1) If it requires the ambulance team AND entire truck of firefighters
to transport you and safely place you on a hospital stretcher.....it is
time to go on a diet.

2) When you present to the Triage nurse, do NOT tell him/her that your
doctor called ahead. If you survey our waiting area, probably 50% of
the people waiting said the same thing.....and the other 50% use the
ER as their regular doctor.

3) When asked how much you weigh, please do not give the 'deer in the
headlights' look and tell us you don't know. It's a simple question,
simple answer.

4) Just because you have a phone and know how to call 911, we are NOT
impressed by your arrival on an ambulance stretcher. You had BETTER be

5) If you came escorted via EMS for multiple complaints that started
more than one week ago and your entire family followed the ambulance to
the hospital, you will be labeled a pussy and treated like one. Enjoy
the waiting area with your family.

6) One complaint/ailment per visit, please.

7) Just because you came in an ambulance doesn't mean you're going home
in one. You better start making arrangements now. I am NOT figuring
out how to get you home. Cab vouchers are NOT an option.

If you have one of these four, go to your own doctor in the morning:
A migraine; the Flu; a stomach virus; or a stuffy nose.

9) Do NOT ask us how long it will be. We don't know. I don't know
what is coming through my door 30 seconds from now.....and so I sure as
HELL don't know when you're getting a room.

10) We have priorities. We understand that you have been waiting for
2 hours in the waiting room. If you don't want to wait, make an
appointment with a doctor. The little old lady that just walked in
looking OK to you, is probably having a massive heart attack. THAT
is why she goes first!

11) If your mother is a patient and we ask her a question.....let her
answer it.

12) If your child has a fever, you had DAMN well better give it
Tylenol BEFORE coming in.

13) If you are well enough to complain about the wait.....you are well
enough to go home.

14) Do not utter the words "it is in my chart." I don't have your
chart! And I don't have time to call and get it! Just tell me.

15) We know how many times you've been to an ER. We can usually tell
if you are faking it during the first 5 seconds of talking to you. Do
not lie to us.

16) If you have diabetes and do not control it, you are committing
slow suicide.

17) If you are a female between the ages of 16 and 42 and your last
period was 28-35 days ago.....PLEASE don't waste our time if you are
here for abdominal pain and vaginal bleeding. Guess what???!!!
You got your period again!!!

18) Do NOT bring your entire posse with you. One person at the
bedside is all you need. It is really difficult to get around seven
people in the event that you are actually really sick.

19) Every time I ask you a question, I learn more about what is wrong
with you. I don't care if I asked you what day it is 4 different times!
Just answer the questions.

20) If you want something, be nice. I will go out of my way to piss
off rude people.

21) Our definition of "sick" is not your definition of "sick." If a
member of the ER staff says that someone is sick, it means that they are
in the process of DYING!!! They have had a massive stroke....are
bleeding out....are having a heart attack....or have been shot!

22) We do not consider a kidney stone "sick." Painful, yes.....but
sick, no.

23) At any given time, one nurse has up to 4 patients. One doctor has
up to 15. There is a law (similar to Murphy's Law) in the ER: If you
have 4 patients, one of them will be sick (see above definition)....one
of them will be whining constantly....one of them will be homeless....and
one of them will be a delightful patient. DON'T be the whiner!

24) If you see someone pushing a big cart down the hall at full speed
and you hear bells/alarms going off.....do NOT ask for a cup of coffee.
Someone is dying, you inconsiderate asshole. Sit down....shut
up....and let us work.

25) If you can bitch about the blood pressure cuff being too tight, or
the IV hurting, you are not in that much pain!

26) Physicians and nurses are NOT waiters. We are NOT customer
service representatives. This is NOT McDonald's, and you very well
may NOT have it your way. Our job is to save your life. If you
want a pillow, two blankets, and the lights dimmed......GO TO THE

27) If you have any sort of stomach pain and you ask for something to
eat, you are NOT sick.

28) Do NOT talk shit about the other members of staff I work with.
That doctor that you hate? -- I work with him every day, and I know that he
knows what he is doing. I trust him a LOT more than I trust you. I
am NOT here to be your friend, and neither is he. I will tell him
what you said, and we will laugh about it. If you want a buddy.....go
somewhere else.

29) If you are homeless.....DON'T ask for a bus token or a cab voucher
to get home, it just confuses the staff.

30) PLEASE don't tell us how to do our job. Do we come to your place
of business and tell you how to do your job?

31) Please don't bring in a "show and tell." If you have to fish it
out of the toilet, it's really not necessary to bring it in. We will
take your word for it. If you did fish something out of the
toilet.....you may NOT use my pen.

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Maybe some or all of these should be read to the caller by the dispatcher during the 911 call interview. Might cut down a little on the workload?
Well, you have a point there. On occasion I do take great delight in leaving patients that fit into these categories in the ER. "Let them figure it out" is sometimes just what it boils down to.

Just recently a pt. asked how he was going to get back home. I MAY have said something like "ask the nurse"... probably wasn't documented on the PCR so I didn't do it or say it, right?
EXACTLY!!!...if the report dosen't say it, it NEVER happened...
Well, I am glad to see that people can relate with this. I run A LOT of calls and can relate with majority of it. LOL. I couldn't resist to post. Ya'll have a wonderful Christmas, and A Prosperous New Year!
The same to you too! A wonderful QUIET Christmas.
Holy Moley!!!
I do believe you work in McDowell County NC
Stay Safe
As a firefighter, I prefer #1!!!! We have a few 400-600 pounders in our district, and I AM NOT looking foward to the day when they finally have eaten themselves to death!
I know a rescue capt. that got an unwanted free ride to the hospital due to #1. She sat down and pinned him to the floor. We had to take the gurnney and locking brakets for it out of the unit.
I am working in the ER right now and this made me and my fellow nurses day!
I LOVE IT !!!!!!! You must work at Parkland!
dang........................................but funny
got too love it ........................... LOL......... i have dealt with several patients like this......... just a few minutes ago i was listening too the radio and a call came across for a rescue squad for a patient we have transported many many times....... but the patient jumped out in the road with a sign that said HELP and i heard dispatch sending deputys too the residents and next thing i heard the officer asked for a rescue squad ........ the deputy told dispatch that the persons complaint was broken arms and was having a seizure .......... but from transporting the person before i knew we were going too get called out on it but i got lucky tonight........ the person does have 2 broken arms but wont leave the casts on there long enough too heal up and the person is also drinks and takes pain meds. and then calla too go too the hostpital.......... there has been times the person has gotten back home before we got back too the station

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