It was PACKED all night. Everyone was sick, or difficult, or screaming, or all three.
1) little old lady having a huge STEMI (a heart attack for you non-medical people) fighting, kicking, screaming, a hard stick, cursing--what was hurting her? Her FEET. (Also her chest, but that was secondary to her feet.)
2) 8-weeks pregnant gal with SOB and mild tachycardia (attended by whole family including cute but screaming kids) who had to wait SIX HOURS while Radiology and OB fought over CT vs VQ scan to r/o PE. I have never apologized so much in my life. Of course they were understandably upset. Also they were in chairs in the hallway. Yeah. Nice for the kids to get a good view of the bums and weirdos that get put in the hallway.
3) Like, for example, the guy having panic attacks and jogging up and down the hallway. He got sent to me (the designated hallway nurse, seriously, that's an assignment) because the inexperienced charge nurse was worried about his tachycardia. Of 104. In someone who is anxious. Without any cardiac history. I got an EKG, documented a normal pulse and BP and sent him straight to psychiatry.
4) the bums and drunks weren't so bad as far as obnoxious behavior and falling down went but for some reason they were all REALLY SMELLY. And they were all WAAAY too drunk to put in the shower. One guy kept kicking his shoes off and oh. my. god. The stench was unbearable. I finally soaked his feet in bicarb and butt wash and taped his shoes back on his feet.
4) We did get a sexual assault but it was a very strange presentation and fortunately I didn't have to take the case. I promise to write more about the SAFE cases but frankly they're really sad and I'm just not up to it yet.
But now I have four days off in a row: housework, gardening, beach, BBQ. Ahhhhh....