Central Suffolk and the attitude

[Mikecp421]

Has anyone had to call into CSH over the radio and or bring a patient into there? What gives with the constant attitude? I heard them come off real nasty to someone from Riverhead Amb over the hospital 800 today.

[pmppk]

word

[chimney hook]

Good Sam is the worst. Don't answer the radio when called repeatedly.

Bad attitude on radio and on arrival.

No ambulance triage, so if a unstable pt is directed over the radio to walk-in triage, you have to wait until you're at the hospital and argue with the nurses.

i hear that all the time from central suffolk, you tell them the patient has back pain or similar and they ask, "can the patient go to triage?" Nice behavior.

[Respectvollies!]

Technically all patients need to be triaged. When the hospital staff asks over the radio "Is the patient triageable?", what exactly are they asking? Every patient who is rolled, walked, or dragged into the hospital consious or not, needs to be triaged (some more obvious than others). They should just answer the incoming unit and acknolledge that they are enroute to their hospital. They shouldn't get all pissy with an attitude.

They way I see it: there's alot of hospital emergency room employees who hate their job and hate it even more when we bring them business. It's their job, suck it up! If you get pissed off and cock an attitude with the ambulances because they are making you work, then maybe you're in the wrong line of business.

They should treat us with more respect. They need to understand that alot of us work two jobs and have a stressful life. They need to understand that as we volunteer our time to help others, the last thing we want is someone getting all pissy with us.

R-E-S-P-E-C-T ....it goes a long way.

[Mikecp421]

Technically all patients need to be triaged. When the hospital staff asks over the radio "Is the patient triageable?", what exactly are they asking? Every patient who is rolled, walked, or dragged into the hospital consious or not, needs to be triaged (some more obvious than others). They should just answer the incoming unit and acknolledge that they are enroute to their hospital. They shouldn't get all pissy with an attitude.

They way I see it: there's alot of hospital emergency room employees who hate their job and hate it even more when we bring them business. It's their job, suck it up! If you get pissed off and cock an attitude with the ambulances because they are making you work, then maybe you're in the wrong line of business.

They should treat us with more respect. They need to understand that alot of us work two jobs and have a stressful life. They need to understand that as we volunteer our time to help others, the last thing we want is someone getting all pissy with us.

R-E-S-P-E-C-T ....it goes a long way.

This is very true and my sentiments exactly. In my experience, when the hospital uses the term "triageable" they are basically wanting you to let the person off your stretcher and go out and sit in the "chairs" section and wait until they are called to be seen.

[emsman]

i usually don't call anymore. unless the pt is unstable and really sick, i don't bother. what are the gonna do send me away. they are an emergency department for crying out loud. as far as i can see, the differerence in service with a call and without a call is exactly zero. so why waste my time? it's not like theyt are alll waiting around with baited breath for my illustrious arrival. there are plenty of busy ed's in nyc that take patients in all day without hearing a note even one time. they are spoiled out here.

[SBU SUX]

Try going to University Hospital @ Stony Brook. Talk about an attitude on the radio. Then, when you get there, after about 15 minutes a triage nurse will finally saunter her way over and then talk directly to the patient, like you are not even there. And, when you need to use a phone or anything in the EMS room, you get stared at like you have 3 heads. Don't these people realize that without VOLUNTEERS bringing patients to them, they would not have jobs? We know that most of the patient's are full of S*#^ but we still have to transport them. So, ED nurses, Docs and Paramedics....Suck it up and show us a little respect!

Completely agree with your sentiments re: Good Samaratin Hospital...Their nurses are, quite honestly, the most rude I have ever seen in the world -- the complain if you dont call, complain if you call and give too much information, complain if you call and dont give enough information. . .And forget about getting an RN to listen to your report, luckily most of the Docs there are down-to-earth enough to talk to you even when the RNs refuse.

Huntington Hospital, however, although they are as busy if not busier than GSH and it may take a minute or two to get an RN they are very friendly and willing to talk to EMS. . . Prehaps the GSH RNs should be assigned to do some ride-time with the ambulances.

All the best.

[Haven't Seen It]

have to disagree with the complaint about Stony Brook. I take patients to St. Catherine's, Stony Brook and sometimes to Brookhaven. Only at Stony Brook is there a dedicated nurse to traige the ambulance patient, not the nurse in the triage booth that has to leave for the ambulance patient. I also see the nurse speaking to the patient but they ALWAYS ask me what I have and what my vitals were, etc. At St. Catherines nobody is assigned to triage ambulance patients and you wait around. I never wait at Stony Brook, you always wait at Brookhaven.

About two weeks ago I was leaving the EMS office after getting my times and another volunteer (agency to remain nameless) came in to use the phone wearing gloves. This is the dumbest thing I have ever seen. Wear gloves to protect yourself, scuz up the gloves, then go into someones office and pick up the phone with the same gloves on, no wonder sometimes the EMS staff is not happy.

[Nurse RN]

As an ED nurse it is interesting to read these complaints about triage. Try looking at it from our perspective. Some EMS providers, just like some nurses, are not the best in the world. On a daily basis I receive report about a stable MVA patient with a pulse of 82 and a BP of 120/70. When I take the pulse it is 140. This happens EVERY day with medical and trauma patients. When I decide which are in the ED to put the patient I am using my professional judgement based upon everything I have been told. It is unfortunate that I have to double check what you do but the facts are the skills of the volunteers range from excellent to horrible.

I see patients coming in with five holes in their arm but the EMT tells me they tried to stick the patient once. I see patients cared for by ALS providers who have no clue what the cardiac rhythm is, when i ask they shrug their shoulders and one actually told me it was "small and fast". Understand, not all are like this but it happens too frequently.

Stop trying to blame the fact of incompetent EMS care on too many calls, too many BS calls, etc., etc., etc. A patient doesn't care if you are short volunteers, if you are tired, if you are paid or not, they want excellent care. We all screw up now and then but if I call 911 I expect a rapid response with proficient providers. When patients come into my ED they want proficient nurses and physicians (they don't always get them).

I don't think that my experience is unique to my hospital. I have a friend who works close by at Southside and they see the same thing day in and day out.

[medic3050]

I would have to agree with the level of skills that EMS roles in with. I have found that the more knowledgable you appear the better sesponse you get. As for Central Suffolk Hospital, the more I go there the more formiliar faces I see, From the City that is. These people are used to dealing with the best of the best, and don't need a full present over the air right down to the size of the splinter they have in there hand. They need to know the urgency of the pt. Why do we call in EVERY PT anyway? Do the hospitals really need to know we are coming in with a pt 5 minutes in advance? What are they going to get ready in that 5 mins to expidite the stubbed toe?

[ERDoc]

I work in one of the ERs here in the county AND I was an EMT in the county, so I have seen both sides. If you take it as in insult that the nurses talk to the pateint and not you, get over yourself. It's nothing personal, but the best information comes from the patients. They are the ones who are experiencing the pain, not you. You had your chance to tell the story (that's what the radio is for). When we admit a patient we tell the admitting doctor the story, but guess what happens when they come to the ER to see the patient? They go and talk to the patient, not me (those crazy doctors actually want to talk to the patient).
Persoanlly, I don't care whether an ambulance calls in when they are coming in. I have to see the patient either way. The only time I like to know ahead of time is when the ambulance is bringing in someone that really is sick. As previous posters have said, there is a wide range in the skills that are out there, and unfortunetly we have been burned and/or jaded by those with poor skills. As an example, a while back we got a report that ABC ambulance was bringing in a female asthmatic with severe trouble breathing, wheezes all over and almost no breath sounds. They stated she looked like she was tiring and they had their intubation stuff out. She was given 1 neb and steroids prior to arrival. Upon arrival, the patient was speaking in full sentences, had crystal clear lungs and her sats were never less than 97% (on room air), even in the ambulance. She was having an anxiety attack!!! She looked like she was having a lot of trouble breathing if you looked at her from across the room, but if you examined her you realized what was going on. It is cases like this that medical control is so hesitant to give orders. Put yourself in their shoes. Cases like the above are not that rare. On the other hand, I had a new CC bring in a patient that was actullay wheezing. She admitted that she did not know exactly what the lung sounds were. After I listened, I explained to her what I heard and let her listen again. I have no problem teaching EMS providers (I actullay enjoy it).
I relaize that this is kind of lengthy and plenty of people will have things to say about it, but just put yourself on both sides. Also realize that when the nurses, or doctors for that matter, talk to the patient instead of you it is nothing personal so don't take it that way.

[Are you a real doc??]

If you are a real Doc, you would check your spelling, because you would known that EPI 1:1000 or EPI 1:10,000 would KILL THE PATIENT IF PRESCRIPED WRONG.... DIDN'T this already happen at UHSB with an infant...so if you are a REAL ER doc check your scripts and documentation in your chart before you BITCH about EMS,,,thanks Dr. Goodman,,,,have a good day...

[ERDoc]

First, yes I am a real doc, but I am not Dr. Goodman. If he uses the name ERDoc on this board, then I apologize for using his name and will not do so in the future. If the biggest thing you have to complain about is my spelling, then you have a pretty weak argument. Six mistakes out of almost 500 words is not a big deal. You got the point didn't you? If you want to be petty and look for every little error, you may want to check your post also.

Who said anything about epi? All I mentioned was nebs and steroids. If you think either one of those are epi, you should probably go through your CC class again. The incident at Stony Brook involved potassium in an infant if I remember correctly.

I was never bitching about EMS. As I said in my previous post I enjoy all aspects of EMS, I enjoy teaching the providers what I can when they ask. I also understand the limits of the system in which we work. My point was that you need to see it from both sides before you start bitching about someone else.

[student cc]

yes the incident at sbuh was with potassium not epi

[ProEMT]

Also doc, there was the incident at SUNY with the infant and the benadryl. We can spend all our time on this board whining and cursing at each other, but it makes everybody sound like crying schoolgirls ( my apologies to schoolgirls everywhere). Doc, you make an intelligent and well presented arguement. So of course most of the nameless posters have nothing to say but negative, groundless, not even close to the thread's point posts. It is always , and will always be the indivuidal prehospital providers attitude and past interactions with a facilities staff that will color their outlook of the whole agency or profession. Just as the one nurse or doc can color a providers idea of the whole facility. If EMS wants to be taken as the allied healthcare proffession we are, WE the prehospital providers, NOT the professionals we interact with have to prove that professionalism every run, every day. in this volly system, the most professional, educated, and generally nice provider can be undermined by the unprofessional behavior of the rest of the rabble.
Doc, I appreciate all you do for EMS, and thank you for the educational information.

[bumpp]

bump

[tmm]

tm

I agree with CSH, sometimes they are good and sometimes they are not. Out of the last 4 calls i have done, they only replied on the radio 2x and the other 2 we had to call via phone. We brought in a serious Pt, put did the ER know about it? Nope, well why not? because they dont answer the phone, maybe the Pt coulda lived if they answerd.

As an ED nurse it is interesting to read these complaints about triage. Try looking at it from our perspective. Some EMS providers, just like some nurses, are not the best in the world. On a daily basis I receive report about a stable MVA patient with a pulse of 82 and a BP of 120/70. When I take the pulse it is 140. This happens EVERY day with medical and trauma patients. When I decide which are in the ED to put the patient I am using my professional judgement based upon everything I have been told. It is unfortunate that I have to double check what you do but the facts are the skills of the volunteers range from excellent to horrible.

I see patients coming in with five holes in their arm but the EMT tells me they tried to stick the patient once. I see patients cared for by ALS providers who have no clue what the cardiac rhythm is, when i ask they shrug their shoulders and one actually told me it was "small and fast". Understand, not all are like this but it happens too frequently.

Stop trying to blame the fact of incompetent EMS care on too many calls, too many BS calls, etc., etc., etc. A patient doesn't care if you are short volunteers, if you are tired, if you are paid or not, they want excellent care. We all screw up now and then but if I call 911 I expect a rapid response with proficient providers. When patients come into my ED they want proficient nurses and physicians (they don't always get them).

I don't think that my experience is unique to my hospital. I have a friend who works close by at Southside and they see the same thing day in and day out.


Did you ever think that during transport that a patients vitals could change. I guess not that may require you to actually take a ride in the back of our rigs and know what really is going on in the field.

[Guest2u]

....

:roll:

[guestp]

:lol:

[East End Volly]

Iv noticed things havent changed at all at CSH. Still the same old crabby attitude.

alwasy have always will

here is the problem....most emt's are dumb...they have no idea what the hell is going on with their patient or with any other patient in the er...they expect the er staff to drop everything and run to them, when the er nurse can look at the patient from across the room and tell that they are stable

Did CSH now change their name to Peconic Bay Hospital???

Peconic Bay Medical Center---Yes

really

[eye contact !!!!!!!!!!!!!]

Try going to University Hospital @ Stony Brook. Talk about an attitude on the radio. Then, when you get there, after about 15 minutes a triage nurse will finally saunter her way over and then talk directly to the patient, like you are not even there. And, when you need to use a phone or anything in the EMS room, you get stared at like you have 3 heads. Don't these people realize that without VOLUNTEERS bringing patients to them, they would not have jobs? We know that most of the patient's are full of S*#^ but we still have to transport them. So, ED nurses, Docs and Paramedics....Suck it up and show us a little respect!eye contact too muthafuckaforget the phone get me a damn beer and suck my nads now er sluts

Try going to University Hospital @ Stony Brook. Talk about an attitude on the radio. Then, when you get there, after about 15 minutes a triage nurse will finally saunter her way over and then talk directly to the patient, like you are not even there. And, when you need to use a phone or anything in the EMS room, you get stared at like you have 3 heads. Don't these people realize that without VOLUNTEERS bringing patients to them, they would not have jobs? We know that most of the patient's are full of S*#^ but we still have to transport them. So, ED nurses, Docs and Paramedics....Suck it up and show us a little respect!eye contact too muthafuckaforget the phone get me a damn beer and suck my nads now er sluts

I do not understand why someone like you is NOT BANNED!! what a retard you are.

hey idiot,
why don't you do some research about the percentage of patients that come in via ems versus those that walk-in. You will find that the huge percentage will walk-in. Therefore, if the EMS system were abolished (if you don't know what that means, go get a dictionary), all of the er staff would still have safe jobs.
with love,
a medic volunteer and er nurse
ps-people like you make all the vollies look bad, and that is why the er staff thinks you are dic*heads

hey idiot,
why don't you do some research about the percentage of patients that come in via ems versus those that walk-in. You will find that the huge percentage will walk-in. Therefore, if the EMS system were abolished (if you don't know what that means, go get a dictionary), all of the er staff would still have safe jobs.
with love,
a medic volunteer and er nurse
ps-people like you make all the vollies look bad, and that is why the er staff thinks you are dic*heads

They also look bad when they say pts are complaing of general malasia (it's malaise, moron. Look on a map and you can find Malaysia). How about giving adenosine to pt with rapid afib? D50 to pts with finger sticks of 86? Putting tubes in the esophagus? Interrupting doctors and patients during their hsitory? Ignoring medical control orders because your chief told you to (when he's not even on the scene or he's not an EMT). The list goes on and on. If you want to be treated like professionals, become one. Learn how to do the job then you will get the respect you want (and at that point will deserve). Maybe we should go to a paid system.

I think a good portion of the problem is the education these people are receiving. There is little or no way to get rid of the people who "can make the cut" - it is quite scary. They go through a few months of EMT class with instructors that haven't been on the street in years, have never been on the street, or have no clue themselves. A paid system may help, but I think we still need a way to weed out the 'incompetent' ones.

I think a good portion of the problem is the education these people are receiving. There is little or no way to get rid of the people who "can make the cut" - it is quite scary. They go through a few months of EMT class with instructors that haven't been on the street in years, have never been on the street, or have no clue themselves. A paid system may help, but I think we still need a way to weed out the 'incompetent' ones.

I would like to think that with the number of vollies in the county the position would be semicompetitive. This may help to weed out some of the incompetent people.

word :arrow:

how many times can you losers go thru this garbage, wah nurses werent nice to us, wah

really

:oops: :oops: :oops: :oops: :oops:

:roll:

have to disagree with the complaint about Stony Brook. I take patients to St. Catherine's, Stony Brook and sometimes to Brookhaven. Only at Stony Brook is there a dedicated nurse to traige the ambulance patient, not the nurse in the triage booth that has to leave for the ambulance patient. I also see the nurse speaking to the patient but they ALWAYS ask me what I have and what my vitals were, etc. At St. Catherines nobody is assigned to triage ambulance patients and you wait around. I never wait at Stony Brook, you always wait at Brookhaven.

About two weeks ago I was leaving the EMS office after getting my times and another volunteer (agency to remain nameless) came in to use the phone wearing gloves. This is the dumbest thing I have ever seen. Wear gloves to protect yourself, scuz up the gloves, then go into someones office and pick up the phone with the same gloves on, no wonder sometimes the EMS staff is not happy.

[Unregistered[[[[]

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