What if people behaved in public the way they do in the emergency department?
It’s often hard to describe what happens in a busy emergency department. Many of us who spend our days or nights immersed in the soup of suffering and crazy that is a modern ED. We have stories and insights about life and human behavior. But invariably, people struggle to believe us.
‘They don’t really do that, do they?’ People ask this with a mixture of disbelief and hope. Disbelief that humans can do the things they do. And with hope that ‘it just ain’t so.’
So here’s a thought experiment to illustrate what we face, day in, day out, night after night, weeks, months and years on end as the ED becomes the epicenter of modern medicine and of human brokenness.
Try the following things on for size and you’ll have an idea of what we face.
*Go to a store and try on clothes. Urinate in the changing room. On the wall and on the floor. Then ask someone to clean it up while you continue to try on clothes.
*Walk into a courtroom and plead your case before the judge. When she rules against you, look at her and everyone in the courtroom and say ‘I know where you live and I’ll kill all of you.’ See how that ends.
*Go to the grocery store to shop, knock things off the shelves and when management approaches to try and ask you to stop, punch the manager and at least one check-out clerk. Then, tell everyone you can’t help it, you’re under stress and that you’re really sorry. Then see if the manager to says ‘no big deal,’ or tells the clerk not to press charges because you didn’t mean it. See if you walk away without being arrested.
*Walk into your accountant’s office, and after he submits your taxes tell him you aren’t paying him. Then tell him you’d like a sandwich because ‘I haven’t eaten all day.’ Ask for a cup of ice-water. If he gets upset, tell him you want to talk to another accountant and you’d like a blanket.
*Go to your kid’s school because of a problem (grades, behaviors, whatever). Take five family members. Insist that all of them go into the meeting with the principal. When you don’t like the answer, have everyone text another family member. Also call your cousin who is a teacher’s assistant and tell the principal she needs to talk to your cousin, who knows what she should do despite her EdD. See what she says.
*Walk around a mall. Buy some things. At closing, tell the staff you want to exchange them. When they ask you to come back, say ‘I’m not leaving. You will do what I say.’ Then ask to talk to the regional and national manager when you don’t get your way. Make everyone stay long after their shift. Will you get what you ask? We’ll see.
*Call an electrician to your house. After he diagnoses the problem and begins to fix it, and is ready to leave, tell him about your plumbing problems which have been present for ten years, and how your roof is leaking and that you’d like him to evaluate it all. When he says it he isn’t the right guy and it isn’t the right time, call his boss and complaint. Leave a nasty review online.
*Get ridiculously stoned on a combination of drugs and alcohol (a ‘party pack’ as we call it). Go to the public library, scream at everyone and lie down for a long nap, attempting to kick or punch anyone who touches you. Think you’ll have a long nap?
*The next time a police officer pulls you over, keep talking on your phone while he stands by your car, and hold up a finger, saying (repeatedly) ‘just a second, I’m so sorry! It’s my cousin.’ Yep. Try that.
*Find an aging relative with dementia, take him or her to the local county office building and say ‘yeah, this is my mom. We’re going out of town and can’t take her. She doesn’t do well alone. She isn’t sick, but can you just keep her in the office for a few days? Thanks! See you soon.’ It’s called abandonment.
I could go on, as could many others.
But these are just a few insights (a very few insights) into what every…single…day looks like in an emergency department somewhere.
Don’t forget after you arrive at the store, have assaulted them all, and knocked the shelves down you demand they call a taxi for you and it be free because you don’t have a way to get home
Ductape
5 years ago
Do you know why people have a hard time believing you? It’s because no sane person would behave that way and they can’t grasp it or even begin to relate. In nearly everyone of your scenarios, I’m willing to bet, the person you are describing is suffering from, and battling some type of mental illness. Mental illness is one of the most misunderstood and discriminated against disabilities because it’s invisible. You can’t tell by just looking at the person that there is anything wrong with them at all. They are not missing any limbs, not walking with the aide of… Read more »
The thing is, I take care of the mentally ill all the time. And I always do so with compassion and patience. After 26 years in practice, in busy departments, I think I’m pretty good at identifying people who really need mental health intervention. Not all bad behavior is mental illness. A drunk who is violent is a violent drunk; he may be an alcoholic with an addiction problem, but we still expect certain behaviors, otherwise we wouldn’t have DUI laws. Some people are manipulative. Some are seeking narcotics; not always due to addiction, sometimes for diversion for sale. That’s… Read more »
I always try to give people the benefit of the doubt… but some people are just straight up assholes and we as a society need to stop connecting assholes and mentally ill people. Some assholes are mentally ill, but most mentally ill people are not assholes.
I worked as an EMT for several years. Lismyname is right. A lot of people are just in some medical difficulty and need help/treatment. They can be difficult to help sometimes because the “don’t know the drill”. Then there are the assholes who for whatever reason just make helping difficult because they can, or something. Anyone who has worked in emergency at any level has seen more of those than most people ever will. I’m constantly amazed by the dedicated ER people who do their job and put up with the crap for years or decades. Thanks for hanging in… Read more »
You are threatening to file a discrimination complaint against a person you don’t know about a piece of editorial fiction they wrote? I can call an electrician for you…
“I am not sure what department you work in for the ER,”. You obviously have no clue what you are talking about. Mental illness is a problem but should not be used as the rug you get to brush all dirt under. If you start labeling every person who acts out or is being an asshole, you then take away the validity of those who are actually suffering from a mental illness. That’s the great part about the training we receive is to be able to recognize mental health problems from those being a jackass! It’s difficult to take your… Read more »
“Being an asshole” is frequently aresult of a cluster B personality disorder. They are difficult to diagnose on a good day, your 3-hour training sessionis not going to help. More than that though, the original poster failed to take into consideration people’s maladaptive stress responses that, though they may not be a result of mental illness, it is a result of failing to get the correct tool box growing up. They could have grown up in a shity household, they could have grown up in a home whose parents had maladaptive coping mechanisms. So these people, who are at the… Read more »
Powerful insight. How about signing your name to it? After you get down off that ridiculously high horse you’re on.
You sound like one the assholes the author described.
You’re a fucking idiot. You’re probably part of the problem so you wanna blame it on the person who wrote the post. Well you’re wrong you cant blame everything people do on a “mental illness” you know how many people come in handcuffed on the way to jail and now they all of a sudden “want to kill themselves” know why. So they dont have to go to jail. Think they really have a mental illness no it’s a responsibility illness.
Don’t confuse rudeness and entitlement with mental disease! Nurses are human beings that deal with extreme stress every single day! They do not deserve to be spoken to the way a lot of people do just because they don’t get their way. You should be ashamed for trying to throw guilt on a nurse for saying what nurses actually go through! Many nurses do end up with depression,anxiety,addictions due to the stressful work environment caused,in large part, by people that insult,hit and threaten. The article does not refer to the psychiatric or demented population. It refers to people who know… Read more »
People in pain are also under stress, that doesn’t mean that they have great coping skills. Nurses are supposed to be trained to deal with people under stress. Does that mean people should hit nurses? Absolutely not, but kindness from the beginning goes a long way. I’ve been in hospitals where I don’t even meet my nurse for an hour after being put in a room. Think about being in enough pain to go to the hospital and then being ignored when you’re there. How do you think that person is going to react when the nurse finally comes in… Read more »
It’s not about being “ignored”. You were alive and breathing, and yes in pain. Your nurse may have been in a cpr with a baby, child, teenager, adult, or an aging family member. Just because you had to wait doesn’t mean she or he was ignoring you. BTW… s they can’t give you meds without a providers order. Guess you would be one of those a holes the article was taking about.
This is not just er’s, it’s throughout hospitals and no it’s not all mental health issues it’s entitlement,selfishness and complete inconsideration with an utter lack of any self responsibility. This is both patient and family members and to excuse this behavior by claiming all these people are mentally ill is to deny accountability and the plain fact these same people would not act like this elsewhere because it would not be tolerated.
Ductape, feel free to go to college for 4 years, earn a nursing degree , and get a job in an ER (you seem to have it all figured out, after all). Report back to us in about 6 months once you’ve seen that not much of this behavior is due to mental illness. BTW, we know the difference.
No. It’s people who can otherwise control themselves letting loose in a hospital because they view the personnel as an acceptable outlet for their frustrations.
It’s when people allow their children to damage property, steal all the juice depriving other patients, expecting us to provide food for the entire family, being cursed at for bringing saltines instead of Graham crackers, threatening to have a nurse by the throat if can’t get an iv. No Ducttape, we deal.with some mean, opportunistic and manipulative people. Drunk or high is no excuse. Don’t get drunk and high and be showing up at the hospital because you seemingly high. No excuse for assault. You go to jail just like you would any other place. I had this woman demand… Read more »
Clearly YOU have no training in the ER and have never worked in that environment. Further, just because you have mental illness doesn’t entitle you to be obnoxious. It just doesn’t. They do not go hand in hand. In fact, none of the above examples even depicts someone who is psychotic and is unable to account for their actions. These are just regular ER jerks
Actually, you might be surprised. It will never cease to amaze me how completely functional people in “real life” suddenly behave in this manner in the ER.
Somewhere along the way the very bizarre perception was created that it it “acceptable” to behave like a complete animal in the hospital. I am not sure that my brain will ever be able to wrap itself around it, but I have watched this for >20 years and it continues to become more bizarre by the year.
Not everything is mental illness; there are truly self-righteous, entitled, freeloaders that demand AND expect without feelings of gratitude or humility.
Your comment is entirely ignorant and insulting to those of us with integrity and deep compassion for the mentally ill who work in emergency medicine. My goodness, talk about discriminatory and despicable! You take quite a leap assuming that the author doesn’t recognize the widespread problem that is mental illness because he calls people out for bad behavior. Sadly, the world is full of angry, entitled, selfish people who take zero responsibility for their actions and think the rest of us should bear their burden. As soon as these types of people don’t get what they want or hear what… Read more »
Rex
5 years ago
You must lead a very very sheltered life if you don’t think that this sort of behavior doesn’t go on all. the. time. outside the ER.
Thanks Edwin, You have explained why an ER doc family friend is always so self contained, so very careful to be in control at all times, and always even at his nicest, always somewhat remote.
Amy Schley
5 years ago
May I suggest reading https://notalwaysright.com/ The people who behave this way inside the ER do so outside the ER.
I have no doubt. However, if you talk to folks who face this, it seems like there are fewer consequences. I suspect the customer service mentality is part of the problem.
JND
5 years ago
Go anywhere else and they don’t charge you for stuff that you didn’t ask for at prices that are criminally insane. Until that stops, quit yer bitchin’, asshole.
Well thanks for the reasoned response. I agree with the price issue; physician fees are demonstrably only a small part of rising healthcare costs. And I agree. I wish we had more price transparency and there are tons of ways I would reduce costs (and so would other docs) but we’re powerless as employees. As for the ER, we have no control over who or what we see, day or night and as physicians we can’t easily ‘quit and change jobs’ due to the way medicine is regulated. All I want to do is advocate for the people who are… Read more »
Sorry JND, yes, you did ask for “Stuff” when you presented to the ED. If a person hadn’t came there requesting “stuff” which includes tests, and medicine, a full evaluation, they wouldn’t be charged a dime! I promise you, as a seasoned ED nurse, not one medical professional EVER goes in to work thinking, I hope there are tons of sick people out there that come in tonight so I can charge them some money! So much more to be said…
Wouldn’t wanna have you as a patient as you are clearly part of the group of people that act as described in the article! People behave that way even in countries where there is public healthcare,where they don’t spend a dime for whatever tests are necessary! So you quit your assholeness if you don’t understand!
Jeremy Klein
5 years ago
Just one more example of the unintended consequences (in medicine we call these ‘side effects’) of government control of medical care in the form of the FDA and Medical Practice Acts. These limit the supply of all forms of medical care and increase the cost of production. This leads to vastly increased prices. In response to this the citizenry, instead of accurately diagnosing the problem and removing the cause, demanded more of the same: more government control. Medicare, Medicaid, Obamacare, EMTALA, etc., etc.: the list goes on. Abolish the FDA and the Medical Practice Acts. Watch availability of all forms… Read more »
Janice Anderson
4 years ago
Pamela, If being a nurse is really like that, you have my sympathy! I am glad I majored in human relations where all I had to do was take care of mentally ill, or slow people. It was a very rewarding job. Of course I am 77 now & retired. I am your dad’s first cousin. My dad & he were brothers
Jackie
4 years ago
Maybe I am just seeing things through the rose-coloured glasses of a nursing student but… how can you possibly work in health care and provide compassionate care to patients with this attitude? I understand and completely agree with the fact that no one should have to work in an abusive workplace. But your post reeks of victim-blaming and shaming people for coming to the ER when many have no other options. Our healthcare system is geared towards CURING of DISEASE, and does nothing to promote HEALING of an ILLNESS (which is a totally different concept). We do next to nothing… Read more »
Ok – so did you even wonder why she had vodka in her suitcase? Did you see past the initial facts in front of you, to wonder why the person might be doing this? I am not excusing her for her behaviour but if you are a trained healthcare professional please tell me that you are aware of the potential for trauma in her past, you understand WHY a person might have alcohol in their suitcase and why a person might be using alcohol inappropriately… Did you not learn about relational work and wondering/following/holding in your studies? Or are you… Read more »
It’s ok. She will see once she is done with nursing school we all came out optimistic. I have literally had someone make eye contact with me and pee on the floor because he couldn’t be bothered to hold his own penis in a urinal. You will learn soon enough
Aww the wonderful optimism of nursing students. Has it really been 10 years since i wore those same rose colored glasses? Jackie you’re missing the whole point of the article. There are plenty of people in this world, myself included, that have some pretty messed up trauma in their lives. That’s not an excuse to verbally, physically and emotional abuse someone else. Honestly I don’t even think twice about it when there’s an incident involving a mental health patient. I can empathize and move on. It’s the ones that come in and are just down right nasty because they have… Read more »
I am a nurse, retired, but still a nurse. I have seen so many heartbroken people, especially the ones who are cold, hungry and alone. You must have compassion, support, and the ability to listen. Do not judge, just love, as we are all brothers and sisters thru Christ. Sure, I have had a number of unbelieveable stories, but most are real. In your thoughts, think of the blessing you are to these people.
Kelli
4 years ago
On the flip side, try going to the ER because your rare genetic disorder is causing you to have serious issues that require medical attention only to be treated like garbage, and dismissed by medical staff. Have them completely disregard your medical conditions, claim it’s a panic attack, and try to shove meds at you to calm you down with you’ve calmly tried to explain it’s not a panic attack, and your autonomous system is not functioning properly so you need help. Nope, the ER is the last place I want to go. I would likely die in the waiting… Read more »
Carol Ann Maurer
4 years ago
Edwin, understand that this is now sadly the life in the ER, and that mental illness has overtaken our ER’s. It has burned out a lot of health care givers… Are you burned out? It’s Ok to admit it. I was a nurse in the ER just before the laws were passed ( we saw very few cases of mental illness in the late 70’s and 80’s, because these patients were taken to the local Mental Institution, and got treatment there or were locked up for their horrible atrocities): The law was this: If you are not a danger to… Read more »
It is stunning to me that any attempt to address the dysfunctional behavior that we see in the ED is met by an assertion that the person pointing it out is burned out, stressed, judgemental or frankly ignorant of mental health. Carol, in the ED we see mental illness day and night, all year long. We treat these patients, try to keep them safe, medicate them, try to commit them or plug them into care. Often, they stay in our emergency departments for days to weeks as we advocate for them. We’re find treating mental health issues. We aren’t fine… Read more »
Pam Wells
4 years ago
Edwin – I absolutely HATE going to the ER – the reason – unless you have a known heart problem or are bleeding profusely – you wait…and wait…. I was taken there once for a migraine and it took 7 hours before I saw a doctor. Recently I had such a horrid attack of heartburn (in the middle of the night) – that my husband took me as we weren’t sure if I was having a heart attack. Again – I was there for at least 45 minutes before the triage nurse even talked to me. (I found out later… Read more »
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Don’t forget after you arrive at the store, have assaulted them all, and knocked the shelves down you demand they call a taxi for you and it be free because you don’t have a way to get home
Do you know why people have a hard time believing you? It’s because no sane person would behave that way and they can’t grasp it or even begin to relate. In nearly everyone of your scenarios, I’m willing to bet, the person you are describing is suffering from, and battling some type of mental illness. Mental illness is one of the most misunderstood and discriminated against disabilities because it’s invisible. You can’t tell by just looking at the person that there is anything wrong with them at all. They are not missing any limbs, not walking with the aide of… Read more »
The thing is, I take care of the mentally ill all the time. And I always do so with compassion and patience. After 26 years in practice, in busy departments, I think I’m pretty good at identifying people who really need mental health intervention. Not all bad behavior is mental illness. A drunk who is violent is a violent drunk; he may be an alcoholic with an addiction problem, but we still expect certain behaviors, otherwise we wouldn’t have DUI laws. Some people are manipulative. Some are seeking narcotics; not always due to addiction, sometimes for diversion for sale. That’s… Read more »
Honestly. Some people really are just assholes.
I always try to give people the benefit of the doubt… but some people are just straight up assholes and we as a society need to stop connecting assholes and mentally ill people. Some assholes are mentally ill, but most mentally ill people are not assholes.
Some people just feel “entitled” and also have no manners… Not mental illness.
I worked as an EMT for several years. Lismyname is right. A lot of people are just in some medical difficulty and need help/treatment. They can be difficult to help sometimes because the “don’t know the drill”. Then there are the assholes who for whatever reason just make helping difficult because they can, or something. Anyone who has worked in emergency at any level has seen more of those than most people ever will. I’m constantly amazed by the dedicated ER people who do their job and put up with the crap for years or decades. Thanks for hanging in… Read more »
You are threatening to file a discrimination complaint against a person you don’t know about a piece of editorial fiction they wrote? I can call an electrician for you…
“I am not sure what department you work in for the ER,”. You obviously have no clue what you are talking about. Mental illness is a problem but should not be used as the rug you get to brush all dirt under. If you start labeling every person who acts out or is being an asshole, you then take away the validity of those who are actually suffering from a mental illness. That’s the great part about the training we receive is to be able to recognize mental health problems from those being a jackass! It’s difficult to take your… Read more »
“Being an asshole” is frequently aresult of a cluster B personality disorder. They are difficult to diagnose on a good day, your 3-hour training sessionis not going to help. More than that though, the original poster failed to take into consideration people’s maladaptive stress responses that, though they may not be a result of mental illness, it is a result of failing to get the correct tool box growing up. They could have grown up in a shity household, they could have grown up in a home whose parents had maladaptive coping mechanisms. So these people, who are at the… Read more »
Powerful insight. How about signing your name to it? After you get down off that ridiculously high horse you’re on.
You sound like one the assholes the author described.
I bet Ductape KNOWS THEIR BODY. That is all.
‘Ductape’, you honestly sound like one of the assholes he’s describing.
You’re a fucking idiot. You’re probably part of the problem so you wanna blame it on the person who wrote the post. Well you’re wrong you cant blame everything people do on a “mental illness” you know how many people come in handcuffed on the way to jail and now they all of a sudden “want to kill themselves” know why. So they dont have to go to jail. Think they really have a mental illness no it’s a responsibility illness.
Don’t confuse rudeness and entitlement with mental disease! Nurses are human beings that deal with extreme stress every single day! They do not deserve to be spoken to the way a lot of people do just because they don’t get their way. You should be ashamed for trying to throw guilt on a nurse for saying what nurses actually go through! Many nurses do end up with depression,anxiety,addictions due to the stressful work environment caused,in large part, by people that insult,hit and threaten. The article does not refer to the psychiatric or demented population. It refers to people who know… Read more »
People in pain are also under stress, that doesn’t mean that they have great coping skills. Nurses are supposed to be trained to deal with people under stress. Does that mean people should hit nurses? Absolutely not, but kindness from the beginning goes a long way. I’ve been in hospitals where I don’t even meet my nurse for an hour after being put in a room. Think about being in enough pain to go to the hospital and then being ignored when you’re there. How do you think that person is going to react when the nurse finally comes in… Read more »
It’s not about being “ignored”. You were alive and breathing, and yes in pain. Your nurse may have been in a cpr with a baby, child, teenager, adult, or an aging family member. Just because you had to wait doesn’t mean she or he was ignoring you. BTW… s they can’t give you meds without a providers order. Guess you would be one of those a holes the article was taking about.
This is not just er’s, it’s throughout hospitals and no it’s not all mental health issues it’s entitlement,selfishness and complete inconsideration with an utter lack of any self responsibility. This is both patient and family members and to excuse this behavior by claiming all these people are mentally ill is to deny accountability and the plain fact these same people would not act like this elsewhere because it would not be tolerated.
Ductape, feel free to go to college for 4 years, earn a nursing degree , and get a job in an ER (you seem to have it all figured out, after all). Report back to us in about 6 months once you’ve seen that not much of this behavior is due to mental illness. BTW, we know the difference.
No. It’s people who can otherwise control themselves letting loose in a hospital because they view the personnel as an acceptable outlet for their frustrations.
It’s when people allow their children to damage property, steal all the juice depriving other patients, expecting us to provide food for the entire family, being cursed at for bringing saltines instead of Graham crackers, threatening to have a nurse by the throat if can’t get an iv. No Ducttape, we deal.with some mean, opportunistic and manipulative people. Drunk or high is no excuse. Don’t get drunk and high and be showing up at the hospital because you seemingly high. No excuse for assault. You go to jail just like you would any other place. I had this woman demand… Read more »
Clearly YOU have no training in the ER and have never worked in that environment. Further, just because you have mental illness doesn’t entitle you to be obnoxious. It just doesn’t. They do not go hand in hand. In fact, none of the above examples even depicts someone who is psychotic and is unable to account for their actions. These are just regular ER jerks
Actually, you might be surprised. It will never cease to amaze me how completely functional people in “real life” suddenly behave in this manner in the ER.
Somewhere along the way the very bizarre perception was created that it it “acceptable” to behave like a complete animal in the hospital. I am not sure that my brain will ever be able to wrap itself around it, but I have watched this for >20 years and it continues to become more bizarre by the year.
Not everything is mental illness; there are truly self-righteous, entitled, freeloaders that demand AND expect without feelings of gratitude or humility.
1000% sure the gross dude who told me to suck him off didn’t have a diagnosable medical illness.
Your comment is entirely ignorant and insulting to those of us with integrity and deep compassion for the mentally ill who work in emergency medicine. My goodness, talk about discriminatory and despicable! You take quite a leap assuming that the author doesn’t recognize the widespread problem that is mental illness because he calls people out for bad behavior. Sadly, the world is full of angry, entitled, selfish people who take zero responsibility for their actions and think the rest of us should bear their burden. As soon as these types of people don’t get what they want or hear what… Read more »
You must lead a very very sheltered life if you don’t think that this sort of behavior doesn’t go on all. the. time. outside the ER.
But what are the consequences outside of the ED?
Thanks Edwin, You have explained why an ER doc family friend is always so self contained, so very careful to be in control at all times, and always even at his nicest, always somewhat remote.
May I suggest reading https://notalwaysright.com/ The people who behave this way inside the ER do so outside the ER.
I have no doubt. However, if you talk to folks who face this, it seems like there are fewer consequences. I suspect the customer service mentality is part of the problem.
Go anywhere else and they don’t charge you for stuff that you didn’t ask for at prices that are criminally insane. Until that stops, quit yer bitchin’, asshole.
Well thanks for the reasoned response. I agree with the price issue; physician fees are demonstrably only a small part of rising healthcare costs. And I agree. I wish we had more price transparency and there are tons of ways I would reduce costs (and so would other docs) but we’re powerless as employees. As for the ER, we have no control over who or what we see, day or night and as physicians we can’t easily ‘quit and change jobs’ due to the way medicine is regulated. All I want to do is advocate for the people who are… Read more »
Sorry JND, yes, you did ask for “Stuff” when you presented to the ED. If a person hadn’t came there requesting “stuff” which includes tests, and medicine, a full evaluation, they wouldn’t be charged a dime! I promise you, as a seasoned ED nurse, not one medical professional EVER goes in to work thinking, I hope there are tons of sick people out there that come in tonight so I can charge them some money! So much more to be said…
shut the fuck up
Wow. Someone triggered?
Wouldn’t wanna have you as a patient as you are clearly part of the group of people that act as described in the article! People behave that way even in countries where there is public healthcare,where they don’t spend a dime for whatever tests are necessary! So you quit your assholeness if you don’t understand!
Just one more example of the unintended consequences (in medicine we call these ‘side effects’) of government control of medical care in the form of the FDA and Medical Practice Acts. These limit the supply of all forms of medical care and increase the cost of production. This leads to vastly increased prices. In response to this the citizenry, instead of accurately diagnosing the problem and removing the cause, demanded more of the same: more government control. Medicare, Medicaid, Obamacare, EMTALA, etc., etc.: the list goes on. Abolish the FDA and the Medical Practice Acts. Watch availability of all forms… Read more »
Pamela, If being a nurse is really like that, you have my sympathy! I am glad I majored in human relations where all I had to do was take care of mentally ill, or slow people. It was a very rewarding job. Of course I am 77 now & retired. I am your dad’s first cousin. My dad & he were brothers
Maybe I am just seeing things through the rose-coloured glasses of a nursing student but… how can you possibly work in health care and provide compassionate care to patients with this attitude? I understand and completely agree with the fact that no one should have to work in an abusive workplace. But your post reeks of victim-blaming and shaming people for coming to the ER when many have no other options. Our healthcare system is geared towards CURING of DISEASE, and does nothing to promote HEALING of an ILLNESS (which is a totally different concept). We do next to nothing… Read more »
No. There was this woman once who urinated all over the floor because she was mad we took her vodka out of her suitcase.
Ok – so did you even wonder why she had vodka in her suitcase? Did you see past the initial facts in front of you, to wonder why the person might be doing this? I am not excusing her for her behaviour but if you are a trained healthcare professional please tell me that you are aware of the potential for trauma in her past, you understand WHY a person might have alcohol in their suitcase and why a person might be using alcohol inappropriately… Did you not learn about relational work and wondering/following/holding in your studies? Or are you… Read more »
It’s ok. She will see once she is done with nursing school we all came out optimistic. I have literally had someone make eye contact with me and pee on the floor because he couldn’t be bothered to hold his own penis in a urinal. You will learn soon enough
Aww the wonderful optimism of nursing students. Has it really been 10 years since i wore those same rose colored glasses? Jackie you’re missing the whole point of the article. There are plenty of people in this world, myself included, that have some pretty messed up trauma in their lives. That’s not an excuse to verbally, physically and emotional abuse someone else. Honestly I don’t even think twice about it when there’s an incident involving a mental health patient. I can empathize and move on. It’s the ones that come in and are just down right nasty because they have… Read more »
Amaze balls
I am a nurse, retired, but still a nurse. I have seen so many heartbroken people, especially the ones who are cold, hungry and alone. You must have compassion, support, and the ability to listen. Do not judge, just love, as we are all brothers and sisters thru Christ. Sure, I have had a number of unbelieveable stories, but most are real. In your thoughts, think of the blessing you are to these people.
On the flip side, try going to the ER because your rare genetic disorder is causing you to have serious issues that require medical attention only to be treated like garbage, and dismissed by medical staff. Have them completely disregard your medical conditions, claim it’s a panic attack, and try to shove meds at you to calm you down with you’ve calmly tried to explain it’s not a panic attack, and your autonomous system is not functioning properly so you need help. Nope, the ER is the last place I want to go. I would likely die in the waiting… Read more »
Edwin, understand that this is now sadly the life in the ER, and that mental illness has overtaken our ER’s. It has burned out a lot of health care givers… Are you burned out? It’s Ok to admit it. I was a nurse in the ER just before the laws were passed ( we saw very few cases of mental illness in the late 70’s and 80’s, because these patients were taken to the local Mental Institution, and got treatment there or were locked up for their horrible atrocities): The law was this: If you are not a danger to… Read more »
It is stunning to me that any attempt to address the dysfunctional behavior that we see in the ED is met by an assertion that the person pointing it out is burned out, stressed, judgemental or frankly ignorant of mental health. Carol, in the ED we see mental illness day and night, all year long. We treat these patients, try to keep them safe, medicate them, try to commit them or plug them into care. Often, they stay in our emergency departments for days to weeks as we advocate for them. We’re find treating mental health issues. We aren’t fine… Read more »
Edwin – I absolutely HATE going to the ER – the reason – unless you have a known heart problem or are bleeding profusely – you wait…and wait…. I was taken there once for a migraine and it took 7 hours before I saw a doctor. Recently I had such a horrid attack of heartburn (in the middle of the night) – that my husband took me as we weren’t sure if I was having a heart attack. Again – I was there for at least 45 minutes before the triage nurse even talked to me. (I found out later… Read more »