I'm out of my ER next spring one way or the other. Can't take it any more.
To say that the morale in my department is in the toilet is to vastly understate it. The negativity is out of control and makes it a miserable place to work.
It is rundown, way too small. The hospital doesn't give a shit. All the other hospital in our "corporate system" have been redone. Ours, that sits in the middle the ghetto ER has not (no accident there - poor folks don't need a nice ER). I don't see it happening anytime soon.
My ER is an embarassment. Walls with paint scraped off. Ceiling tiles with big round wet brown spots on them. Looks dirty. Is dirty. Equipment that is an embarassment. Whatever. Been like that for many years.
Now the straw that broke the camels back. There has been a decision made that our ER will be staffed by physician assistants. They will see the vast majority of our patients, except the criticals apparently. I admire NPs. I admire PAs. I think they are great. I work with NPs. They see our urgent care patients. They don't belong in the main ER. Sorry.
I don't think ER patients, other than urgent care patients, should be seen by anyone other than an ER doc. Apparently the PAs will "present" these patients to the docs. Not good enough. No doubt will greatly slow the process.
Here's my thought about the whole process personally: When I, or my relative, come to an ER, we EXPECT to be seen by a DOCTOR. We pay insurance to be seen by a DOCTOR. I won't bring myself or my relative, needs to be seen for an EMERGENCY, to an ER where chances are they will not be seen by a doctor. I will choose to go to another ER where they will be seen by a DOCTOR. I will also choose to work at an ER that employs DOCTORs to see patients.