Something funny

  1. 6
    At a mandated meeting (for newbies) we had several department managers come talk to us...one kept insisting that "ER is different because its more of a 1-1 care situation" ha ha ha ha ha ha ha ha ha ha LMAO!!!!!!!

    Thought you all would get a kick out of that! She then proceeded to tell us stories about how everything is basically ERs fault- what else is new? LMAO

    Posting from my phone, ease forgive my fat thumbs!

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  2. 28 Comments...

  3. 4
    it's amazing what people think ER nursing is like!
  4. 2
    Quote from itsnowornever
    At a mandated meeting (for newbies) we had several department managers come talk to us...one kept insisting that "ER is different because its more of a 1-1 care situation" ha ha ha ha ha ha ha ha ha ha LMAO!!!!!!!

    Thought you all would get a kick out of that! She then proceeded to tell us stories about how everything is basically ERs fault- what else is new? LMAO

    Posting from my phone, ease forgive my fat thumbs!
    *****.... I wish I could've been there to tell her about my 2 vent patients and my other pt on a nitro drip! Yeah... 1-1 alright... Haha
    SoldierNurse22 and Esme12 like this.
  5. 1
    Quote from SweetMelissaRN

    *****.... I wish I could've been there to tell her about my 2 vent patients and my other pt on a nitro drip! Yeah... 1-1 alright... Haha
    ???? I didn't even say a bad word! Lol oh well..
    Esme12 likes this.
  6. 4
    What is this 1-1 you speak of?
    Medic2RN, brillohead, Esme12, and 1 other like this.
  7. 3
    Our hospital has been trying to increase the overall morale of the hospital by meet and greets for other floors with ER staff.

    You know those pt's that we just CAN'T wait to admit and get rid of? Ya they have them their entire shift.. And if they work 2 days in a row, could have to deal with them still. I totally get that. I really do try to go out of my way to be friendly and build rapport with floor nurses.

    On the other hand, IMO, those nurses have no idea what WE are going through. If it's RNF, these people are stable, can probably walk/talk/feed themselves/take themselves to bathroom. I'm sorry that them being admitted and transferred to a RNF means 'drama' for them. I don't appreciate the 'games' they play. They know they are getting an admit, they know I'm calling. They hide, they won't answer the phone, they won't take report. They figure when I'm calling is a good time to perform a procedure, draw blood, pass meds.

    I would just love, in the perfect world, that there was a mutual understanding that both our jobs are hectic and chaos in their own way. It's not a personal thing that I want to make nurses suffer.
  8. 7
    I laughed from the very deep, dark recesses of my very jaded, PPI laden belly when I read that but fortunately in my neck of the woods things are changing. At my hospital last year we proved that ridiculous length of stay in the Emergency Department and delays in definitive treatment/specialist care were largely due to sluggish specialist review (both senior ER physicians and inpatient teams) and delays in access to ward beds (who knew?). Following a massive collection of data and some serious staff restructuring / planning, a new system for emergency patients was trialled and implemented with a four hour rule. That's four hours from triage to either discharge / admission to a ward bed, or transfer to another facility.

    Essentially this system has made length of stay in Emergency everyones' challenge and forced specialist teams to pick up the pace. If a ward has a bed available and the patient breaches the four hour time limit the ward is fined individually. The change is fantastic and we now have ward/floor nurses calling us to say "hey if you guys are too busy, we will come down and collect our patient". Brilliant. Ward nurses are getting to see first hand whats happening in ER and now have a big incentive to get their patients admitted. Best of all, patients aren't waiting FOREVER anymore- triage to appendectomy 1.5 hours and so on. Admittedly we are all working harder, but it is great for the patients. Also, the time wasters are seen by a senior doc quickly and sent packing accordingly.... The most gratifying thing about this system working is that we aren't the bad guys anymore....
    Last edit by NO50FRANNY on May 17, '13
    JBudd, turnforthenurseRN, nurse671, and 4 others like this.
  9. 1
    Quote from NO50FRANNY
    .... At my hospital last year we proved that ridiculous length of stay in the Emergency Department and delays in definitive treatment/specialist care were largely due to sluggish specialist review (both senior ER physicians and inpatient teams) and delays in access to ward beds (who knew?). ... ...If a ward has a bed available and the patient breaches the four hour time limit the ward is fined individually....
    This is brilliant! Are there any down sides? Is there any feedback from the floors and specialists regarding overnight shifts?
    SoldierNurse22 likes this.
  10. 1
    I was a floor nurse (tele) in the past. (Now in Ambulatory surgery)

    Sometimes I worked overflow in the ER, you know tele overflow. We (tele nurses) would come down and start the admission process while the patient was waiting for a bed. I got to know the ER peeps. They were my buds!

    I don't know where the 1-1 idea came from or what ER they were thinking about.

    As my friend would say, our ER was "Crazy Pants" busy!
    turnforthenurseRN likes this.
  11. 0
    I think it could be less about "people" not understanding the EC and more about what department managers understand.


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