Holding down the fort
I took the trauma room over from one such nurse the other day. The room was absolutely trashed. All kinds of shit missing to include Ambu bags, stylets in the airway carts and suction equipment. I asked the charge nurse what the hell happened.... she said the nurse's name rolled her eyes and then told me there was one trauma in there ALL day..... thats it! Ugh.... so this bitch can't even handle an easy, not-so-sick trauma. What is she going to do when they open a chest? Work a big burn? Or god forbid a police/fire/rescue person where tensions are ALWAYS high? One of the docs listened to me rant and suggested that I write her up. Unfortunately, until I actually see her fuck up or hurt someone I have no grounds to say that she is a moron.....even though it is a well known fact!
After cleaning the room from top to bottom, pulling all of the extra crap out of the carts and reorganizing, I was finally ready to rock and roll. We took a transfer from a Level 2 trauma center. 65yo F that had central cord syndrome from an MVC. She arrived fully dressed from the waist up.... although they had taken the time to cut her pants, unsnapped her little girdle-leotard thing and placed a foley. She had not been taken off the backboard or hard collar at the other hospital. Her accident was at 1300.... she arrived to us at 2045! Almost 8 hours on the fucking backboard! That is criminal! We got her off the board, into an aspen collar and into a warm gown. Ironically, once she was off the board all of her peripheral weakness went away and she was just fine. CT's were normal but she stayed for observation (and possible workup for decubs and rhabdo!).
As it gets cooler we are getting more of the "street variety" type patient. Is not so cold that they are complaining of chest pain or suicidal ideations (that warrants an actual workup) they are just coming in drunk. The new PC term for the homeless???
I love it!
PS: had an exposure to a known swine flu patient for the second time in 2 months. That nasal spray better fucking work!