ER Burnout

Specialties Emergency

Published

So after working two years in the same ER, I feel as though I'm finally reaching burn-out. I've worked every variation of shifts - all day light, all night turn, weekend only - and nothing seems to make any difference. My coworkers, for the most part, are decent people but a lot of them seem to feel the same way I do. Good people who I have looked up to, with years of experience, are leaving. To replace them, we're hiring people with no experience. We're too inadequately staffed to do things correctly. I'm terrified I'm going to make a mistake that will hurt someone. Last night I had two patients come in almost simultaneously, without prior notification by EMS, in flash pulmonary edema. One stabilized with BiPAP and a nitro drip, and the other with just the nitro but things could have gotten a lot worse easily. I feel like my nurse manager portrays the situation less than accurately to the ED director so he in turn thinks things are peachy keen for nursing. The place is a disaster waiting to happen.

Specializes in ER.
If you're getting the symptoms of burnout:

Fatigue even though you've slept for a million hours,

Irritablility,

Cynicism,

Impatience,

Indifference,

Numb,

extremely Low stress tolerance.... etc.

TAKE TIME OFF! You'll be back in the game afterwards.

well that describes the normal working attitudes/behaviors in most ER's!

Specializes in ER/Trauma.
It is nothing to see 25+ patients per RN in a busy shift. The management is not supportive at all, if anything happens it is always the nurses fault.
Just to clarify: I'm assuming you mean "25+ patients on average PER RN during the entire shift" and not "25+ patients assigned to EACH RN during the entire shift". I know it sounds absurd but I thought I'd just like to clarify.

The reason why is because I've done my fair share of 30+ patients during 8 hours of Fast Track.

I've also had nights when my pod-partner and I have dealt with 9 patients a piece --- including an intubated patient each along with active MI patients (and not to mention the 4 year old brought in "almost intubated" because of severe resp. distress...)

And just to clarify: I'm not trying to 'brag' or 'one-up' or 'things could be worse' or anything like that (which is beyond childish to begin with!) I'm interested in knowing what the status at other EDs are. Our management seems to be fairly open about staffing - but they seem to 'favor' certain shifts over others (i.e. pulling staff from the "other shift" so as to satisfy the "prefered shift" even if it means that sometimes it'll leave the "other shift" lacking).

cheers,

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