The beginnings of a waiting room checklist
So last night was a fun saturday night. A pal sprained their ankle several weeks ago, and last night for some reason someone started going on about this red spot on their ankle and how it could be a blood clot...
Several of us ended up going with them to the med point where they did an x-ray, and sure enough the guy was pretty sure it was a blood clot and that we needed to get to the emergency room.
No problem, that's what you do for pals, even if its a Saturday night and you've had a few. Here's the rub about the emergency room... there's the whole triage thing, even late at night, and apparently someone with what might be a blood clot is way down on the totem pole. Understandable, but I'd love to see the actual algorithm they're using to process the patients... as I'm sure we were reniced incredibly low. Once you've been given that low-totem pole rating you're really just kinda screwed.
So for various reasons I ended up being there for a bit over 4 hours while they did the tests, the whole ultrasound thingy, and while the first 2 hours weren't so bad the last 2.5 sure as hell were as only 2 people are allowed back with the patient, and yeah, given the people in the waiting room who were hanging out I sure as hell wasn't going to make a girl hang out there by herself.
I haven't actually spent much time in an emergency room waiting room. I had a car accident, but woke up hours later in a bed and got to skip the whole hospital introduction. I've spent scads of time in other waiting rooms, but those are in-patient or out-patient, and they're wildly different from what you get in the emergency room.
First of all, half the people are generally inebriated. The other 25% are generally really pissed off about something the hospital is doing or done or not done, and the other 25% are usually there in groups giving off a really scary vibe because, well, they're really scared for someone.
But hey, since you're dropping thousands of dollars just to sorta hang out and get some tests done, I'd like to propose some possible changes for the emergency room waiting room:
- If possible, throw in a magazine subscription thats vaguely male related in some way. Maybe none of their male clients read, but I swear to god I checked every stack and they all reeked of estrogen. People, Martha Stewart Living, Oprah's rag, Home and Garden, Cosmo... Generally there are at least some Field and Stream or Car and Driver magazines lying about when you're getting your hair cut, both of which I could care less about but I don't feel as silly flipping through them. And as of last night I know way too much about Britney Spears' current love interest than I really ever wanted to know.
- Try not to reuse the coffee grounds more than twice per day. I'm not asking for Starbucks, but gyeah.
- Some form of outdoor playpen for the children, or, if you have to keep them inside, a nice containment area that's soundproofed plexiglass would do fine. As it is, its kinda hard to watch the tv with a bunch of toddlers freaking out because its late at night and they're in a strange place with the vibe of death. My making scary faces at them when their parents weren't looking may have contributed to the problem, so I'm willing to overlook it. But if there's any place that is going to know the safe sedative dosage to give a toddler, its a hospital, so go with your strengths.
- Pick up a book on color theory. "Institutional Green" isn't a popular color for a reason.
- Figure out a way for people to be able to 'pitch in' and feel somewhat useful while they're spending a big chunk of their day there, instead of just sitting there watching their sanity decay. By hour 3 I was more than willing to start mopping floors.
- Maybe think about soundproofing all of the rooms in general. Sitting in the waiting room while someone is in the back screaming like they're having their arm amputated with no anesthetic isn't conducive to a nap, which, if you were able to take one, would solve a whole range of the issues mentioned above quite deftly.
I could go on, but I'm about to hop on a puddle jumper for Cleveland and well, I might as well start building a whole list about small airports which are their own small circle in the larger hell airports have become since 9/11.
Well, one thing I'm building in the list in my head for when I become King of the World: pagers. You know when you go to certain places, they give you these gaudy little pager things that beep and/or vibrate when your order is ready, or your seat is available. Why not apply the same principle to airports? It shouldn't be too big of a deal, and I wouldn't have to depend on the kindness of strangers to gently kick me awake when the plane is taking on passengers.
Comments (8)
Posted by: bbb at July 18, 2004 05:52 PM
i've been told that the number one way to get to the top of triage is to utter this phrase --
"i'm having chest pains and the voices in my head are telling me to hurt myself and others."
be prepared for a long stay, though..
Posted by: Loki's Concubine at July 18, 2004 05:57 PM
Ugh I feel for ya. I've been in waiting rooms quite a bit too, from car accidents and also the ones they put you in when waiting for someone in surgery to get out. Those aren't that bad though, that little old lady that answers the phone even brings you coffee. ER rooms are hell though. The hospital here has a bad reputation for actually killing more patients than it saves. And also for amputating the wrong body part. hehe. But that's another story.......
Posted by: Christina at July 18, 2004 09:05 PM
Was the person ok?
Posted by: drunkenbatman at July 18, 2004 09:37 PM
Christina >> Yeah, I guess that's an important detail. :) Person was fine, just heavy bruising. But hey, better safe than sorry.
Pedro >> Jesus, thanks for making me feel better about my evening. I wish I had the minutes on the cell phone to google on the incubation period of rabies.
Posted by: Eli Sarver at July 18, 2004 09:39 PM
I can speak for the institutional green colour. When you have someone come in who is bleeding profusely, which is better to see: red on a white wall or black on a green wall? That's what blood looks like when it hits green, hence their oh-so-70s choice in decor. (avocado, anyone?)
Posted by: Estorez at July 19, 2004 05:03 PM
who is drunkenbatman. would not find in search, who are you
Posted by: RedHotJeff at July 19, 2004 10:33 PM
OK, that Estorez guy is really scary. Don't tell him who you are, DB. By the way, I get a kick out of your site. Always a good read!








The saddest part is that you would do the same 3-4 hour wait regardless of:
1. The nature of your non-immediately life threatening condition.
2. The date/time/location
3. How well insured you are
We live in one of the DC suburbs on the Virginia side and even if our hospital is very modern, the ER is run like every other ER I have been thru in the 33 years of my life. After it took us more than 2 hours to just get into the triage stage for our 4-yr old (with a dog bite in the face!) plus two hours to go thru the rest of the ordeal, we came up with a system for taking the kid to the ER:
1. We got a backpack ready with books, toys, snacks, etc. This backpack is either in the trunk of the car or in a handy place in the house.
2. We do NOT take the poor kid into the waiting room unless it is life or death. The kid stays in the car watching videos while the two of us takes turns filing forms and reading old national geographic magazines.
3. We make a deal with the nurses to not bring the kid into triage until they are ready to assign him a treatment bay. If not, then back to watch videos in the car.
We did it for the follow-up checkups for the dog bite and it was less traumatic than just trying to keep him in the waiting room.