Carotid

our emergency departments are the last departments in most hospitals to see renovation despite tremendous "seasonal" increases in wait times and those who "leave prior to treatment" because emergency departments across the nation (get this) don't make money!!!! wonder why we hold patients on an endless cycle? we don't make money for the hospital!!! do you all see a "deal with it" subliminal message coming from your administration when requests are made for nursing help, or when you seek renovation to underutilized areas to hold patients waiting for admission? gee, i wonder why the or gets the most technologically advanced systems for patient care when we have to rely on a zoll monitor for rhythm strips for the hallway patients? if you wonder why, follow the $$$ folks. medicaid just ain't payin', and certainly the self payers aren't. o.k. off the soap box now.... carotid supplying oxygen-rich blood to billions of brains globally

???????? carotid supplying oxygen-rich blood to billions of brains globally

of all the departments and nursing floors in any given hospital in america, the er remains the only unit that never runs out of beds and can always accomodate any and every direct admit. 100% of patients presenting to the er because their private doctor told them to "get there right now" never anticipate any form of wait. i have never met the driver of the car that rear-ended someone else and was at fault. 9 out of 10 nurses have college friends (not in the medical field) that did not apply themselves in school, had a botched gpa, sucked at interviewing, and still make more money than we nurses do, go home early, urinate every 2 hours, get an hour for lunch, and have their holidays off. 10 out of 10 "disabled" drunks that have seizures because they can't afford their dilantin are wasting taxpayers dollars. 6 out of 10 ena members don't see the benefit of membership. more to come.... carotid supplying oxygen-rich blood to billions of brains globally

saw a worm squirming in fecal material collected from an 8 year-old girl.....yack, yuck, gross, eeeyyyywwww carotid supplying oxygen-rich blood to billions of brains globally

100% of america's ers would be 50% as busy if 75% of patients would try the home pregnancy test. 75% of patients presenting to ers don't need emergent treatment; 20% of patients do need emergent treatment; 5% of patients should have listened to the nurse giving d/c instructions yesterday to prevent becoming a part of tomorrow's 75%. 3 nurses out of 1 are needed in america's ers. 100% of drunks presenting to ers consumed only 2 beers. 9 out of 10 nursing home patients requiring er treatment have poor nursing home care. more to follow..... carotid supplying oxygen-rich blood to billions of brains globally

doesn't sound good for the home team. our er staff began training for meditech charting this week. why did you go from one click options to ten clicks since your inservice training? carotid supplying oxygen-rich blood to billions of brains globally

1. pts referred to the ed to be seen by a physician other than the ed docs. "well our doctor told us to come directly here and the surgeon would be waiting on us, and you're telling me you have a 6 hour wait?" reply, "why yes, this is utopia hospital and our doctors, surgeons, nurses, etc are all waiting around the last available bed for you with everything you need." 2. upon d/c the pt tells me that they can't take vicodin; only lortab works for their pain. reply, "did you tell the doctor that?" of course they didn't:angryfire . now the doctor is in intubating a sick pt, my charge nurse in breathing down my throat for a bed:angryfire , the pt refuses to leave the room:angryfire , press gainey tells me to do everything for the pt (even when they're low life, stupid individuals):angryfire , jcaho tells us that the additional script pads are to be locked up :angryfire and no one can find the key :angryfire and it's gonna be about another 45 minutes before i can get the daggum script changed:angryfire . 3. l&d: "this pt is how far along?" me: "15 weeks and 5 days." l&d: "we only take pts who are 16 weeks with abd pain." me: "but they're 15 weeks and ......." l&d: interrupting, "16 weeks with abd pain." me: "but...." l&d: interrupting, "have a nice day." 4. the 650 pound lady placed in 180 degree trendelenburg still slides out the foot of the bed. (and my techs/ct staff wonder why i tie the head of the bed sheet?) 5. speaking of ct techs.... sending an outstanding pt with an outstanding supportive family to ct in outstanding fashion and comfort, only for them to return with the bed sheet wadded under them laying on exposed mattress, bed sheet thrown over them without thought, cattywompus in the bed like they were thrown over from the scanner. 6. walking a pt to a room from triage when they've waited 3 hours, get them undressed and as i'm approching the right shoulder with the white lead they ask, "can i go to the bathroom, i've got to pee.":angryfire carotid: supplying oxygen-rich blood to billions of brains globally

here in columbia, sc our ed calls our observation unit the clinical decision unit (cdu). in short, this "wing" of our ed admits patients who are not "discharge home" material, nor necessitating hospital admission. we admit those with low probability cardiac chest pain, asthma exacerbation, simple abd pain, metabolic derangement, and the ever-growing psych holds. my question is simple: for those who are admitted with chest pain, have negative ecgs and negative serial cardiac enzymes, would it be profitable to keep these patients within the department when performing nuclear stress testing? what i mean by this is one er physician observes the stress test in the dept. while a nuclear tech injects with the radioactive isotope. then, the patient is sent to nuclear medicine for their necessary scans. again, profitable? reimbursable? safe? our jurisdiction? carotid supplying oxygen-rich blood to millions of brains globally

does the law protect your patient's confidentiality from other staff rns in the emergency department? i was under the impression that the only staff that are privy to my patient's information (i.e. chief complaint, pmh, etc.) are me, clinical coordinator, the attending md, unit secretary, registration clerk, and those performing ancillary services (radiology and ecg). i simply have a peeve when i find other rns flipping through my patient's chart asking, "hey, what's going on with this patient?" thanks in advance, carotid supplying oxygen-rich blood to millions of brains globally

:angryfireGRRRRRRRRRRRRRRRRRR

(pt brought in by ems in full spinals) "neck and back pain." how did this occur? "i was trying to get the last portable dvd player and this other lady rammed me with her shopping cart."

no shopping incidents at present; i'll keep you posted if they do.

ahhhhhhhhhhhhhhhhhhhhhhhh, relief's here. . . . going home. nite everyone.

(yaaaaaaaaaaaak, hockin up a loooooooogie) "i can't breathe!" you can't breathe, or is it hard to breathe? "i can't breathe!" how long's this been going on? "for a week. here's what i been coughing up, see?"

"wrist pain for 3 weeks." what made you come in tonight on thanksgiving? "my daughter here."