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Those Emergency Blues: Privacy, judgment and ethics aside, I have caring to do.

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.

Those Emergency Blues: When the Police Come Calling

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

Those Emergency Blues: Fat Nurses Need Not Apply Revisited

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 . . . → Read More: Those Emergency Blues: Fat Nurses Need Not Apply Revisited

Those Emergency Blues: More on When Labelling Patients Causes Patients to Die

In the comments WhiteCoat (of WhiteCoat’s Call Room fame) strenuously objects to my take on the Anna Brown case:

Wow.

Someone on my blog suggested that I check out this post after I just posted about this story yesterday.

To all of you who think “something more should have been done,” what . . . → Read More: Those Emergency Blues: More on When Labelling Patients Causes Patients to Die

Those Emergency Blues: Easter 2012

Happy Easter.

One thing you may or may not know about me, dear readers, is that I’m a retired Catholic. Like many other people, I left because what some Catholics would call “below-the-belt” issues, but also because the (ongoing) sexual abuse scandals, the treatment of women, and the utter hatred and contempt shown to our . . . → Read More: Those Emergency Blues: Easter 2012

Those Emergency Blues: When Labelling Patients Causes Patients to Die

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

Those Emergency Blues: Sleepy Sleepy Nurse

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

Those Emergency Blues: Why Physicians Should Care about Amanda Trujillo

[This post appeared last week, in slightly modified form, at KevinMd.com. Nice to see it’s generating a huge response and vigorous debate there. TE.]

For the past month, the case of Amanda Trujillo has resonated deeply among nurses, triggering an avalanche of postings on Facebook, Twitter and in the nursing blogosphere. Trujillo is the Arizona . . . → Read More: Those Emergency Blues: Why Physicians Should Care about Amanda Trujillo

Those Emergency Blues: Just Lie Back and Think of Florence — Or Not

Nurse K, possibly the doyenne of nurse bloggers, gives her two cents on Amanda Trujillo. Her advice is to surrender:

Yes, I’m going to say it: Forget advocating. Be humble. Be honest and consistent. Go through the process. Listen to your attorney. Your most important asset as a terminated person is an unrestricted nursing . . . → Read More: Those Emergency Blues: Just Lie Back and Think of Florence — Or Not

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: Long Emergency Department Admissions Shorten Lives

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

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: 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

Those Emergency Blues: So When Does This Become a Crisis?

I walked into the Emergency Department one hot morning a couple of weeks ago and found every last stretcher — twenty-five beds, including the two we try to reserve for trauma or codes — was filled with admitted patients; furthermore, five additional patients were waiting for consultants and likely admission. We were operating at 120% […] . . . → Read More: Those Emergency Blues: So When Does This Become a Crisis?