That same night one of our RTs came in with an acute asthma attack. I have taken care of her before and know how sick she can get. I had her in the first room I saw, lined with mag and albuterol before the doc even walked in. She couldn't even talk, so I talked for her. Like I said, we have a history.... she was so appreciative. We kept her from getting tubed, but she did end up on Bipap in the ICU. At the same time I was pulled into another room to help give tPA to an acute stroke. Other than the charge nurse and myself, nobody in green had worked in my ED longer than a year. That makes for a tense situation when we are busy and have 2 high acuity patients early in the shift.
We have unfortunately come to the time of year when it gets COLD. I mean really fucking cold around here. The first snow Friday night brought in the drunks and those who were unprepared for the weather. AKA: the homeless who were unable to get into the shelters in time. We had a run of "chest pain" and "suicidals" who by-the-way needed a place out of the cold for the night. We also have a new frequent flier... she is from the southern area of the state and came to us as a transfer about 2 months ago hen she hadn't been to dialysis in over a month. Since then she has been in and out of the hospital for a million different reasons. He family now refuses to take care of her, so she is essentially homeless. She has been staying in a local hotel on the hospital's dime with the promise that she will pay when her check comes. We all know that's gonna be the same day I start as forward for the Knicks. She has been kicked out of the hospital multiple times and has started the hippity hop around the city.
I guess if this was TV, someone would adopt her, or find her a place to live. In the real world.... who the hell knows. She will be back this week, I can promise that.