Here I am Shaking My head Again!!

[MedicPrincess]

You know, I guess I will never stop being surprised at how rotten some people are. Our patient load has been like this tonight:

1 guy with 7 bullets in him - mostly in the head

2 CVA's

2 Positive MI's

1 Trauma Alert - Motorcycle Vs F350

and the usual coughs, colds, back pains, psychs ect.

The mom of one of our sore throats came to my window and started pitching a fit that her daughter had been here 2 hours and they took "that guy" before her.

It went like this from there...

"Yes Ma'am, we did. He has a critical life threatening injury."
"But he walked in."
"Yes Ma'am he did. But seeings as though he was shot, he would naturally go first."
"Well we have been here for 2 hours and we were here before him."
"Yes ma'am, but I am sure you understand someone shot in the head should be seen right away before a sore throat."
"No, we were here first, we should get to go first. I guess we will just have to leave."
"Ok, I will tell the Nurses you have left, as soon as they get out of the room with the guy who was shot IN THE HEAD."

And away she went. People SUCK!!!

 

[Wingnut]

:blink:

you should have added that if she took her daughter to HER DOCTOR maybe she wouldn't have been waiting so long.

 

[Jon]

:blink:

Oooooohh Kaaayy then.

Stupidity has no bounds.


It would have been better if they asked "how can I get seen that fast?" answer being, of course, "go get yourself shot."

Jon

 

[rescuecpt]

Hehehe, I know this is bad, but if a friend tells me they're going to the ER, first I ask "why the heck would you want to do that - I know a very nice doc-in-the-box you could go to". If they insist, I tell them they need to vomit, pass out, or have respiratory difficulty otherwise they'll be sitting there for hours. They come back and say "yep, I was there for 6 hours, but the girl who passed out got taken in right away."

 

[Wingnut]

It gets pretty ridiculous what people go to the ER for. I know the main reason is because they can't afford a visit with a regular doc or a walk in clinic, but c'mon, they can definitly pick better times to call.
It's kind of like that resp distress call you get at 4am. Walk into the person's house and get, he's had trouble breathing for 3 days! (I would just LOVE to ask, why didn't you take him to the doc then, during the day, when it started, instead of waking us up??)
My husband went in once for kidney stones. It was a Sunday and he was in bad shape... he had to wait 8 hours, but he hurt too much to complain.

 

[TTLWHKR]

I always 'hated' when people called an ambulance for stupid ****, as if they were going to get seen in the ER more quickly. Of course that's what people do, you walk in and you wait, you get wheeled in and you're the center of attention. Luckily we have the golden key, known as Triage..

If you can walk, aren't bleeding severely, aren't vomitting, are conscious, aren't having serious chest pain with one of the following being SOB, abd pn or diaphoresis.. You get to sit in Triage and wait.

Only bad part is that some ER's won't sign off, until someone is seen... So it ties units up, always important to know where the ER's transport stretchers and wheel chairs are! That way you can have some idiot sign the sheet, and put the patient on someone elses stretcher (unless theirs is better, in which case you leave yours and take theirs).

UofPMC had a sign about the check in window that said "Triage: Worse Cases Take Priority, No Matter How Long You've Been Waiting. I.E. Lack of Planning On Your Part, Does Not Constitute an Emergency On Ours."

 

[Jon]

Originally posted by TTLWHKR@Oct 6 2005, 11:00 AM
UofPMC had a sign about the check in window that said "Triage: Worse Cases Take Priority, No Matter How Long You've Been Waiting. I.E. Lack of Planning On Your Part, Does Not Constitute an Emergency On Ours."

I LOVE the sign..... does it say ALL of that???


As for triage and waiting.... I've heard stories of how MCP Hospital in Philly used to be. They closed last year, and the year before that, they dropped their status as a Level 1 Trauma Center.... I spen 2 months posting there in a ALS truck for stat transfers from the ER and ICU before they closed.... they still had walk-in GSW's, because everyone but EMS thought they were still a trauma center

Anyway... it used to be that 8 hour waits were common, even for "real" things like kidney stones and gallbladder attacks. I've heard stories of the ER attending going into the waiting area at 1730 or 1800, and explaining that it was a busy day, and it would still be awhile before most folks got back, and he understood it was dinnertime, and that most folks had been there since before lunch. "If you want to go home to get dinner... we can't stop you. Please check out with the clerk before leaving. You will lose your place in line, but if you feel like you can go home to eat, you probably don't need to be here anyway, and can folow up with your family Doctor tomorrow. If you stay, we will get to you, but it wil be awhile... we are working as fast as we can." Apparently a bunch of folks would leave......


Jon

 

[Wingnut]

Originally posted by MedicStudentJon@Oct 6 2005, 10:58 AM
You will lose your place in line, but if you feel like you can go home to eat, you probably don't need to be here anyway, and can folow up with your family Doctor tomorrow.

That day I took jay for the kidney stones, there were people in there with thier wristbands on, talking, laughing, etc. If you can eat, laugh, chat up on your cell phone...Do you REALLY need to be in the ER???

There should be a little ER gnome, with a clip board and a special hat that sends these people home.

 

[rescuecpt]

Originally posted by Wingnut@Oct 6 2005, 12:44 PM
There should be a little ER gnome, with a clip board and a special hat that sends these people home.

I like magical elves, personally.

Someone to enforce the "EMERGENCY" part of emergency room. Not free doctor visit.

At one of our hospitals, they have set up a 2 room fast-track area for all non-emergent visits. You see a PA and a CNA. That's it. They order x-rays, wrap you, do minor surgical procedures (stitching, non-critical impailments, whatever), and write scrips. Works pretty well, but they're ALWAYS crowded.

 

[Wingnut]

Originally posted by rescuecpt+Oct 6 2005, 01:56 PM--></div><table border='0' align='center' width='95%' cellpadding='3' cellspacing='1'><tr><td>QUOTE (rescuecpt @ Oct 6 2005, 01:56 PM)</td></tr><tr><td id='QUOTE'> <!--QuoteBegin-Wingnut@Oct 6 2005, 12:44 PM
There should be a little ER gnome, with a clip board and a special hat that sends these people home.

I like magical elves, personally.

Someone to enforce the "EMERGENCY" part of emergency room. Not free doctor visit.

At one of our hospitals, they have set up a 2 room fast-track area for all non-emergent visits. You see a PA and a CNA. That's it. They order x-rays, wrap you, do minor surgical procedures (stitching, non-critical impailments, whatever), and write scrips. Works pretty well, but they're ALWAYS crowded. [/b][/quote]
We have the exact same system, except you see a PA. But it doesn't reduce the crowd or the waiting time.

Magical Elves are cooler, yes, but Gnomes are grumpier. They'd get less flack.

 

[TTLWHKR]

Originally posted by MedicStudentJon+Oct 6 2005, 10:58 AM--></div><table border='0' align='center' width='95%' cellpadding='3' cellspacing='1'><tr><td>QUOTE (MedicStudentJon @ Oct 6 2005, 10:58 AM)</td></tr><tr><td id='QUOTE'> <!--QuoteBegin-TTLWHKR@Oct 6 2005, 11:00 AM
UofPMC had a sign about the check in window that said "Triage: Worse Cases Take Priority, No Matter How Long You've Been Waiting. I.E. Lack of Planning On Your Part, Does Not Constitute an Emergency On Ours."

I LOVE the sign..... does it say ALL of that???


As for triage and waiting.... I've heard stories of how MCP Hospital in Philly used to be. They closed last year, and the year before that, they dropped their status as a Level 1 Trauma Center.... I spen 2 months posting there in a ALS truck for stat transfers from the ER and ICU before they closed.... they still had walk-in GSW's, because everyone but EMS thought they were still a trauma center

Anyway... it used to be that 8 hour waits were common, even for "real" things like kidney stones and gallbladder attacks. I've heard stories of the ER attending going into the waiting area at 1730 or 1800, and explaining that it was a busy day, and it would still be awhile before most folks got back, and he understood it was dinnertime, and that most folks had been there since before lunch. "If you want to go home to get dinner... we can't stop you. Please check out with the clerk before leaving. You will lose your place in line, but if you feel like you can go home to eat, you probably don't need to be here anyway, and can folow up with your family Doctor tomorrow. If you stay, we will get to you, but it wil be awhile... we are working as fast as we can." Apparently a bunch of folks would leave......


Jon [/b][/quote]
Yeah, it really says that. It's true.. Just b/c you waited till a friday nite a 9pm to figure out that you can stand your sore throat, doesn't mean it's an Emergency that you can't wait till Monday morning.

 

[MedicPrincess]

Originally posted by TTLWHKR@Oct 6 2005, 10:00 AM
Of course that's what people do, you walk in and you wait, you get wheeled in and you're the center of attention. Luckily we have the golden key, known as Triage..

One patients family came to my desk last night, they asked how much longer they would have to wait. I gave my canned "Its been a busy night" speech. They responded with,

"I don't know about all that. I know I had my mama come here by amblance and she still aint seen no Dr. Alll theys done is put that thing on her arm and its been 3 hours."

I responded with my also canned "Well think of it this way, When you come into the ER and the nurses and Dr is standing there with gloves on waiting for you, its not looking to good for you. But if they put your chart in the rack you can rest assured they are reasonably certain you will live to see another day. If it were me, I'd rather they not be standing there with gloves on waiting. What do you thing?"

After staring at me for a few seconds with that deer caught in the headlights look, he turned and said "Well I's guess I's will go sit and wait with mama. But could I's get one of them hot blankets, cause I's freezin my toes off."

OH...mama came by EMS for finger pains.

 

[Wingnut]

Originally posted by EMTPrincess+Oct 6 2005, 11:25 PM--></div><table border='0' align='center' width='95%' cellpadding='3' cellspacing='1'><tr><td>QUOTE (EMTPrincess @ Oct 6 2005, 11:25 PM)</td></tr><tr><td id='QUOTE'> <!--QuoteBegin-TTLWHKR@Oct 6 2005, 10:00 AM
Of course that's what people do, you walk in and you wait, you get wheeled in and you're the center of attention. Luckily we have the golden key, known as Triage..

One patients family came to my desk last night, they asked how much longer they would have to wait. I gave my canned "Its been a busy night" speech. They responded with,

"I don't know about all that. I know I had my mama come here by amblance and she still aint seen no Dr. Alll theys done is put that thing on her arm and its been 3 hours."

I responded with my also canned "Well think of it this way, When you come into the ER and the nurses and Dr is standing there with gloves on waiting for you, its not looking to good for you. But if they put your chart in the rack you can rest assured they are reasonably certain you will live to see another day. If it were me, I'd rather they not be standing there with gloves on waiting. What do you thing?"

After staring at me for a few seconds with that deer caught in the headlights look, he turned and said "Well I's guess I's will go sit and wait with mama. But could I's get one of them hot blankets, cause I's freezin my toes off."

OH...mama came by EMS for finger pains. [/b][/quote]
Princess, I love your stories from work...


Good second speech, I would imagine that shuts a few people up

Finger pain??

 

[CaptainPanic]

OWWW! I JAMMED MY FINGER! SOMEBODY CALL 911!!! ROTFL :lol: :lol:

 

[Wingnut]

Originally posted by CaptainPanic@Oct 7 2005, 09:21 AM
OWWW! I JAMMED MY FINGER! SOMEBODY CALL 911!!! ROTFL :lol: :lol:

LMFAO :lol: :lol: :lol:

 

[TTLWHKR]

Originally posted by CaptainPanic@Oct 7 2005, 09:21 AM
OWWW! I JAMMED MY FINGER! SOMEBODY CALL 911!!! ROTFL :lol: :lol:

I had a fireman jam his finger while loading cribbing, he turned white as a ghost and collapsed.. Couldn't move, couldn't talk, just layed there.

VasoVagal Reaction.

 

[Jon]

Originally posted by TTLWHKR+Oct 7 2005, 01:16 PM--></div><table border='0' align='center' width='95%' cellpadding='3' cellspacing='1'><tr><td>QUOTE (TTLWHKR @ Oct 7 2005, 01:16 PM)</td></tr><tr><td id='QUOTE'> <!--QuoteBegin-CaptainPanic@Oct 7 2005, 09:21 AM
OWWW! I JAMMED MY FINGER! SOMEBODY CALL 911!!! ROTFL :lol: :lol:

I had a fireman jam his finger while loading cribbing, he turned white as a ghost and collapsed.. Couldn't move, couldn't talk, just layed there.

VasoVagal Reaction. [/b][/quote]
Layed????

Laid!

Jon

 

[CaptainPanic]

He got laid..... :lol:

 

[MedicPrincess]

Originally posted by MedicStudentJon+Oct 7 2005, 12:46 PM--></div><table border='0' align='center' width='95%' cellpadding='3' cellspacing='1'><tr><td>QUOTE (MedicStudentJon @ Oct 7 2005, 12:46 PM)</td></tr><tr><td id='QUOTE'>

Originally posted by TTLWHKR@Oct 7 2005, 01:16 PM
<!--QuoteBegin-CaptainPanic

@Oct 7 2005, 09:21 AM
OWWW! I JAMMED MY FINGER! SOMEBODY CALL 911!!! ROTFL :lol:  :lol:

I had a fireman jam his finger while loading cribbing, he turned white as a ghost and collapsed.. Couldn't move, couldn't talk, just layed there.

VasoVagal Reaction.

Layed????

Laid!

Jon [/b][/quote]
:lol: :lol: HA! Jon correcting anybodies spelling....NOW i have seen it ALL!!!

 

[Jon]

Originally posted by EMTPrincess+Oct 7 2005, 06:04 PM--></div><table border='0' align='center' width='95%' cellpadding='3' cellspacing='1'><tr><td>QUOTE (EMTPrincess @ Oct 7 2005, 06:04 PM)</td></tr><tr><td id='QUOTE'>

Originally posted by MedicStudentJon@Oct 7 2005, 12:46 PM

Originally posted by TTLWHKR@Oct 7 2005, 01:16 PM
<!--QuoteBegin-CaptainPanic

@Oct 7 2005, 09:21 AM
OWWW! I JAMMED MY FINGER! SOMEBODY CALL 911!!! ROTFL :lol:  :lol:

I had a fireman jam his finger while loading cribbing, he turned white as a ghost and collapsed.. Couldn't move, couldn't talk, just layed there.

VasoVagal Reaction.

Layed????

Laid!

Jon

:lol: :lol: HA! Jon correcting anybodies spelling....NOW i have seen it ALL!!! [/b][/quote]
Good point...

but it wasn't so much spelling as grammer....