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You Know It's Going To Be A Bad Day In The ER When...

You show up for work and notice bars have just been installed on all
the windows and there is now a metal detector at the hospital entrance. 

The paramedics in the parking lot are all using mops to clean up their
ambulances and the EMTs are using a hose. 

The off-going shift has a hard time keeping a straight face when giving
report, especially about Room 15. 

Your first patient of the day insists there is no way that she can be
pregnant. She's crowning. 

Your next five patients and their families all scream at you in different
languages, none of which you speak. 

Your next patient screams at you in a language you do understand, but
you can't remember hearing that many obscenities strung together at once. 

The intoxicated 250 Kg. transvestite in Room 15 keeps trying to get your
home phone number because you "are just too sweet." 

Your next patient has maggots but isn't dead. 

The hospital's attorney wants to talk to you but her secretary won't
tell you what it's about. 

The hospital has a surprise disaster drill. You were the only one who
wasn't tipped off. 

The Department is completely empty and one of the off-going shift says,
"It's been that way all night, hope you have a quiet day!" 

No one remembered to buy coffee. 

You have writers' cramp and still have 7 hours of the shift left. 

The psychiatric patient who thinks he is Jesus was placed in the same
room as another patient who thinks he is Satan. 

You get a subpoena for a lawsuit a on a patient that walked out of
the department against medical advice two years ago. You can only
hope that is what the attorney wants to talk about. 

The Hospital Administrator left you a cryptic message about a news
crew showing up "sometime today to do a little filming, so everyone
act natural." 

In the middle of a disaster drill two real trauma patients present
themselves. 

The paramedics who offered to go out and pick up lunch (and coffee)
just advised over the radio they have witnessed a motor vehicle accident involving a transit bus versus a minivan. "Stand by for update." 

It's the first day for the new medical interns, paramedic and nursing
students... all at the same time. 

The paramedics tell you the patient you just received with a closed
head injury, flail chest, and positive belly tap is in "much better shape
than the one still being cut out of the minivan." 

You hear there is an influenza epidemic traveling like wild fire through
the local convalescent homes. 

The psychiatric patients' delusions are beginning to make sense.


Reprinted With Permission Of
Author: Jerry Fandel, a Paramedic in Alameda County, California


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