longsally111
Member
What is the name of your state? South Carolina
After reading the post from hifihoney, I spoke with my ER dr about his post. He gave me an article that I found interesting and amusing at the same time. They are the 6 rules for the ER. Here they are:
1. Be nice to the nurses.. They are underpaid, overworked, and have more influence over your er stay than you think. They determine how much of your pain shot you actually get as opposed to how much gets squirted on the floor when you mistreat them
2. Pick a simple non dangerous painful condition which does not require a 10,000.00 workup. Tell me your headache started suddenly and is the worst of your life and you will get a needle in your back or leave AMA with no pain meds. The parts of the story you think makes you sound pitiful makes me worry about an aneurysm.
3. Never rate your pain a 10 out of 10. This is an open fractured arm dangling, an 80% partial thickness burn or a real cerebral aneurysm. Dont tell me it is a 10 while you play tetris on your cell phone.
4. Never lie to me about who you are or your history. Give a fake name so we cant get old records and I will assume you are more of a jerk than you really are. You will piss me off and you dont want to piss off the guy who can write you a prescription.
5. Dont assume I am an idiot. I went to medical school. So if I read your triage note and you are allergic to every non-narcotic pain med ever made, you have a history of migraines, fibromyalgia and disc problems and your doctor is on vacation, closed and has noone on call I am smart enough to know you are scamming for drugs. This wont mean I wont give drugs but if you give that history, everyone knows you are lying. Especially when you say you are allergic to tylenol but can take Vicodin which has tylenol in it.
6. The final rule is wait your turn. If you get triaged back to the waiting room and others get back first, its because it is an emergency room and they are sicker. Your need of pain meds is not greater than a 6 year old having an asthma attack. Screaming at the nurse that you need attention now and trying to force her to take you back to a room now is a recipe to make everyone hate you. If it is believed by the doctor that you manipulated your way to the back to try to make a 19 year old with an ectopic pregnancy that might kill her have to wait even a few moments longer to be seen, It will be the staffs mission to torment you.
Keep the rules in mind and everything will go smoothly for both parties involved. If you insist on waving an orange flag that says I am drug seeking and making everyone mad you are less likely to get the prescription you seek.
As an ER nurse, I likes the article. Any thoughts by anyone?
After reading the post from hifihoney, I spoke with my ER dr about his post. He gave me an article that I found interesting and amusing at the same time. They are the 6 rules for the ER. Here they are:
1. Be nice to the nurses.. They are underpaid, overworked, and have more influence over your er stay than you think. They determine how much of your pain shot you actually get as opposed to how much gets squirted on the floor when you mistreat them
2. Pick a simple non dangerous painful condition which does not require a 10,000.00 workup. Tell me your headache started suddenly and is the worst of your life and you will get a needle in your back or leave AMA with no pain meds. The parts of the story you think makes you sound pitiful makes me worry about an aneurysm.
3. Never rate your pain a 10 out of 10. This is an open fractured arm dangling, an 80% partial thickness burn or a real cerebral aneurysm. Dont tell me it is a 10 while you play tetris on your cell phone.
4. Never lie to me about who you are or your history. Give a fake name so we cant get old records and I will assume you are more of a jerk than you really are. You will piss me off and you dont want to piss off the guy who can write you a prescription.
5. Dont assume I am an idiot. I went to medical school. So if I read your triage note and you are allergic to every non-narcotic pain med ever made, you have a history of migraines, fibromyalgia and disc problems and your doctor is on vacation, closed and has noone on call I am smart enough to know you are scamming for drugs. This wont mean I wont give drugs but if you give that history, everyone knows you are lying. Especially when you say you are allergic to tylenol but can take Vicodin which has tylenol in it.
6. The final rule is wait your turn. If you get triaged back to the waiting room and others get back first, its because it is an emergency room and they are sicker. Your need of pain meds is not greater than a 6 year old having an asthma attack. Screaming at the nurse that you need attention now and trying to force her to take you back to a room now is a recipe to make everyone hate you. If it is believed by the doctor that you manipulated your way to the back to try to make a 19 year old with an ectopic pregnancy that might kill her have to wait even a few moments longer to be seen, It will be the staffs mission to torment you.
Keep the rules in mind and everything will go smoothly for both parties involved. If you insist on waving an orange flag that says I am drug seeking and making everyone mad you are less likely to get the prescription you seek.
As an ER nurse, I likes the article. Any thoughts by anyone?
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