Comments: 475 • Responses: 68  • Date: 

mrwhibbley126 karma


backdoorbandits46 karma

hahah depending how nice you are... turkey sandwich and apple juice. (cranberry, wow thats exotic).. but go see you PCP... we tried sry

mrwhibbley26 karma


backdoorbandits24 karma

Hey your right.. I don't understand how bad the pain is. absolutely right. But i understand to get through an addiction takes pain, struggle and mostly support. At my job I can put my orders in before a even doc sees them.. Yea morphine dilaudid ativen versed u name it. I don't do nursing plans in the ER. I take on medical emergencies. don't yell at me for pain medication... ur not dying just going through hell going through shit.. those medications are a brief relief no help to the real problem..

[deleted]3 karma


backdoorbandits4 karma


PlayerFive1 karma

You sir, are an ungrateful douchebag.

backdoorbandits1 karma

what do you mean by that...cuz I am not

iamaredditer102 karma

So how is Detroit tonight?

backdoorbandits25 karma

Never been

nbfb4254 karma

what is the craziest thing you have seen there.... something that instantly comes to your head as something you will never forget?

backdoorbandits181 karma

Easily one comes to me. An ambulance brings in a pt. They say they found the pt in an abandoned apartment basement on a couch. The the basement was covered with cockroaches, no lights. They must have been down their for so long, their skin fused to the couch. Their legs were so contracted,their feet could touch the back of their head. When the pt first came in, it looked like they had no legs and part of the couch came with them. Their eyes were literally sealed shut with eye gunk and dirt. The pt had an old peg tube site. When trying to assess it. Bugs came out. So the pt had a mental retardation and whoever was their caretaker at some point just left them. This person looked crazy. Almost dead, but made it out of the ER and was admitted.

Flannelboy214 karma

wait... that patient is still alive? How!?

backdoorbandits45 karma

idk they were breathing and had a heart rate when they left... actually not dead

rd79winters12 karma

As an emergency services worker in a large city who occasionally ends up seeing awful things like this, I'm curious as to why EMS would bring the patient to the hospital. In obvious cases like this we can pronounce the patient and immediately call the coroner. What good is it to bring a patient in this obvious state of decay/death to hospital?

Also thank you very much for what you guys do. It takes a special person.

Edit: I'm a dummy, I didn't read your full story and assumed, based on your description that the patient was obviously very dead. My apologies.

backdoorbandits26 karma

yea alive. but thank you.. love when you line and lab them... must be hard in a moving vehicle. but spot on good work... so no thank you

rd79winters15 karma

Well I shouldn't take any credit for doing any lining! I'm a firefighter. I've helped but the paramedics but I've never done it.

backdoorbandits27 karma

hahaha personally I think you guys are bad ass. We have had firefighter come in in pretty bad shape doing their job. It's a dangerous job. bad ass but stay safe

imtheassman2 karma

Was this one person or two? You keep shifting between "The pt" and "their"/"they". Not being grammar nazi, just curious.

backdoorbandits7 karma

I will say this. As a student I did math and science. English fuck it. When it comes to ER nursing documentation is almost click screen, at least at my hospital. I can't possibly write a nursing note one a pt that is dies and i am sticking with needles and administering medication... Not good with english and words...like to think I'm good at saving lives... ooh i type with two fingers. when I type when i'm on reddit

DumpsterFolk3 karma

For what it's worth, you were fine alternating between they/their and "pt." - they/their is perfectly acceptable for referring to one person, especially if you want to avoid specific gender pronouns (him or her).


backdoorbandits2 karma

you are mega right..can't spell grammar sucks... o well... damn English

eshasta43 karma

My aunt is an ER nurse in Detroit, and she always has interesting stories about work too. Ex: She became attached with one hooker who was beaten up by her pimp. Later that day the pimp brought a gun in to finish off his hoe in the ICU. That's something she'll never forget.

What is one story from work you'll never forget?

backdoorbandits53 karma

We have had to take guns off pts when they come in the trauma bay, But if pts come in any other way, they are searched there are metal detectors everything. A story that kind of relates to the story you told... I like to remember when a pt threatened a cop. The pt was in their make shift room. In our ER we don't really have rooms. Well the cop tells the pt if he doesn't sit down and shut up he was going to have use his taser. Pt punches the cop in the face. Cop then uses his taser gun jumps on the pts back uses the taser gun some more and handcuffs him. Pt cried like a baby handcuffed to the bed the rest of his stay. Discharged to jail

axeholedb17 karma

Do the patients get their guns back? Or are they handed over to police as a 3rd party/make sure they didn't do anything illegal with them, or their allowed to posses weapons.

backdoorbandits12 karma

idk... when i comes to guns and if you have a license. knifes, razors, lighters are gone and thrown away

ApletheraOfThrowaway11 karma

Is that policy just for the area's you work in or do you think that it would apply to most other hospitals as well? I usually walk around with a pocket knife and even sometimes OC and if i were to ever be hospitalized and lost either because of it i'd be very upset..

backdoorbandits10 karma

no just hospitals that deal with in house violence. docs and nurses have been attacked. its a federal crime. we try to maintain a safe environment. If you came into our hospital, it would be gone.. for the sake of the staff. It sucks for you but, for us, better to be safe than sorry

quad_chick24 karma

Do you have repeat visitors that know you by name because they come in so often? Are they mainly seeking drugs, clumsy, or gang affiliated?

backdoorbandits43 karma

ooooooo yes. Mostly drug seeking pts, drunks and people that continue to overdose. We know many pts by name. Its not surprising to see the same pt twice in a 12 hour shift

Fernandifunk11 karma

I assume pt means patient? I keep going "point or points are looking for drugs?"

backdoorbandits11 karma

yup patient.

ServerError19 karma

This comes from my wife: Why do you guys always send the pt's up to the ICU covered in shit? (she's somewhat being sarcastic)

Gosh, I hear these kinds of stories ALLLLLL DAY!

backdoorbandits29 karma

Ha. it true to some point. Is she an ICU nurse? It always comes down to whats happening in the ER. If my ICU patient is now as stable as stable can be and then I get a GSW or another critical pt in another room of mine, my attention goes their. I work to get that pt stable. In the mean time, my ICU is still stable( as stable as stable can be) and gets a bed to go up stairs, I am pressured, very pressured by the high ups to send that pt up as quickly as possible to open a new bed up. So i send them up. Being covered in poop or piss wont kill them. Not having a bed for a pt that comes in coding is a problem. Personally, when I go up and the ICU nurse is also having a rough night, I have no problem turning, cleaning and settling the pt as quickly and as best as possible. Someone has to do it. If everyone is having a busy night is sucks, but thats how it is.

ServerError17 karma

She basically said the same thing. :) She is an ICU nurse. Currently doing contract nursing and not enjoying a single moment of it. She'd rather be back down in the ghetto working with pt's that have more interesting things going on.

Here in the 'burbs, people drive their Porches to the valet of the ER... you can only guess how they are when they walk through those doors.

backdoorbandits14 karma

Thats funny. I have only worked at this hospital. And I always imagined working at a hospital in a beautiful neighborhood with I guess non ghetto ppl. But I have heard from nurses that I have worked with, who have worked at many hospitals, those pts can be bad if not worse(personalty wise) Props to her for being a nurse. It's tough. I myself, am contemplating travel nursing to hawaii or san diego but idk. Ha (I myself) I like that.

darktemptation14 karma


backdoorbandits33 karma

Clam shell thoracotomy are always crazy. Basically you open up the chest like a clam shell. At that point, doctors can massage the heart, administer drugs directly to the heart. It crazy looking. Only done in the trauma bay then sent to the OR..if the pt is still living.... usually not tho

backdoorbandits33 karma

ooo wound sry. didnt answer the questions. GSWs to the head are pretty graphic. Brain material can come out the nose and even mouth if bad enough. If they are in the ER long enough, their eyes can bulge and look like their pooping out due to increased swelling and presser in the head.

ServerError5 karma

haha - I was just reading your previous reply to my wife and she was like, "That's not a wound!" Then read your next reply! :D

backdoorbandits15 karma

she is right... hahaha my bad...wife 1 me 0

krakensfury3 karma

What is a GSW?

backdoorbandits4 karma

goneshot wound

DamageProcess12 karma

What would you say is the most rewarding part of your job?

backdoorbandits45 karma

going home and having a drink hahaha... But I would say easily saving lives. Sound unoriginal but on a crazy day and with little help, when you go home and realized you had a huge part in saving the life in one, two or even three critical pts..its a good feeling. The drink tastes better too.

skyminor10 karma

What happens when people can't pay?

backdoorbandits19 karma

By law we have to take care of everyone. My hospital, due to poverty, gets money from the state. The majority of our pts have no insurance and can't pay. Im sure we all know how much medical bills can be. Soo they can't pay.Still have to provide care.

mcquintessence9 karma

Any patients that you've bonded with?

backdoorbandits18 karma

No. This is question is interesting because I work in an ER. But to explain my answer briefly. The pts that come in that are nice and grateful are in the ER get admitted or discharged and are not seen for months or years. Most of the pts that come in are frequent flyers, drunks, drugs, want food, mental illness...etc. Or the pts that are shot, stabbed, burned, hit by a car...etc Ha.. most of the people I take care of nice or not cool or uncool, I only take care for a shot perioed of time . Pts need to be admitted or discharged quickly because there are another 40 people in the waiting room that need to be seen. So little time for bonding, usually running around all the time. HAHAHA not so brief, hard to explain tho

BoxedUpAndShaken9 karma

What's the best excuse you've ever heard for someone being shot?

backdoorbandits42 karma

one that comes to my head... A guy came in and was shot in his penis and thigh. He said his girlfriend shot him because he wouldn't by her a new outfit. A couple hours later, she comes in to the hospital escorted by police bruised and messed up. She presses charges saying she was physically abused for years.

crogar10 karma

How bad was the guy hurt? My friend recently got robbed in Atlanta, and was shot with a .45. His bone shattered and collapsed a lung before going into his stomach. I imagine that a bullet to his penis be a big mess.

backdoorbandits19 karma

the pt wasn't serious.. not dying. went to the OR. don't know if his main man still worked tho

Cwboyjon288 karma

I've always wondered what is the grossest thing you have removed from the anus. I've heard rumors but nothing from the source.

backdoorbandits19 karma

Shot glasses with women. Beer bottles with men. Nothing like super crazy like at animal or anything.

nburghmatt14 karma

Shot glasses with women. Beer bottles with men.

you say this like it's a general rule. i'm intrigued.

backdoorbandits17 karma

Guys like to take shots out of women's buttonholes. Curious or gay guys like long objects in their anus. duhh haha. I guess.

Psylynt8 karma

Got any good stories of bringing people back from death?

backdoorbandits51 karma

we had a young pt go into cardiac arrest in front of out eyes. coded the pt mean cpr and administering life saving drugs. after a minute or two the attending punched or hit, however you want to put it, the pt in the chest, the pt actually like woke up a minute later, and was like " who the fuck punched me in the chest" haha he didn't know he was dead and dying. pericardial thump

CatcherOfMice7 karma

How do you cope with all the death you see?

backdoorbandits26 karma

Not to sound like a dick, but I see death so much, it's to big deal

kostlid6 karma

Ever caught two of your co-workers doing it in the janitors room etc?

backdoorbandits12 karma

yup. I don't say nothin. good for them

kostlid2 karma

Were they a couple or was it just random?

backdoorbandits2 karma

Idk good for.. good stress relief

three_pac5 karma

have you ever had to save a friend/family member?

backdoorbandits13 karma

I had to take a friend to the ER. he was walking through a bad neighborhood and was hit over the head with a brick. he got 6 or 7 or idk stables to his scalp. never a family member

HVincentM5 karma

Do you like dubstep?

backdoorbandits13 karma

I hate dubstep. I like chemical brothers. But dub step...no

Shikkakku4 karma

Thanks for the AMA!

I'm thinking of going into emergency medicine/trauma as a specialty, and I was wondering what the best ER doctors have in terms of qualities.

Also, a piece of advice many of my friends in nursing drive into my head is to "Never, ever piss off your nurses." How do I avoid being the annoying doctor who everyone can't deal with?

backdoorbandits6 karma

so ur going to be an ER that awesome, love the ER. best quality "relax". like any work these are your co-workers you are gunna make friends and you are are not. yelling, screaming freaking out, as a nurse I think ur incompetent, as an attending i'm sure(fact i know) they think ur incompetent and wont make it. Every nurse wants to work with a doctor they consider a friend. Just be you... work is tough.

gdubfosho4 karma

Have you ever encountered someone that was into "sidepocketing"?

backdoorbandits6 karma

what do you mean side pocketing? stealing from the hospital?

gdubfosho18 karma

no, it's when you have to have a colostomy bag, and then you prostitute yourself out and let men fuck you in that hole. I heard it on the radio.

Derpese_Simplex6 karma

My friend runs an inner city clinic and he told me about a patient that had an ostomy put in just for this reason. Thank you for the term, that stuff is hilarious.

backdoorbandits16 karma

what doc would give someone a colostomy for no reason other then than that

SooInappropriate6 karma

So I had to bust out the old family Google, and after scrolling down through dozens of hedge fund investment definitions, I found the only thing a redditor could mean:

"Side pocket: A prostitute with a colostomy bag he can remove to give male customers some sidepocket."


backdoorbandits14 karma

hahaha. I never heard that term, but yes i have heard of people using colostomy sites for sexual activity. I personally have never taken care of such pt. I have had pts that stick nails, pens and screws into their penis in attempt to stay hard. Sometimes it's tough fishing those items out.

santalos53 karma

do you work in gotham city?

backdoorbandits9 karma

kind of. no batman tho....sucks

akittyafterus3 karma

What happened during your first shift as an ER nurse? Did you feel prepared and fairly calm or were you freaking out the entire time?

backdoorbandits5 karma

my first shift was fine. and yes i was freaking out. Any new RN work hard and help others... cuz your gunna need it someday

datarah3 karma

what is your educational background? How did you become an ER nurse?

backdoorbandits8 karma

I went to a small school to play basketball. I hated it. Moved to the city sophomore year. Loved the city. I saw what the medical field provided. I didn't want to sit at a desk. As all medical ppl say i liked helping others. Took the classes. Didn't want to be in school to my 30s like docs so took up nursing. Now I'm here

Mangi-Mangi3 karma

Your training and experience told you that the patient would die, but lived? any story?

backdoorbandits6 karma

I have delt with pts that come in shot every and anywhere. go to the OR and live. I dont see them leave or anything. never like a hi and hand shake thanks for saving me. might seem them later tho

MrPoobomb3 karma

is there a sexy doctor you have a crush on?

backdoorbandits15 karma

there are sexy nurses and docs... never shit where you eat

Paddywhacker3 karma

Please, give us a good news story, I'm drowning.

backdoorbandits4 karma

I really don't have any feel good stories, those are up to the ICUs and floors. I don't see the outcome.

CatcherOfMice2 karma

You're not. I just know it can be hard to be around so much death, especially for nurses. I didn't know if this applied to you and I was curious.

backdoorbandits3 karma

hahaha thanks

SaucyChicken2 karma

What is an ER nurse's starting salary and salary with various lengths of experience?

backdoorbandits3 karma

i started 34 an hour, since I work nights, it makes it closer to 40. I work 3 days a week..overtime is abundant. older nurses make up to 60 an hour

lostkose2 karma

What's with you nurses and your anal fixated usernames Ahem ANAL_QUEEN

backdoorbandits8 karma

as a guy...can't help it

kingcoyote2 karma

What the hell does pt stand for?

backdoorbandits5 karma

sry patient

finishedlurking4 karma

what the hell does sry stand for?

backdoorbandits5 karma

it's an up vote because I then know who I didn't respond to

cherrychuckles2 karma

Why is your spelling and grammar so poor?

backdoorbandits2 karma

it is poor because in the my ER we have little time to actually write an assessment, its all computer. I do very little documentation, mostly hands on.

WarrenEBuffett2 karma

What EHR/EMR (electronic health record) system do you use at your hospital & how do you feel about it?

backdoorbandits1 karma

MEDHOST. I like it cuz as many ppl have said I can't spell or write

Technician12 karma


backdoorbandits7 karma

It is extremely hard because I am sure you have heard they " NEED EXPERIENCE". work as a PCA for whatever floor you what to work for.. Thats your shoe in.

teehee132 karma

ok so i dont like asking the "craziest" event, so tell me about an honorable mention that needs telling

backdoorbandits2 karma

an infant being intubated and dying, while the parents are to strung out to know what is going on... real mind blowing experience

rebull3972 karma

im wondering what makes u sick everyone has something that makes them gag like with me for instance i can handle blood among other things but the second someone spits or has anything to do with spit i gag as an er nurse im sure u found out what makes u sick do u care to elaborate?

backdoorbandits7 karma

elaborate..... Ive seen a pt some high and give birth into her jeans. baby gray pt strung out... again I hate OB. baby didnt make it

backdoorbandits4 karma

female anatomy.... at least here. the women that come in.. I don't do OB.. I've seen things that ruin..um things hahah

unmined1 karma

Aren't all cities deadly to some degree?

backdoorbandits5 karma

I assume so. I also assume that some are more deadly than others.

racistredditorsays-11 karma

Do you let the blacks in your fancy hospital?

backdoorbandits7 karma

anybody everybody