Rural ER Nurse Reveals Craziest Tales From The Frontlines (ep. 12)
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- Опубліковано 4 лип 2024
- Meet Marta Scott, a critical care ER nurse who has mastered the art of solo operation in the high-stakes environment of Thermopolis, Wyoming's remote ER. With over twenty years of experience, she embodies resilience, skillfully managing everything from tribal land healthcare challenges to extreme traumas on her own.
Link to Spotify: open.spotify.com/show/0LxFDnY...
Link to Apple: podcasts.apple.com/us/podcast...
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A Badass MuFKR is someone you know you can rely on during a storm of a full moon on a Friday night. Someone who, when you see at work, you automatically know it’s gonna be a good shift because that MuFKR showed up. I want to meet them and highlight them on my platform and give them $1000 for being a Badass MuFKR. Let’s finally show the world the amazing people in our Healthcare community.
Was not prepared for this today. I live there and that night is all a blur but I think she was one of the nurses that helped try and save my mom a year ago. My mom had a heart attack and didn't realize it, by the time I got her to go in it was late at night and her heart literally stopped as we walked in the sliding doors of the hospital. They did cpr for 45 minutes, part of it on the lobby floor and brought her back. Sadly her heart was too damaged and we lost her a week later but thanks to the folks at Thermopolis's ER we got to say good by to her and tell her we loved her. They are good folks and we are grateful here for what they do for our little town.
I am so sorry for your loss.
I am so sorry for your loss.
My deepest condolences on losing your mother!
Deepest condolences for the loss of your mother 🖤💚
I was one of the Nurses that night, I’m so sorry for your loss
I worked at the hospital with Marta, she is a amazing nurse and it is a great facility!
This woman is definitely the nurse you want when shit hits the fan. She definitely is willing to go above and beyond to be prepared for anyone who walks through the door. I appreciate her thoughts on engaging everyone as a team, and doing the absolute best with what you have to work with.
Does she have a place where we can donate $ or stuff that she passes out/gives to patients? A go fund or PO BOX. A round of applause is due to this woman and others like her. She's a real hero!!!!❤❤❤❤❤❤
I once took care of a patient who had significant swelling of the brain. To allow the brain to swell without being compressed, the surgeon removed a portion of the patient’s skull and then surgically opened up their abdomen and put it inside the abdomen for safekeeping. Weeks later when the surgeon determined the brain had gone back to its normal size the surgeon then removed the skull from the abdomen and put it back on the patient’s head. Inside the patient’s body was the only safe place to store it. That’s super interesting about them putting that man’s nose in his chest!
I had a 12 year old in PICU that had a craniotomy and the bone flap was placed in his abdomen as well! First thing I thought of when she spoke about the nose! That patient, his entire case, it will always be a part of me. ❤️💔❤️
I used to work in Otolaryngology Head and Neck Surgery with cancer patients. Noses were always problematic developing a proper prosthetic
I was raised by a rancher and a nurse in rural Wyoming, and a former nurse myself. Listening to this episode felt like coming home.
When she smiles 😊 you just know everything is going to be ok.
She is a treasure. Thanks Marta for sharing your story. 🕊️
I love that you are doing this series Steve.
Nursing is the most vital part of the medical field and the nurses are the only thing sometimes between life or death.
Kudos to all the hospital nurses who work their butts off to keep us alive. Without them there would be more deaths than you can imagine.
Love this. Love hearing from the real people in charge: NURSES!! no I’m not one, but I come from hospital background and I am a patient with terminal disease. Keep up the good work, and recognizing all of the nurses who take care of us so well.
Marta is the baddest bad ass and I had the joy of working with her. No matter what you do in healthcare try to go work in a rural area for a year, the things you learn and see you may never get a chance to see.
Rural medicine is like being a front line combat medic. You need to have a broad background, know a little bit about everything, and improvise on the fly. As a former traveller, I always appreciated my team members and patients. I must have been lucky, as I've heard horror stories about travelers being treated badly by full time staff.
UA-camr, Dr Glaukomflecken has some great Rural Medicine videos.
Yes he does.
Texaco Mike!
@@nancyreid8729yes!
The Doctor is funny, smart And cute!! ❤
Salute to you strong woman and the rest of health care workers ❤❤
Big city folks are clueless about country/rural living and the challenges the medical staff faces. As a fellow night turn RN, I totally agree that night crews are a different breed... much closer as a team than daylight staff. We are few but we are mighty!! You can see how much she cares....
I’m sorry but many Big City people come from rural places. We don’t need divisive statements with no proof it’s true
I live by a town that has no doctor in the ER. Love all the nurses and techs!!! We are very tough in rural areas; we work with animals and nature.
I'm on a contract in an ER that functions very similarly to critical access. It's in a small town that's about 100 miles away from the nearest city and surrounded by miles and miles of oil fields. 10 beds, 2 trauma bays, 3-5 nurses per shift, 1 doc, no techs, and we get everything crazy from GSWs to deadly MVCs to chemical spills from the oil fields. It's almost entirely staffed by travel b/c there's no nursing school anywhere nearby and nobody moves there except to work the oil fields.
I LOVE this job! The teamwork is top-notch, we get fascinating traumas, and I have more time to spend rounding on/providing quality care for our non-critical patients d/t the low census. I'd love to continue seeking out these types of ERs because it's made me love being a nurse again.
Wow! She is amazing. I can’t imagine what she has seen.
As a retired EMT-P (in Las Vegas) I just loved this...knew a nurse who had to have her nipple stitched to her hip while her breast healed. The rural folks get the best stuff. My career started in a place as small as hers with the same setup
I moved from Chicago to rural Wisonsin. Many people told me Iwas crazy because medical care would be subpar. I found that not to be the case.
Our closest hospital, 15 miles away, is a smaller but full set up hospital. I have gotten the best care there. Doctors, nurses and all staff are wonderful.
But i have always wondered about the operation of small hospitals in isolated rural communities. I thank the nurse for sharing her stories about what is like to work in the ER when there no doctors present. Fascinating and much admiration.
Would love to listen to another interview with Marta, she's such an inspiration
This is an excellent confirmation for my belief that old people should be sure they live somewhere that has plenty of medical specialists and well equipped hospitals. I think Marta is a wonderful resource for her hospital, but she has to be superhuman to be able to provide for every need that is presented by her patients. Thank you providing some of the recognition she so richly deserves.
Oh i grew up here! I'm so excited to have a nurse from my neck of the woods sharing how weird our lives are! Glaucomflecken is not lying haha
So interesting, my hat off to you Marta. I think nurses are the toughest, smartest people in the world. Our little hospital here in Southern Illinois is critical access, but a 10 minute ride over the bridge into Kentucky gets us to two much larger hospitals. I love our little hospital. That is where I alwats wanted my Mom to go and I go there for everything I can. I know a lot of the nurses there and feel that I get much better care from them.
These nurses are essentially diagnosing and treating patients. Making life saving treatment choices. That’s incredible. Hope they are protected from any litigation
I was a CNA in a rural hospital/nursing home (same building, different wing, single story building with a basement for storage) for 6 months, 2200 to 0700. They were working on the rooms/hallway that connected us so there was 1 nurse and 1 CNA on the hospital side and 2 CNAs on the nursing home side. Lowest level ER out there. Had a single family doctor in town who ran the clinic and responded to emergencies, one x-ray tech, no CT/MRI. Had a mom in labor come in, the nurse was a POS and didn't have a clue, so the CNA delivered the baby - it was fast since the doc was about 5 minutes away. Luckily there were no complications. Had another girl come in after being thrown from a horse, x-rayed her neck and sent her home after the local doc read the x-rays. Had to call her to come back...she ended up in a halo for 3 months. Definitely won't go there myself...I'd rather drive the 30ish miles to a town with a bigger hospital - that town is probably less than 2,000 population.
Rural medicine is its own beast. I absolutely love it!
❤ I live in a Township of 315.
I know what she means, the farmers will just about die before they came in.
What she says makes 100% sense
The joke ER question are real about farmers for diagnosis
Doctor - "Did he finish the fence before he came in?
Nurse - "Ummm.. . . . . . . IDK why it matters, but No"
Doctor - "Run Full Trauma right now! Call Everybody!! He didn't finish the Fence!"
True because we will be like "It's only like 5 more posts and it doesn't hurt THAT bad" as they put a finger or two in their pocket and never even screamed and wrapped a hankey around it like gauze. "It'll be fine". . . . . . .
These are the unsung heros of the medical world theyve truly saved my life ive a got a bone disease without them jumping in to make sure i was okay in a small town i wouldve died with a brian bleed and i promise its only the first time they did i can list 10 more
Hello to both of you. I love these interviews. I'm an RN and also a Ski Patroller. Most patients sure don't want us to cut off their expensive ski jackets/pants. I understand, although..seriously, clothes can be replaced & the injured cannot. The patient isn't thinking clearly at that moment.
I worked in a rural hospital in north central Washington state. The most frustrating time of the year for the ER staff was what we called "chain saw season"!
I worked in an ER for 4 years. I really liked this one respiratory therapist, and we had a frequent flyer. She loved him. I don't remember what her issue was, but if he was on when she came in, he would go to the room she was admitted to and set up a snack basket for her. She was difficult, unless he was around. I was only in the room for pts being admitted, so I would beg him to be with her for me to do my job.
Marta is such a sweet nurse and I really enjoyed her stories. I'm glad you had her on your podcast!
Horse Person here. Yes, we still ride when we are pregnant. We will try to walk it off and just get back in the saddle and skip the whole hospital part if we can. We are better are taking the horse's pulse and breathing rate than our own. If you are kicked or hurt when you are in the saddle do NOT get off until you have reached your final destination because that is when you really realize how hurt your are and horses tend to want to go back to their herd so stay on and make it home for help. For stitches and minor fixes your vet is just as handy as many doctors, all of the equipment, even portable x-ray and sometimes ultrasound is in the truck. They know when it's really bad and your pupils don't match and when you just need a quick stitch and to be told your horse is OK so you stop trying to get up. We work 365 and you see us on horses and working until we can't physically do it any longer. I know people in their 70's riding w/o issue. I can sleep and not fall off in a saddle so it technically counts as bed rest with a horse I trust.
An equestrian friend of mine ripped off her hamstring and drove themselves to the doctor 1hr away. Had to take her mother's car because it was automatic and she couldn't stick shift with her hamstring off. I was 13 so couldn't drive and her mom was away.
I've broken a rib falling off a horse and not gone to the er until a week later when my employer forced me, they don't plaster ribs so why waste time going was my argument. One chest inflammation later I learned my lesson... 😅
I love this lady! This is the first one of your podcasts that I've watched the whole thing 😊
Welcome to rural critical access hospitals! This is us in rural Nebraska...psych, traumas, STEMIs, CVAs, MVAs, OB, med-surg, and SNF all on one floor. We have 1-2 nurses and a CNA on nights with radiology, lab, and provider on call. I see you honey and you are awesome!!
How does this not make any of us nurses feel blessed to have what we have.
Sooooo blessed I couldn't imagine wearing all those hats in a 12 hr she she is truly my spirit animal I strive to be just 2% of her really
I love her. I would want her taking care of me. She has that authoritative disposition that my mom had. She was an ObGyn RN. Thanks for a great interview!
What a lovely person
Please keep making these. When a new one posts, it makes my week. Very life affirming.
When I was 26 I presented with stroke symptoms in the ER after having what felt like a popping sensation inside my skull from a migraine I had had for 5 days. The ER gave me a CT scan and still decided to give me TPA just in case . Before I was given TPA I ended up with locked in body syndrome for 10 minutes all because of a migraine … those ICU-nurses hated me, I feel so bad!
My grandmother was from Evanston and her father was a sheep farmer. She was born before Wyoming was a state. Its pretty remote there
This woman right her is a super hero nurse does not define what she does
I totally feel her pain. The hospital I worked at only had internists and cardiologists with a part-time on-call OB to cover ER, ICU, OB, telemetry, and med/surg with no ER or ICU specialization and that was in the Phoenix Metro! I was a tele tech who is supposed to be watching the monitors at all times but they'd simultaneously schedule me as ward clerk for multiple wards and as ER tech for the same shift. I was just expected to cover it all. I helped a nurse deliver a baby once because there were no doctors available. This was a busy hospital too! They would have psych patients waiting days for transfer to a facility but didn't want to tie up beds so they'd tie them to chairs at the nurses station with soft restraints while they waited. Thankfully that hell hole was shut down!
Let me guess, Maryvale?
@@mcrchickenluvrno. I thought I heard Maryvale reopened?
Wow, Martha was awesome! Very cool hearing her stories!
Thanks Stevie for doing this one.
Marta I’m on my way (from Kodiak Island, AK Emergency Room) so it may take me a minute! I am wanting a rural Wyoming/Montana/etc. contract in the worst way after my Alaska contract is over in June. Maybe…. 😊. And LOVE this interview with you…rural medicine is like NO other!
First day in the ER (from being a normal ass acute care tech) 3 traumas through the day, one with active CPR and intubation. learned how to take out stitches, do the nose test things...Very eventful day and to be fair it's thrilling. Never looking back. It's so much more.
id say she has the best mentality of not being animated with patients. i find its a special kind of person. thanks for sharing her story and thoughts.
I live in Colorado, worked urgent care & seen a lot of horse accidents. They's almost always went to the OR.
Hit a horse, gates were left open at a boarding facility, on the way back from taking my mom, sister, and her friend to town to go shopping. Everyone was okay except me and the horse. Didn’t notice my injuries until I went to check on the horse, and things wouldn’t work. My mom’s friend, a nurse, rushed from her hospital a couple towns away to the hospital I was taken to. She got there just in time to save my life.
❤ love these stories! 😊
Respect 🙏❤️
My brother went to a rural hospital in east texas and then had to be careflighted to a hospital in the ArkLaTex. I was not there, had already moved off the farm. I can only imagine whatall they went thru. Unfortunately he died, and i dont think a tender age child could have lived thru what happened. Blessings on what you do
I work in a rural hospital myself and 1 staff member in the ER is absolutely unsafe, no excuses, 10/10 would not work there
I have to say this in its own comment SHE HANDLED TAKING CARE OF A MAN WITHOUT HIS FACE AND HE LIVED WHAT?!?!?! Badass 100000000%
Love you Joe
Steve ! I Never knew you were such a city boy. 😅
I live in the Texas boonies. The nearest hospitals are over an hour away. No elk or grizzlies here, but Mountain lions, etc. My county just has a part-time clinic, no doctors. Last June i totaled my truck and couldn't go to my hospital of choice because their x-ray machine was broken and I needed x-rays.
My respects to RNs, LPNs; etc. As a former C.N.A, I saw much of what you had to deal with.
I was on vacation with my parents and sister. Dad got sick so we called 911 who took him to the hospital (it was after midnight). They had ONE BED, one nurse, one registrar.
Hi Steve. Have you ever watched the TV series from the 90{s called “ER?” If so, was it an accurate portrayal of what it is like in a real ER?
As a CNA/Phlebotomist at a tiny rural critical access hospital (10 beds, 4 ED beds), that sounds exactly right. We are lucky to have a larger hospital half an hour away, but no OB, no Resp, and bare bones staffing. At least we DO have a CT tech that stays overnight, as well as an ED Doctor that takes care of MedSurg overnight....but 10pm-10am all stat labs have to be taken to that larger hospital by maintenance 🤷♀️
I practiced in Rural Montana in the 1980's. I called the hospital during Covid. They no longer do deliveries. An Ob nurse comes up twice a week. There's only one doctor in town and some NP's. When I was there our CRNA covered three counties. Medicare only allows patient to stay four days, after that they have to be transferred to level 2 hospital 90 miles away. Rural medicine is in crisis.
I was actually looking at real estate in thermopolis back in 2014
The rev cycle must love you
idek how yall pull through every day 😂
This woman looks incredibly like Ellen Burstyn.😮
Do NOT cut off my kit! 😂
I don't know the policy in Wyoming on flight ambulance. For us in other rural areas, we pay ahead for airvace services. It could be 20k for a flight. So a lot of people pay monthly or yearly for the extra service.
Yep - don’t cut my boots off! And I’m a retired RN. Lol
RT are absolutely the unsung heroes of the hospital
What is a "stimmy?"
Someone on the spectrum that is self stimulating as with a fidget toy.
ST-elevation myocardial infarction (STEMI). A kind of heart attack.
Oh I know what she is saying
As a Wyoming resident REALLY close to thermop.
Rules on the mountain 1 no food 2 don't be there after dark.
Here’s a weird story from a rural hospital
We flew into this little town for an oral maxillofacial surgery while we were doing surgery in the er I over heard
Aw just put him in that rm over there then I guess the doc came & said well what did u do now the guys says I was tryin 2 feed the pigs & I guess I was tastier
I look @ the doctor I was assisting & he calmly says it happens more than u think…..
What’s a ED TECH, STEMI and DISPO?
I was born in Basin.
The hospital I worked at couldn’t have yandpamy I the angosin
I do understand why you’d see the nose into the chest, what i don’t get is why you couldn’t see it back to where it’s supposed to go?
Lived in Wyoming for 16 years. As bad as she makes the health care system look as far a s access it’s so much worse. Trauma one of the things they handle the best. If you need a specialist get ready to travel. Also the joke was Casper is where you go to die.
I noticed she mentioned only nurses who are on-call for emergencies! EEK!!!! 20 minutes for the doctor??? For a trauma??? No, no, no.
That’s a rural hospital for you. Unfortunately, they’ve been like that for years.
She’s still using tpa? Not tenecteplase?
Welcome to rural medicine in America.
If you can't make 20 minutes too bad?
We at least have a PA
Life Flight.
Level II center is about an hour by land.
Unless your in am 🚑
I have loved every person that he has interviewed and believe that have all deserved this award but her. She seems rude and not grateful for this award. There is just something about her.
It’s cert common I joppmyseld thrysvhool taking Norse’s
Because it’s I have token do make bones because the horse got spooked during a thunderstorm. The horse spot toss me, and I cracked my head on a rock, and as there is all I have a TVI lock I was very close to each center.
Wow, BIG breach of confidentiality. Small town, lots of identifiers.
So a hospital working with the bear minimum.
What the heck, Steve!?!
You're doing 'Sleepless Boss' ads for NordLayer now?
Are you bossin' stuff on the side that we don't know about?
Someone get this woman a door that will open by the push of a button!
Im just curious: has either of you ever had an autistic patient, and if so, did you learn anything unique with them? I keep confusing and surprising doctors with my autistic brain and body lol
He knew did a stupid thing
Too much for me to handle
I race motocross my gear I don’t care if you cut my jersey and pants but touch my boots my chest protector, we throwing hands my boots are like 700 bucks and my chest protector is 300 😂
Why don't you go to the local Mormon Church and ask for volunteers? They could at least let people in and out to smoke.
😂
Hard to listen to anything that uses the f-word so loosely. I wonder if your guest was offended. I will not listen to this you again.
You won’t be missed.
Clearly she wasn’t as she dropped a few words herself. And if you’ve ever actually seen any of his video skits, you’d hear a lot worse.
I agree. Could live without the F word, etc.
This isn’t an airport. You don’t need to announce your departure.
@@mcrchickenluvr This was the first time I have listened to one of these videos. As with everything else, there is a first time. Not for me. Seems that by some of the responses I received, there is no concern that the content might be offensive to some. It’s okay. You keep doing you and I continue listening to what I am more comfortable with. Some places this kind of feedback is appreciated. Now I know. All the best for everyone. 🤗
"I have his nose" Imagine 🫣🫣🫣🫣 Hats off to nurses and doctors. Y'all are amazing!!