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Emergency   (2,816 Views 15 Comments)
by TXTraumaRN TXTraumaRN (Member) Member

TXTraumaRN specializes in Emergency nursing.

1,290 Profile Views; 29 Posts

Ok ladies and gentlemen,

I haven't made very many posts on here yet, but tonight I have to rant. I just got home (0100) after my 12 hour 11a-11p shift. We had a fairly nice day today until about 1800 when the bottom fell out of triage and EMS both as the ER is known to do. For whatever reason, our director (i.e. nurse manager) decided to monitor our tracking/charting system from home tonight.:o At approx 2200, she took it upon herself to call the charge nurse and chew him out for not opening our overflow rooms; (we were already working short staffed) she wanted him to have our dedicated EMS nurse (we have a nurse who answers the EMS phone/radio and directs traffic) open up overflow rooms and take pts. Keep in mind that this particular nurse would be leaving an hour later at 2300 and would not have a nurse coming in to relieve her. :angryfireThe director then proceded to call the triage nurse and tell her that she was not triaging people fast enough.:angryfire We staff triage with 1 LVN to greet pts at the desk and 2 RNs to triage. Tonight, we got an ICU nurse floated down to help out; they put her in triage because she doesn't know how to chart in our system or how the ER flows. She got a brief 10 minute "here's how you triage" from the other triage RN. This place is driving me insane!!! This is all on top of an email that we received last week, saying that due to increased pt volume after moving into our new ER (they claim they didn't see this one coming), the staff members who work 11a-11p will now be required to work one 3p-3a shift a week to help cover. No "hey why don't we discuss this with the staff first"; no, just "this will go into effect the next schedule" that comes out in 2 weeks.:nono: Why just the 11a-11p? Why can't they rotate it so that all the shifts have to take turns working an odd shift? Oh wait, that would be fair and make sense.:idea:

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KellNY is a RN and specializes in High Risk In Patient OB/GYN.

710 Posts; 7,508 Profile Views

This whole post annoys me--especially switching the shift on you like that, even if it is "only" once a week. What if you were a single parent and didn;t have childcare for those hours? Or you took care of an elderly family member. Or had another job? Or even more rare--a life? That's not right...

Sorry you're going through this. Do you have a union?

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UM Review RN is a ASN, RN and specializes in Utilization Management.

7 Articles; 5,163 Posts; 27,535 Profile Views

Sorry you're going through that. I really respect you ER nurses; I couldn't do it. Hope things improve - quickly.

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teeituptom is a BSN, RN and specializes in ER, ICU, L&D, OR.

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Did she monitor you from home or Did the ER Doc go behind your back and call her up complaining you werent getting the patients back fast enough, or that you were short handed.ER docs are well known for being manipulative and passive aggressive in nature.

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Ok ladies and gentlemen,

I haven't made very many posts on here yet, but tonight I have to rant. I just got home (0100) after my 12 hour 11a-11p shift. We had a fairly nice day today until about 1800 when the bottom fell out of triage and EMS both as the ER is known to do. For whatever reason, our director (i.e. nurse manager) decided to monitor our tracking/charting system from home tonight.:o At approx 2200, she took it upon herself to call the charge nurse and chew him out for not opening our overflow rooms; (we were already working short staffed) she wanted him to have our dedicated EMS nurse (we have a nurse who answers the EMS phone/radio and directs traffic) open up overflow rooms and take pts. Keep in mind that this particular nurse would be leaving an hour later at 2300 and would not have a nurse coming in to relieve her. :angryfireThe director then proceded to call the triage nurse and tell her that she was not triaging people fast enough.:angryfire We staff triage with 1 LVN to greet pts at the desk and 2 RNs to triage. Tonight, we got an ICU nurse floated down to help out; they put her in triage because she doesn't know how to chart in our system or how the ER flows. She got a brief 10 minute "here's how you triage" from the other triage RN. This place is driving me insane!!! This is all on top of an email that we received last week, saying that due to increased pt volume after moving into our new ER (they claim they didn't see this one coming), the staff members who work 11a-11p will now be required to work one 3p-3a shift a week to help cover. No "hey why don't we discuss this with the staff first"; no, just "this will go into effect the next schedule" that comes out in 2 weeks.:nono: Why just the 11a-11p? Why can't they rotate it so that all the shifts have to take turns working an odd shift? Oh wait, that would be fair and make sense.:idea:

Sounds like they are setting themselves up for a nurse exodus. Will serve them right, it will be the people that remain behind that will suffer the most.

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TXTraumaRN specializes in Emergency nursing.

29 Posts; 1,290 Profile Views

No, she has access to our system from home. She was also sending emails through this system, saying we weren't triaging fast enough. This is a Level 1 trauma center, by the way. The thing that's really annoying is that by the time she called the nurse in triage, the waiting room really didn't look that bad. We had 5 or 6 waiting to be triaged and about 10 in the waiting room. All the ones waiting were ESI 4.

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AnnieOaklyRN is a BSN, RN, EMT-P and specializes in ED, Pedi Vasc access, Paramedic serving 6 towns.

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Sorry you had a rough shift, but to me it seems your ER is wasting a couple of staff members. One to answer the EMS phone????? and an LPN to greet patients???? Woudln't these nurses be better suited helping to care for patients and lightening the load?!

Swtooth

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Ann RN specializes in ICU/CCU, CVICU, Trauma.

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No, she has access to our system from home. She was also sending emails through this system, saying we weren't triaging fast enough. This is a Level 1 trauma center, by the way. The thing that's really annoying is that by the time she called the nurse in triage, the waiting room really didn't look that bad. We had 5 or 6 waiting to be triaged and about 10 in the waiting room. All the ones waiting were ESI 4.

Since when does your nurse manager think you have the time to read emails AND do your job?

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Lorie P. specializes in Med/Surge, Private Duty Peds.

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If the ED thought you werent' triaging fast enough, then why she come in to help?? Also, who in their RIGHT mind things ED staff has time to surf the net, read email and still get the pt's triaged?? By the way what planet did the director come from??

So sorry to here this is happening to you.

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vamedic4 has 23 years experience as a EMT-P and specializes in Peds Cardiology, Peds Neuro, PICU, IV Jedi.

1,060 Posts; 6,900 Profile Views

Sounds like they are setting themselves up for a nurse exodus. Will serve them right, it will be the people that remain behind that will suffer the most.

Ohh, I completely agree with you. This place is setting itself up to fail..and the patient's are going to suffer right along with the nurses - and that's nothing short of criminal. Your NM needs a good swift kick in the area of her body she spends the most time thinking from...her bottom.:madface:

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TXTraumaRN specializes in Emergency nursing.

29 Posts; 1,290 Profile Views

Since when does your nurse manager think you have the time to read emails AND do your job?

We use IBEX PulseCheck. It has an email feature that allows staff to send emails. You can only access it while logged into the tracking/charting system. We use it so send out notes to other staff (i.e. LVNs are able to send the primary RN an alert when they chart on a pt, the docs use it to communicate with the nurses, CT reads are sent to us, etc). I go back Sunday (have PALS tomorrow and Friday) and I'm anxious to see what else has happened. That 8-5 clinic job is looking more and more attractive.

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AmandaBrittainy has 3 years experience and specializes in ER.

60 Posts; 1,718 Profile Views

Ok ladies and gentlemen,

I haven't made very many posts on here yet, but tonight I have to rant. I just got home (0100) after my 12 hour 11a-11p shift. We had a fairly nice day today until about 1800 when the bottom fell out of triage and EMS both as the ER is known to do. For whatever reason, our director (i.e. nurse manager) decided to monitor our tracking/charting system from home tonight.:o At approx 2200, she took it upon herself to call the charge nurse and chew him out for not opening our overflow rooms; (we were already working short staffed) she wanted him to have our dedicated EMS nurse (we have a nurse who answers the EMS phone/radio and directs traffic) open up overflow rooms and take pts. Keep in mind that this particular nurse would be leaving an hour later at 2300 and would not have a nurse coming in to relieve her. :angryfireThe director then proceded to call the triage nurse and tell her that she was not triaging people fast enough.:angryfire We staff triage with 1 LVN to greet pts at the desk and 2 RNs to triage. Tonight, we got an ICU nurse floated down to help out; they put her in triage because she doesn't know how to chart in our system or how the ER flows. She got a brief 10 minute "here's how you triage" from the other triage RN. This place is driving me insane!!! This is all on top of an email that we received last week, saying that due to increased pt volume after moving into our new ER (they claim they didn't see this one coming), the staff members who work 11a-11p will now be required to work one 3p-3a shift a week to help cover. No "hey why don't we discuss this with the staff first"; no, just "this will go into effect the next schedule" that comes out in 2 weeks.:nono: Why just the 11a-11p? Why can't they rotate it so that all the shifts have to take turns working an odd shift? Oh wait, that would be fair and make sense.:idea:

this reminds me of............OH - the reason there is a nursing shortage.

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