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Infidel
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5,166 Posts
Discussion Starter #1 (Edited)
This was copied from a nursing website. I hope y'all laugh as hard as I did, I blew whiskey out of my nose at #7.
Craig

The Gomer Scale

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GOMER = Get Out Of My Emergency Room.

There is a chart on http://www.lambert.net.au/med/gomerscale.pdf
but it is something like this:

To ascertain your patient’s potential GOMER rating, add up the scores of the following questions and compare against the GOMER scale:

1.
1. GOMER 0-20 points: within accepted parameters
2. GOMER 20-40 points: needs immediate transfer to decontamination shower.
3. GOMER 40-60 points: needs immediate transfer to ward.
4. GOMER >60 points: may as well introduce yourself…’cause you will probably end up spending more time with this patient than you spend with your family.

1. Admitting note from patients doctor ends with “Sorry” = 10
2. Patient’s clothes refused by both laundry AND security, and subsequently must be destroyed = 13
3. Patient has been evicted from 4 nursing homes of decreasing class in prior four months = 7
4. Tuberculosis discovered:
(a) 1 week after successful CPR, which included mouth to mouth support = 8
(b) After unsuccessful CPR = 15
5. Attempt at discharge by resident fails - for each failed attempt score = 6
6. Spikes unexplained fever prior to discharge:
-first occasion = 10
-each additional occasion = 20
7. Motile sperm in CSF = 9
8. Cones after lumbar puncture when opening pressure was less than 60 = 10
9. Urinates on:
(a)Consultant = 0
(b) RMO =2
(c) Visitors = 4
(d) Med student = 6
(e) Nurse = 60
10. Concentration of disinfectant required in room causes conjunctivitis among visitors = 4
11. Patient drinks:
(a) from own urine bottle = 3
(b) from room-mate’s bottle = 6
(c) when Nil by Mouth or on fluid balance chart = 10
12. Toenails cannot be cut by clippers, chisel or drill = 7
13. Stool specimen (unrequested) found:
(a) more than 10 feet from bed = 6
(b) on each wall or window = 3
(c) on pavement below window = 10
14. Bites bulb of:
(a) oral thermometer = 3
(b) rectal thermometer = 9
(c) other patient’s rectal thermometer while in situ = 20
15. Frequently overlooked on rounds = 3
16. Psychiatry consult advises commitment but refuses to accept transfer = 10
17. Faecal impaction:
(a) under finger nails = 2
(b) despite ileostomy = 5
(c) if ileostomy performed for impaction = 9
18. Found with dentures:
(a) upside down = 2
(b) in right main bronchus = 10
19. Admitting orders include “stat bath” = 5
20. Found in hallway without pajama bottoms = 5
21. Eats pajamas= 10
22. Fractures hip:
(a) while in hospital = 3
(b) while under general anesthetic= 6
(c) while in traction for other hip = 9
23. Removes own:
(a) IV / CVC = 2
(b) NGT = 3
(c) peritoneal catheter = 5
(d) chest tube = 8
(e) ventrico-peritoneal shunt = 15
(f) liver = 30
24. Pulls out Foley urinary catheter with 30mL balloon inflated (males only) = 7
(a) if in full leather restraints at time = 11
(b) if restraints are found to be bitten in half = 15
25. Old notes are:
(a) two volumes = 1
(b) two kg = 3
(c) two feet high = 7
26. Requests cigarette during incentive spirometry = 5
27. Answers “yes” to all questions = 4
28. Answers “yes” to all questions asked to other patients in room = 8
29. Refused by Repatriation Hospital, despite service in two world wars = 8
30. Admitted to same intern on 3 different units = 4
31. Easier to understand without dentures = 3
32. Welcomes med / nursing / EMS students = 6
33. Appreciates hospital food = 10
34. Dust in supraclavicular fossa = 20
35. EEG is flat & family thinks patient has improved = 30
36. Anointed by priest prior to presentation = 30
 

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The Fat Mod
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12,508 Posts
Nice Craig. That is a ton of work to go through that and add it all up, but you can pretty much tell without it :D
 

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Premium Member
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178 Posts
Is it bad when half the firefighters I know score between 45 and 60???
 

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Premium Member
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178 Posts
I gotta tell you I have forwarded this to quite a few EMS and Nurse friends, and the replies I get are hilarious. This by far is a great one. Got any others?
 
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