I work at a level 1 trauma center in the ER. It's a teaching facility and we rotate trauma teams. Just like we can't choose the nurses that we work with in our trauma rooms, we obviously have no say in our teams and how they run their traumas. I'm acutely aware of the pain they create when there are multiple trauma docs, then our ED docs, who are all calling out orders. Do these trauma folks even run mock traumas? I'm just dealing with a bonehead chief resident, so I know it will end soon, just looking to vent.
Also, another issue that has me at wits end and is certainly NOT new in the ED, is dealing with nurses in the trauma room and some nurses not sticking to their role. Some can move effortlessly with other nurses, while some try to run things and try to order meds when the docs are standing right there calling out orders. In my mind, I think "what is going on?" Who do they think they are? We ALL know how to anticipate, but jumping on another's toes is not helpful and is wasting time. This situation I'm talking about is a nurse stating we need such and such med, not looking to see that I had meds in hand per the doctors order and another was held because it was given in the field. This nurse was too wrapped up in starting their IV to listen and was obnoxious about barking out what meds we need to give NOW.
When it's mass chaos, it's important to cool your jets and be clear about the orders with ONE main doctor. As nurses, our roles are specific and clear communication is essential at these times. You have your transcriber, your med nurse, and another for interventions. Sometimes we have a tech to help with VS, but often not.
I know not every nurse team works effortlessly together, but in times of trauma, it is essential that communication is key and for nurses to not take on the role of a doc. It's ludicrous and just need to throw that out there... I'm sure many of you all understand.
Have a great Saturday!!!