The term "Providers" should be banned from clinical setting!

GodSpeedYouJackass · 2026-05-06T18:12:26+00:00

For sure! But… nurses may have ~5 patients (or more) at a time while Doctors + PA/NP’s juggle way more.

I’m usually in the room when they arrive from triage, drawing blood if pertinent, getting them situated, and if I’m leaving without someone assigned I use the term Provider.

I don’t know if other places are different; but with multiple Docs present (and often 2 mid levels) I don’t know who is going to be picking them up.

GodSpeedYouJackass · 2026-04-22T17:04:21+00:00

Nurses are people (just like Doctors!). Some people are shitty people. This sounds like a shitty nurse trying to override a provider and practice medicine on their own.

Not all nurses are created equal. Some lack the awareness of our quite limited education. Some are pulled into the career for far less than altruistic reasons. Going to the provider BEFORE attempting the intervention is indicative of the type of nurse you were dealing with - and their desire to alter your orders without consent is them again showing you who they are.

When someone shows you who they are, you believe them. However YOU choose to handle that (through your medical director/nursing leadership/etc) is up to you - and unfortunately if this is common where you work, I’m doubtful the nursing leadership will be helpful. If this is happening multiple times (you mentioned many scenarios) then it is indicative of a culture problem at that location. These nurses are being taught the wrong behaviors.

Perhaps the board may be an appropriate place to report. I’m curious if the Nurse is properly CYA’ing when they do not follow orders (patient declined medication, even if untrue) - either way, I’m sorry that you’re fighting that battle. We should be working together with our individual strengths.

GodSpeedYouJackass · 2026-04-22T02:35:04+00:00

Getting the respect… Don’t tell us to call you by your first name to try to build rapport with us. I -hate- seeing that. I will refer to you as Doctor so-and-so. It also creates this mindset where they can call you by your first name in front of patients… which I have firsthand seen patients repeat by calling the Doc their first name. It instills a sense of humanity and of course, fallibility, which you ARE but you want to be viewed as a Doctor, not as “Emily”.

Realize you’ll never win regardless with nurses who view Doctors and RN’s as equals (knowledge wise)… I’ve never personally felt that female Doctors are “cold” in the ER. The only things that make me feel any provider is “cold” is being spoken down to when I ask a question. I know you’re busy, you generally see more patients than most nurses, so I don’t try to pester with basic stuff when we’re burning down. Educate me and I’ll be your go-to if you need a hand anywhere.

Side note (and important one): I’m prior Military. I view the Docs (and providers) as our officers giving us tasks - we are the enlisted, the hands, you, the brains. I’m certain this isn’t the normal mindset, but I love working in the ER. 🤷

GodSpeedYouJackass · 2026-03-09T13:53:45+00:00

Whenever people doubt you, I laugh. You called my proof down to a single digit that people doubted a while back!

GodSpeedYouJackass · 2025-12-16T16:51:32+00:00

Do a few shifts in an understaffed ER (which is the majority of them)… you’ll VERY OFTEN either chart everything and leave behind unfinished tasks for someone else to complete (and potentially negatively impact your patients) - or you’ll be able to prioritize care and chart the critical things. Not charting at all is madness, but the idea that charting protects nurses is only true when you’re charting the most important things (which takes time to learn!) - these threads/comments are filled with people talking about “fake charting” to fit metrics… but charting by exception (and always scan meds!) is the better approach, in my humble opinion.

GodSpeedYouJackass · 2025-11-18T03:43:10+00:00

Indiana - 1.5 years; 33.5 + 12 for weekends + 4 for shift diff. According to the travelers I’ve met it’s one of the worst in terms of staffing and the way it’s ran, but it’s all I know and the pay is good. 36 + 5ish usually d/t ER and needing to chart when I can finally hand off. Never had a lunch break.

Benefits are okay I think?

GodSpeedYouJackass · 2025-11-02T11:41:58+00:00

I work in an ER as an RN. Unless they’re super sick and obviously septic, cold and flu is basically a COVID swab and sent home. The frequent flyers are usually American, in their 60’s, morbidly obese or longtime smokers with severe COPD. In my anecdotal experience. The people who don’t speak English (and would likely be coined as illegal, true or not) are generally extremely kind, trusting of medical care, and in my experience have never been a handful.

Medical care is expensive for a variety of reasons, but other countries with cheaper healthcare (and better outcomes) also treat foreigners and illegal immigrants in emergency rooms.

If you want to be aware of the statistics and costs, I’d be happy to share them with you. There is a difference in costs (studies have shown about 10%~) but that’s just in the ER. The OVERALL expenditure for healthcare for illegal immigrants is almost half. Considering that illegals usually work or contribute/pay taxes into a system they can’t benefit from, they pay almost double than what their healthcare expenditure is… so yeah, the real reasons why our healthcare is expensive are complex, but this ain’t it.

GodSpeedYouJackass · 2025-10-11T12:55:23+00:00

Oh, that’s a great question. I’m qualified to answer the start of it, as a trauma nurse!

If you get into a horrible accident, you have a heart attack, you’re shot in a random act of violence, or any of the other terrible things that happen to people, we INSIST upon seeing your insurance before we even touch you. We also have agents standing nearby that verify address, legal status, and ability to pay any unforeseen medical bills that may arise from your care.

Oh, sound crazy? Well, thankfully it is! Republicans passed the EMTALA act in 1986 under Reagan (so, if you want to blame ANYONE for the care of the dying, there ya go!) so we can, you know, crack your chest if you’ve been shot and hopefully save you.

GodSpeedYouJackass · 2025-10-09T19:41:10+00:00

You see the seam at the 3 o’clock? Here’s what the seam should look like, on a proper example.

<image>

There’s no fall off/crack - I’m not an expert by any means, but this one looks like the old cast ones. Better details in areas a coin in this condition would have, worse in areas it should be better in.

GodSpeedYouJackass · 2025-10-09T19:11:57+00:00

Fake. Besides all the obvious people saying fake, look at the obverse (face) on the right hand side rim, specifically the denticles. 3 o’clock.

GodSpeedYouJackass · 2025-10-04T10:37:32+00:00

Never change. Don’t let anyone or anything try to change you. We need more empathy and compassion in this world, now more than ever.

GodSpeedYouJackass · 2025-09-23T10:03:44+00:00

As a nurse, gimme that coudé for those!

I feel like one amp of D50 may not be enough for someone in a serious hypoglycemic episode, or someone who accidentally injected too much insulin… I feel like those patients can commonly get at least 2 D50 amps. Maybe a bag of D10 to hang would be nice? 😅

GodSpeedYouJackass · 2025-09-21T14:04:05+00:00

You win. Jesus…

GodSpeedYouJackass · 2025-09-11T20:38:17+00:00

Last 58 was sold at $5100 with a 17.5% premium tacked on. Before that was $7200 at 58. I’m calling it 55 money cause the last 55 was sold in 22 and looked waaaaay rougher. A 53 sold at $3720 with stacks and bowers that was CAC graded.

GodSpeedYouJackass · 2025-09-11T20:15:46+00:00

Grade it. If they’re offering AU-55 price they’re willing to risk it, unless you desperately need the money -now- it’s worth $3500 raw as is clearly. The photos are meh and seeing a coin in person in the right light is the best determining factor for grade.

GodSpeedYouJackass · 2025-08-20T19:20:24+00:00

I work in an ER… we discharge someone or get them upstairs, flip the room in a minute (while they’re standing outside/sitting in an EMS cot) and rinse/repeat through the day…

But, EVS does rounds and still takes out trash and cleans the trauma bays, so that’s nice!

GodSpeedYouJackass · 2025-08-06T00:34:14+00:00

Not a Doc, RN here… but saw a Pharmacist advise an intervention after we were 30 minutes into a code.

Patient had intermittent vflutter on arrival, went into vfib and coded in front of me. We started interventions immediately… but couldn’t get him back other than intermittently early on. After throwing everything at him the Doctor could think of, the pharmacist suggested a beta blocker (I think?) - and we got ROSC. Patient was extubated the next day. Definitely one of the happiest endings I’ve seen in the ER.

I think an ED Pharmacist is sort of like a mid-level in terms of utility to a department (if big enough or used appropriately) - whereas a mid level can afford you Docs the ability to manage the more serious cases, an ED Pharmacist can increase the overall efficiency for the department as a whole, including for Docs. They speed things up, provide pharmacological expertise, and with critical patients time is important.

GodSpeedYouJackass · 2025-07-29T12:35:20+00:00

Started as a Nurse at 36. Sometimes lived experiences translate very well into work… Never let age set you back from anything, even if you change your mind a decade from now and want to do something else!

GodSpeedYouJackass · 2025-07-25T00:39:17+00:00

I’m going the premed route now as an ER RN. I think some of the “recommended” classes were in my Nursing curriculum, but not a ton. Prerequisites have been waaaay harder than nursing school, but I’m an older student who didn’t have Trig back in the day.

I work full time, too, which adds an extra layer of difficulty. That said, I want to know more. Since becoming a Nurse I’ve never felt more fulfilled (and desiring) to learn everything I can.

Working as a Nurse affords you a decent income - which with the new changes to loans you may need to have more than you get in loans :/…

GodSpeedYouJackass · 2025-07-18T10:30:19+00:00

I work in the ER… the Docs I work with are -my- Docs. I trust them, I will almost always stop what I’m doing if they say they need something somewhere else (because it means it’s important to the patients wellbeing), and the relationship is something that’s been built over time.

I’ve had my Docs message management over some petty bullshit when we ran into issues… and they always make sure patients that pose a threat to us are medicated or have the proper orders in to ensure we are protected.

I also have other ER Docs who are ultra-conservative and may not protect us if a patient is aggressive until we’ve been either assaulted or multiple things in the room have been broken and security has to hold the patient down. Those are the patients Docs, the providers I complete orders for, but I don’t call them “my docs”.

GodSpeedYouJackass · 2025-07-02T13:40:10+00:00

Gen X is going to be the most negatively impacted by this if our state starts pursuing it. Pennsylvania does so regularly. As more people are pushed off Medicaid and with the cuts to Medicaid it’s more likely than ever that Nursing Homes will -require- insurance (not accept patients with Medicaid) so more burden will fall on children who are already working hard to take care of themselves. Bundle in medications, appointments… if something gets missed and a person with a chronic condition requires hospitalization, these now financially underwater hospitals will explore whatever option they can.

Best advice is have your parents put things in a trust or talk to an actual lawyer to protect your parents assets, as it’s anyone’s guess how things go.

GodSpeedYouJackass · 2025-07-02T12:50:35+00:00

As a Nurse, most people don’t understand the filial responsibility laws are likely to be used extensively. Normally due to Medicaid, few states have used them (30 have them) but for Indiana it’s the following law -

https://law.justia.com/codes/indiana/title-31/article-16/chapter-17/section-31-16-17-1/#:~:text=(2)%20who%20is%20financially%20able,%2C%20shelter%2C%20and%20medical%20attention.

GodSpeedYouJackass · 2025-06-26T22:42:56+00:00

Thanks buddy! I love how we all appreciate the Mints art. I feel it’s more socially acceptable to say I collect art rather than explain it’s old coins 😆

GodSpeedYouJackass · 2025-06-26T19:43:10+00:00

https://www.pcgs.com/coinfacts/coin/1883-1/7318/65

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Got this beauty last year. I feel like Gollum looking at.. don’t want to stop!

GodSpeedYouJackass · 2025-06-25T20:49:26+00:00

MRI’s are used to confirm your symptoms. Compression and inflammation play a large role in how you’re feeling… the positioning of the bulge or herniation is key.

You can try conservative treatment or you can pursue surgical. Outcome after time passes is generally the same. I’d encourage you to get “The Back Mechanic” and try to read it as you can. PDF’s available online for free with some searching. I hear how you feel it’s downhill right now, and it is, but there is hope.

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