A few years ago I cared for an acquaintance. She was a friend of a friend who had been living out of the country for several years, but had come home to visit family friends. She was rushed in to the ED and before I even knew who she was I was delivering her 19 . . . → Read More: Those Emergency Blues: Privacy, judgment and ethics aside, I have caring to do.
A few days ago, one of my colleagues said to me after a particularly frantic day in the ED, “You guys aren’t Charge Nurses, you’re Charge Mommies.” She is right. This is what we do:
tell all the kids don’t fight and play nice fix boo-boos give hugs as needed, or tissue make sure all . . . → Read More: Those Emergency Blues: Charge Mommy
The police are more-or-less a permanent fixture in every Emergency department. They bring in the drunks, the suicidal, the psychotic, the homeless and yes, the criminal, who have either sustained injuries as a result of their activities, or else have developed sudden (and convenient) cardiac symptoms upon their arrest. Most of us in Acme Regional’s . . . → Read More: Those Emergency Blues: When the Police Come Calling
I never thought I’d use the words “Epic” and “Hitler” and “Emergency Department” and “Charge Nurse” and “Rant” as a blog title, but what the hell. I was bored one night and thought it would be fun to make a Hitler rant parody.
Filed under: What Passes for Humour Around Here Tagged: emergency department, . . . → Read More: Those Emergency Blues: Epic Hitler Emergency Department Charge Nurse Rant
Ok, we’ve both been out of commission for a couple of weeks. Our Miss Jean Hill, bright future of the nursing profession and co-blogger extraordinaire, has a computer which has suffered last week the CPU equivalent of a massive cerebral bleed and maybe ethanol withdrawal too; the computer has since recovered, but Jean Hill’s nerves . . . → Read More: Those Emergency Blues: Saved by Words for Friends
An underexplored or ignored aspect of nursing professional life: how nurses working in a Labour and Delivery unit grieve over the loss of their patients, and how this grief affects care and support of survivors. What is really striking about the film is the culture of mutual support and respect among the nurses working in . . . → Read More: Those Emergency Blues: Nurses Grieve Too
A few weeks ago, I was talking with a colleague, whom I will call Jean Hill, and by-the-by the conversation fell to nurse bloggers. Several prominent ones were mentioned, like Crass-Pollination and Emergiblog and Nerdy Nurse.
“Oh,” said Jean Hill innocently. “I wish I could write like these guys.”
At which point your humble blogger’s . . . → Read More: Those Emergency Blues: In Which TorontoEmerg is So Busted, or, Welcome, Jean Hill
In the Emergency Department where I work, the number of patients we see pushes 200 some days. We assess and treat a lot of people, mostly for lumps and bumps, breaks and bruises, but also for major, cataclysmic, life-altering events — MIs, trauma, stroke, what-have-you.
I have a problem. The moment to the patient leaves . . . → Read More: Those Emergency Blues: Just Because I Don’t Remember You Doesn’t Mean I Didn’t Care
My own, with at least Easterish themes of death and rebirth. Originally published on 7/10/10.
You came to us, no vital signs, no breath Found dead, or nearly so, by the mall You last saw cars, careening carts, a child. Then falling, hard pavement, blood, a void empty Of consciousness when help . . . → Read More: Those Emergency Blues: A Poem for Easter
I found this story how a homeless woman died very disturbing:
Anna Brown wasn’t leaving the emergency room quietly.
She yelled from a wheelchair at St. Mary’s Health Center security personnel and Richmond Heights police officers that her legs hurt so badly she couldn’t stand.
She had already been to two other . . . → Read More: Those Emergency Blues: When Labelling Patients Causes Patients to Die
This might be a new low in nursing management. Instead of actually providing caring, empathy and compassion, some hospitals would like nurses to provide a simulacrum of caring, empathy and compassion, believing patients are stupid enough not to tell the difference:
Nurses unions say an increasing number of hospitals nationwide are asking nurses to . . . → Read More: Those Emergency Blues: Scripting Nurses is Bad for Patient Care
Code Blue on the floor: a lot like a Code Blue in the Emergency Department, except we have to run to the elevators, take a ponderously slow ride up to whatever floor they’re doing compressions, and then run some more down some endlessly long corridors till we find a room full of telemetry nurses looking . . . → Read More: Those Emergency Blues: The Guy in the Next Bed
MY EMERGENCY DEPARTMENT COLLEAGUES are a youngish group as a whole, compared to me, that is, and most of them have school-aged children. A subset of this group of have traded shifts so they’re substantially working a straight night shift line,* in order to attend to family obligations. Almost all of these, I think, are . . . → Read More: Those Emergency Blues: Sleepy Sleepy Nurse
I’ve worked as an Emergency Department nurse for something like thirteen years now, and at my present position more or less for ten years. It’s probably safe to say I’ve seen just about everything from the incredible tragic to the incredible funny, the good, the bizarre and the ugly. As I’ve said before, I’m blessed . . . → Read More: Those Emergency Blues: Those Emergency Blahs
What this patient did not have
Mr. CD, 88, took a little tumble at the nursing home when he slipped on a loose rug (or something, the details are a little vague here), obtained for his trouble a scalp laceration the length of Q-tip on his temple, bled like a stuck pig, transported . . . → Read More: Those Emergency Blues: Insert Snark Here
Gob-smacklingly stupid or hip advertising? I’m leaning towards the former. Via CBC:
A Stockholm hospital that published an online ad looking to fill a summer position with a nurse who is “TV-series hot” says it was “written to catch people’s attention.”
“We want people to be curious and have a little imagination,” . . . → Read More: Those Emergency Blues: TV Series Hot
Twitter follower @camillelalonde — thank you — sent me this oldish link, which initially warmed the very cockles of my heart:
Guest Editorial ACEP News September 2006 By David F. Baehren, M.D.
[. . .]
We usually look afar for heroes and role models, and in doing so overlook a group of . . . → Read More: Those Emergency Blues: A Paean to ED Nurses or Just Annoying?
Via ImpactedNurse.com, another study showing prolonged emergency department stays are less than optimal:
There were 41,256 admissions from the ED. Mortality generally increased with increasing boarding time, from 2.5% in patients boarded less than 2 hours to 4.5% in patients boarding 12 hours or more (p < 0.001). Mean hospital LOS also showed an . . . → Read More: Those Emergency Blues: Long Emergency Department Admissions Shorten Lives
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 . . . → Read More: Those Emergency Blues: Karma Sweet Karma
A pretty interesting video from Beth Boynton RN on what I call status interrupticus, the incessant and often needless interruptions nurses deal with when performing duties requiring critical thinking and judgement. It’s fairly well known, for example, at among nurses anyway, that many if not most med errors are attributable to nurses being distracted; I . . . → Read More: Those Emergency Blues: Nurse, Interrupted
A little late for 2011 retrospectives, but, as I said, I was busy. First list: the most popular by hits. Second: my personal picks.
10 Most Popular Posts (many of which were actually posted in 2010)
1. Can We Stop the I’m-a-Male-Nurse-Who-Isn’t-Gay-Contrary-to-the-Stereotype Routine? (An oldie-but-a-goodie. By far and away the most popular post.)
2. Full . . . → Read More: Those Emergency Blues: Best of 2011
A small, belated Christmas tale on how not to manage an emergency department. But first a few preliminary points of information.
First: in Ontario, front line nurses are generally forbidden from taking vacation over the Christmas holidays, usually from some point from the first or second week of December to the first or second week . . . → Read More: Those Emergency Blues: What Nursing Leadership Doesn’t Look Like
A few weeks ago I had a patient named Helen who died. I’m not talking about a dramatic code or trauma, with people running around shouting for IV access, but rather an elderly woman who was at the end of her natural life. Dying in the Emergency Department is not ideal by any stretch of . . . → Read More: Those Emergency Blues: Dying Alone
A few days ago, we had VSA come into the department. According to EMS, the patient had collapsed while grocery shopping down the road; CPR was started almost immediately by another shopper; EMS arrived and gave the usual ACLS drugs — epinephrine and atropine, as well as defribrillating him, but the only rhythm showing on . . . → Read More: Those Emergency Blues: Awesome