Case in point.... We are seriously up to our assholes in patients. The acuity is way up. Patients that usually get put in rooms and monitors are in the hallway. There are NO inpatient beds and the traumas just keep coming. Given the situation the charge nurse called the coordinator (its becoming well past unsafe here) and is promptly hung up on. It wasn't until the house administrator came down to investigate the 4,000 trauma pages and saw the zoo that we finally went on diversion "for 2 hours to decompress."
I also noticed that the ED education staff seems to think that this is a democracy. Everyone should be equal and allowed to "do everything." So folks that can't handle a 4 patient zone are being trained for triage, charge and trauma. One refused to check the airway cart because 1) its the dr's job and 2) I don't use any of that stuff. Many don't know how to care for a mechanically ventilated patient (100% fiO2 and pO2 of 430 is not really a good thing!) and ACLS is no longer a requirement.
I am starting to feel like a rat in a sinking ship (again). I want to stay because I know this is what I am good at. I doubt that I will leave the ER completely, but I need something more challenging that makes me think. There is no way in hell that I am going back to neuro. I will kill the troll and they really dislike my use of the f-word. Ugh... don't know where this restless feeling is coming from.
Had to work with one of my least fav doctors the other night. He is the quintessential community doctor who has blessed us with his presence in a level 1 teaching hospital. He is a "white collar worker" who looks down on everyone else. Seriously, he called nurses blue collar workers with no integrity or work ethic. When he starts talking with other "colleagues" you WILL NOT get a word in. I had a patient that was not doing well but could not get his attention to tell either he or the resident about it. He is one of those doctors that will be nice to the patients face and completely bash them as soon as he leaves the room.... no matter what their injury or education level. They are below him. He is also the medical director for our special forces medics.... so when they are around he is all about teaching and being involved. As soon as those guys leave.....he doesn't give a shit. So to my dearest Dr BORED....
love.... one of those blue-collar-nurses!