cardinalle

I work in a clinic with many different specialties, but the majority of our codes are vasovagal reactions in the tiny outpatient lab, or falls in the parking lot. Our clinic has an official policy that "any available" RNs are to respond to all codes, however the first aid bag, AED and crash cart are in our department, so available or not, we always send 2 ACLS RNs to any code. In the case of cardiopulmary arrest, one of our docs comes along. Fortunately there are usually other RNs and MDs responding, the bigger problem is to determine who is leading the code!

Maybe I'm weird, but 3p-3a was much harder for me than 7p-7a. The entire shift was busy, with no time for a break...until things slowed down at 3 and it's time to go home!

Just need to vent today... Rule: If you're coming to urgent care for an STD exam, LEAVE YOUR INFANTS/TODDLERS AT HOME! We had to tie up our ancillary staff FOUR times today to "watch all of the kids"..on a busy Monday....while the Moms had their pelvic exams. :angryfire

Our urgent care center is overwhelmed with the number of patients coming in with flu-like symptoms. We have been averaging 3 hour waits to be seen for the last 2 weeks. What has changed in the federal guidelines that will help us get these patients through more quickly? We had to reduce our staff earlier this year d/t the economic climate and are now totally in over our heads with no help available.

I reluctantly left the ER after many years because I wanted off of 12 hour shifts. I miss it...we need to come up with some good ideas for our "older" nurses who may need to back off of the loonngg shifts.........our ER has lost many experienced nurses for this reason. :zzzzz

For an insulin overdose: "check fingerstick blood glucose q1hr. Keep an amp of Dextrose at the bedside" No mention of administering it............

Oh I'm so glad this rant is here! "Customers" appear to be the same everywhere! What about the ones -who, upon arrival to the exam room, demand a phone, the TV remote, a glass of ice chips, and a warm blanket... and "go see if my boyfriend/girlfriend/or whoever is here yet" -or the ones you catch emptying the rooms supplies into their purses including kleenex, kidney basins, cups, alcohol wipes etc etc etc -or my favorites, the ones whose family members "wander" into the clean hold where they are caught swiping patient snacks...and then tell you "what's the problem, we're paying for this!"

While I may have missed someone else posting these chief complaints: 1. "My boogers are too hard" 2. "Theres something wrong with the baby (age 4 months) 'cuz she won't eat her Doritos" and my all time...to date...personal favorite: "When I woke up this morning my underwear were crooked. I want to be checked!"