the board.
                  Go right ahead.
                  Seshat's self-help guide:
                  1. Would you rather be right, or get the result you want?
                  2. If you're consistently getting results you don't want, change what you do.
                  3. Deal with the situation you have now, however it occurred.
                  4. Accept the consequences of your decisions.

                  "All I want is a pretty girl, a decent meal, and the right to shoot lightning at fools." - Anders, Dragon Age.

                  Comment


                  • #10
                    Met some nice people in ER Friday. My wellness clinic doc sent me down until my blood pressure became better. appears 245/111 is scary (left arm read better 207/91)

                    Comment


                    • #11
                      That's a little high. Hope things are better.
                      They say that God only gives us what we can handle. Apparently, God thinks I'm a bad ass.

                      Comment


                      • #12
                        Quoth Teskeria View Post
                        Met some nice people in ER Friday. My wellness clinic doc sent me down until my blood pressure became better. appears 245/111 is scary (left arm read better 207/91)
                        A little high indeed. I hope they got that down for you!

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