Why do people come to the ER in the middle of the night for things that have been bothering them for days/weeks/months? And they come in droves to a hospital that is dead-smack in the center of one of the most violent cities in the state of Massachusetts. That wouldn’t be so bad if it weren’t Saturday night. Alcohol + clubs + guns (or knives) = VERY LONG WAIT.
If you walk in and you’re not having trouble breathing, having chest pain, bleeding to death, or not holding one of your limbs you are going to the waiting room. FOR A VERY LONG TIME.
And NO you will not be seen right away. YES, it will be a LONG TIME. NO the doctor can’t just take care of your “little problem” and then send you home, if they did that for all the little problems the really sick people would never be seen. NO I will not move you ahead of other people because you “just can’t wait that long to be seen”. Yes, even you with the private insurance, but feel free to tell all of the other people waiting before you that they are not that sick and they don’t have as good insurance as you do. I will page the trauma team right now that they will be getting a trauma soon.
And for the 3 people who actually called their doctor first - NO, your doctor did not “call ahead” to tell us you were coming and reserve you a bed in the ER, he can’t do that anyway. The doctors of the really sick patients get them booked to the floor as a direct admit no stopping at the ER unless they stop breathing.
NO, taking an ambulance for a non life-threatening problem will not get you in sooner. Our charge nurse will take the CMED call from the ambulance, get you banded when you come in and send you out to triage to see me. And unless something drastic changes in the 100 feet you get wheeled down, you will probably be going to the waiting room.
YES, YOUR child with the 103 fever will be going to the waiting room after I give him/her Motrin. Why? Because YOU were supposed to give him/her Motrin at home - especially since he/she has had a fever for 6 hours and YOU didn’t. What do you mean they won’t drink medicine? That’s why tylenol rectal suppositories were made - try and spit that at me.
And NO, I did not send you to the waiting room. Our new fancy, shmancy, bizillion dollar computer generated triage program did. I plug in the info you give me, your vital signs and voila, you will be having a seat until you’re called. But lucky for you, we have medics in the waiting room who will check your vital signs every 1-2 hours until you are called into a room. So no, you will not be left to die unattended - please stop saying that. But if you look like you’re worse, have a concerning change in your vital signs I will up-triage you and get you inside.
Woah! Sorry, 12 hours being triage nurse last night has fried my circuit board. No, I’m not usually this jaded, but seriously? Can people at least come up with new and interesting excuses for why THEY cannot wait in the waiting room. So sorry, had to vent.
On the up side, I stuck to my diet. If I could stop myself from having a free large sundae after hearing, “Is it going to be much longer” for the millionth time, I think I’m gonna be alright.
Here’s to hoping tonight is better.