The Real ER: A Nurse’s Insider Tips for Better Care

There are plenty of jobs I’m pretty sure I couldn’t do and others I know I could never do. For example, I don’t think I could be an engineer, a mathematician, or a flight attendant, but I know I could never be a nurse. Nursing, in my opinion, is one of the most selfless, powerful—and difficult—career choices. From human excrement to overstressed family members, nurses deal with the dark underbelly of humanity on a daily basis. 

When patients and their families are heading to the hospital for emergency treatment or even checking in for routine surgery, manners and common sense sometimes escape them. I talked with Laura Johnson, a registered nurse in the state of California, to discuss what really goes on in a hospital, what advice she has for patients (and their families) to get optimum care, and what every American needs to know to get well soon

When You Should Go to the ER
According to Laura, two of the most common problems hospitals face are overcrowding and dealing with ailments that a general practitioner can (and should) manage. People with common colds, anxiety or panic attacks, and non-emergency ailments often head straight to the ER. The main reason to avoid rushing there every time your nose is running is financial; an unwarranted trip can cost you thousands of dollars and negatively affect your insurance plan. 

Laura says you should go to the ER in the following circumstances:

  • If you have a fever of more than 101º F that refuses to subside
  • If you are in uncontrollable pain
  • If you have persistent nausea and vomiting
  • If you have bloody vomit or stool
  • If you are experiencing chest pain or shortness of breath
  • If the patient is a baby or an individual who is unable to communicate what he or she is feeling

Laura also says that a plethora of patients flock to the hospital repeatedly for unwarranted care, and reveals that nurses call these patients “frequent fliers.” Frequent fliers are often alcohol and drug addicts, as well as elderly patients, and they all desire a level of care that they’re not getting at home.

25 readers liked this story.
share
POST
11.05.2009
love ocean
check this site http://surf-wetsuits.com/
11.05.2009
Angel
I agree nurses are overworked and undervalued. I have only been to the ER once in several years. The nurse that check me in was more informed and diagnosed my condition better than the doctor! I was receiving excellent care until they asked for my insurance card. When they seen my insurance was not the greatest the doctor could not get rid of me faster! (Without any treatment and a $340.00 bill.) I had to go to the urgent care when they opened up and had to endure three days of IV's. Again the nurses there was wonderful and this time I got a good doctor.
11.04.2009
Egocom
The only time I went to ER was for a bicycle accident which I separated the AC joint on my left shoulder, in 1992. After I spent the longest, painful time filling out insurance papers, I waited and waited, trying to get relief by pushing my shoulder against the wall, finally I layed on the floor, trying to find relief so I wouldn't pass out from the pain. The small hospital in Lake County, CA was empty until a man walked in and told the clerk someone was on the floor. At that time I was escorted into ER. ER was empty except for the doctor who sat with his newspaper at the ER bed. I've often thought that wasn't the scene we see on TV.
10.28.2009
Bijani Mizell
Nurses are so undervalued; it really makes me angry. We think doctors are the key to getting better, but nurses are just as important (if not more so).
I can't believe how many people visit the ER for anything other than an actual emergency. The times I've had to do it ended up being so expensive.
It feels good to write.

Your stories, musings, and advice are welcome here. We know you've got something to share, so jump in—maybe get a little famous. And don't worry—you can save a draft!

most liked
Loader_buff
Other topics you might appreciate
Career & Money Neighborhood & World Parenting