acute MI comes into the ER.......

Published

transfered to ICU. (my patient)

6 hours before he is seen by cardiologist. (after many phone calls)

Is that unacceptable or what?!?!

Maybe the ER knew the guy would be admitted to your unit anyways and thought he would have the best chance on a cradiac unit as oppossed to a busy ER. As for the cardiologist being that late well....yeah thats pretty bad.

Maybe the ER knew the guy would be admitted to your unit anyways and thought he would have the best chance on a cradiac unit as oppossed to a busy ER. As for the cardiologist being that late well....yeah thats pretty bad.

Oh I'm sure. I'm not blaming the ER I'm upset it took so long for the cardiologist to come in and see my patient. Who was unstable btw. I was just wondering ...Is it just me? Because I was the only one that seemed to care that it took so long for this young man to be seen.

I'm only a nursing student but I can tell you that all it means to me is that you care for your patients...not necessarily more than your peers but to the point that you carry it bothers you more than it seems to bother others. The fact that he was unstable and it still took that long seems to be unacceptable to me and I would have reacted the same way. I wonder how many traumas were in the ER that day? Exactly how many MIs do there have to be going on at the SAME time to warrent a late arrival on behalf of the Doctor?

What kind of hospital do you work in? Did they have to call him to come into the hospital? I know I'll be geting in trouble when I get my degree because I see nothing wrong with hauling a doctor up to my ward be the ear!! :chuckle

Specializes in Emergency, Trauma.

Six hours is asinine! I thought I had it bad last Friday when I had an acute come into the ER and it took one hour for the cardio to see, I was fuming! We normally get them into cath lab within 20 minutes from arrival to ER- they rarely go to the unit from the ER; usually straight to the cath lab unless some contraindication present.

Do they have intensivists or residents on your unit? Where I worked as an extern and tech there was a chain of command if their was an innapropriate order or situation (like yours). 1st call the person your trying to reach, then if nothing works 2nd call the house nursing supervisor and they'll contact an attending dr. or continue trying to contact the person you cannot reach. Does your hosptial have something like this?

Was the man treated with TPA? Nitro IV, Morphine ,ASA ? Or just told the doctor will be here soon (Haha) I can't imagine the damge done to his heart muscle if not..and then if such did happen, it should be brought to the attention of someone higher up. It is disgusting that the cardiologist didn't show up for 6 hours. He should have his license pulled if he cannot own up to his obligations to patients when on call. Unless of course he had someone else check the patient in the mean time. What type of hospital do u work at? Like how many beds etc. What state is it in? These kinds of cases are what make me wanna leave healthcare..it happens all the time, physcians who don't give a ****.

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