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Constantly being put in triage or fast track

Emergency   (1,070 Views | 6 Replies)

Stella_Blue specializes in Emergency Nursing.

4,767 Profile Views; 206 Posts

So let me just start off by saying that I do work the 1300 to 0100 shift, so I understand that this in itself is half the issue, but I am constantly either working triage or fast track. I hardly ever get a room assignment in the main ER.  There are other nurses who work my shift who do not experience this to the level that I do. It has gotten to the point where I now am starting to keep a log and will present it to my manager when I feel I have enough data.

Has anyone else experienced this?  I feel it's one particular PCC who always sends me away, as others tend to be more fair with me.  Advice on what to do. If I wanted triage or FT all the time I would get a clinic job.

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1,739 Posts; 17,967 Profile Views

I don't know what a PCC is, but have you tried talking to this PCC?  "I like helping the team however I can, but I feel like I am spending a lot of tie in triage and fast track. Could we try to balance things a bit?

Something like that.

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Stella_Blue specializes in Emergency Nursing.

206 Posts; 4,767 Profile Views

A PCC is what our charge nurses are called. I have tried something along these lines with them and the manager, but it just feels like I'm a broken record. I generally get "well these are our needs at the moment so this is the assignment you get."  

In retrospect I will see them change assignments for other nurses so they can not spend so much time in triage especially.  

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juniper222 has 2 years experience and specializes in Pre Nursing.

274 Posts; 2,188 Profile Views

If you have already talked with the manager and charge nurse about it I don't think there is anything else you can do short of leaving.  Time to decide if you are willing to accept those conditions or leave.  One more thing, the current situation will probably change if you stick it out for a bit.  It might take some time though.  

I had to work in unfavorable conditions under a new manager and ended up leaving.  I got along great with my old manager but the new one was clueless.  Good luck to you whatever you decide.

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13 Followers; 4,056 Posts; 31,623 Profile Views

You can try addressing it head on in the moment as well. I don't love that option but it's what other people do and the ones who don't get the short end of the stick often enough.  If you're going to try it be resolute. "I was just in triage for 12 hours yesterday. It's someone else's turn." Don't be pathetic about it.

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speedynurse is a RN, EMT-P and specializes in ER.

36 Posts; 204 Profile Views

This might be a compliment to be placed in triage or the fast track area. Many times, the newer nurses are placed in the regular block assignments, while the more experienced nurses are placed in triage (or fast track because they can handle that area and float to help their coworkers). This has happened to me a few times. You could always turn it into a joke and say something along the lines of "I am going to forget how to take care of the super sick patients!"

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InHisImage has 13 years experience as a BSN and specializes in ER.

7 Posts; 39 Profile Views

Keep your log and try the suggestions given here, but if you think your assignments are becoming punitive, and if you belong to a union you could try talking to your union rep to see if there’s any way they can help you out.

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