i come into work an hour early for a meeting, which is ok........no biggie. as i hit the back.....more than the usual monday......rooms 1-22 filled, plus hallways, a, b, c, d, e, f, g are filled. 12 waiters in the rack...for over 4 hours. then had a preson call off, which fortunately (was the one thing that went right) i was overstaffed by one person. :) while at one time diversion meant just that, the rules by the hospital were changed.........to only diverting squads not under our med control. then it was changed to......lets not divert anybody.........if we can avoid it. nobody wants that........but seems the people making these decisions are not the ones working in the er, with their licenses on the line......and a waiting room full of people.
in the meantime........the waiters yell at me, my co-workers yell at me, patients yell at me........doctors give me a hard time, because we can't keep up......and are not on diversion.
we then get a sqaud call for an acute cholecystitis.....which someone takes in our last monitored bed......then i get a call on an abdominal evisceration with bleeding........so i switch the two patients......i mean? when is the last time somebody died from acute cholecystitis and needed a monitored bed? i catch it from that person......... then i get told this nurse sucks, that nurse sucks etc etc. nobody is happy with anybody.....and i catch it all!!!!!
somebody looses their chart and its my fault........ ct tech calls from the main department all the way on the other side of the hospital ( and we have our own ct scanner and tech in the er)......and tells us to send the pt who needs a ct of the orbits doen over there, because its their new policy! this used to be routine in the er......now we have to give someone up to take them over there........ the agency people kepe asking for a pyxis number.....and i havent been able to get there...... then a complaint on the telephone........ then more complaints from the 6 hour waiters in the wr....... and from the people who are admitted and dont have beds or rooms yet........ then the labs ordered for a women (i.e. trich, chlamydia oral and vag, and some other stuff...........that seemed to be nothing but a confusing situation...........because lab wont take them unless the right labels are on the right things......and they cant seem to be able to tell us which go to which? now for two days.......have occupied on the average 11 beds in the er with inpatients for two days, and limited room for our true er pateints......... thought i was going to stroke out!!!!!
