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Those Emergency Blues: Epic Hitler Emergency Department Charge Nurse Rant

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

Those Emergency Blues: A Nurse Contemplates Leaving the Profession

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 . . . → Read More: Those Emergency Blues: A Nurse Contemplates Leaving the Profession

Those Emergency Blues: Guest Post: How We Can Fix the Malaise in the Nursing Profession

Nurse Practitioner (Photo credit: ekea7)

by Amanda Trujillo

If the newer generations of nurses out there are more confused than ever about their roles in healthcare — they should be. I’m one of the newer generations of nurses and I — AM — CONFUSED. Seriously. Think about it. We are taught all of . . . → Read More: Those Emergency Blues: Guest Post: How We Can Fix the Malaise in the Nursing Profession

Those Emergency Blues: Nursing Week Ain’t What It Used to Be

My Nurses Week joy was shattered last night when the son of a patient reamed me out for discussing the patient’s condition and treatment plan — wait for it — with the patient. He thought his father, who was a rather elderly but very independent and shrewd man who still lived in his own house . . . → Read More: Those Emergency Blues: Nursing Week Ain’t What It Used to Be

Those Emergency Blues: Nurse Love, The Real Kind

Some real nurse love — and incidentally reminding us why we have the most tremendous profession in the world and how we each day make a powerful difference in the lives of our patients. Via the blog The Spohrs are Multiplying, Mike Spohr writes about the day his child died:

On the horrible day . . . → Read More: Those Emergency Blues: Nurse Love, The Real Kind

Those Emergency Blues: On Your Feet, Nurse, the Doctor’s Here!

Should nurses give up their chairs for physicians? A nursing professor named Susan Kieffer writing at NurseTogether.com thinks so:

If you have been a nurse for any length of time, you know how precious the seats at the nurses’ station really are. These seats are a rare commodity; one to be cherished and guarded . . . → Read More: Those Emergency Blues: On Your Feet, Nurse, the Doctor’s Here!

Those Emergency Blues: TV Series Hot

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

Those Emergency Blues: Doctors Are From Mars, Nurses Are From — Oh, To Hell With It

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 . . . → Read More: Those Emergency Blues: Doctors Are From Mars, Nurses Are From — Oh, To Hell With It

Those Emergency Blues: Why Nurses are Furious about the Amanda Trujillo Case

The case of Amanda Trujillo has generated a great deal of passionate commentary across the nursing blogosphere. Trujillo, as you may well know, is the nurse who was fired by Banner Health Del E. Webb Medical Center for requesting multi-disciplinary hospice care case management consult for a pre-transplant patient with end-stage liver disease. The request . . . → Read More: Those Emergency Blues: Why Nurses are Furious about the Amanda Trujillo Case

Those Emergency Blues: A Paean to ED Nurses or Just Annoying?

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?

Those Emergency Blues: Voices For Amanda Trujillo

Each of them eloquently speaks to the heart of what we do as nurses — and why nurses find how Amanda Trujillo was fired and subsequently reported to the Arizona State Board of Nursing so troubling. (Via The Innovative Nurse.)

The first is from Andrew Lopez (Twitter: @nursefriendly.)

Kevin Ross is next (Twitter: @innovativenurse . . . → Read More: Those Emergency Blues: Voices For Amanda Trujillo

Those Emergency Blues: A Small Rant from Your Friendly X-ray Tech

A note sent to me from my favourite MRT (Medical Radiation Technologist). A reminder too, that nurses aren’t the centre of the universe, even if we think we are.

Some thoughts from an MRT. . .

Now I know we aren’t perfect but I feel like a rant about portable examinations.

If . . . → Read More: Those Emergency Blues: A Small Rant from Your Friendly X-ray Tech

Those Emergency Blues: The Persecution of Amanda Trujillo

In the ugly, grey world of hospital balance sheets it’s almost a commonplace that physicians generate revenue while nurses represent a cost. Fancy procedures and sub-sub-specialties bring generous income streams, in terms of charging (and profiting) from the provision of a multitude of related services, such as nursing, while nursing itself, because it generates no . . . → Read More: Those Emergency Blues: The Persecution of Amanda Trujillo

Those Emergency Blues: Karma Sweet Karma

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

Those Emergency Blues: Best of 2011

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

Those Emergency Blues: Dying Alone, Continued

Thanks to commenter Pagan Chaplain (Twitter ~ web) for pointing out the No One Dies Alone program, where volunteers under nursing supervision support patients who would be otherwise alone at the end of life. The program was started by Sandra Clarke at Sacred Heart Medical Center in Eugene, Oregon. She cared for a patient in . . . → Read More: Those Emergency Blues: Dying Alone, Continued

Those Emergency Blues: Back

More or less.

Everyone who emailed me, thanks. I am quite well, if a little bruised. Therein lies a tale, you say — true enough, but one I’m not quite ready to tell, though I’m working on an article for a (non-nursing) publication about it.

Everyone who sent me an email of concern or worry, . . . → Read More: Those Emergency Blues: Back

Those Emergency Blues: Awesome

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

Those Emergency Blues: Got Mine. Got Yours?

The flu shot, that is.

I got mine yesterday. And no, I did not get any flu-like symptoms. So get it over it, and go get the shot. Now. Especially if you’re a health care professional. What I wrote during the glory days of H1N1 two years ago still applies:

Finally, I won’t tell . . . → Read More: Those Emergency Blues: Got Mine. Got Yours?

Those Emergency Blues: Under Construction

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 . . . → Read More: Those Emergency Blues: Under Construction

Those Emergency Blues: Asking for Drugs

In the Emergency Department, part of a nurse’s job in discharging patients is to figure out if they are good to go home, because in part it’s good nursing practice, but mostly you don’t want to have them bouncing back in a few hours because they didn’t understand something, or have a question. So you […] . . . → Read More: Those Emergency Blues: Asking for Drugs

Those Emergency Blues: All Nurses Are Not Equal

My best friend Reid made an interesting point the other day. “I have,” she said, “an alphabet soup of certifications. I have ACLS. I have BCLS. I have TNCC. I have ENPC. I have pieces of paper that tell me I can run traumas and defibrillate people. I have critical care courses up the wazoo. […] . . . → Read More: Those Emergency Blues: All Nurses Are Not Equal

Those Emergency Blues: Says Blatchford, First We Shoot All The Nurses

I actually did a double take, and my jaw dropped, slightly when I read this: It’s why, where I used to think that before I got really old I’d get me a gun so I could shoot myself, I now wonder if I won’t instead turn the weapon on some officious hospital executive, wanker bureaucrat […] . . . → Read More: Those Emergency Blues: Says Blatchford, First We Shoot All The Nurses

Death to PowerPoint and Other Notions

Back again.Yeah, I’ve been away for a while, for reasons that have absolutely nothing to do with writing or blogging. However my unintentional sabbatical has had the benefit of leaving me refreshed and full of ideas and so maybe wasn’t such a bad thing after all. I mean, in the two years I have operated […] . . . → Read More: Death to PowerPoint and Other Notions

Those Emergency Blues: On Allegations of Patient Abuse at St. Joseph’s

This story concerning alleged abuse of a senior at St. Joseph’s Health Care Centre (and yes, I know “alleged” is a weasel word) has been making the rounds in the Toronto media, including some blaring front pages in the Toronto Sun: Ron Meredith claims two burly security guards at a west-end hospital manhandled him, dragged […] . . . → Read More: Those Emergency Blues: On Allegations of Patient Abuse at St. Joseph’s