Three times in the past few weeks I have witnessed our ER staff being threatened. Twice with ‘I’ll kick her %&$!,’ once with legal action over an issue that was totally nonsensical. This, of course, pales in comparison to the crossed arms and huffing, the screaming and profanity that regularly inhabit our little slice of medical paradise.
So I began to ask myself, ‘where else can you do this?’ Try an experiment. Next time you appear in traffic court, scream ‘#@%$ YOU’ at the judge. Then ask for a cup of coffee, a snack, and insist on speaking to the criminal advocate. Then, when they take the handcuffs off, e-mail me and let me know how it went.
When you’re at WalMart and the clerk makes a mistake at check-out, or when the store doesn’t give you a television for free, scream at the manager, ‘I’ll take you out back, you &%@# && and beat your ##$!’ They love that at WalMart. They’ll probably give you a gift-card.
Or better, shoplift an item, then come back and complain that it isn’t working up to your expectations, ask for the consumer advocate and pace around staring at everyone in the management office until you get what you want. They might just drop all the charges for shoplifting!
Even better, do it at the Post Office, or in the security line of the airport. Postal inspectors and TSA officials are very patient and forgiving, right?
Fine, I’m on a tirade here. But what I don’t understand is why the hospital is the one, consistent place where everyone’s courtesy and manners go out the window. Why do people feel that nurses and physicians should be subject to all of their venom, all of their threats and violence and anger, and should then desire to show compassion and kindness? Especially when many of those doing it, but not all, are doing it without ever paying a dime for their care?
Is it, as my friend Mike W. says, because ‘it’s the one place they have any power in otherwise powerless lives?’ Maybe. Or is it because our culture is abandoning civility the way a snake sheds its skin? Television and movies, music and talk-shows, websites and blogs are windows into the collective soul of the land; hateful speech, disrespect and rude behaviors are ubiquitous.
Sometimes it seems as if all roads converge on the ER. Act badly and you’ll end up in the emergency department. In other words, if you do what I suggested above, all you need to do, on the way to jail, is say, ‘I have chest pain,’ or ‘I think I’m having a seizure,’ or ‘I want to kill myself now,’ and all of your craziness will end up in the ER for a pre-incarceration physical. As if the ER were the expected repository for profanity, screaming, threats and souped-up, confabulated drama.
Of course, what I’ll be told is that it’s because people are frightened and in pain. But that doesn’t wash. I’ve been in pain, I’ve seen plenty of people in pain, and the nice ones, the ones who believed in behaving like civilized humans, they didn’t curse anyone and they didn’t threaten anyone. We aren’t animals, we’re humans after all!
Life in the emergency department is difficult enough. We try to do our best with injuries and illnesses. We try to move huge volumes of patient’s in and out. We often do it with limited help and resources, with reduced staff and minimal space. The very last thing we need is more cruelty, more foul language, more attitude.
Where else can you act this way?
Nowhere, as far as I can see.
Pity. I’d love to spread this behavior around a bit, so that everyone else can enjoy it as much as I do.
I worked in staffing for 10 years and I can’t tell you how many times someone threatened me for NOT giving them a job! I have been cursed and threatened more than I care to count. I cannot believe that someone could imagine being rewarded with a job after such behavior. Most likely are the same people that do get a job and then show up in your ER every weekend for a statement not to go to the very job they threatened me about! Keep up the good work and stay safe!
Liz RN
14 years ago
You know why? Because they can’t be fired, that why! They are immune to real punishment. We have to give them care if they ask for it. They can behave like spoiled children and they know that they cannot be refused care. I frequently wish that patients could be fired. After all they frequently indulge in the kinds of behaviors that get people fired in the real world: not following instructions, not playing well with others, not working independently. Oh, now you’ve gone and done it, this is going to turn into a blog entry on my own blog when… Read more »
“Cursing” is different from “Cursing at”, right? Because I have a hard time avoiding the former when I’m in pain, but even at the worst, have no problem with the latter.
mamadoc
14 years ago
You know, I have often wondered that myself. This sort of thing is also seen on the inpatient unit and in the office.
mds
14 years ago
Liz RN has it. If anything, those patients who abuse us verbally are the very same ones who know the system inside and out, and how to manipulate it for their benefit. How many non-dependent non-abusers has even heard the phrase “patient advocate,” much less immediately demand one at any perceived slight? Actually, every other specialty can and does fire patients. And then where do they go? Of course! They know EMTALA ties our hands and holds severe punishment over our heads. They know if we throw them out after their tirades they can march straight to a lawyer for… Read more »
Celeste
14 years ago
The abuse does occasionally happen up on the floors. I have always wondered if I will be sweet or nasty if I ever become ill enough to become delerious. That being said, there are many people who just choose to loose civility in the ER. I trained in a large city public hospital. Somehow, they determined that, on average, over 35% of people in the ER were intoxicated with some substance. I found that statistic quite frightening, as many people drove themselves to the ER. The change in behavior is an odd thing: the nurses would frequently (and rightfully) ask,… Read more »
Dr. J
14 years ago
I think part of the solution is to admit that many of these people, when they behave badly, can indeed be ‘fired’. Most patients in the emerg. have no life threatening emergency at all and when they behave badly that should be the end of their visit. Most hospitals have all sorts of sign-age up that informs the public that the hospital will not tolerate violence and it is important that we make the hospital enforce this. In fact most emerg docs are quite good at eyeballing patients and determining if they have a life threatening illness. When a patient… Read more »
Qex
14 years ago
Actually, Walmart has all the same abuses… People can and have been given gift cards for throwing a s**t fit, and can easily return things they have stolen from the store for cash. The policy is these people (apparantly) still spend more in store then they cost. Obviously it depends on the store itself – some are more strict than others.
hi it is my first post on this blog and in the begining I would like to thank for the great information, which I found in this and all previous posts , it really helped me very much. I will definitely iclude this website on my rss reader Also, I would like to ask – don’t you mind if I will quate some information from your website because I am writing articles for the Associated Content, Ezine and other articles directories (this is my part time job)? It would really help me with some of mine articles. Of course, I… Read more »
Thanks for taking the time to discuss this,would you mind updating your blog with more information? It is extremely helpful for me. I have my tweets posted on my Firefox browser using a cool little app called Twitbin, and I watch my posts all day long as I work without having to log on.
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Edwin,
I worked in staffing for 10 years and I can’t tell you how many times someone threatened me for NOT giving them a job! I have been cursed and threatened more than I care to count. I cannot believe that someone could imagine being rewarded with a job after such behavior. Most likely are the same people that do get a job and then show up in your ER every weekend for a statement not to go to the very job they threatened me about! Keep up the good work and stay safe!
You know why? Because they can’t be fired, that why! They are immune to real punishment. We have to give them care if they ask for it. They can behave like spoiled children and they know that they cannot be refused care. I frequently wish that patients could be fired. After all they frequently indulge in the kinds of behaviors that get people fired in the real world: not following instructions, not playing well with others, not working independently. Oh, now you’ve gone and done it, this is going to turn into a blog entry on my own blog when… Read more »
Hey Doc,
“Cursing” is different from “Cursing at”, right? Because I have a hard time avoiding the former when I’m in pain, but even at the worst, have no problem with the latter.
You know, I have often wondered that myself. This sort of thing is also seen on the inpatient unit and in the office.
Liz RN has it. If anything, those patients who abuse us verbally are the very same ones who know the system inside and out, and how to manipulate it for their benefit. How many non-dependent non-abusers has even heard the phrase “patient advocate,” much less immediately demand one at any perceived slight? Actually, every other specialty can and does fire patients. And then where do they go? Of course! They know EMTALA ties our hands and holds severe punishment over our heads. They know if we throw them out after their tirades they can march straight to a lawyer for… Read more »
The abuse does occasionally happen up on the floors. I have always wondered if I will be sweet or nasty if I ever become ill enough to become delerious. That being said, there are many people who just choose to loose civility in the ER. I trained in a large city public hospital. Somehow, they determined that, on average, over 35% of people in the ER were intoxicated with some substance. I found that statistic quite frightening, as many people drove themselves to the ER. The change in behavior is an odd thing: the nurses would frequently (and rightfully) ask,… Read more »
I think part of the solution is to admit that many of these people, when they behave badly, can indeed be ‘fired’. Most patients in the emerg. have no life threatening emergency at all and when they behave badly that should be the end of their visit. Most hospitals have all sorts of sign-age up that informs the public that the hospital will not tolerate violence and it is important that we make the hospital enforce this. In fact most emerg docs are quite good at eyeballing patients and determining if they have a life threatening illness. When a patient… Read more »
Actually, Walmart has all the same abuses… People can and have been given gift cards for throwing a s**t fit, and can easily return things they have stolen from the store for cash. The policy is these people (apparantly) still spend more in store then they cost. Obviously it depends on the store itself – some are more strict than others.
hi it is my first post on this blog and in the begining I would like to thank for the great information, which I found in this and all previous posts , it really helped me very much. I will definitely iclude this website on my rss reader Also, I would like to ask – don’t you mind if I will quate some information from your website because I am writing articles for the Associated Content, Ezine and other articles directories (this is my part time job)? It would really help me with some of mine articles. Of course, I… Read more »
Thanks for taking the time to discuss this,would you mind updating your blog with more information? It is extremely helpful for me. I have my tweets posted on my Firefox browser using a cool little app called Twitbin, and I watch my posts all day long as I work without having to log on.
Hello! This is very interesting article! Thanks for share!