the 100% directionless thread

[Seirende]

I apologize for using the term "hose monkeys." I was frustrated by what I saw as insufficient assessment. I recognize that the emergency department is not the place to treat chronic issues. I do think that it's worthwhile to take three minutes to get a set of vitals and some basic questions in.

 

[ffemt8978]

I apologize for using the term "hose monkeys." I was frustrated by what I saw as insufficient assessment. I recognize that the emergency department is not the place to treat chronic issues. I do think that it's worthwhile to take three minutes to get a set of vitals and some basic questions in.

If the patient consents to allowing you to take vital signs, I'd agree. If the patient refuses, then there's not much you can do.

 

[Jim37F]

I apologize for using the term "hose monkeys." I was frustrated by what I saw as insufficient assessment. I recognize that the emergency department is not the place to treat chronic issues. I do think that it's worthwhile to take three minutes to get a set of vitals and some basic questions in.

Meh, pretty sure I've grumbled similar complaints when I was an EMT (even tho I was tryna be a hose monkey myself)... especially when dealing with LA County Fire at times....

 

[Seirende]

If the patient consents to allowing you to take vital signs, I'd agree. If the patient refuses, then there's not much you can do.

Patient can't consent if you don't ask.

 

[DragonClaw]

Patient can't consent if you don't ask.

Uhh, implied consent.

 

[Seirende]

Uhh, implied consent.

Define implied consent for me once there

 

[Seirende]

I had my brain mapping and first TMS treatment session just now! The sensation of the magnetic stimulation was quite unpleasant; felt like a woodpecker on my skull, but they said my scalp will desensitize. It was bearable and if it works it will be 1000% worth it.

Me: "So what's going on at this point?"
Doctor: *starts explaining where we're at in the process*
Me: "No, I mean the part where you just said, 'What the hell?'"

 

[Seirende]

Thank you for your graciousness @Jim37F

 

[VentMonkey]

Meh, pretty sure I've grumbled similar complaints when I was an EMT (even tho I was tryna be a hose monkey myself)... especially when dealing with LA County Fire at times....

I’m certain I’ve referred to them in much more, um, colorful expletives than hose monkeys. I do call my fire buddies nozzles.

 

[DragonClaw]

I’m certain I’ve referred to them in much more, um, colorful expletives than hose monkeys. I do call my fire buddies nozzles.

Water fairies

 

[Seirende]

Guess who gets to wear a Holter monitor for a couple days?

 

[CCCSD]

Patient can't consent if you don't ask.

You sure make a lot of assumptions.

 

[Seirende]

You sure make a lot of assumptions.

I am confuzzled

 

[Seirende]

Are we all on the same page here regarding informed and implied consent?

 

[DragonClaw]

I fell out of my boyfriend's hammock and hit the back of my head on the floor. Instant headache.

 

[ffemt8978]

I fell out of my boyfriend's hammock and hit the back of my head on the floor. Instant headache.

Gravity never loses...the best you can hope for is a draw.

And that's all I'm going to say about you falling out of your BF's hammock.

 

[DragonClaw]

Gravity never loses...the best you can hope for is a draw.

And that's all I'm going to say about you falling out of your BF's hammock.

Gravity? I sat down on the collapsed hammock and failed to balance it properly. He was in the kitchen and heard me fall and my moans and groans. Wonder what the first floor residents think.

 

[CALEMT]

Gravity? I sat down on the collapsed hammock and failed to balance it properly. He was in the kitchen and heard me fall and my moans and groans. Wonder what the first floor residents think.

Former first floor resident here. I’m just super passive aggressive and turn the TV volume way up late at night because, **** you.

 

[PotatoMedic]

The real question is, was a trauma assessment done after you fell?

 

[Akulahawk]

Patient can't consent if you don't ask.

Uhh, implied consent.

Seirende has a potential point here. The patient can't consent (or refuse) if you don't ask... and by that, I mean if you don't establish that patient is (or is not) able to consent, you simultaneously can't establish that the patient can be treated under implied consent. I had a patient that had some very interesting delusions refuse a procedure that I needed to do. This patient was able to answer the appropriate alert/orientation questions. Therefore, despite the delusions, I couldn't do the procedure. What that did kick off, though, was a capacity evaluation. I don't know the outcome of that as the patient was no longer under my care (my shift was well over and I was home for sure) by the time the capacity evaluation was done and the patient was no longer in the ED by the time returned for my next shift.