As the high peak season continues, one of the most frustrating things that comes with my position is a particular provider that works the fast track and will have patients that are otherwise 1-2 hours a four out visit, which makes a level 4 or 5 patient a 4 hour wait, allowing the waiting room to remain overcrowded during the 12 hours this provider is working.
With sick kids coming in, staying, and boarding mixed with a provider who treats fast track like a small low volume doctor's office, it can make one keep the mantra "I need my job"...
The silver lining was other providers picked up patients and tried to help the situation, but everyone knows that this person is not up to par, but due to short staffing continues to be needed and makes a shift challenging between disgruntled parents and delay of care.
I anticipate a much better week; I have four days off starting Tuesday, which makes my next shifts much easier to look forward to.
So, what I learned this week:
That I knew that a DinaMAP only measure mean arterial pressure and guesstimates what an actual blood pressure COULD be.
That our unit needs to advocate more for detecting ovarian torsion in our female pts; the residents seem more willing to work up for PID first instead of torsion, for some reason-although so far no ovaries have been lost, why take that chance?
Subjective opinion in a position of power can be dangerous and make peers question one's intent;
That healthcare advocacy can allay people's fears and can help turn frustrations into a position of progress.
That I could probably pass the CPEN, but will take a few more steps before I take the certification test-my plan is to have the same study blueprint that I had for the NCLEX to allay my test anxiety.
