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ICU RN x7 years here. This is hilarious because it's so accurate. ICU and ED nursing are totally different beasts. I know my patient's history, their CT and lab results and their sister's name by the time they roll onto the floor. I often have the luxury of time to go through the chart. My ED colleagues keep a patient alive without knowing a thing about them. Much respect!
You have time to look at the chart? We are getting the admission as a third 99% of the time, mostly I get told they are coming about 5-10 minutes before arrival. I have been able to check their chart about 3 times before they roll up in the last few months.
I had a kidney stone that ended up causing sepsis and they had to go in after the stone so after the procedure I went into kidney failure and ended up in a coma for two weeks and yeah… Y’all knew my whole family. Thank you for what you do. Your peers saved my life.
My wife went to the ER years ago and ended up admitted to the ICU. The difference to my own naive civilian eyes, between the two was astonishing. ER was frenetic, high paced, the most basic questions that they needed to do their job. They literally did not care about anything else. Nor should they. ICU was extremely methodical, calm, quiet... asked every question under the sun and some I'm pretty sure they just made up to see if I'd notice. Both serve a completely different function. Thankful to both, but this was utterly hilarious.
My Mom was an ICU nurse for a few decades then moved on to other things in nursing, spent her last decade or so working as a nursing professor. Think I visited her dozens if not hundreds of times there at the ICU while she was working so she could spend some time with us kids on her breaks, but I can recall a few times where she and her coworkers were working frenetic and high speed in one of the rooms, and well yeah. Didn't understand why really until I was older, but it is what it is. I and the other kids that visited our moms there did see the other nurses as kind-of adoptive aunties and they saw us as adopted nieces and nephews, and we later found out a breathe of fresh air/relief from some tough nights/shifts/events that they had. Actually still see a few of them when I home visiting my parents and one of them comes by to say hi to Mom. But yeah, I've known all my life how hard nurses work, and even some of the reason why for the different positions too :)
Icu is the most accurate to textbook nursing. There is rarely stress. Most patients are stable criticals cause ED wouldn’t let an unstable critical be transferred to floor
LOL! I'm an ER nurse and this cannot be any more true! Down to the tee, even mentioned how they let you give report for 5 mins straight even though they've looked up the patient for the past hour!
I see it all the time. I’m an ICU nurse and usually when I get an unstable like this I tell ER to help me transfer and go because ain’t nobody in that situation got time to nitpick. Now if you’re sending a walkie talkie DKAer on an insulin drip I may ask for a better report 😂
...and then when you think about them having personal lives, kids, marriages, pregnancies, daycare, sick parents, it's all the more heroic - then there was Covid which took us into another galaxy altogether! True heroes with angel wings.
My favorite report from an ED nurse EVER started like this - "I'm sending you this human...because we're all out of puppies." LOVED it. ED nursing is so random. I enjoyed my time down there and so appreciate what ED does.
Edit- I can't believe how many likes this got, and my husband's latest echo shows no damage at all to his heart, just the stent. I am still amazed by this miracle. My husband had a heart attack the widowmaker was down for half an hour, 100% block in his artery. He had to be shocked 11x. He was on life support for a week. Then miraculously he survived. Like it never happened. The icu nurses got us thru but the er team and emts gave me my husband back. They didn't give up on him. Nurses are so underrated. They really are my heroes.
That is AMAZING! So happy to hear that! If you and your husband ever want to go back and give the doctors, nurses and paramedics hugs, or just go to say hello, it is incredibly rewarding! It is truly the reason many of us do medicine, for the lives saved like your husband. It’s so wonderful to see someone you’ve saved afterwards! Wishing you and your husband many healthy years ahead!
And the way Ben looked when he was speaking with the ICU nurse. Of course after they got off, they met for decompression liver rounds(drinks at the local watering hole)
As an ER nurse I can attest to this! This is hilarious. I frequently don't know my patient's name, and what I know is their clothes are lying in pieces on the floor, the bp is tanking, someone is doing cpr, someone is intubating, I'm starting the ART line, the room is crowded and the red hat is directing it all like the finest symphony.
I once yelled at some med students for asking me the pt name in front of them. I told them don't ever do that again, this is emergency medicine patients don't have names they have complaints and room numbers. This is 15 chest pain, if you want to know his government name look on his wristband like you just made me do when you put me on the spot
@@jeremitosvargas791, We did things 40 years ago that specialty techs do today: Set up, start & calibrate arterial lines, assist anesthesia with everything including setting up Swann-Ganz, calibrating, etc (we didn't insert those, however). .....and much more We did that during the pre-HIV days when we didn't wear gloves. And yes, NONE of the suture needles were swedged. They were re-used after being cleaned, sharpened, and resterilized (!!) Mixed all medications for Open Heart Anesthesia induction + 5 for CABG in the OR.... for a 7:30 am start we were there at 5:00 am doing whatever was required. We often watched in Radiology while a Coronary angiography and "squash" was performed: on designated cases the OR was open, prepped, & ready to take the patient in minutes. Like The Cat in The Hat, we did it with speed, humor, and efficiency. I learned all that in a small, 105 bed acute care hospital. We handled Trauma, too. Unforgettable. ---- Admin decided to cut the OR Staff Standby Pay to minimum wage. What a slap in the face, and yet, minor compared to what has happened over the following years.
Ed nurse here. I had an incubated boarder that was finally airlifted after about a day. I was also juggling two other high turnover ed beds. I only had the intubated dude for 4 hours. Just kept him sedated and vitals stable. Barely had time to look at the charts. My passdown to the airlift crew and my passdown cal to the icu was shit and I felt bad. I even got a couple condescending looks from the helicopter nurses. But you know what? I kept everyone alive and stayed afloat. That's all you can do sometimes and if people have no empathy or understanding, that's their problem to fix, not mine!
Same 😂😂 We already briefed a couple of other nurses on what kind of admit we are getting before we even got report and are all ready to go. How dare the ER not clean the patient and check their skin first though?? 😂😂
@@susanboyd6592 Ahaha. Same. If you get metal plates in your mandible I might as well make sure that you wake up not looking like a vampire after dinner, especially before it starts to swell. How on earth do they expect anyone to clean their blood splattered face while looking like a hamster ?
I used to be pediatric ICU nurse, and I’d like to think I wasn’t that crazy to give report. Didn’t realize how crazy some ICU peeps are now that I’m a cath lab nurse calling report to them lol.
Oh they just show the tip of the iceberg. They can't tell you the stories that stick with them forever. The crazies that just defy all crazies. That would end up being HIPAA violations as it would be easy for someone to figure out who they are talking about. Some of those intense stories I'll never tell. Some I have waited ten years or more to tell to avoid anyone recognizing the story. Most of these tales are things that happen multiple times every day so the individuals can't be pin pointed. But y'all... it's rough out there on a level muggles will never understand. 😄
Seriously though, I’ve been in the ICU before. Those nurses are a different breed altogether. Meticulous about being meticulous is how it describe it. Also… don’t try to get out of bed and go to the bathroom on your own there. They don’t like that apparently. 🤷♀️ But in the end they saved my life so we’re cool lol
How funny because in the UK post surgery they absolutely want you to do everything by yourself post op. After my last laparoscopy I had heavy bleeding leftover from the operation and high levels of pain and they still wanted for my to transfer from the gurney to the bed in the ward all by myself. It took a while and I bled everywhere to the nursing staff’s annoyance. When I was suffering from insane pain from the trapped CO2 they advised me to go for a walk, I couldn’t even straighten myself out from foetal position...
Former ICU nurse. It's so true. Lol. He needs to do a skit about the tangles mess of lines the ER send up to the unit and how ICU nurses are OCD about having organized lines.
My brother was an ER nurse for almost a decade before he decided to get into teaching & being a case manager for discharging patients. Anyway, he has OCD when it comes to lines being neat & untangled.
I was just writing a comment about how one of the most awesome nurses I met during my late husband’s cancer journey was temporally “borrowed” from ICU and she chatted away to me while proceeding to fix my husband’s tangled lines. She fixed everyone’s on the floor but was so lovely about it. She was awesome and efficient 😊
I remember my late husband went into septic shock on Christmas Eve (turned out a cancer tumour in his liver had burst). The doctors prepared me for the worst. He made it through the night but was barely hanging on when I visited him the next day. ICU doctor was called down to assess whether not to transfer him. The dr calmly and silently looked at my husband and checked a few subtle things. Then shook his head and left. I said to my father-in-law, who was also in the room, that that was one doctor you WANT to be rejected by. I knew then my hubby would make it. Which he did. Though sadly he passed a few months later in palliative care. One of the best nurses we had too was one borrowed from ICU. She proceeded to re-cable the whole floor because everyone was so shabbily connected to things. She explained that in ICU everything must be just so. She was lovely (not rude about it at all) and efficient.
As someone who's had 3 ICU stays (one which they didn't expect me to survive), along with stays in the ICU step-down unit, this had me laughing. The ICU nurses can definitely be over the top. I'm appreciative of all they do. I owe my life to them when the doctor failed me.
@@sjfrench8034Thanks, After I came off life support (due to doctor error), I ended up with a diagnosis of colon cancer. I've been battling for 3 1/2 years now (first stage 3, now stage 4), but all things considered, I'm doing well. On indefinite chemo and facing my fourth surgery, but hanging in there.
I know what you're going/went through. I have type 1 neurofibromatosis, mastocytosis and type 1 diabetes. I won the genetics jackpot lol. To say I have spent some time in the ICU is an understatement. I have always loved the fact that the ICU nurses are always more on top of things than the ICU doctors.
just showed this to my wife who is an IMC RN, she said "That's accurate from both ER and ICU, ER doesn't tell you anything and ICU tries to have you do everything for them before you show up... "
@@mma771 That's your perspective. We still have 20 patients in the lobby, no clean beds, multiple admits and transfers, and another double trauma just rolled in. We have things we need to prioritize and something simple and non-life threatening is likely to fall by the wayside so that we can do something that is higher on our priority list. None of us like that we struggle to find the time to do simple things but none of the ER or ICU nurses are sitting around playing cards, either. We're all working hard, well most of us anyway. ♥️
@@scholasticbookfair. It's not the same. Patients in ICU are critical and can be unstable. They need a lot more attention than 80% of the patients in ER. As someone else above said we all do our best, no matter where we work. It's always hard to figure out what is going on in another unit, you tend to see your own struggles only. In ER you want to send the critical patient to ICU asap because you may need this bed for another emergency soon. In the ICU you want to make sure the patient is stable before they're sent to you because if they're not, you can easily spend 1 or 2 hours with them and that would not benefit the patients you already have in charge. Both teams in ER and ICU do their best to ensure the proper funtionning of their respective units, and that's important too !
@@fluffyjun1479 I'm sorry are the code, trauma arrest, cvs and septic gammy that just walked in not unstable? Even most unstable than before you get them that is.
ER nurse was my second choice of career after paramedic. I didn't want to only treat a specific system or disease, I wanted to be able to do hands on maneuvers to keep them okay until they can get to the place they really need to go
Same here. Emt though. "Play" & learn so that your skills increase Do what you can for the patient and then hand over to the experts - Austen and Ben. They have to deal with ICU. Phew. Ironically I was admitted to resus nearly 2 weeks ago, ended up with tubes everywhere, ventilated for 5 days, recovered in ICU and am now waiting to go home. Thank you both ED and ICU nurses. Oh and my own colleagues of course.
Ah gosh I don’t want to do ER Medicine. I’m more of the “thinks deeply while balancing electrolyte levels, ECGs, scans, etc) guy so I want Internal Medicine. Altho of course IM has its emergencies too and the residents also rotate in the ER… after ER residents stabilize them of course.
I've been an ICU nurse since 1990 and this is spot on. This is exactly how report between the Emergency room and ICU staff is. It made me laugh because I can remember me asking the same questions and ER nurse saying the same things.😂😂
@@naomihatfield3015 Nah, it's literally just the ER and ICU rivalry. It happens at the hospital I work at also, but I wouldn't take it too seriously though. The hospital wouldn't be the same without it's quirks.
As an ICU nurse, I take umbrance, I never trusted ER to check the skin. And yes I had the bed, drips, ultrasound, etc already in the room because I had perused the chart...
Loool we have a 1:6 ratio in my ED, we have time to get ABC's, a basic pain coverage and sources of infection sorted and then we get them the hell outta there.
When I was in peds ED I gave report on a transfer that quickly became unstable and when I rung PICU.. no let me get this right.. this one nurse from PICU rang me and heard the rush in my voice, she said “take a breath, you’re doing great, get the patient up here we’ll see you soon”. That PICU nurse was a gem.
Haha! I'm an ICU CNA and I love my nurses, but they are a little ridiculous sometimes I can't tell you how many times I've helped turn a new admit to check their skin and heard the ICU nurses grumble about the ER nurses not giving a skin check in report
@@pahtosh Yep! ICU nurses are fantastic and they know their stuff, but they are also very meticulous. The most Type-A adrenaline junkies you will ever meet 😅
Oiii it is on us if the bedsore is not community acquired... how do we find out if it is community or hospital acquired ? By That skin check on admission... smh
ER nurse here, I love learning about the differences in departments because it helps me to work better with them, to avoid petty disagreements, and to focus on patient care. Every department has different primary focuses, and staff that knows what these are can usually avoid arguments over skin assessments. I've mad respect for ICU nurses, and I do skin assessments of the back and bottom when I can, even if I have to Google the pressure ulcer stage chart. I even stay in the room when I admit my patient to help the floor staff turn them and get them settled
*My floor lead:* Hey can you go triage this thing in the lobby? *Me:* Sure, what's wrong with it? *FL:* No idea. *Me:* Cool. Will it try to eat me? *FL:* No idea. *Me:* ...do we know what species it is? *FL:* Nope! *Me:* ...ok then! [pulls on gloves and just goes]
ER nurse here. Two very different worlds; I could not tell you how much I respect the brain of the ICU nurse. As I like to say, we stop the plummet from the precipice, ICU hikes them back up to the peak. Both worlds are magic.
This is so spot on! I’ve worked in both the ER as well as ICU and the “getting/giving” report battles were epic. I can’t tell you the countless number of times that as soon as an ICU nurse finds out they’re getting a patient from the ER, they’re going over that patients chart with a fine tooth comb, and yes the top questions are “ How does the patients skin look ?” And “Are you going to replace x, before you bring them up?” Lol!
ICU : what's the patient's condition Er: patient is not stable ICU : so you are sending me an unstable patient Er: well if he was stable we wouldn't have put him in the ICU
Im leaving this comment here so, after a month or maybe a year, when someone like it, I get reminded of this master piece. You are getting better, Steven.
LMAO! This is the most back-handed compliment I've ever seen, but it's funny as heck because I can imagine a woman telling a guy - "That was a masterpiece dear! You're getting better honey!" LOL! HILARIOUS!
The part about "You already know more than I ever could about this patient" is sooooo true lmao! I work on med surg currently and when ED calls I don't make them suffer. There's one guy down there that basically knows he can just text me "pt on the way, text me if you have any questions" ... I expect a good Christmas gift from him. haha
I never would have expected ED to do a Braden assessment! Their job is to keep patients alive enough to get to OR or ICU. Maybe a nursing home patient would get that attention in ED, but even then, being alive takes precedence! Never heard an ICU nurse ask that when I was a clerk there…but then, we didn’t start using the Braden scale on the floor until mid- to late 1990s!
Im ICU and love the friendly rivalry with ED. When I started, I had this idea that ICU would be slower pace most of the time - compared with the constant pace in ED. However, most shifts see us trying to complete an unending number of tasks, with the goal being to not let the patient get worse during our shift. Sometimes we can give the patient back in a better condition than they were, but thats not always the case. Anyways, I think the two specialties are equally challenging and rewarding in their own ways. I'm never trying to give ER nurses a hard time and know that their mission is different than ours.
I posted about my husband's widowmaker, and I just wanted to thank you for being an ICU nurse. You guys don't just help the patient, you really get the patient's family thru. Those nurses did so much for me, hugged me while I cried, were cheerleaders f optimism, but they listened to me about his ptsd, flashbacks, nightmares, it kept me rom breaking down. Thank you for what you do.
ED/ER nurse here! I'm glad that you and your colleagues see it as friendly rivalry! I think it can for good unison between the two departments if we stop assuming that the other department is underserving of time and understanding. All too often I see this between wards and departments where I work - we're all in it together FFS guys!
Truth!!! As soon as I know I’m getting a patient I immediately deep dive the chart and write out my own personal Cardex and then get the report. Emergency depart nurses love it because I basically tell them what I already know, ask them if they have anything to add to it😂. They’re like “nope we’re good!”
Oh my god! This is so true!!!!! I’m an ICU nurse of 6 years and yes! I always know more about the patient than the ER nurse. 😂 And if they tell me something I don’t know, I’m like, “You better document that central line before coming up here.” But also, yes, ER is always frustrated by us asking to non-critical things to be done, like potassium. 😂
I'm Med-Surg CNA. I hear how ER never gives a good report and that you should never trust what you get. "Patient is alert and oriented, independent" and when they arrive to us, we literally have to help them hands-on because they can't move from the cart. LOL. My brother is a ER Tech and refuted, "well they walked to the bathroom and was able to provide a urine sample no problem!"
Brief time in both areas during my training so many years ago . . . .laughed my head off with this one! To all you who are in either space - THANK YOU!!!!!!!! Seriously both are invaluable and so different to each other.
I’m an ICU nurse and this is way too accurate. I’d like to think I don’t fall into the stereotype. As soon as I get assigned a patient I’m looking them up and following the activity log in their chart. I look my patients up and then when I go down to pick them up and get report it’s just confirming what I already know and writing down anything new. I am about to do a full head to toe assessment anyways so I listen to report and if it’s not going to kill them in the elevator on the way up I’m not even going to ask. I often know the history, injury complex and plan of care just as well as the ER nurse because they are very busy. Perhaps my one pet peeve is getting a patient that hasn’t gotten their COVID screening done. Inevitably they get to the ICU, half our staff is in and out of the room, we get a swab, and then the result comes back positive. If I don’t have a resulted test, I’m wearing PPE and minimizing personnel in the room until I know. Admin complained to me that it is not hospital protocol to isolate preemptively. I tell them that the hospital is screening all patients for a reason and it’s my prerogative to safeguard my own health.
Since when has hospital admin ever had a clue lmao😂. It's the same everywhere, admin vs the real workers. They can be so outta touch. Normally, I just nod my head, say "thank you for your concern" and then continue doing it anyway. I also document everything just in case for leverage.
First, you have a right to safety as much as your patients or anyone else. 2, if they have COVID, it’s going to affect their recovery. Earlier you know, the better the results. lol 3, It’s a pain to get a shift covered when someone is out for a day. What happens when they have to cover your shifts for an extended period of time? 4. And if you don’t make it, where will they find another you? How much money will they lose training someone, and how long will it take? 5. Workman’s Comp. $$$ Temporary or possible permanent disability $$$ lawsuit $$$$$$$. 6. You are doing them a FAVOR, helping them avoid all of these things they overlooked (🙄). While I wish they could have a heart, often you have to put it in terms they understand- inconvenience & MONEY. Good for you for standing your ground! I hope others are able to follow your lead to save themselves and their patients.
@@Priuloch Are you talking about the vaccine? It wouldn't help if you're already positive. You need to get them before you get sick. Or not, as you apparently prefer.
I hate telling my symptoms over and over to different doctors and departments. I’ll remember this. If I end up in ICU I’ll remind them they know my chart better than me😂
Can we please get more of this ER vs ICU? Just the idea of ICU trying to thwart Ben but he is always three steps ahead would be a running gag through more of these.
I liked this. I spent 11 years as an ED nurse before moving to ICU. I just take whatever ED gives me. When I get a terrible report I just think to myself that at some point I’ve probably given a worse one.
Even as a medsurg nurse giving report to an ICU nurse sometimes I would be taken aback by the detailed questions some would ask. I get where they are coming from and to them it can be relevant but if I have 6 other patients that need me I didn’t always know ALL the details of their medical history, especially at the beginning of the shift. Different places require different things.
I worked an inner city ER for many years. This is so funny because it's true! One thing not mentioned is the OCU nurses havec2 patients, the ER nurses have 4 beds. There is no limit to the number of patients that visit those beds during a 12 hour shift. ER does not always have the luxuryof "fluffing and buffing the patient. We save the life, and ship to to the floor.
ER & ICU nurses are both different animals. I came in by ambulance with AFib that was getting more & more critical by the second. Since my BP was tanking, the paramedics couldn't establish any IV sites (believe me, they tried). I had to get shocked TWICE completely unmedicated (they gave a shitload of meds IM). I actually tried to talk the paramedic out of the second shock. I still don't have any words that adequately describe how badly the shocks hurt. They went to full sirens & lights about halfway through the trip. I unfortunately stopped breathing as they were pulling into the ambulance bay at the hospital. EVERYTHING was cut off my body, & I was intubated in the ER. I made the mistake of wearing my favorite everything that day. The only things that survived were my socks & shoes. I didn't find this out until just before discharge.
Oh yeah. I can definitely see this. 6 years in MRI at a level 1 trauma. Although too unstable to go to the ICU wasnt really a thing. I've definitely seen 3 CCRNs, 2 RTs, an attending, a resident, and a CT tech all helping bring an unstable patient from the ER CT to the ICU.
I counter @steveioe..."You're correct. I have reviewed his chart and I see a stat pan-scan was ordered as well as a Type & Screen. He'll need the scan before transfer and blood bank needs the T&S STAT for the crossmatch."
This is so funny and true! Us ICU nurses want to read the chart before ER gives report cuz usually it’s the break nurse giving report and not the main nurse. And we want that K covered before coming up!!🤣
But...but...the priority is on getting the critical patient to critical care where the nurse has time to sort em out and get them out of the ER nurse's hair so they can get back to dealing with ER shenanigans like unruly drunks, confused grammy on the floor, and your next icu patient comin in...😬
@@jackiemulholland6 and all the unstable surgical patients that you never see. Medical icu is a vent farm basically . ED is the highest level of care. Not the icu where you turn knobs all day...........
The way Steve developed his characters is so accurate. I really like how he describes ER and ICU nurse report. As a Med-Surg Nurse, we do have the same question when doing report. In my hospital, Braden Scale is important one, too.
I've worked both ER and ICU. If ER nurse think giving report to ICU is bad just imagine shift report... My paychecks got noticeably bigger just from the time spend giving reports after my shift.
We had an unwritten rule that as soon as you were done with repot you could just leave. I've literally gotten reports in the ED like this Room 1: cardiac, not really worried about them, waiting for 2 hour trops Room 2 fall, broke his foot, waiting for ortho, dilaudid has been working for him Room 3: COPD, she's fine, waiting for a bed. I'm out.
That tasting blood part though! I once almost touched blood spill in the ward as a little kid with my mom at the hospital, and she gave me one of the most stern lectures of my life! It's a hospital, hundreds of sick people and you never know if they're not HIV positive or some other shit 🙊
As a Emergency Medicine Resident, who also had ICU postings, I can confirm it. This is absolutely what happens in my hospital btw ER department and ICU
🤣🤣🤣 Former ICU RN x 25 yrs...so fkng true!! Love it! 🤣🤣🤣 I never expected a Braden to be done in ER, though I did expect them to notice the broken arm. Somehow the ER RN missed that one 🙄
@@cyradragons part of an intake assessment should be what's wrong, hence a head to toe of the variety that finds a broken arm. I am not talking the kind that notes slightly pink skin, or minor scratch, I used to work in an ED (a long while ago now) but we were always taught, don't just assume the obvious thing you see is the only issue. A broken arm shouldn't be missed, unless it's major trauma and getting them to OR/ICU with no real stop in ED, because major trauma protocol bleeding out etc. How are obs and basic assessments checking for circulation etc not part of nursing assessment in an ED? And pain scale and hx is important as part of treatment, so unless unconcious and no obvious deformity I am struggling to fathom not finding a # arm, or at minimum not advising it's painful to a Dr, when I did ED not many nurses could directly order x-ray, had to get dr to sign off, that has changed thankfully A full skin check I get there is no time for that especially if they didn't get a cubicle and aren't able bodied.
I know its a gag, but if your first instinct with an unknown fluid is licking it, you shouldn't be in the ED. You should be a geologist. Ive never seen a profession with more eagerness for licking random substances
I'm an RT and whenever I help ER nurses transport a patient to the ICU, I hear them give report. Then I hear the ICU nurses gripe about the number of IVs and what the patient is wearing and everything else that's not good enough. Then at least three nurses bathe the patient and get everything just so, and then they go sit down and gossip for an hour. I can't speak on all ICUs, but at our hospital, I'll work with our ER nurses over our ICU nurses any day.
@@playhooky that’s a great idea. My hospital did something like that. It was called “walk a day in someone else’s shoes” or something like that. Managers from different departments swapped roles to see what everyone else was going through.
This is quite funny as a patient. I've had over 33 surgeries and a number of ICU stays, one from a very rare side effect of anaesthesia where I needed to be intubated until my lungs cleared of blood and fluid and I could breathe on my own. I was half-awake intubated for a lot of it, but when I first woke up and felt the tube, I got so upset I tried to pull the tube out and almost succeeded (other than the balloon thing that holds it in place) and got myself knocked out again for my efforts 🤣 when I woke up again I didn't try that anymore but was wiping away the constant drool that comes from your mouth when intubated and the nurse on another patient leapt into action and started running over, my Dad had to tell her i was just wiping my drool, I still remember her giving me a warning glare when she said "I hope that's all she's doing, we get very nervous when patients touch their tube in here....don't we?" 🤨 lol. And then the next few days I improved heaps and the ICU Dr said he wanted me to discharge to the ward for a few more days but I managed to talk him into letting me go home from there, I remember the nurses asking each other where discharge paperwork was and how to send someone home while muttering to each other "we NEVER discharge from the ICU, ive never done it once from here, wth is going on?! 🥴" haha they were great though and extremely talented and on the ball, nothing gets passed them! They even laughed with me at the fact they had someone actually walking out of the ICU instead of being in bed 😂
This is coming from a person who has been in the cardiac ICU at a VERY young age (4 weeks - 15 months) I was born with dilated cardiomyopathy and I’m still learning about my battle with dialed cardiomyopathy and none of the doctors were like “oh go check her skin” honestly this made me laugh but what I was told was after my heart transplant I was tryna do flips ect that’s probably when the doctors were like “fuck it take her to the regular ICU” I forgot the other ICU I was in (I was in three different types of ICUs) I was taken out of the cardiac ICU about 3 weeks after transplant if I ever go back into the ICU and they all like checking my skin ima be like wtf?
ICU don't fuck around. My dad was one of the most stubborn assholes you've ever met. Tried to have 4 different people bring him smokes while in the ICU after his 3rd heart attack in 5 MONTHS. This little Chinese nurse searched his room after EVERY visit. Got there one time to hear her cuss in mandarin and laughed, my highschool friend taught me the fun words so i didn't understand the whole thing but caught some highlights.
Looking at the comments and seeing everyone in the medical field saying how accurate the video is and then there’s me (not in the medical field) wondering why ICU cares so much about skin 🤔 lol
I will never forget my ICU nurse. He was a total hippy and really sweet after my horrific car accident. He said i should smoke the devils lettuce after I got better for my anxiety. It’s not my thing but he made me laugh. Another one time in the ER saw how I was alone and silently crying. She came to check on me and played me music from her phone.
Icu nurse here. This is so funny 😂 and true. Report from Er is just a formality for me at this point. They know I already looked at the chart and if I didn’t find anything ima find out when they get to me. The Er nurse just met the dang patient 5 minutes ago, don’t ask them anything 😂
ICU RN x7 years here. This is hilarious because it's so accurate. ICU and ED nursing are totally different beasts. I know my patient's history, their CT and lab results and their sister's name by the time they roll onto the floor. I often have the luxury of time to go through the chart. My ED colleagues keep a patient alive without knowing a thing about them. Much respect!
You have time to look at the chart? We are getting the admission as a third 99% of the time, mostly I get told they are coming about 5-10 minutes before arrival. I have been able to check their chart about 3 times before they roll up in the last few months.
Proud to be ER Nurse..
In the ER we used to say that we could keep anyone alive until the R.D.s (real docs) arrived.
Emt: “wait pts have names” 😅
I had a kidney stone that ended up causing sepsis and they had to go in after the stone so after the procedure I went into kidney failure and ended up in a coma for two weeks and yeah… Y’all knew my whole family.
Thank you for what you do. Your peers saved my life.
My wife went to the ER years ago and ended up admitted to the ICU. The difference to my own naive civilian eyes, between the two was astonishing. ER was frenetic, high paced, the most basic questions that they needed to do their job. They literally did not care about anything else. Nor should they. ICU was extremely methodical, calm, quiet... asked every question under the sun and some I'm pretty sure they just made up to see if I'd notice. Both serve a completely different function. Thankful to both, but this was utterly hilarious.
My Mom was an ICU nurse for a few decades then moved on to other things in nursing, spent her last decade or so working as a nursing professor. Think I visited her dozens if not hundreds of times there at the ICU while she was working so she could spend some time with us kids on her breaks, but I can recall a few times where she and her coworkers were working frenetic and high speed in one of the rooms, and well yeah. Didn't understand why really until I was older, but it is what it is. I and the other kids that visited our moms there did see the other nurses as kind-of adoptive aunties and they saw us as adopted nieces and nephews, and we later found out a breathe of fresh air/relief from some tough nights/shifts/events that they had. Actually still see a few of them when I home visiting my parents and one of them comes by to say hi to Mom. But yeah, I've known all my life how hard nurses work, and even some of the reason why for the different positions too :)
Icu is the most accurate to textbook nursing. There is rarely stress. Most patients are stable criticals cause ED wouldn’t let an unstable critical be transferred to floor
Well, compared to er I suppose icu is relaxed, but man you still won't get any rest at a hospital lol
LOL! I'm an ER nurse and this cannot be any more true! Down to the tee, even mentioned how they let you give report for 5 mins straight even though they've looked up the patient for the past hour!
I see it all the time. I’m an ICU nurse and usually when I get an unstable like this I tell ER to help me transfer and go because ain’t nobody in that situation got time to nitpick. Now if you’re sending a walkie talkie DKAer on an insulin drip I may ask for a better report 😂
Ok, fine. But how’s his skin? Is it ok? I need to know!!
Usually, we let you ramble until you tell us something we don't know.
How evil.
...and then when you think about them having personal lives, kids, marriages, pregnancies, daycare, sick parents, it's all the more heroic - then there was Covid which took us into another galaxy altogether! True heroes with angel wings.
2:11 Don’t lick that, Austin!
HIV…
Hot 🥵
I actively jumped when I saw that 😂
“STOP LICKING THE DAMN THING!!!”
How did it taste?
My favorite report from an ED nurse EVER started like this - "I'm sending you this human...because we're all out of puppies." LOVED it. ED nursing is so random. I enjoyed my time down there and so appreciate what ED does.
Hilarious 😂
Edit- I can't believe how many likes this got, and my husband's latest echo shows no damage at all to his heart, just the stent. I am still amazed by this miracle. My husband had a heart attack the widowmaker was down for half an hour, 100% block in his artery. He had to be shocked 11x. He was on life support for a week. Then miraculously he survived. Like it never happened. The icu nurses got us thru but the er team and emts gave me my husband back. They didn't give up on him. Nurses are so underrated. They really are my heroes.
What a lucky LAD. 😁
Awesome thanks for sharing.
That is AMAZING! So happy to hear that! If you and your husband ever want to go back and give the doctors, nurses and paramedics hugs, or just go to say hello, it is incredibly rewarding! It is truly the reason many of us do medicine, for the lives saved like your husband. It’s so wonderful to see someone you’ve saved afterwards! Wishing you and your husband many healthy years ahead!
They're my heroes, too. What a lovely tribute! So happy for you and your husband. 💜
@@katbat1262 That would be awesome gesture 😊
The way they looked on the phone after he said he was Ben💀
And the way Ben looked when he was speaking with the ICU nurse. Of course after they got off, they met for decompression liver rounds(drinks at the local watering hole)
😂😂😂
Ben Hope? 💀💀💀🤢
I swear I could hear the music from The Good, The Bad, and The Ugly playing in the background.
Someone above reminded me Ben had shenanigans with this nurse then ghosted her. This makes it even funnier.
Former ICU nurse, this skit is way to accurate. Both specialities are vital to saving lives.
yep 👍
He was a doctor so he knows
You forgot one thing. All units receiving a patient are really only interested in one thing: “Did you get the urinalysis?”
@Trinity MUmmm dude that's not what i meant you did not have to go on a rant just for me saying that? it's just pointless
Ah the tension between "we need as much information as possible to make the best decision" and "we need to act as quickly as possible"
As an ER nurse I can attest to this! This is hilarious. I frequently don't know my patient's name, and what I know is their clothes are lying in pieces on the floor, the bp is tanking, someone is doing cpr, someone is intubating, I'm starting the ART line, the room is crowded and the red hat is directing it all like the finest symphony.
Nurses in the states place artirial lines??😮
@jeremitovargas792 yep we did at least before I retired.
I once yelled at some med students for asking me the pt name in front of them.
I told them don't ever do that again, this is emergency medicine patients don't have names they have complaints and room numbers.
This is 15 chest pain, if you want to know his government name look on his wristband like you just made me do when you put me on the spot
@@jeremitosvargas791too much leeway leads to doctors and nurses being treated the same
@@jeremitosvargas791,
We did things 40 years ago that specialty techs do today:
Set up, start & calibrate arterial lines,
assist anesthesia with everything including setting up Swann-Ganz, calibrating, etc (we didn't insert those, however).
.....and much more We did that during the pre-HIV days when we didn't wear gloves.
And yes, NONE of the suture needles were swedged.
They were re-used after being cleaned, sharpened, and resterilized (!!)
Mixed all medications for Open Heart Anesthesia induction + 5 for CABG in the OR.... for a 7:30 am start we were there at 5:00 am doing whatever was required.
We often watched in Radiology while a Coronary angiography and "squash" was performed: on designated cases the OR was open, prepped, & ready to take the patient in minutes.
Like The Cat in The Hat, we did it with speed, humor, and efficiency.
I learned all that in a small, 105 bed acute care hospital. We handled Trauma, too.
Unforgettable.
---- Admin decided to cut the OR Staff Standby Pay to minimum wage.
What a slap in the face, and yet, minor compared to what has happened over the following years.
Ed nurse here. I had an incubated boarder that was finally airlifted after about a day. I was also juggling two other high turnover ed beds. I only had the intubated dude for 4 hours. Just kept him sedated and vitals stable. Barely had time to look at the charts. My passdown to the airlift crew and my passdown cal to the icu was shit and I felt bad. I even got a couple condescending looks from the helicopter nurses. But you know what? I kept everyone alive and stayed afloat. That's all you can do sometimes and if people have no empathy or understanding, that's their problem to fix, not mine!
As an ICU nurse I am embarrassed but can confirm this is 1000x correct 😂😂
Same 😂😂 We already briefed a couple of other nurses on what kind of admit we are getting before we even got report and are all ready to go. How dare the ER not clean the patient and check their skin first though?? 😂😂
@@kelseypryor1539 don't be cleaning up my patients. I take sick pride in cleaning up traumas when they get to ICU. It's a problem. I know.
@@susanboyd6592 Ahaha. Same. If you get metal plates in your mandible I might as well make sure that you wake up not looking like a vampire after dinner, especially before it starts to swell. How on earth do they expect anyone to clean their blood splattered face while looking like a hamster ?
@@wickedwonderland9831 Imma do it though. 😁
I used to be pediatric ICU nurse, and I’d like to think I wasn’t that crazy to give report. Didn’t realize how crazy some ICU peeps are now that I’m a cath lab nurse calling report to them lol.
Between steveioe and Dr Glaucomflecken - I think we've got a good general representation of how bizarre working in medicine can be.
Julia J Nurse is a great one too.
My two favourites ❤💖💙
They are accurate but don't show everything lol
Oh they just show the tip of the iceberg. They can't tell you the stories that stick with them forever. The crazies that just defy all crazies. That would end up being HIPAA violations as it would be easy for someone to figure out who they are talking about.
Some of those intense stories I'll never tell. Some I have waited ten years or more to tell to avoid anyone recognizing the story.
Most of these tales are things that happen multiple times every day so the individuals can't be pin pointed. But y'all... it's rough out there on a level muggles will never understand. 😄
And doc Schmidt
Seriously though, I’ve been in the ICU before. Those nurses are a different breed altogether. Meticulous about being meticulous is how it describe it.
Also… don’t try to get out of bed and go to the bathroom on your own there. They don’t like that apparently. 🤷♀️
But in the end they saved my life so we’re cool lol
I’m an ICU NA and oh my god those nurses know everything about the 2-3 they have and I struggle to remember the names and ages of my 10
It's also referencing an older skit where Ben slept with the ICU nurse and never called back or brought it up when they're both single.
we get nervous when patients move
How funny because in the UK post surgery they absolutely want you to do everything by yourself post op. After my last laparoscopy I had heavy bleeding leftover from the operation and high levels of pain and they still wanted for my to transfer from the gurney to the bed in the ward all by myself. It took a while and I bled everywhere to the nursing staff’s annoyance. When I was suffering from insane pain from the trapped CO2 they advised me to go for a walk, I couldn’t even straighten myself out from foetal position...
Yeah I tried to get out of bed at the ICU once and I swear I blinked and I was suddenly back in bed and being given a stern talking to.
Former ICU nurse. It's so true. Lol. He needs to do a skit about the tangles mess of lines the ER send up to the unit and how ICU nurses are OCD about having organized lines.
Then when you send your patient to OR, Anesthesia complains about the ICU nurse's line and cable management.
My brother was an ER nurse for almost a decade before he decided to get into teaching & being a case manager for discharging patients.
Anyway, he has OCD when it comes to lines being neat & untangled.
I was just writing a comment about how one of the most awesome nurses I met during my late husband’s cancer journey was temporally “borrowed” from ICU and she chatted away to me while proceeding to fix my husband’s tangled lines. She fixed everyone’s on the floor but was so lovely about it. She was awesome and efficient 😊
Former ICU nurse here. Untangled, organized, labeled, dated and timed. 😬Guilty.
@@gypsybelle4757 ICU RN 🙋🏽♀️
Damn straight 😉
I remember my late husband went into septic shock on Christmas Eve (turned out a cancer tumour in his liver had burst). The doctors prepared me for the worst. He made it through the night but was barely hanging on when I visited him the next day. ICU doctor was called down to assess whether not to transfer him. The dr calmly and silently looked at my husband and checked a few subtle things. Then shook his head and left. I said to my father-in-law, who was also in the room, that that was one doctor you WANT to be rejected by. I knew then my hubby would make it. Which he did. Though sadly he passed a few months later in palliative care. One of the best nurses we had too was one borrowed from ICU. She proceeded to re-cable the whole floor because everyone was so shabbily connected to things. She explained that in ICU everything must be just so. She was lovely (not rude about it at all) and efficient.
As someone who's had 3 ICU stays (one which they didn't expect me to survive), along with stays in the ICU step-down unit, this had me laughing. The ICU nurses can definitely be over the top. I'm appreciative of all they do. I owe my life to them when the doctor failed me.
I'm glad they helped, and I hope you're doing better now!
@@sjfrench8034Thanks, After I came off life support (due to doctor error), I ended up with a diagnosis of colon cancer. I've been battling for 3 1/2 years now (first stage 3, now stage 4), but all things considered, I'm doing well. On indefinite chemo and facing my fourth surgery, but hanging in there.
@@lisatowan4536 You got this! Good luck with your surgery!
@@lisatowan4536 best of luck to you! Prayers for a quick, speedy recovery! God bless you!
I know what you're going/went through. I have type 1 neurofibromatosis, mastocytosis and type 1 diabetes. I won the genetics jackpot lol. To say I have spent some time in the ICU is an understatement. I have always loved the fact that the ICU nurses are always more on top of things than the ICU doctors.
just showed this to my wife who is an IMC RN, she said "That's accurate from both ER and ICU, ER doesn't tell you anything and ICU tries to have you do everything for them before you show up... "
True because we have another 1 or two sick patients.... so no time to play with basic things that should have been done in ER
@@mma771 That's your perspective. We still have 20 patients in the lobby, no clean beds, multiple admits and transfers, and another double trauma just rolled in. We have things we need to prioritize and something simple and non-life threatening is likely to fall by the wayside so that we can do something that is higher on our priority list. None of us like that we struggle to find the time to do simple things but none of the ER or ICU nurses are sitting around playing cards, either. We're all working hard, well most of us anyway. ♥️
@@mma771 Ouu 3 patients..I bet you're so much busier than the ER that has full rooms and 30 waiting and only 3 nurses on the floor. Go cry a river.
@@scholasticbookfair. It's not the same. Patients in ICU are critical and can be unstable. They need a lot more attention than 80% of the patients in ER. As someone else above said we all do our best, no matter where we work. It's always hard to figure out what is going on in another unit, you tend to see your own struggles only. In ER you want to send the critical patient to ICU asap because you may need this bed for another emergency soon. In the ICU you want to make sure the patient is stable before they're sent to you because if they're not, you can easily spend 1 or 2 hours with them and that would not benefit the patients you already have in charge. Both teams in ER and ICU do their best to ensure the proper funtionning of their respective units, and that's important too !
@@fluffyjun1479 I'm sorry are the code, trauma arrest, cvs and septic gammy that just walked in not unstable? Even most unstable than before you get them that is.
ER nurse was my second choice of career after paramedic. I didn't want to only treat a specific system or disease, I wanted to be able to do hands on maneuvers to keep them okay until they can get to the place they really need to go
So are you a paramedic then? If so, thank you for your work. :3
@@ChaoticAngelKitten nope just a student right now. Almost halfway through though
Same here. Emt though. "Play" & learn so that your skills increase Do what you can for the patient and then hand over to the experts - Austen and Ben. They have to deal with ICU. Phew.
Ironically I was admitted to resus nearly 2 weeks ago, ended up with tubes everywhere, ventilated for 5 days, recovered in ICU and am now waiting to go home.
Thank you both ED and ICU nurses. Oh and my own colleagues of course.
Ah gosh I don’t want to do ER Medicine. I’m more of the “thinks deeply while balancing electrolyte levels, ECGs, scans, etc) guy so I want Internal Medicine. Altho of course IM has its emergencies too and the residents also rotate in the ER… after ER residents stabilize them of course.
@@raphaelledesma9393 It is perfect that everybody does what they are most interested on!
I've been an ICU nurse since 1990 and this is spot on. This is exactly how report between the Emergency room and ICU staff is. It made me laugh because I can remember me asking the same questions and ER nurse saying the same things.😂😂
ben might not be the nicest person but he makes damn sure things get done
Pretty sure he “did” the ICU nurse at some point, too….
@@naomihatfield3015
Nah, it's literally just the ER and ICU rivalry.
It happens at the hospital I work at also, but I wouldn't take it too seriously though.
The hospital wouldn't be the same without it's quirks.
As an ICU nurse, I take umbrance, I never trusted ER to check the skin. And yes I had the bed, drips, ultrasound, etc already in the room because I had perused the chart...
Lol
Who's umbrance?
@@Flareonf my guess take offense
@@Flareonf im sure they meant umbrage. it means to take offense or insult
Loool we have a 1:6 ratio in my ED, we have time to get ABC's, a basic pain coverage and sources of infection sorted and then we get them the hell outta there.
When I was in peds ED I gave report on a transfer that quickly became unstable and when I rung PICU.. no let me get this right.. this one nurse from PICU rang me and heard the rush in my voice, she said “take a breath, you’re doing great, get the patient up here we’ll see you soon”. That PICU nurse was a gem.
Haha! I'm an ICU CNA and I love my nurses, but they are a little ridiculous sometimes
I can't tell you how many times I've helped turn a new admit to check their skin and heard the ICU nurses grumble about the ER nurses not giving a skin check in report
Oh so this is a real thing ?!
@@pahtosh Yep! ICU nurses are fantastic and they know their stuff, but they are also very meticulous.
The most Type-A adrenaline junkies you will ever meet 😅
Oiii it is on us if the bedsore is not community acquired... how do we find out if it is community or hospital acquired ?
By That skin check on admission... smh
ER nurse here, I love learning about the differences in departments because it helps me to work better with them, to avoid petty disagreements, and to focus on patient care.
Every department has different primary focuses, and staff that knows what these are can usually avoid arguments over skin assessments. I've mad respect for ICU nurses, and I do skin assessments of the back and bottom when I can, even if I have to Google the pressure ulcer stage chart. I even stay in the room when I admit my patient to help the floor staff turn them and get them settled
@@pahtosh Because a preventable skin break down acquired in a health care setting is a hallmark sign of poor nursing care.
Now, as a vet nurse, you just have these conversations with yourself. 😆
*My floor lead:* Hey can you go triage this thing in the lobby?
*Me:* Sure, what's wrong with it?
*FL:* No idea.
*Me:* Cool. Will it try to eat me?
*FL:* No idea.
*Me:* ...do we know what species it is?
*FL:* Nope!
*Me:* ...ok then! [pulls on gloves and just goes]
ER nurse here. Two very different worlds; I could not tell you how much I respect the brain of the ICU nurse. As I like to say, we stop the plummet from the precipice, ICU hikes them back up to the peak. Both worlds are magic.
Excellent analogy!!!❤
This is so spot on! I’ve worked in both the ER as well as ICU and the “getting/giving” report battles were epic. I can’t tell you the countless number of times that as soon as an ICU nurse finds out they’re getting a patient from the ER, they’re going over that patients chart with a fine tooth comb, and yes the top questions are “ How does the patients skin look ?” And “Are you going to replace x, before you bring them up?” Lol!
ICU : what's the patient's condition
Er: patient is not stable
ICU : so you are sending me an unstable patient
Er: well if he was stable we wouldn't have put him in the ICU
I love how Ben looked out for Austin, like let me deal with the bully little bro... and then the old school cowboy showdown music just got me 🤣😂🤣
ICU 8 years, and this is my FAVORITE video you've ever made. God bless the ER. You guys rock
OMG I laughed so hard I almost wet myself 🤣🤣🤣. As a retired Physician I’ve witnessed this convo many times over while writing orders.
Jesus has died for our sins
Im leaving this comment here so, after a month or maybe a year, when someone like it, I get reminded of this master piece. You are getting better, Steven.
LMAO! This is the most back-handed compliment I've ever seen, but it's funny as heck because I can imagine a woman telling a guy -
"That was a masterpiece dear! You're getting better honey!"
LOL! HILARIOUS!
Come back and say hello!
Sonia.....welcome back to the master piece. You're welcome.!
@@TheLadyBugGem Thank you 😊
Please don't tell me that Austin licked his finger to figure out what was on his face at the end. 😂
Yep he did 😂😂😂🤣🤦🏼♀️
Exactly what I was thinking! 😅🤯🤢
@@sheilawallerseibert461 imagine seeing a doctor really do that 😂😂🤣
It was probably just ketchup.
Austin really does try, bless his heart
The part about "You already know more than I ever could about this patient" is sooooo true lmao! I work on med surg currently and when ED calls I don't make them suffer. There's one guy down there that basically knows he can just text me "pt on the way, text me if you have any questions" ... I expect a good Christmas gift from him. haha
I never would have expected ED to do a Braden assessment! Their job is to keep patients alive enough to get to OR or ICU. Maybe a nursing home patient would get that attention in ED, but even then, being alive takes precedence! Never heard an ICU nurse ask that when I was a clerk there…but then, we didn’t start using the Braden scale on the floor until mid- to late 1990s!
😂 Team ICU. I would never ask the ER about the patient’s skin. I assume they haven’t seen it! This was hysterical!!!
Im ICU and love the friendly rivalry with ED. When I started, I had this idea that ICU would be slower pace most of the time - compared with the constant pace in ED. However, most shifts see us trying to complete an unending number of tasks, with the goal being to not let the patient get worse during our shift. Sometimes we can give the patient back in a better condition than they were, but thats not always the case. Anyways, I think the two specialties are equally challenging and rewarding in their own ways. I'm never trying to give ER nurses a hard time and know that their mission is different than ours.
I posted about my husband's widowmaker, and I just wanted to thank you for being an ICU nurse. You guys don't just help the patient, you really get the patient's family thru. Those nurses did so much for me, hugged me while I cried, were cheerleaders f optimism, but they listened to me about his ptsd, flashbacks, nightmares, it kept me rom breaking down. Thank you for what you do.
ED/ER nurse here! I'm glad that you and your colleagues see it as friendly rivalry! I think it can for good unison between the two departments if we stop assuming that the other department is underserving of time and understanding. All too often I see this between wards and departments where I work - we're all in it together FFS guys!
Truth!!! As soon as I know I’m getting a patient I immediately deep dive the chart and write out my own personal Cardex and then get the report. Emergency depart nurses love it because I basically tell them what I already know, ask them if they have anything to add to it😂. They’re like “nope we’re good!”
wow, that's super awesome of you. thanks for going above and beyond!
Oh my god! This is so true!!!!! I’m an ICU nurse of 6 years and yes! I always know more about the patient than the ER nurse. 😂 And if they tell me something I don’t know, I’m like, “You better document that central line before coming up here.” But also, yes, ER is always frustrated by us asking to non-critical things to be done, like potassium. 😂
I'm Med-Surg CNA. I hear how ER never gives a good report and that you should never trust what you get. "Patient is alert and oriented, independent" and when they arrive to us, we literally have to help them hands-on because they can't move from the cart. LOL. My brother is a ER Tech and refuted, "well they walked to the bathroom and was able to provide a urine sample no problem!"
Brief time in both areas during my training so many years ago . . . .laughed my head off with this one! To all you who are in either space - THANK YOU!!!!!!!! Seriously both are invaluable and so different to each other.
I’m an ICU nurse and this is way too accurate. I’d like to think I don’t fall into the stereotype. As soon as I get assigned a patient I’m looking them up and following the activity log in their chart. I look my patients up and then when I go down to pick them up and get report it’s just confirming what I already know and writing down anything new. I am about to do a full head to toe assessment anyways so I listen to report and if it’s not going to kill them in the elevator on the way up I’m not even going to ask. I often know the history, injury complex and plan of care just as well as the ER nurse because they are very busy.
Perhaps my one pet peeve is getting a patient that hasn’t gotten their COVID screening done. Inevitably they get to the ICU, half our staff is in and out of the room, we get a swab, and then the result comes back positive. If I don’t have a resulted test, I’m wearing PPE and minimizing personnel in the room until I know. Admin complained to me that it is not hospital protocol to isolate preemptively. I tell them that the hospital is screening all patients for a reason and it’s my prerogative to safeguard my own health.
I agree! More if you have a family to come home to.
Since when has hospital admin ever had a clue lmao😂. It's the same everywhere, admin vs the real workers. They can be so outta touch. Normally, I just nod my head, say "thank you for your concern" and then continue doing it anyway. I also document everything just in case for leverage.
First, you have a right to safety as much as your patients or anyone else. 2, if they have COVID, it’s going to affect their recovery. Earlier you know, the better the results. lol 3, It’s a pain to get a shift covered when someone is out for a day. What happens when they have to cover your shifts for an extended period of time? 4. And if you don’t make it, where will they find another you? How much money will they lose training someone, and how long will it take? 5. Workman’s Comp. $$$ Temporary or possible permanent disability $$$ lawsuit $$$$$$$. 6. You are doing them a FAVOR, helping them avoid all of these things they overlooked (🙄).
While I wish they could have a heart, often you have to put it in terms they understand- inconvenience & MONEY.
Good for you for standing your ground! I hope others are able to follow your lead to save themselves and their patients.
I’m not gonna take those shots even if I come back positive 👌
@@Priuloch Are you talking about the vaccine? It wouldn't help if you're already positive. You need to get them before you get sick. Or not, as you apparently prefer.
as a psych nurse who has called report to medical floors and taken it from ER, I just love this. I grew into Ben. you have to.
Steve, I guess I have a sick sense of humor because your content always makes my day brighter.
I hate telling my symptoms over and over to different doctors and departments. I’ll remember this. If I end up in ICU I’ll remind them they know my chart better than me😂
Can we please get more of this ER vs ICU? Just the idea of ICU trying to thwart Ben but he is always three steps ahead would be a running gag through more of these.
I’m a respiratory therapist so I work with ER and ICU nurses and this is SO accurate!!
I love the added classic western music playing in the background that normally shows up when cowboys are about to duel. Awesome video as always. :)
IMU nurse here. I don't care about the skin assessment, but please get the labs and start 2 IVs 🥺 and maybe take them to the CT scan?
👉👈
Just so you know that both those IV"s will be in their AC
"CT scan would be great🥹" lol
You need those 2 IVs because floor nurses are useless at starting them
@@Mantae123 🤣 so true. I hated when that's where I ended up placing the line, IE multiple failed attempts already. , Start at the hand people.
Oh man!!! The tension in the room!! Never send the newbie to do the Old Hand’s job. ::snicker::
I worked in ICU for years and this had me cracking up so hard! 😆
I tried not to be “that” nurse though.
I liked this. I spent 11 years as an ED nurse before moving to ICU. I just take whatever ED gives me. When I get a terrible report I just think to myself that at some point I’ve probably given a worse one.
When he went to lick his fingers my soul left my body. Lol
Like so gross
Even as a medsurg nurse giving report to an ICU nurse sometimes I would be taken aback by the detailed questions some would ask. I get where they are coming from and to them it can be relevant but if I have 6 other patients that need me I didn’t always know ALL the details of their medical history, especially at the beginning of the shift. Different places require different things.
My favorite report from an ED nurse was how does his face looked from the necrotizing faciitis? Response, I didn't really look at his face.
I worked an inner city ER for many years. This is so funny because it's true! One thing not mentioned is the OCU nurses havec2 patients, the ER nurses have 4 beds. There is no limit to the number of patients that visit those beds during a 12 hour shift. ER does not always have the luxuryof "fluffing and buffing the patient. We save the life, and ship to to the floor.
As an ICU nurse...I can confirm this is true...I'm sorry ER nurses.
Lol the interdepartmental drama in the hospital is *chefs kiss*
ER & ICU nurses are both different animals. I came in by ambulance with AFib that was getting more & more critical by the second. Since my BP was tanking, the paramedics couldn't establish any IV sites (believe me, they tried). I had to get shocked TWICE completely unmedicated (they gave a shitload of meds IM). I actually tried to talk the paramedic out of the second shock. I still don't have any words that adequately describe how badly the shocks hurt. They went to full sirens & lights about halfway through the trip.
I unfortunately stopped breathing as they were pulling into the ambulance bay at the hospital. EVERYTHING was cut off my body, & I was intubated in the ER. I made the mistake of wearing my favorite everything that day. The only things that survived were my socks & shoes. I didn't find this out until just before discharge.
Oh yeah. I can definitely see this. 6 years in MRI at a level 1 trauma. Although too unstable to go to the ICU wasnt really a thing. I've definitely seen 3 CCRNs, 2 RTs, an attending, a resident, and a CT tech all helping bring an unstable patient from the ER CT to the ICU.
As an ICU nurse... yeah. That's exactly how it tends to go on. So freakingly accurate.
I counter @steveioe..."You're correct. I have reviewed his chart and I see a stat pan-scan was ordered as well as a Type & Screen. He'll need the scan before transfer and blood bank needs the T&S STAT for the crossmatch."
This is so funny and true! Us ICU nurses want to read the chart before ER gives report cuz usually it’s the break nurse giving report and not the main nurse. And we want that K covered before coming up!!🤣
K? You want that K covered? You ought to be beaten for that!
At the very least... you're going on clear liquids. Then... enemas till clear.
But...but...the priority is on getting the critical patient to critical care where the nurse has time to sort em out and get them out of the ER nurse's hair so they can get back to dealing with ER shenanigans like unruly drunks, confused grammy on the floor, and your next icu patient comin in...😬
ALWAYS the break nurse…..
@@jackiemulholland6 and all the unstable surgical patients that you never see. Medical icu is a vent farm basically . ED is the highest level of care. Not the icu where you turn knobs all day...........
@@mimic5653 You guys get break nurses?
Ben was just like "Oh no, nobody messes with MY Austin except for me!"
Retired ICU who also worked level one trauma center, switching between each was entirely eye opening.
Happy new year and how come you had those beautiful smile on your pretty face?
1:35 anime battles irl
😂😂😂❤
The way Steve developed his characters is so accurate. I really like how he describes ER and ICU nurse report. As a Med-Surg Nurse, we do have the same question when doing report. In my hospital, Braden Scale is important one, too.
I've worked both ER and ICU. If ER nurse think giving report to ICU is bad just imagine shift report... My paychecks got noticeably bigger just from the time spend giving reports after my shift.
Lol oh yes those hour long bedside reports
We had an unwritten rule that as soon as you were done with repot you could just leave. I've literally gotten reports in the ED like this
Room 1: cardiac, not really worried about them, waiting for 2 hour trops
Room 2 fall, broke his foot, waiting for ortho, dilaudid has been working for him
Room 3: COPD, she's fine, waiting for a bed.
I'm out.
Ben's my Hero! I must see more of ER with Ben please!
I am a nurse midwife....and I can confirm this is 100 percent accurate. LOL!
That tasting blood part though! I once almost touched blood spill in the ward as a little kid with my mom at the hospital, and she gave me one of the most stern lectures of my life! It's a hospital, hundreds of sick people and you never know if they're not HIV positive or some other shit 🙊
Omg! All of this is SO true! Especially about looking at the patients chart...
Happy new year and how come you had those beautiful smile on your pretty face?
"You've got something on your face"
The part of me traumatized from EMT Training: BSI SCENE SAFETY WHERE IS THE BSI SCENE SAFETY
Yeah I feel that. My man needs a face shield and gown lol
Are you an EMT?
@@andynonymous6769 licensed, yes. Actively working as one outside the occasional volunteer gig, no.
@@kilodeltaeight If you're just volunteering, you probably work events or rurally, right? How are you enjoying it?
They're in an er, not on a scene. If you were working on a truck you'd know that sometimes you don't have time to do all that crap.
Happy new year and how come you had those beautiful smile on your pretty face?
It's funny cuz it's true! I work in a Neuro-Trauma ICU! 🤣
Thank you to all healthcare workers for your work❤ I appreciate ya'll very much
As a Emergency Medicine Resident, who also had ICU postings, I can confirm it. This is absolutely what happens in my hospital btw ER department and ICU
🤣🤣🤣 Former ICU RN x 25 yrs...so fkng true!! Love it! 🤣🤣🤣 I never expected a Braden to be done in ER, though I did expect them to notice the broken arm. Somehow the ER RN missed that one 🙄
Crazy. Should have basic head to toe. Even if not a full skin check, but pain and circ checks
@@foggylog19 ER doesn’t have time for more than fixing or controlling the immediate problem before sending the pt to the unit.
@@cyradragons part of an intake assessment should be what's wrong, hence a head to toe of the variety that finds a broken arm. I am not talking the kind that notes slightly pink skin, or minor scratch, I used to work in an ED (a long while ago now) but we were always taught, don't just assume the obvious thing you see is the only issue. A broken arm shouldn't be missed, unless it's major trauma and getting them to OR/ICU with no real stop in ED, because major trauma protocol bleeding out etc. How are obs and basic assessments checking for circulation etc not part of nursing assessment in an ED? And pain scale and hx is important as part of treatment, so unless unconcious and no obvious deformity I am struggling to fathom not finding a # arm, or at minimum not advising it's painful to a Dr, when I did ED not many nurses could directly order x-ray, had to get dr to sign off, that has changed thankfully
A full skin check I get there is no time for that especially if they didn't get a cubicle and aren't able bodied.
I'm now a CRNA but spent time in both ER and ICU as an RN. This was way too funny!
The western music and ICU unit’s expression after he said “This is BEN.” was hilarious. As well as the bag of potassium.
I know its a gag, but if your first instinct with an unknown fluid is licking it, you shouldn't be in the ED. You should be a geologist. Ive never seen a profession with more eagerness for licking random substances
I'm an RT and whenever I help ER nurses transport a patient to the ICU, I hear them give report. Then I hear the ICU nurses gripe about the number of IVs and what the patient is wearing and everything else that's not good enough. Then at least three nurses bathe the patient and get everything just so, and then they go sit down and gossip for an hour. I can't speak on all ICUs, but at our hospital, I'll work with our ER nurses over our ICU nurses any day.
Sounds like it would do them good to trade departments for a week once or twice a year!!!
@@playhooky that’s a great idea. My hospital did something like that. It was called “walk a day in someone else’s shoes” or something like that. Managers from different departments swapped roles to see what everyone else was going through.
@@playhookysounds like you want alot of people to die 😅😅
@@playhooky they float all the time...I was floated to all units except psych, ER, and OR.
@@cyradragons no not all nurses float...
“All doctors are just doctors why are there specialists?”
Steveioe: No.
Oh my god, I laughed so hard. So funny because so true. The competition for one upmanship and control is so typical in the hospital system.
Lmfao as an ICU nurse, we aren’t ALL this difficult. And half of us are irritated with checking skin on a super unstable patient as well 😂😂😂😂
This is quite funny as a patient. I've had over 33 surgeries and a number of ICU stays, one from a very rare side effect of anaesthesia where I needed to be intubated until my lungs cleared of blood and fluid and I could breathe on my own. I was half-awake intubated for a lot of it, but when I first woke up and felt the tube, I got so upset I tried to pull the tube out and almost succeeded (other than the balloon thing that holds it in place) and got myself knocked out again for my efforts 🤣 when I woke up again I didn't try that anymore but was wiping away the constant drool that comes from your mouth when intubated and the nurse on another patient leapt into action and started running over, my Dad had to tell her i was just wiping my drool, I still remember her giving me a warning glare when she said "I hope that's all she's doing, we get very nervous when patients touch their tube in here....don't we?" 🤨 lol. And then the next few days I improved heaps and the ICU Dr said he wanted me to discharge to the ward for a few more days but I managed to talk him into letting me go home from there, I remember the nurses asking each other where discharge paperwork was and how to send someone home while muttering to each other "we NEVER discharge from the ICU, ive never done it once from here, wth is going on?! 🥴" haha they were great though and extremely talented and on the ball, nothing gets passed them! They even laughed with me at the fact they had someone actually walking out of the ICU instead of being in bed 😂
This is hilarious... I'm a nursing student and I've seen this in real life.. Thanks for making my day so much better 😊😊
Is it weird that I watch these and get so into them that sometimes forget that all the characters are played by the same person?
same here
This is so on point. Having worked in both ER and ICU, I find this super hilarious yet so true.
How true. Im an ER Nurse also. Loved that video.Ive had ICU nurses refuse a patient because they were too unstable. LOL
Sometimes you need a Ben cause the power can make some folks ridiculous!
Damn,being the patient in that situation must be pressing
You’re 1rst!!
I don’t think that patient is feeling a thing tbh.
Double pressing, evidently.
Um the patient is dead lol (trauma arrest)
@@scholasticbookfair. Yeah bet
I thought Austin was starting to get a hang of his role and really beast mode this situation
Then he licked his hand…😂😭
As an ICU nurse, this has my ROLLING 😂
This is coming from a person who has been in the cardiac ICU at a VERY young age (4 weeks - 15 months) I was born with dilated cardiomyopathy and I’m still learning about my battle with dialed cardiomyopathy and none of the doctors were like “oh go check her skin” honestly this made me laugh but what I was told was after my heart transplant I was tryna do flips ect that’s probably when the doctors were like “fuck it take her to the regular ICU” I forgot the other ICU I was in (I was in three different types of ICUs) I was taken out of the cardiac ICU about 3 weeks after transplant if I ever go back into the ICU and they all like checking my skin ima be like wtf?
ICU don't fuck around. My dad was one of the most stubborn assholes you've ever met. Tried to have 4 different people bring him smokes while in the ICU after his 3rd heart attack in 5 MONTHS. This little Chinese nurse searched his room after EVERY visit. Got there one time to hear her cuss in mandarin and laughed, my highschool friend taught me the fun words so i didn't understand the whole thing but caught some highlights.
Direct parallel to EMS handing off a patient to ER. Now you get it.
Not sure if ANYONE outside of nursing can appreciate this, but HOLY CRAP😂😂😂😂😂😂😂😂😂
Looking at the comments and seeing everyone in the medical field saying how accurate the video is and then there’s me (not in the medical field) wondering why ICU cares so much about skin 🤔 lol
I will never forget my ICU nurse. He was a total hippy and really sweet after my horrific car accident. He said i should smoke the devils lettuce after I got better for my anxiety. It’s not my thing but he made me laugh. Another one time in the ER saw how I was alone and silently crying. She came to check on me and played me music from her phone.
Icu nurse here. This is so funny 😂 and true. Report from Er is just a formality for me at this point. They know I already looked at the chart and if I didn’t find anything ima find out when they get to me. The Er nurse just met the dang patient 5 minutes ago, don’t ask them anything 😂
First rule of hospital work, never taste something to see what it is. It's rarely something enjoyable
great skits, great stories, bad taste in food choices
Hey, nurses don’t get many breaks! 🤷🏽♀️
@@bettyframe8044
I was referring to the lick at the end of the clip that was, "eeeww."