Friday, February 27, 2015

I work in a high tech nursing home

When I am in triage I see just how acute our ER has become.  It is one train wreck after another.  People with chronic complicated illnesses. Very old people. People who don't speak english. More and more of the mentally ill.  The homeless.  Drug seekers. Drunks.

The days of lacerations, ankle sprains, appys and such  are long gone and they ain't coming back.  Our inner city ER has become a place for those with complex medical or social problems, on the one hand, or a place for the hood rats to use as a clinic for abdominal pain, back pain, colds, etc.

Sometimes it feels like I work in a high tech nursing home.

I pity the ER nurses of the future.

Sunday, February 22, 2015

Saturday, February 21, 2015

madness is a naughty nurse (surprise)

It seems I have been a naughty nurse. Apparently I broke the rules, stomped on the Nightengale pledge, turned the hospital's mission statement on its ear. So there I was, going along being the professional (!) I am 99.999999% of the time and BOOM! a moment of naughtiness ensues. Or at least, I"VE BEEN TOLD that I am naughty.

It seems I am going to have to spend some time in the ER naughty room in the time out chair explaining my actions. THERE WILL BE CONSEQUENCES that are yet to be determined...LET'S JUST SAY that there will be consequences and I will be watched henceforth for a designated period of time.  If I even THINK of being naughty again, well....lets just say that I WON"T KNOW WHAT HIT ME!! Future consequences may involve being the designated frequent flyer nurse and wearing the "bad nurse" hat.

So I'll be in the ER conference room writing: "Bob's Ghetto Hospital is a wonderful place to work and I will appreciate it from now on and never be a naughty nurse again" 1,000 times.