another year of the blog gone by

May this be the best year you ever had.

 

 

tired of your shit

I hate to say this....but  I am REALLY sick of taking care of people. I've been doing it for a long time and I am just tired. I'm tired of cleaning the butts of people I don't know. Is that okay?

Before you say, you knew what you were getting into blah blah blah.  Time for you to quit blah blah blah. Don't say it.  I will be gone within the year.

Is it possible to get a job where you sit in front of a computer, make the same money I do and only work a couple of days a week? Har.  I am looking for the ideal job. The pickins are slim.

you are going to hell

You go up close and personal to look at a Christmas manger scene.  Somehow you fall, right into Joseph, knocking his head off...

A question and a couple of comment:

1) You are going to hell. God don't go for that knocking Josephs head off shit.
2) Is God punishing you by breaking your ribs?
3) Next time, admire it from AFAR.   Geez.

Twas two days before christmas...

Merry Christmas to all of you.   See you next week.

patient satisfaction sweepstakes

The patient satisfaction thing has officially gone off the rails.

I read that an emergency room in Massachusetts is starting a policy in which nurses can order pain medication on their own. Due to medicare reimbursement being linked to patient satisfaction scores, a policy has been developed in which nurses can order anything from tylenol to vicodin to morphine to dilaudid after using some kind of pain assessment scale. The goal is to treat pain within 30 minutes of arrival.

Isn't this outside the scope of nursing practice?  Isn't this practicing medicine without a license? Doesn't this open nurses, hospitals, the doctor up to a whole lot of liability?

With the increasingly common use of NPs and PAs in the ER, along with stuff like this, why do we even need ER docs?

Your thoughts?