Nursing A Grievance

I am driving home from a nearby town last evening, along an unlit road, when I see in my headlights an old lady trying to crawl to safety from the road onto the grass verge. I observe that she is grasping two walking sticks which she is gamely and laboriously using to enable her efforts.

I stop, get out of the car and help her to the roadside. I ask her what has occurred to cause this scene. She tells me she has fallen over while crossing from one side of the road to the other. I examine her superficially. Her hands are covered in grazes and blood and apart from that she seems to be OK, but you can never tell in such circumstances. I know there is a small hospital in the town from whence I am returning, so I help her into the car, turn it round and head back there post haste.

I put further questions to her en route. It turns out she is on her way to her daughter’s house, which is also in the town, but she can’t recall where her daughter lives. Furthermore she can’t remember where she herself lives either. She also does not recognise any landmarks we pass on the way. Entering the town, the old lady informs me she doesn’t live there at all but somewhere in its environs, the exact location currently escaping her memory.

By this time I am under the impression she may have Alzheimer’s Disease or something, but I don’t ask her to confirm my diagnosis. This is because if she does have Alzheimer’s it might not mean anything to her and if she doesn’t have Alzheimer’s she might be offended and hit me, probably with one of her walking sticks, or maybe both of them for all I know.

I have never visited this hospital before, it being in a different county from where I live, and when we arrive there I park the car and ask her to stay there while I go inside. I reason that if she has any injuries I cannot see, it may not be a good idea to move her, and anyway she has great difficulty getting around, even with two walking sticks and me to help her. I go inside the hospital through a door marked ‘Reception’. I see signs for ‘Reception’ within and, encountering a nurse on the way, I check with her that I am proceeding in the right direction.

The nurse informs me that there is nobody at reception so there is no point in going there, whereupon I commence telling her what has occurred. She stops me in mid flow and tells me she is busy (she is talking to a man next to her and the man is holding his arm and rubbing it as if it is hurting). The man with the arm says he doesn’t mind giving me priority and I continue with my story.

When I finish my tale of woe the nurse advises me to call an ambulance.

Her advice seems superfluous to me and I ask her why an ambulance is required to take the old lady to hospital when we are in a hospital already. The nurse informs me the old lady must have an ambulance to take her to the nearest city, about 25 miles away as the crow flies. The reason for this seems to be that this hospital has no emergency facilities, and the old lady will need the services of a paramedic before being transported to a hospital which does in fact have an A&E department. Naturally, the nurse offers this opinion without bothering to examine the old lady herself.

I ask if there is anyone at all in the building who can take care of her and I receive a reply in the negative.

I do not have my cellphone with me, so I ask if I can use a hospital telephone to call an ambulance to take the old lady to hospital. I once more receive a reply in the negative, followed by a suggestion that I use my cellphone, which I have already explained I do not have with me. I consider the nurse’s responses and conclude they are less than helpful.

I put it to the nurse that surely there is at least one telephone in the hospital I can use because Alexander Graham Bell invented the device more than a century ago so they have had plenty of time to install one. I am then told not to get aggressive with the nursing staff because it will not do me any good, and anyway visitors are not allowed to use hospital telephones.

I ask her if she will call an ambulance herself but she points to the man with the arm and repeats that she is busy. I ask her if anyone else can call an ambulance and the answer is not yet and would I please wait outside with the old lady and wait for another member of the nursing staff to come out and see her. I obey this instruction merely because I wish to go outside anyway and check the signage to see whether it says ‘Hospital’ or whether it says ‘Monty Python Sketch - Filming In Progress’. I reassure myself that the sign does in fact say ‘Hospital’, and I am now thinking of reporting the ‘Hospital’ to whichever government department is responsible for monitoring flagrant contraventions of the Trades Descriptions Act.

After a while the man with the arm exits the ‘Hospital’ and tells me he is going home because the staff inside are a total waste of space.

Shortly afterwards another nurse emerges from the building, and I am more than gratified that the ‘Hospital’ employs more than one ‘nurse’. I then have a stroke of luck because it turns out nurse #2 actually recognises the old lady and says she will take her inside the ‘Hospital’, look after her needs and see that she is OK. I ask nurse #2 what is the problem with nurse #1 and nurse #2 tells me she knows where I am coming from, whatever that is supposed to imply. I thank her, get in my car and commence driving as far away from the ‘Hospital’ as is reasonably possible.

I drive very carefully indeed because I do not wish to be involved in an accident which may result in an unscheduled visit to hospital. I have suddenly become very selective about hospitals following my recent experiences with such establishments.

On the way home I am earnestly hoping I do not encounter any more old ladies with walking sticks lying in the middle of the road. Of course if I do see such a scene I will stop and render all appropriate assistance by driving them to the nearest city myself. In fact I will cram as many injured old ladies into my car as the car will hold, with or without walking sticks, including one in the boot if necessary, because if injured old ladies require assistance then they will get it from me, no questions asked. My faults, and I have too many to mention here, do not include leaving distressed persons lying in the middle of the road at the risk of being totalled by a passing car.

This includes nurses, although if it is one of their number in particular I might well be inclined to tell her I am busy and that I have no telephone, even if I do have a telephone, and that I will go home and call an ambulance to take her to the nearest city 25 miles distant, and would she please wait there until said vehicle arrives, or maybe just go fuck herself, whichever course of action she deems to be most appropriate for the circumstances at hand.

I say, copy this post and send it to the hospital administrators.

Thank you for taking care of the lady.

jali is right. That bitch needs firing before she kills someone through her own negligence and stupidity.

P.S. - Sincere kudos to you for being such an upstanding citizen.

IAWTC x 1 million.

I suspect that the hospital could be sued if the old lady died under these circumstances, though I’m no legal expert so I may be pulling that out of my ass.

To me, that is the worst part of the story. They know that there’s someone on staff who is turning injured people away, and yet she continues to work there and interact with the public. She should be fired immediately and given a tattoo that specifies that, in case of medical emergency, she is to be turned away from the two nearest medical facilities. :mad:

I’ve edited the OP to change the tense and style.

I’ve also removed the last three paragraphs so the letter now comprises just the facts of the matter. I predict this will constitute a case of her word against mine because regrettably I do not have the name and number of the man with the arm. I doubt the hospital will seek out his opinion even if they have a record of his visit which contains his details. Nevertheless the nurse should be called in by her superiors to give her account of our dialogue and, at the very least, she may be persuaded by my letter to deal with potential emergencies in a more sympathetic manner than she did on Saturday evening.

I have great confidence that the vast majority of the people on this message board, and indeed off this message board, would have acted in the same manner as I did.

The minority would probably have decked her.

On the one hand, nurse #1 is certainly a dripping pustule on the anus of humanity.

On the other hand, if the hospital has some circumstances that necessitate that they not treat people under conditions such as this (for example, not having emergency facilities) then I can understand why she would say that the woman could not be treated there. Her failure to allow you to use a telephone, however, is inexcusable.

On the third hand, I am probably more entertained than I ought to be at the thought of the call for an ambulance:

Chez: “I need an ambulance to transport a woman to the hospital.”
Dispatcher: "Where are you?
Chez: “I’m at the hospital.”
Dispatcher: “. . .”

Jobsworths abound. When they’re involved with the care of the sick or injured, they can get fucked.

Well done for doing what you did.

Just to give you a bit more hope, I witnessed a nasty car accident two weeks ago: a five-year-old boy ran in front of a car that was doing about 30mph. The car didn’t have a chance to stop: it hit the boy at full tilt - I heard a ghastly CLACK sound. He looked like a rag doll, the poor little guy, being rolled down the road.

I called 999 immediately as I ran to help him. As I got to him, where he was being cradled by his mother and father, I noticed two other people on their mobile phones, also calling the emergency services. Just as I was talking to the dispatcher, a fire truck slowed and the driver looked at me with a “do you need our help?” raise of his eyebrows. I nodded, held up my hand to hold the truck there, and finished my call with the emergency services. Then I ran to the fire engine and explained what happened. “You’re in luck,” said the driver, “I’ve got three paramedics in the back.” Within three minutes, three ambulances and three police cars arrived, and one of those single-driver first-response NHS cars.

(The kid lost a few teeth, had a gash in his head, and probably a broken bone or two, but he was screaming bloody murder, which was an excellent sign, and he was carried into the NHS first-response car, rather than an ambulance. I think he’ll be OK.)

I was absolutely blown away by the speed and professionalism of all the emergency services, and the compassion of the police for the driver, who was blameless. It’s not all bad.

I find the phone thing totally bizarre. I can’t imagine any circumstances under which it’s okay to deny someone the use of a telephone to call 911 (or whatever you call it in England). In fact, I think it’d be fairly reasonable that having a phone available and refusing to let someone use it to call 911 should be illegal. I mean, WTF? Seriously?

Not having the facilities to treat emergency patients is unfortunate, but not every hospital is that kind of hospital. But I don’t care if you’re a hospital, a grocery store, a private home, a bank or a guy walking by with a cell phone, if someone genuinely needs a phone to call 911, you let them call.

Chez,

Good on you for helping out. May the karma you earned come back ten-fold.

As for nurse #1, yes, there are “hospitals” that no longer have emergency departments, but I have never once heard of a nurse actually trying to turn away an injured person like that. I can understand that there could have been better care at another facility, but not letting you use a phone is just pure dickishness.

I hope her bosses take some kind of action against her. Please let us know what comes of this (if you get a reply).

-Geek
EMT-Paramedic

Oh GOD people, come on!!!

I thought England had a better healthcare system than this? Bizarre!

Wonderfully ignoring my counterexample there!

This happened fairly recently in California . It was a fairly well-publicized case, the woman was vomiting blood, the janitor was mopping up around her, and none of the nurses or doctors would do anything. When the husband called 911 to request transport to another hospital, the dispatcher refused, saying she was already at the hospital.

Yeah? I hope you left the Monty Python reference in. Well written, and well done.

I will charitably assume that you have mistakenly posted in the wrong thread.

As an RN, may I say kudos to you for being a good scout to a person in need, and may a thousand fire ants invade and inhabit that “nurse” #1’s thongs for all time.

She’s a poor excuse for a nurse and I hope she does have to answer to her superiors for her disregard of the woman. You can’t use the phone? WTF? Unreal.

(maybe she’s new there and isn’t sure where and when to break policy and rules. But there again, at the very LEAST, she should have asked another co-worker.)

I hate when people are treated badly like this–it give all of us a bad name.

You raise a good point. In the US, Nurse #1 would have at least called a hospital administrator over to pick the woman’s pockets before refusing her care.

Then, had the OP successfully called an ambulance, the woman’s insurance – if she had any – probably would have insisted that she didn’t need the ambulance since it was not pre-approved by her HMO coordinator.

That’s what makes the US health care system the best in the world!

I guess I wasn’t sure what I’d find at the hospital when I entered its portals because I was unfamiliar with the territory. I know that not all hospitals have an A&E facility but to me, at that time, it was an oasis of care where I would be able to find some help. I didn’t expect to discover a desert of indifference.

I consider the nurse should have asked the man with the arm if he was OK for a few minutes and gone outside to check out the situation. Then, if she thought the old lady fit to move, which it so happened was the case, she should have enlisted my assistance to get the old lady inside and given her the once-over using basic nursing skills. Having taken a view on her condition, using whatever resources were available, she should then have called an ambulance or not as the case demanded.

In any event I concur that her refusal to allow me use of a telephone was certainly deplorable.

Whenever I have been a patient of the National Health Service, which is more often than I would have liked, I can confirm jjimm’s opinion following his recent experience. The dedication to the job and the professionalism displayed by those concerned has been nothing short of exemplary.

I’m not expecting much joy from my complaint but I’ll relay the substance of any reply as and when the matter is concluded.

Finally, and this to Otto, the scenario of myself calling an ambulance from a hospital is one that I would certainly have relished, and extracted full surrealistic value from, even given the fraught circumstances in which the request would have been made. If I had thought of that at the time I might well have mugged someone for their cellphone just for the sheer pleasure of the conversation that would doubtless have ensued.

I totally appreciate the thanks and the kudos but, as I said before, I did nothing any of you would not have done yourselves.

You really are a moron, aren’t you?

Do you seriously think that this one example, absent any other information, justifies broad conclusions about the British health care system?

Are you sure Ted Kennedy isn’t somehow to blame?

No kidding. My last ER visit was a pain in the ass. I mean, much more so than an ER visit should be. Since they didn’t want me on my feet, I told them I had to piss and they gave me a little jug to do it in, and then every tiem I was just about to get a flow going, yet another nurse would fling the curtain open and walk right in, usually with the intention of immediately flinging the other curtain open and walking to some other room. Apparently, solving the Traveling Salesman problem by means of mapping was more important than my privacy.

Then one nurse who was up to her eyelids in ineptitude tried to inject me with something–five times on the left arm, failing each time, before she gave up and switched to the right arm. Eventually I had several needle marks in each arm, I was in a fair bit of pain that I hadn’t been in before I arrived at the hospital, and they were now struggling to get an IV drip in my hand. Apparently, somewhere around this point they were supposed to draw blood so the lab doctors could figure out what the hell was wrong with me. Six hours later, an army of nurses had wheeled me to this place or that, all of them simply assuming that my blood had been drawn, since I had so many needle marks and I wasn’t high. Finally, at 2 or 3 in the morning, one nurse actually thinks to ask if I’d had my blood drawn. To her credit, when I answered in the negative, she looked about ready to stab a coworker or six.

Of course not. We all know it’s actually Hillary’s fault.