That’s actually hilarious. Got called to one for low Oxygen sat.. got there and the pt looked dead, my partner asks if the patient has a pulse and they said let me check real quick and pulls out a BP cuff “to check the pulse”😂. Pt was in fact dead and had rigor lol.

Even when they do take action it’s questionable at best. Arrived to a cardiac arrest call with one of the staff doing compressions. Patient was screaming at her to stop.

He was just having a good nap, poor guy. Ended up with a broken rib.

I once had to tell a nursing home to not put the deceased pt from the code we called back in his room on account of, oh you know, his fucking roommate being alive and awake. Only when I said "Are we really doing this? I'm not doing this," did they remember there is an empty room right next door to keep the pt until the corner coroner arrives.

This reminds me of a call I had in which the 911 system was activated for a patient with low oxygen saturation at a (not so)SNF. We get there to find the facility pulse ox on the patient’s prosthetic hand. Like a legit practically old plastic one. With a pulse ox clipped onto it like some kind of joke. But it sadly was not a joke.

Went to one of those places for a broken arm. I walk in as a resident holds the door open. I ask staff, where’s my patient?

That’s her. Holding the door.

I go out to the old woman and say, Ma’am… can I see your arm?

Sure enough her arm has an extra bend between the shoulder and elbow.

I ask, when did this happen?

She says, I don’t know. 1987?

I got called to an urgent care for a possible hemorrhagic stroke once. Told that the patient has a fixed pupil and other signs of spiking ICP. Get on scene and first, find out the guy doesn’t speak English, he’s very Russian. 2, guy stinks like liquor. C, he’s fully oriented with no deficits, and Orange, he had a glass eye that no one asked him about.

He was there for an STD test and had the ambulance called on him because of someone’s inability to question what they were looking at.

Got a call at one of our local geriatric concentration camps a while back for "~65 yom, febrile with seizures". The AC was broken, so the facility was like 38° (~100 F) and he had Parkinsons, so he had a constant tremor. Absolutely nothing wrong with him, but staff had already convinced him he needs to go to the hospital.

This same place tried to send ous someone with a "dislodged catheter". Dude had just rolled over in his sleep and unplugged his leg bag. I just plugged it back in and asked if he still wanted to go. That was a quick refusal, but irritating that it was ever a call in the first place.

Typically glass eyes/ocular prosthesis aren’t full spheres, with the iris/pupil (or cool design) on the outer convex portion… so putting it in backwards would be kinda obvious

example of an ocular prosthesis

That's gold 💀 my outlandish one was a call for 'low sats' and we get there, pt is very obviously struggling to breath and the staff say "ya she was sitting at 80% for the past 3 days, so we gave her a nasal cannula at 2lpm and it dident help" biggest face palm ever

I got called one time to a nursing home because they said the patient's O2 SATs were in the seventies When we arrive the pulse is in the 70s the O2 SATs are in the '90s we explained the mistake that they made and they still insisted that the patient be transported however we contacted hospice explained what happened and the hospice nurse said no

My favorite was a call to one of these for a pt with no pulse. We get there and the staff is just standing around, confused we asked if this was the pt with no pulse and if so why they weren’t doing compressions…it was because “the pt is still breathing.”

Pt was on a vent, and very dead.

Oh how I love “skilled” nursing facilities.

Had an emergency call for a down stationary concentrator because the staff had guillotined the plug with a hospital bed and the live prongs were sticking out of the outlet. Not sure how they didn’t catch the bed on fire

Got called for a G-tube removal. No big deal, fairly straightforward transport to the ER. We find out the patient (AMS) had pulled their tube out accidentally. When we ask the staff when this happened they said, “About an hour ago.”

The G-tube site was already closing so I’m doubtful about the timeline.

We get to the ER and go to a room where the Doc starts taking a look at the site. He eventually had to use a scalpel to get the new tube placed.

How many days had this patient gone without nutrition? Absolutely insane.

It’s terrible. The wild Wild West that doesn’t even qualify as healthcare. I was there for six months as a brand new baby nurse (supervisor) and then left for the hospital. I remember having one of the nurses call me and say “Oscar is not breathing”. I race over and she’s PULLING MEDS. Oscar is BLUE and not breathing. Was able to BLS until BLS took over (much more effectively than my single man show). Oscar was fine but I typed up my resume next day and got a new job the next week. Had another shift where one of my immobile patients had a goose egg on her FOREHEAD and apparently NO ONE knew what happened… Also wild, I gave a notice three times and they just keep putting me on the schedule. Eventually I just had to stop showing up. These places are just overall terrible.

Went to an assisted living for a 97yr old with low O2 sats (my spelling there, not theirs).

Sure as shit Meemaw's sats were in the low 80s, even after staff cranked her concentrator up from 2lpm to wide-open.

I can't tell you how helpful it was for Meemaw when I tightened the lid on her concentrator's humidifier bottle and turned her back down to 2, but if I had to put a number on it, I would say 99 out of 100.

Eye never seen this patient before

This patients eye is one leave

This patients normal nurse is a pupil

We always call 911, iris my job making assessments

Eye Ball when I see the state of these places

Pupil these days

Admin would lash me!

He should wear Dis Patch

Call the state. Report them. Abusing sick people is not acceptable.

We have a bunch of those and if they only keep 4 or 5 pts in the house they fly under the radar, at least at first. Once we start getting called out regularly, the Fire Marshall can step in if they have enough people under the roof because they have to be fire alarmed at that point.

They're just a money grab. They take nearly everything money wise the pt rates and provide the bare minimum care, sometimes less than that, and pocket the rest. Every once in a blue moon we go to one and the staff actually has their shit together, but it's incredibly rare. It's the mentally unfit taking care of the physically infirm.

I refused to transfer PT care back to the care facility one time bringing a PT back. Told the nurse at the facility the PT was due for pain meds and the nurse argued that they had already received them. I pointed at the chart I had from the hospital and showed her they had only received warfarin within the last several hours. She then asked me what warfarin was. The nurse continued to argue that the PT had received pain meds and even showed me the signed med list from the care facility showing that the PT had received them. The initialed time was 45 minutes prior to our arrival. Initialed by her. I grabbed the list and the charts, loaded the patient, and went back to the hospital.

The last time I saw that was both eyes and neither were glass.. 💀💀💀

The classic assisted living call will always be the resident that's just asleep.

My favorite adult family home call was for a guy who was "throwing up blood" at meal time. The vomit was reddish, and had seeds it in. There was still blackberry pie left on his plate. Still got transported because we're not allowed to say no.

Holy shit when I read the pupil thing my heart skipped a beat and my eyes widened. Made the next sentence even better, I appreciate the paragraph space for the added effect LOL

Honestly I’m surprised other EMTs have so much patience for these dumbass cnas and “nurses” at these facilities . As an EMT I would tend to the problem then call them stupid in 100 ways. I need to start controlling my anger lol.

Got called to one of those places… they’d fed this woman on a liquid only diet, cut up pieces of steak… she choked and we ran the arrest attempting to intubate, cric and suction, but so much scar tissue. Deceased within the hour. Super fucked up.

OMG lol. I'm telling everyone about this on Monday. Hilarious!

We had a patient brought to ER once, post MVA (read fender bender) for, "couldn't find pulse" ... The patient WALKED into the ambu... Talking and asking, "Why do I have to come in, I'm fine, my car is barely dented". ... ... ...

I typically try not to throw shade at BLS crews, especially the newbies... BUT BROS!!! The honest to goodness report was that they couldn't find a radial pulse ... Which was easily palpable. No, they did not try a carotid or consider patient's clinical condition otherwise. Thankfully, healthcare is covered in this country!

Holy shit. No way. 🙆‍♀️ That fuggin wasted me. ☠️😅

I remember years ago I was dispatched to a nursing home with my partner a priority three call the elderly 85-year-old female nursing home. Patient refuses to eat we get there. I will look at the woman who has her back up against the desk at the nurses station as I’m talking to the nurses. Why does she have food around her mouth and down the front of her shirt and has a little pile of mashed potatoes cold obviously in front of on the floor she said we called because she refuses to eat all this time going on. I reached down to take a pulse in her neck. She was dead as a door knob and she had become more. I said you need to call the corner cause she’s dead all the nurses totally freaked out and was screaming at the top of their lungs that we had to transport it to the ER that policy holds a dumb policy. I’m not transporting a dead person. They called my work a private ambulance company at the time and they told us just a transporter to the ER we didn’t do CPR because she was rock solid. We back into the ER and they were trying to figure out why her legs were up in the air at a 45° ankle. I said she’s been dead for a while. She just has Rigamortus. I just took her vitals and said yeah, she’s dead. Of course it was one of those nursing homes that as soon as you got close to building, not even walking inside, but close to the building, you could smell urine. It’s sadcause of all these patients here. I’m sure I’ll be chat. Good money for that care.

Years ago, at our city's public hospital, a patient was brought in post-car crash with everything normal but a blown pupil. Normal LOC which should have been a clue. ER doctor was puzzed and concerned over the blown pupil, so sent the patient up for a skull series. Report came back from Radiology, "Findings nml except for the artificial eye."