Monday, January 26, 2015

I am sick of jackasses

When you are frustrated and your kid is sick, does that give you the right to throw a tantrum at the triage window?


When you wanted to be admitted for some bogus shit, does that give you the right to cuss and carry on, on your way out?


When you and the nurse didn't get along, does that give you the right to come out to triage and go on at length about it in a loud voice?


I am fed up with people who come in and act like complete assholes because they think their problems give them the right to act like fucking idiots.

I have decided that from now on I am just going to walk away from these people and let them sit there for a few minutes.  If they continue when I return, call security. I am done putting up with abuse.

Friday, January 23, 2015

a new era in the emergency room

Have we entered a new era in hospital/ER medicine?  It is so much more busy than it used to be over the last few months. Every day we are full with a full lobby. At first, I thought it was the flu, seasonal illness, but it has kept going.

The hospital has been full too. So people wait in the ER. Mental health beds?  Forget about it.

Is it obamacare and people having insurance? It feels like we now see two types of patients in the ER: those with serious problems and those with urgent care problems. We are seeing more and more urgent care patients.  Patient who are willing to sit in the lobby for 3 or 4 hours for a sore throat.

We are also seeing a lot more mental health patients, especially adolescent mental health patients.

We used to get an occasional day when things were reasonable and we could breathe a little bit. Seems like those days are over.

Wednesday, January 21, 2015

mental health patients are treated like caged animals

In the modern ER if you are a mental health patient we kind of treat you like an animal. (I know, I know, I'm always harping on this, but it bothers me.)

We take you and put you in a room with a cart. There is nothing else in the room out of our fear your will use it to hurt yourself or us All of your stuff, including your clothes will be taken from you. You will be watched on a camera. There is nothing to distract you in the room.  You have walls to stare at, thats about it. We will throw food your way three times a day. To be honest, most of the time we will be too busy to spend much time with you.

You will stay in the room for hours, sometimes days. These days most of the time there are no psych beds. Anywhere, sometimes in the whole state.

You will have plenty of time to sit and think about what brought you there, your problems. You will also have plenty of time to get pissed off because you are sitting there for hours or days. You may lash out, run down the hall, thrown something, get out of control.  Then we will restrain you and sedate you.  Its like we are tranquilizing you in order to have control of you.

This is the modern day emergency room mental health experience. It isn't going to change anytime soon.  It is dangerous for the patients, dangerous for the staff.  The thing is, nobody cares.

Tuesday, January 20, 2015

madness: beacon of virtue

Every once in a while (okay its rare), I say to myself: Madness, you have to change. You have got to stop the profanity on the blog. You have to stop being an evil bitch (oops). Stop being so damn (!) cynical and hateful and acting like all the patients are dumb losers. Be the professional you were trained to be. You know - caring and skilled, soothin' fevered brows, sheddin' an occasional tear, lots of nodding in sympathy, etc. That usually lasts about one blog post and I'm back to my normal's a hopeful endeavor...

May I just say that I get a perverse delight pissing people off on the blog. When all the dysfunctionistas and dysfunctionistos come forward calling for my head, it is fun. They call me an unsympathetic, uncaring nurse who should leave the profession, get a new job, etc.  They are right. BADA BOOM.

I don't fit in with what a nurse is supposed to be: kind, gentle, caring, self sacrificing, understanding, etc. I am kind of at the opposite end of that spectrum. If you are nice to me, I'll be nice to you. If you treat me like shit, I'm not going out of my way for you. Sorry. Just because I am a nurse doesn't mean I have to put up with abuse, rudeness, yelling, cussing, threatening, etc. Sorry not gonna happen.

I especially enjoy the fibromyalgiers, migraineurs, chronic back painers when they comment. They often go back to their friends on forums or sites that they frequent and tell everybody to go to the blog and comment. May I just say: I welcome you. Come one. Come all.

I fancy myself kind of like lady liberty, a beacon of virtue in the emergency room...

This is the motto I try to live by:

"Give me your tired, your dysfunctional,
your huddled back painers, yearning for one more script for percocet,
The wretched sunglass wearing migraineurs wanting benadryl with their dilaudid,
Send these, the fibromyalgiacs, with their fauning families to me,
I sneer inside the emergency golden door."

Of course this is based on the inscription on the statue of liberty:
Give me your tired, your poor, 
Your huddled masses, yearning to breath free, 
The wretched refuse of your teeming shore, 
Send these, the homeless, tempest tost to me,
I lift my lamp beside the golden door.