…or the negativity they can spew….
“You wouldn’t know what to look for in that type of patient assessment anyways…”
How do you know I don’t know what to assess for? Are you the textbook I read from? The online periodicals I continue to educate myself with? Are you every patient I have assessed in the last 8 years? Did you teach me? Were you my preceptor in some nightmare? Well since you are none of the previous and you’re not a bound textbook (despite how wound up you are all the time) please do not assume that since I
. . . → Read More: Those Emergency Blues: The phrases junior nurses and most staff do not care to hear from senior nurses…
Dinner last night with an old friend who toils in the mines of Labour and Delivery. She has worked there for four years. She told me of an incident not too long ago working the night shift, faced with a post-partum patient who was bleeding, hypotensive, and tachycardic, in short, showing all the signs of going into hypovolemic shock. She was running around, starting IV lines on flat veins and hanging blood products. Packed red cells. Platelets. Cryoprecipitate. And by-the-by, saline by the bucketful. She called for help from her colleagues. Apart from this patient and another who was walking
. . . → Read More: Those Emergency Blues: A Nurse Contemplates Leaving the Profession
More on the Texas hospital, Citizens Medical Center, which banned fat people from being hired. Citizens Medical Center, you might remember, made it policy to exclude new hires with a body mass index >35, and explicitly stated employees appearance should “fit with a representational image or specific mental projection of the job of a healthcare professional . . . free from distraction” for patients. Medscape has a video (sorry, couldn’t figure out how to embed) from a medical ethicist named Art Caplan with another point of view. Partial transcript:
Look, I’m all for trying to set a good example and . . . → Read More: Those Emergency Blues: Fat Nurses Need Not Apply Revisited
A Texas hospital has declared war on the scourge of obese nurses:
A Victoria [Texas] hospital already embroiled in a discrimination lawsuit filed by doctors of Indian descent has instituted a highly unusual hiring policy: It bans job applicants from employment for being too overweight.
The Citizens Medical Center policy, instituted a little more than a year ago, requires potential employees to have a body mass index of less than 35 — which is 210 pounds for someone who is 5-foot-5, and 245 pounds for someone who is 5-foot-10. It states that an employee’s physique “should fit with a
. . . → Read More: Those Emergency Blues: Fat Nurses Need Not Apply
News flash! From Fierce Medical News, here’s the shocking headline:
Docs, nurses miscommunicate on respect, job role
When you guys pick yourselves off the floor from laughing, here’s the money quote:
In particular, the survey found differing views of how doctors treat nurses. According to 42 percent of nurse leaders, physician abuse or disrespect of nurses was common, whereas only 13 percent of physician leaders said it was common. Fifty-eight percent of nurse leaders considered disrespect for nurses uncommon, while 88 percent of physician leaders said it was uncommon at their healthcare organizations.
“I do believe nurses and physicians
. . . → Read More: Those Emergency Blues: Doctors Are From Mars, Nurses Are From — Oh, To Hell With It
The latest instalment of Nurses Behaving Badly featured the night charge and the day charge (i.e. me) getting a status asthmaticus organized in Resus 1 a few minutes after shift change. It’s probably reasonable to wonder why the two Resus Room nurses weren’t attending (and attentive to) the situation, especially after we paged the physician and the RT in quick succession for a possible intubation, and especially since both of them were less than twenty feet from where we were working.
We thought at first they were getting report on the only other patient in Resus, but after 10 minutes
. . . → Read More: Those Emergency Blues: Karma Sweet Karma
Meaning me, of course.
I worked a (rare) Night 12 a few days ago. It was the usual dog’s breakfast of high acuity, walking wounded without end lining up at Triage, and the particular Emergency Department hell of having no beds for, you know, emergency patients, the department being a stunt double for a med-surg unit. But there was a small ray of hope. Or rather it was okay news-sucky news situation. We were to get a bed, the element of suckiness resting on the fact the bed was on 5 North, my perennial nemesis, where, I swear, reside the
. . . → Read More: Those Emergency Blues: Under Construction
Niagara Health is taking a beat down lately. First it was an uncontrolled C. difficile outbreak, then a provincial administrator was appointed to deal with the outbreak, and now this: When Doreen Wallace fell and broke her hip in the lobby of a Niagara Falls hospital, she figured at least she’d get help — and fast. But [...] . . . → Read More: Those Emergency Blues: Sometimes Things Ain’t What They Seem
For my American friends and readers, we’re having a provincial election here in Ontario. Since health care is deemed a provincial responsibility (though funded extensively by the federal government), it’s naturally a hot topic of discussion. At the televised leader’s debate a couple of days ago, New Democrat leader Andrea Horwath managed to step in [...] . . . → Read More: Those Emergency Blues: Andrea Horwath has a Complaint about the Health Care System.
Phone rings. I look around. There is no ward clerk in sight. Damn. I answer. “Emergency, Charge Nurse.” “Can I ask you a question?” The voice on the other end sounds flat and tired. “Sure,” I say warily. “I came to see you guys a three days ago and I had a sore chest and [...] . . . → Read More: Those Emergency Blues: O Why O Why Did I Pick Up The Phone?
It’s probably more than little trite to say the Emergency Department is a microcosm or laboratory of humanity, but like most clichés it has an element of truth. We see all types in the ED, the good, the ugly, and the purely despicable. (And then I could talk about the patients.) We’re human, after all. But in [...] . . . → Read More: Those Emergency Blues: In Which TorontoEmerg Discourses on Some Aspects of Human Nature
I write this blog for a number of reasons: my own amusement, to educate, to share various random thoughts, to tell stories, to stimulate discussion on topics important to nursing, to provoke thought beyond the superficial, to challenge assumptions, and lastly, to rant. Today I am going to rant. Those of you with delicate sensibilities may want [...] . . . → Read More: Those Emergency Blues: In Which I Swear, Repeatedly, or, TorontoEmerg Gets Bullied