Uptoherern

In my job no matter what you do it isn't good enough. Our "mandatory" meetings are always at 7a. We are constantly lectured about lwbs percentages and what we are doing wrong. We hardly ever hear about what we are doing right!

It's usually not the case that there aren't any beds. It's because they staff so tight (wad) that there aren't enough nurses to take admits. Nobody on call either. So the patients lay in the Er and it causes a trickle down effect. Increases left without being seens (such horror!) and waiting times and complaints. It's so obvious what the solution is but apparently no one can see it from the ivory towers.

seriously???????????????? get a life.

I triaged an elderly man whose complaint showed up in the computer as "hand injury". When I asked how, he proceeded to tell me that he had had some severe chest pain and collapsed to the ground, thus injuring his hand............we have no cath lab.......acute MI........flown out by helicopter for an "injured hand."

EEEKS! no one addressed EMTALA that I can see. Your ER is responsible for everyone in the ER and for everyone WITHIN 250 FEET OF THE ER. Call security.

i agree; it is confusing. We just started it & were basically given no "ground rules"; just get them to a bed, "maybe" put the cuff on them, push the button & walk away. So far the nurses are ******, the patient's seem confused & the docs want "at least a set of vitals and a weight" before they go in the rm. Ideally athe assigned nurse & a doc are supposed to go in the room at the same time. How often does that happen? Not very; actually more closer to never. I hate press gainey!

we have been told in the past that only an RN can get initial sets of vitals. this is in AZ......are there other states that require this ? (Or maybe this is only required in the mind of our old director??)

guy up probably 30 feet, trimming a palm tree with chainsaw.........this is how they do it all the time. He fell, hitting his head on top of 6' block fence. doa. chainsaw missed.

our hospital has now started a "bedside triage" rule. If there is an open bed, pt gets thrown into it. Am willing to try.......since we were told basically we would be fired if we don't. mgmt seems to be breathing down our neck. If 10 pts and 3 ambulances all arrive at once, and there are 4-5 nurses total in the ER, then someone is probably gonna have to wait at least a little bit, aren't they? Apparently not. Throw them in a bed. The nurse assigned to that bed is supposed to triage (sometimes, I geuss, the doc might get there first). I don't know how this is supposed to work, haven't had any formal meeting about it. What about the "ankle injury" sign in who actually had a syncopal episode due to an underlying heart px who is thrown into a fast track bed? Move 'em out, I geuss. Hope you have a bed in main ER, because it may hold a 15 year old "chest Pain" who has a cough. Sometimes, pt's are moved in the computer and look as though they are in a bed,, but aren't. Where are they? Does a nurse have them in the bathroom? are they in the waiting room still? If this works at your hospital, please offer some encouragement. I geuss the bottom line somewhere has to be $. Move faster, work harder, get em in, get em out.

I've been in my current ER for about 6 years. In that time we have had 6 ER directors. Some awful, some trying . Is this normal????? Our ER main doc says it's the worst job; if you try to please mgmt, all the nurses hate you. If you try to please the nurses, you get fired. I find this to be true. The ones who were "pro nurse" lasted a very short time. The ones who were "pro mgmt" lasted longer; but were so terrible. Is this the same in all ER's? or is my mgmt just worse?

I had an emergency with my dog and took her to the vet office. When I got there, the girl at the counter got on an overhead speaker and called for the "triage nurse". !!! I asked if she was really a "nurse", and the girl at the counter said no, that's just what they call them. I wasn't very happy about this, and she sort of ran away. A vet tech = a nurse. Puhlease.

[ It does not matter how you are treated by an employer, you should always do your best and follow the rules unless there are extreme circumstances. To not do so is unprofessional. you have got to be kidding me.

at least you didn't go to the ER.......................

Arizona can get a ratio bill passed, IF nurses support it and help it pass. It is HB2041. you can do an allnurses search for more info. There is a rally at the Phoenix capital bldg THIS thursday (valentine's day) at noon. Do your research, and support this bill!

i read somewhere that for every hour of diversion, an er looses approx $1800 an hour. So yeseree bob.........the bottom line is colored green.