Today I had a patient who has a previous MVA post 13 days from a different hospital for neuro declines and further exam from following commands to a GCS of 5, neuo exam L pupil fixed and dilated not reactive R pupil, no corneals, would flicker upper extremities to pain, lower left would flex toe to pain and right quad to pain, had many facial fractures which included a mandible which is floating, occipital bone fx, temporal and spenoid fx to name a few. Bilateral upper arm blood clots and that is it (no other history and his injuries was limited to his head). So the docs wanted to do a stat CT scan with perfusion to check for blood vessel abnormalities, hospital transport and we had no CNAs. So the charge nurse calls SOS which I had an issue with but different story different day.
Which the whole time this SOS nurse tells me that this patient should have been in the trauma patient because the nurses are better down there (which I guess whatever) he goes you neuro people are good with brains and that is not that critical (just rolled my eyes) and said you guys aren't ICU nurses because you don't take care of septic patients and multiorgan failure. Kind of made me mad.
What do you guys think of this?? Do your ICUs have this relationship where one thinks they are better then the other???