Quote from 33-weeker
i know there are busy ers and even busy days in the slower ones... but there have been times when i've been in an er on a sunday morning or the like. the staff were smiling & chatting, some sitting around, and it still took a couple hours or more to get through and get out. what's up with that?
simply the nursing staff can't do everything. there are lab tests to be run, xrays to be shot and interpreted, fluids to infuse, and most of all, doctors to disposition a patient.
all i can do is be sure the labs are collected and in the lab, the xrays are ordered and prep done (such as oral contrast for some cts), fluids are hanging and infusing without difficulty, and that the doctor is aware that all is back and ready for the doctor.
--make the doctor see the patient (though i sure do try sometimes)
-- run the lab tests and release the results (except for point-of-care testing)
--take the xrays/cts
--interpret the xrays/cts
--make the fluids go in faster (well, i guess we can....but we only use those pressure bags when really needed, not for patient convenience)
--make the doctor chart and disposition the patient.
-- during the night, we also can't make the on-call ultrasound tech/nuclear med tech/ etc get there any faster.
we also can't help it when all the tests are back, and the doc decides to order a few more, just to be sure. trust me, we want to choke him/her then, too.
so yes, there may be some "down time" for the staff when a patient is waiting to be dispositioned. we're waiting, too.