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I was triage nurse that day and had just been out to the waiting room to clean up. Since there were no patients waiting to be seen at the time, I came back to the nurses' station for a cup of hot cider from the crockpot someone had brought in for Christmas. Just then an admitting clerk came "back and told me I had five patients waiting to be evaluated.
I whined, "Five, how did I get five? I was just out there and no one was in the waiting room."
Well, there are five signed in." So I went straight out and called the first name. Five bodies showed up at my triage desk, a pale petite woman and four small children in somewhat rumpled clothing.
"Are you all sick?" I asked suspiciously.
"Yes," she said weakly and lowered her head.
"Okay," I replied, unconvinced, "who's first?" One by one they sat down, and I asked the usual preliminary questions. When it came to descriptions of their presenting problems, things got a little vague. Two of the children had headaches, but the headaches weren't accompanied by the normal body language of holding the head or trying to keep it still or squinting or grimacing. Two children had earaches, but only one could tell me which ear was affected. The mother complained of a cough but seemed to work to produce it.
Something was wrong with the picture. Our hospital policy, however, was not to turn away any patient, so we would see them. When I explained to the mother that it might be a little while before a doctor saw her because, even though the waiting room was empty, ambulances had brought in several, more critical patients, in the back, she responded, "Take your time; it's warm in here." She turned and, with a smile, guided her brood into the waiting room.
On a hunch (call it nursing judgment), I checked the chart after the admitting clerk had finished registering the family. No address-they were homeless. The waiting room was warm.
I looked out at the family huddled by the Christmas tree. The littlest one was pointing at the television and exclaiming something to her mother. The oldest one was looking at her reflection in an ornament on the Christmas tree.
I went back to the nurses' station and mentioned we had a homeless family in the waiting room-a mother and four children between four and ten years of age. The nurses, grumbling about working Christmas, turned to compassion for a family just trying to get warm on Christmas. The team went into action, much as we do when there's a medical emergency. But this one was a Christmas emergency.
We were all offered a free meal in the hospital cafeteria on Christmas Day, so we claimed that meal and prepared a banquet for our Christmas guests.