i work er. we have the usual new polic. and proced. but, it's getting rediculous. we are a "chest pain center"....whoopie !!!! one of the millions of policeis is that the pt. is taken to cath lab within 15 min of dx of acute mi. hence, lies the problem. had a pt with co midsternal chest pain. initial 12 lead showed nsr, ? elevation in a couple leads. gave the 12 lead to our attending, started the usual labs asa etc. before i got the ntg etc.. (approx 5 nin.) the pt went in vfib/vtch. so i got the pt to cath lab. the cath lab team was called in as i left, got the the lab. me and a medic were stuck with the pt in unfiamiliar teritory, the dr. agreed this was all stuupid but at least we have documented that we got the pt to the lab in 15. it took the cath lab staff 20 more min to arrive. so numbers don't lie , but liers make numbers.
i'm sick of putting numbers before pt. safety. also, we were very short staffed (usually 9 nurse, 4 tech, charge nurse), down to 3 nurses 1 uc and no techs. we had a 33 day baby code and the usual 35 people waiting to be seen. our admin calls in the middle of all of this to be sure to let us know the ohio state football score and to tell us people are going to be getting irritated with the wait, so be sure to offer comfort cart items to them and dvd player to prevent bad pres-gainy scores! trying to figure out how i can tell the parents of the baby and the lawyer that , i know the baby was coding but.....i had pres-gainy to worry about stupid!
what was she smokin'!!!!!