Published Mar 22, 2009
Roy Fokker, BSN, RN
1 Article; 2,011 Posts
We've been getting really brutalized at work of late. I think we were on divert/bypass for 3 straight days this past week. Pts. every freaking where - to the point that Saturday morning, I was juggling 6 pts. by myself with three of them sharing the same hall-way bed assignment on the tracking board. It was a four hour wait - "minimum" out in the waiting area (post triage) and it was taking upto 5 hours for some pts. to see a doctor!
One of our CT scanners has been down for over 2 months while they replace it.... not that it matters any different since there is only one CT tech on duty! The wait-time it takes to get a CT is starting to look ludicrous (almost as bad as our infamous one-time record of 93 minutes to return a lab Troponin level ... I always draw an extra tube now so that I can run a bedside Troponin if needed).
If this wasn't bad enough, some of them smart-folks in management decided this was the time to wax/strip our floors. If you thought your ER couldn't smell any worse or get any noisier - think again!! Bad enough you have to work in such an environment - but to be 'assaulted' by these smells and sounds when you're trying to concentrate on an empty stomach and a full bladder is truly trying!
Our computer system is still suffering from "glitches" and it's been over 3 months since we upgraded to the newer, better, more STABLE system. And speaking of "stable systems" - the tube system has been going "down" routinely... almost at the rate of 2-3 times per week. Lab taking forever to get results? Well, you're wait time just got longer - because the computers are down and you're back to using paper slips and the tube system is down which means instead of instantaneously sending samples to lab, some poor fella has to ru 'em up stairs....
We're out of the regular "stock" of Dilaudid and Morphine carpujects (especially the nifty, handy 1 mg Dilaudid and 4 mg Morphine ones). Which means, every time a Doc orders Dilaudid 1 mg (which we hand out like candy round here at Crack City Hospital ER), you have to find another nurse to "waste" or else Pyxis won't vend. And when you run out of the 2 mg ones as well, you have to revert to using the multi-dose vials
Oh and did I mention the fact that JCAHO is coming? Y'all know what that means, right?
Why does it all have to happen during the freaking WINTER??? THEY KNOW it's our BUSIEST freaking time of the year!! Why do they choose to do computer updates, CT scanner updates, floor waxing and all the other crap during the middle of the forsaken winter??!!! Who are the numbskulls who get to make these decisions??!! :banghead:
We're desperately short techs - which means nurses are left holding the bag when it comes to vitals, ekgs, transport to tests and the 1001 other things that our techs do. So it takes 2 hours for someone to get a head CT because there are 35 other people in line and we have only 1 tech to do transport....
Every one and their grandmother seems to be sick.
Every one is stressed out and every one is grouchy and every one is disgusted with the way things are going.
I love winter but seriously, work is messing up the vibes.
Gah!
ticked off,
Roy (who is off to the range to relieve some stress)
Vito Andolini
1,451 Posts
Wow, Dude, sounds like a challenge. How'd you do at the range?
Great video!
mama_d, BSN, RN
1,187 Posts
I can totally relate to most of your rant there. Hopefully it gets better for you soon.
The floor thing always gets me...the ED is on diversion, we're playing musical beds to try to get some rooms freed up (you know, the whole deal where I move a patient to medical, so that step down can give me a patient, so that ICU can send one to step down, so they can get the trauma), and some jack*** decides THAT'S a great shift to strip and wax the floors on three different units at the same damn time?
We've been getting in trouble at work lately if we're not maintaining a positive attitude...my new mantra has been "be optimistic, not realistic"...maybe some day one of the GI docs will remove upper managements' heads from their you-know-whats and it will get better. But I'm not holding my breath.
netglow, ASN, RN
4,412 Posts
Yikes!
Virgo_RN, BSN, RN
3,543 Posts
Makes my day look like a walk in the park. I'm sorry. I hope things turn around real quick for you.
BBFRN, BSN, PhD
3,779 Posts
Ugh, I've been there. Don't miss it at all. I hope your next shift is better, Roy.
Elvish, BSN, DNP, RN, NP
4 Articles; 5,259 Posts
It's days like those when I just quote lines from my favorite movies to myself all day long. :icon_hug: to you, Roy. Hope some of that negative energy got, um, responsibly discharged at the range.
leslie :-D
11,191 Posts
you need to start saying "no" to those extra hours you're working.
i'm sure that will be helpful in alleviating some of the frustration.
be nice to those golf balls.
leslie
prmenrs, RN
4,565 Posts
I don't think he's @ the driving range, I think he's playing w/guns!!!
HippyGreenPeaceChick
183 Posts
Whether you hit golf balls or shoot guns it is at the Range. The Driving Range The shooting range. Wonder if someone ever combines the two what will happen. Golf range Gun range, I know they can call it "The Shooting Iron Range"
casi, ASN, RN
2,063 Posts
Ouch... All I can say is: *hugs*
truern
2,016 Posts
Wow, Roy!! Thanks for the golf ball thru my living room window! Taking out *all* your aggression, huh??