I am really starting to get sick of my particular ER that I am reconsidering taking a job here. The RNs are so lazy! They cannot do EKGs apparently. They cannot take their patient up to the floor. When I am taking their patient up one floor for them, they are unable to triage a patient because it's my job and so the patient will wait 25+ minutes because the floor is complaining to me, not the RN, that something isn't right or that they need more people to transfer the patient. So let's have it reflect poorly on me because the patient is waiting 25+ minutes! Not to mention sometimes I am on lunch and I hear the front desk call for someone to triage (and I am in the cafeteria) only to come back from lunch and have 3 patients waiting.
I am getting sick of it. I am done picking up extra shifts as a paramedic and I'll just do my regular job. Like I became like this before when I was working 48+ hours on top of school, but now I am just aiming for 24 or less plus school. Now it'll even be less.
I think I need to look for a job elsewhere so I do not pick up bad habits.
If I did not change the patient's bed or give them a bath during my shift, I would not expect to be fired or reported to the nursing board. However, if I did not get an accu check and provide sliding scale coverage, I would be fired and more than likely turned into the nursing board.
The techs where I work do accuchecks, and in the middle of having to do 7 or 8 HS checks we are expected to answer the bulk of the call lights, toilet people, weigh patients, help with admits, do any vitals that are due, and whatever else an RN demands you do RIGHT NOW, like clean up an isolation patient who just messed themselves in the bathroom or whatever. And while doing all that if we miss an accucheck, we just get fired. Forget to empty a drain no one told you about in report? Get hauled into a supervisors office the next shift. Do it more than once and get fired. Have too many RNs complain about you, get fired. Have too many techs from the next shift complain, fired. Patients complain, fired.
Our charting is audited. If an RN does do something you are supposed to do, that counts as a mark against you. I found that out AFTER thinking some RNs were just being super helpful by offering to chart stuff I did all the time. There are a thousand ways to lose your job and potentially end your medical career doing this job, it gets exhausting after awhile.
The other day I saw a call light on and a phlebotomist had just finished up doing a blood draw and informed me that the patient hooked up to numerous lines, tubes and drains would like to go to the bathroom. It suddenly occurred to me why is it they get to just hit the call light and move on to the next patient, while when I'm trying to get through a dozen or more vital signs I'm also expected to toilet people and record I/O and turn patients and get them fresh water and take out their meal tray and record their meal etc.
Imagine if a tech or CNA tells them I'm just here to check your vitals, but I'll hit the call light for you so someone else can do all that because if I don't get these vitals done by a certain time I can get written up? I'd love to see the look on an RNs face when I inform them the patient would like to go to the BR and I got other stuff to do lol.
Last edit by funtimes on Oct 22, '13
Someone asked what the triage process consisted of. I am assuming to make sure that I was actually triaging and not just registering patients.
Anyway, I don't mind taking the patients up but I would expect them to listen to the radio. I am the one who is chewed out when the patient is made they sat for 25+ minutes in the ER without seeing anyone.
The amount of rooms we run really depends on how many nurses we have and how capable they are. We have about 14 to 17.
The nurses here are spoiled from what I see or else they are just bad at managing tasks. On the flip side, we're all stressed because they are not replacing people in a timely manner.
I am thinking about trying for a L&D position after I graduate just for a change of pace.
Also, it's not really that safe for them to be ignoring the initial triage for any reason. The registration clerks are really bad at their stuff they put in the computer. Sometimes I am like "what the hell" when I see what they put in. It is not at all what the patient wrote down or what the patient tells me. I can see them putting down a "hand injury" for someone who comes in with an entire hand amputation. Or sometimes they make it more serious like someone wanted something change and they just threw in pain in the initial complaint form.
Last edit by applesxoranges on Oct 24, '13