Comments on: Baby Steps http://pinkwarmdry.com/2009/08/11/baby-steps/ Balancing paramedicine with playdates. Follow my trip across the tightrope. Mon, 23 Jan 2012 08:22:52 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: ellie http://pinkwarmdry.com/2009/08/11/baby-steps/#comment-3791 ellie Mon, 14 Sep 2009 17:37:46 +0000 http://www.pinkwarmdry.com/blog/?p=1922#comment-3791 If she can walk down her steps carrying her bag, why can't she step up into the ambulance? And step out again. Seriously, the last patient we had that big we WALKED into the ER. And that was a minor head injury. Ruptured disks are forever. If she can walk down her steps carrying her bag, why can’t she step up into the ambulance? And step out again.

Seriously, the last patient we had that big we WALKED into the ER. And that was a minor head injury.

Ruptured disks are forever.

]]> By: TheOpinionatedNurse http://pinkwarmdry.com/2009/08/11/baby-steps/#comment-3790 TheOpinionatedNurse Mon, 31 Aug 2009 06:02:50 +0000 http://www.pinkwarmdry.com/blog/?p=1922#comment-3790 As some of my pt's would say- like O-M-G! Seriously, though. I don't think you crossed the line. When it comes to de-escalating pt's, there are times when the best crisis intervention is to bluntly set limits. You have to clearly draw a line- in neon purple, even- and then make the pt look at that line and clearly state- this is the line, do not cross this line! Providing education is not uncalledfor. To tell a pt- especially one that has laid hands on you or your partner, the basic reality of how things work and why, should not be call for reprimand. I've been cussed and reported for telling Ms. Smokes-2PPD that smoking around her preemie asthmatic baby is the primary reason why that child keeps getting bronchitis. It is not because our no-good stupid ER doc can't figure out the right antibiotic. She screamed, cursed, and stormed out, promising to never return to this f-ing death hole again. She made a complaint. And then she showed up.... again... the next week with the same sick kid. Ms. Emme trying to make a joke at the end of the whole spectacle only proves she has a borderline personality. Good for you! As some of my pt’s would say- like O-M-G!

Seriously, though. I don’t think you crossed the line. When it comes to de-escalating pt’s, there are times when the best crisis intervention is to bluntly set limits. You have to clearly draw a line- in neon purple, even- and then make the pt look at that line and clearly state- this is the line, do not cross this line!

Providing education is not uncalledfor. To tell a pt- especially one that has laid hands on you or your partner, the basic reality of how things work and why, should not be call for reprimand. I’ve been cussed and reported for telling Ms. Smokes-2PPD that smoking around her preemie asthmatic baby is the primary reason why that child keeps getting bronchitis. It is not because our no-good stupid ER doc can’t figure out the right antibiotic. She screamed, cursed, and stormed out, promising to never return to this f-ing death hole again. She made a complaint. And then she showed up…. again… the next week with the same sick kid.

Ms. Emme trying to make a joke at the end of the whole spectacle only proves she has a borderline personality.

Good for you!

]]> By: tabitha http://pinkwarmdry.com/2009/08/11/baby-steps/#comment-3789 tabitha Thu, 27 Aug 2009 17:37:40 +0000 http://www.pinkwarmdry.com/blog/?p=1922#comment-3789 wow, that 's a pretty harsh statement. hope i never have to take care of you wow, that ‘s a pretty harsh statement. hope i never have to take care of you

]]> By: murse c http://pinkwarmdry.com/2009/08/11/baby-steps/#comment-3788 murse c Thu, 27 Aug 2009 05:05:47 +0000 http://www.pinkwarmdry.com/blog/?p=1922#comment-3788 What was the aftermath/fallout? I only wish more folks would say it. The exact reason our current system is the the state of disregard it's in and the current administration wants to dump this overburdened system on the overburdened system of government?! She is responsible for her current situation or maybe she had some comorbidity that caused the issues but to continue with the behavior that puts your current standard of living in jeopardy? What will government sponsored healthcare do with her treatments once they realise just how non-compliant she is? Heaven forbid people be told the truth in our politically correct society. Kudos to you for speaking the truth. Half the folks on our unit need tough love more than they need healthcare. What was the aftermath/fallout? I only wish more folks would say it. The exact reason our current system is the the state of disregard it’s in and the current administration wants to dump this overburdened system on the overburdened system of government?! She is responsible for her current situation or maybe she had some comorbidity that caused the issues but to continue with the behavior that puts your current standard of living in jeopardy? What will government sponsored healthcare do with her treatments once they realise just how non-compliant she is? Heaven forbid people be told the truth in our politically correct society. Kudos to you for speaking the truth. Half the folks on our unit need tough love more than they need healthcare.

]]> By: laura http://pinkwarmdry.com/2009/08/11/baby-steps/#comment-3787 laura Wed, 19 Aug 2009 15:28:20 +0000 http://www.pinkwarmdry.com/blog/?p=1922#comment-3787 In my two plus decades of nursing I can count on one hand the times I have had the courage to do what you did. I have never been written up or repremanded, either. My guess is you won't ever hear about your honest assessment of this patient's situation. Too bad the lecture won't change her behavior. Hopefully she will die soon and stop draining the system and your psyche. And when she grabbed your partner? I would have called the cops and she would have spent the night in shackles before she was processed downtown for assault. In some states, assaulting medical caregivers in the line of duty is a felony. N In my two plus decades of nursing I can count on one hand the times I have had the courage to do what you did. I have never been written up or repremanded, either. My guess is you won’t ever hear about your honest assessment of this patient’s situation. Too bad the lecture won’t change her behavior. Hopefully she will die soon and stop draining the system and your psyche.

And when she grabbed your partner? I would have called the cops and she would have spent the night in shackles before she was processed downtown for assault. In some states, assaulting medical caregivers in the line of duty is a felony. N

]]> By: The Bus Driver http://pinkwarmdry.com/2009/08/11/baby-steps/#comment-3786 The Bus Driver Sat, 15 Aug 2009 14:27:43 +0000 http://www.pinkwarmdry.com/blog/?p=1922#comment-3786 We get these kind of people all the time for our transit. Everything is always about them and how badly things are going for them. It makes me cringe when I see them not eating healthy and making their bodies worse for whatever condition they have, be it kidney failure etc. We get these kind of people all the time for our transit. Everything is always about them and how badly things are going for them. It makes me cringe when I see them not eating healthy and making their bodies worse for whatever condition they have, be it kidney failure etc.

]]> By: emt.dan http://pinkwarmdry.com/2009/08/11/baby-steps/#comment-3785 emt.dan Thu, 13 Aug 2009 15:27:58 +0000 http://www.pinkwarmdry.com/blog/?p=1922#comment-3785 UGH! I have been waiting to say that exact thing to one of my patients for MONTHS! I have the exact same patient, except male, and 28 years old. Oh, and she also has triple the MRSA. Bless you for speaking your mind. If I ever end up leaving my ambulance company, giving this guy a piece of my mind will be my last interaction. Thanks, as usual, for a beautifully written story UGH! I have been waiting to say that exact thing to one of my patients for MONTHS! I have the exact same patient, except male, and 28 years old. Oh, and she also has triple the MRSA.

Bless you for speaking your mind. If I ever end up leaving my ambulance company, giving this guy a piece of my mind will be my last interaction.

Thanks, as usual, for a beautifully written story

]]> By: Beaker719 http://pinkwarmdry.com/2009/08/11/baby-steps/#comment-3784 Beaker719 Thu, 13 Aug 2009 03:03:34 +0000 http://www.pinkwarmdry.com/blog/?p=1922#comment-3784 I know there are some members of my family that should be spoken harshly to as long as it's rarely. So don't beat yourself up too much :) Just enough to keep it a rare occurrence :) I know there are some members of my family that should be spoken harshly to as long as it’s rarely. So don’t beat yourself up too much :) Just enough to keep it a rare occurrence :)

]]> By: Trauma Junkie http://pinkwarmdry.com/2009/08/11/baby-steps/#comment-3783 Trauma Junkie Wed, 12 Aug 2009 15:07:53 +0000 http://www.pinkwarmdry.com/blog/?p=1922#comment-3783 Baby steps is right. I hope it got through to her. Honestly, I don't think you were crossing a line. After you form a bit of a relationship and establish good rapport with your patients, I don't see anything wrong with being brutally honest with them. I know what its like to be crispy, and want to speak your mind. I hope it worked for you. Baby steps is right. I hope it got through to her.

Honestly, I don’t think you were crossing a line. After you form a bit of a relationship and establish good rapport with your patients, I don’t see anything wrong with being brutally honest with them.

I know what its like to be crispy, and want to speak your mind. I hope it worked for you.

]]> By: 40lizard http://pinkwarmdry.com/2009/08/11/baby-steps/#comment-3782 40lizard Wed, 12 Aug 2009 12:50:32 +0000 http://www.pinkwarmdry.com/blog/?p=1922#comment-3782 Epi, when she started manhandling your partner- that's the end of being nice-your partner could've been seriously hurt or you too for that matter and sometimes what should've been said a long time ago has to be said to prevent any further injury to you or your partner! And AD's right- I'm willing to put money down that anyone who was witnessing it were cheering you on! Epi,

when she started manhandling your partner- that’s the end of being nice-your partner could’ve been seriously hurt or you too for that matter and sometimes what should’ve been said a long time ago has to be said to prevent any further injury to you or your partner! And AD’s right- I’m willing to put money down that anyone who was witnessing it were cheering you on!

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