Sign this DNR Please

Patient was seen in minor medical area for his chronic low back pain, which shocked us because he is a drug seeking cardiac cripple. Doc deemed him non urgent, business office informed that he need to pay co-pay, or be seen by his primary care doctor, he utilized his extensive vocabulary of profanity. Then he reverted back to his old complaints of chest pain. This is were I was called to handle the problem. Told nurse to get a wheel chair. This is when Mr. dying decided to put on a show. Refused to get into wheel chair and to be taking back to the main ED. Stumbled out of the minor med area screaming that he was dying, stumbling into walls the whole way. Shaking and weaving c/o chest pain and dizziness. fell to floor in the middle of the waiting room screaming at the top of his lungs that we refuse to treat him unless he paid. Told us not to touch him and that we was going to attempt to walk the 30 miles to the better hospital for treatment, if he didn't die prior to getting there. Popping nitro and grabbing his chest while still refusing to have his chest pain evaluated. So, what was my response to all of this. Well being the charge nurse, I had to look out for the liability of what would happen if this patient really did code in the waiting room and we treated him against his wishes. I informed patient that he would not be treated for his back pain without a co-pay, but that we would be more than happy to eval him for his chest pain. Also, because he refused treatment at this time, it would be considered assault and battery if we picked him up off the floor and rushed him back for treatment. Further more, if he was serious regarding no treatment, then would you please sign this DNR, and I handed him the form.

Unbelievable!!!

52 year old female, c/0 left sided weakness last known well time yesterday at 1600. Brought into ER by family today because she became unresponsive. Family reported that yesterday her left side went limp. So why did family not bring her in earlier, like on first onset????? Well family was in town to celebrate thanksgiving on wednesday. Since everyone went home this morning, thought waiting a bit would be best. Long story short. woman is dead, who could have had TPA because family did not want to ruin their holiday. Now, family is threatening to sue us because we did not give TPA when she first presented to us....... this afternoon

Been a Few Days

My hospitals in the middle of this big buy out. Now, we are doing mandatory 16 hour shifts, reg at the beside, and still short. I don't see much in the way of all of the promised changes with the buy out. Same sit, just another boss. Main things I care about.
1. do I still have a job....... yes
2. Will I get a raise..... damn it.... nope, in fact we still are on a pay freeze
3. What will happen to all my vacation time?..... doesn't matter, I used it all a long time ago

Now,what I find funny, just got a notice that I am up for wage review and to make sure that I have all of my education and shot records up to date and turned back in, or I will not get my raise..... LMAO, what is the purpose of the review????? Am I missing something???? We have been on a pay freeze for 4 years, which means that I have not gotten a raise and will not get on for a long time. Freaking morons

Silly

I just had to giggle at this one:

Guy comes in with his wife. she had a laceration that needed to be sutured. He was all into looking at the wound, without a problem. The minute he saw the small needle that was going to be used to numb her, he passed out cold. He hit the ground, smacked his head, and was now in the need of stitches. Instead of his wife showing any concern, she just says he always does this when he sees a needle. Now, what I don't understand is:
If the sight of a needle makes you pass out, why are you watching us stitch your wife????
If you know that you husband is going to collapse when we pull out the needle, why not warn us? why not suggest that he sits down? why the hell have him in your room?

Translation

Dr. Hates women: always thinks it is funny when a women is charge instead of one of the guys, and calls the charge phone at least once an hour.
Today he questioned why the nurse pulled a Foley out without his order and he wanted them to be written up

Me: No, I am not writing them up, I told them to pull it, It was clogged, from nursing home with debris and green discharge, nursing home notes reported last changed 3 months ago, client had 900 ml of fluid in bladder per bedside bladder scanner. Here is the form, you can write me up!

His response: none
2 hours later received call from director about me being written up for ordering diagnostic lab without order. Dr. hates women neglected to list which test was done
Me: answered with written nursing protocol signed by medical director
What I should not have done was run protocol through language scanner for his native tongue(Arabic) and posted it on his locker... opps...bad nurse

I wonder how he would respond to this posted on his locker????


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