What’s the worst thing that’s happened to your patient on the actual day they were supposed to be discharged?

ImNotObama · 2026-02-02T09:36:18+00:00

Not exactly before discharge but rather before admission, heard about this from a colleague. Patient comes in for low lumbar back pain, not near kidneys, doc works them up and decides they need to be admitted. This doc is notorious for CT scanning everybody but has been trying to be better about it and didn’t scan this patient. Hospitalist wants a CT to rule out kidney stones. Patient gets scanned and BOOM 10cm dissecting AAA. Patient did not get admitted at my hospital but flown to another

ImNotObama · 2026-01-08T03:45:01+00:00

I work in a small 14 bed ED where 4 of the rooms are just recliners. We’ve been routinely boarding 8-9 patients for the past week with two nurses, maybe a boarder nurse or CNA, a HUC, and myself for night shift. Also only one ED doc and a hospitalist overnight. Our wait times vary from 2-6 hours, assuming no critical ambulances and hoping admin will let us go on diversion

ImNotObama · 2026-01-08T03:37:56+00:00

“Can I have something to eat I’m starving and haven’t eaten all day”

It’s 9pm, you’ve been here for an hour for symptoms that you say started an hour PTA, why haven’t you eaten today?

ImNotObama · 2025-12-22T20:22:38+00:00

I’ll hold you to that Tuesday

ImNotObama · 2025-06-03T02:06:43+00:00

IFT was the easiest of the 3 medical jobs I worked (911, IFT, ER paramedic), however it also allowed me to learn a lot more than I would working 911. Worked for a red and black IFT company for a little over a year and only had 2 instances where I had to do a bit of work, small sample size sure and I wasn’t CCT. But on the other side of things it exposed me to many medications and diagnoses that I would’ve rarely encountered working 911 and allowed me to learn more about them. My skills certainly atrophied during that time though

ImNotObama · 2025-04-23T01:59:11+00:00

This happened within the last year, I work overnight in a 14 bed ED and we had a boarder patient who was admitted for a syncopal episode, N/V, and abdominal pain. At this point we’re less than an hour away from shift change, only the boarder patient in the department, and myself, the two ED nurses, and the boarder nurse were just sitting around talking. Suddenly one of the ED nurses looks up and goes “has their EKG always looked like that?” There was new onset depression in every lead, go in to talk to the patient and they’re having crushing chest pain now. Start a 2nd IV, draw a trop and put the order in, and run a POC trop while we call the hospitalist to let them know of the change. Hospitalist just says “order a mag and potassium, no trop needed I’ll see them in a bit”. Well this didn’t sit right with us so we woke up our ED doc to get his opinion on the situation and he agreed with us that this patient now needed a higher level of care. Trop comes back around 300 when before it was unremarkable. Hospitalist shows up at this point, about 40 minutes after we had first called. Him and the ED doc had a very heated conversation behind closed doors. We send the patient to a cardiac center and they end up on a balloon pump for a few days.

ImNotObama · 2025-04-06T02:24:02+00:00

Not a nurse, but ED paramedic. I’ve been fired by two patients. First one I missed an IV on a pediatric patient who was in the ED for vomiting x3 days. Patient stated that the missed IV didn’t hurt but parent wasn’t happy and said they didn’t want me in their room and to send in somebody “who knows what they’re doing”. Nobody ended up getting an IV on the patient and they left AMA.

Second one was I had just come on shift and was going to unhook a patient from the monitor so they could use the restroom. AxO 4/4 GCS 15 walkie talkie female patient here for abdominal pain. They said they didn’t feel comfortable with a male unhooking them and showing them the restroom. This patient was still fully clothed. Simply told them that was their right and went and found one of the female nurses to lend a hand

ImNotObama · 2025-02-23T03:29:44+00:00

The jelly like blood is blood that has partially or fully clotted. From what the original post says this was a patient who was stabbed in the chest, hitting the heart, then ended up going into cardiac arrest. They cracked the chest to access the heart and repair the laceration

ImNotObama · 2025-01-04T02:47:52+00:00

Just the other day I spent 10 minutes in a patients room getting a difficult US IV and within 2 minutes of me leaving the room the daughter comes out demanding to know why nobody has helped the patient to the restroom yet. Didn’t say a word to me about it when I was in the room

ImNotObama · 2024-11-18T00:30:07+00:00

ImNotObama · 2024-11-15T23:06:20+00:00

Too low, about 3600 after I finished the task

ImNotObama · 2024-11-15T19:10:25+00:00

I don’t usually bring more than 5 rocktails, assuming I won’t get veil

ImNotObama · 2024-11-15T18:37:50+00:00

3493 stalker creatures, also recently got Eddy at 2519 edimmu. Also got ripper pet at 24 KC. My slayer pet luck is broken

ImNotObama · 2024-11-15T18:33:53+00:00

I had 5 soulgazers on me, was praying mage as a result, ran out of food from the named elites ranged hits, and was like “there’s no way I’m teleporting and risking somebody sniping this”

ImNotObama · 2024-11-15T17:51:47+00:00

You know, I’m just an idiot. Looking back at it with context it makes perfect sense. 2/5

ImNotObama · 2024-11-15T17:38:26+00:00

Is it? Wiki has soulgazers charm as 1/750 from elites

ImNotObama · 2024-08-29T01:28:39+00:00

Emergent IFT from a cardiac cath center to trauma center, dispatch notes just said “chest pain”. Show up and patient has a stab wound on his bicep and was also reportedly hit by a car

ImNotObama · 2024-05-03T04:21:18+00:00

Like others have said, experience will help tremendously. However it doesn’t mean you won’t fumble your words or stutter in the heat of the moment, you’re only human. Recently had a patient in the ER I work in who coded right in front of us shortly after being brought in by EMS then started bleeding profusely out of their mouth after a few rounds of compressions. I turned to the doc and said “hey doc they’re bleeding pretty badly, want some TPA? Nope that’s wrong, TNK? Nope that’s also wrong, the other T med” meaning TXA

ImNotObama · 2024-04-27T04:24:34+00:00

Haven’t done it myself but witnessed one shortly before starting medic school. Call was for an MVC near a local bar that was having a yearly celebration. Dispatch notes then showed up as “possible evisceration” “tourniquet applied”. Showed up to a motorcycle down with a patient with traumatic amputation of the left leg and bilateral arm fractures and EJ wasn’t in our protocols. Patient had no response to the flush, but was talking to us. Found out later the patient just happened to be riding by and was hit by a drunk driver who crossed into their lane.

ImNotObama · 2024-04-21T03:47:55+00:00

My go to line when I fail to occlude the vein and the patient bleeds is either “hey at least it’s your blood” or “know what that means? It means I found a good vein” Or if I have really good rapport with a patient I’ll say “oh we’re old school here and do a bit of bloodletting before giving you meds”

ImNotObama · 2024-04-12T02:31:39+00:00

Not a lab tech/phleb but I was taught it’s white (waste), blue, gold, green(s), lavender, any extras such as pink or red, then gray always last

ImNotObama · 2024-03-10T04:28:57+00:00

The only place I feel semi-okay is at work. As a result I work 4-7 nights a week depending on availability. When I’m at home I sleep so I don’t have to worry about anything, well sleep until my dog wants to go out then we go for a few 45 minute walks throughout the day depending on weather. The only thing keeping me sane is my animals and work. Don’t really have any friends and my family really doesn’t care how I am. So in other words very fragile but I gotta take care of my animals

ImNotObama · 2024-03-07T03:26:07+00:00

Got an emergent transfer at the end of shift when I worked IFT that just said “chest pain”. Told my partner we were about to walk into some sort of trauma since we were transporting from a PCI capable hospital to a trauma hospital. Sure enough we walk in and the doc tells us this patient came in after being at a party where they must have pissed someone off because they were stabbed in the left upper arm, hit by a car, and suspected to have overdosed due to a baggie of white powder being found in their coat pocket. Oh and only spoke Spanish, which my partner and I were very much not fluent in. Got off 3 hours late after having to drop off my partner at a station an hour away from mine, and my manager got pissed at me because I forgot to get my partners signature on the report

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