When the wait is longer than you expected, don't scream at everyone in the waiting room [the last time I went to the ER with stomach pain and black stool
, I was in the waiting room after they ask you what's wrong with you but don't have a room yet--and I could hear this person SCREAMING at everyone associated with the hospital about how they had to wait. Hello, everyone had to wait. Obviously, there's nothing really, really wrong with you that you get to go ahead of EVERYONE else. Sorry.]
When your patient comes up, throwing up blood, tells you that she's just had surgery that day and her pain medication is making her nauseated and that just sitting up/standing makes her throw up...PLEASE try to not then put her in a big dentist-like medical chair! [That also happened to me. I'd just had a tonsillectomy/adenoidectomy/septoplasty, and my pain meds were too strong. I was throwing up so much, I started throwing up blood. The ER people were nice, but they also put me in a chair for hours. It was horrible. Throwing up practically clots of blood
was not pleasant. At least then I got a shot of Demerol.
If your patient tells you that it's difficult to get blood from her as her veins disappear, don't ignore her. She's had to go through this a lot. She knows what she's talking about.
[Had that happen a lot of times, where they just don't listen to me, stab me a bunch of times, and then "have to call in an expert." I told you my veins are hard to find!]