In the ugly, grey world of hospital balance sheets it’s almost a commonplace that physicians generate revenue while nurses represent a cost. Fancy procedures and sub-sub-specialties bring generous income streams, in terms of charging (and profiting) from the provision of a multitude of related services, such as nursing, while nursing
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Those Emergency Blues: Karma Sweet Karma
The latest instalment of Nurses Behaving Badly featured the night charge and the day charge (i.e. me) getting a status asthmaticus organized in Resus 1 a few minutes after shift change. It’s probably reasonable to wonder why the two Resus Room nurses weren’t attending (and attentive to) the situation, especially after we
Continue readingThose Emergency Blues: Nurse, Interrupted
A pretty interesting video from Beth Boynton RN on what I call status interrupticus, the incessant and often needless interruptions nurses deal with when performing duties requiring critical thinking and judgement. It’s fairly well known, for example, at among nurses anyway, that many if not most med errors are attributable to nurses
Continue readingThose Emergency Blues: Best of 2011
A little late for 2011 retrospectives, but, as I said, I was busy. First list: the most popular by hits. Second: my personal picks. 10 Most Popular Posts (many of which were actually posted in 2010) 1. Can We Stop the I’m-a-Male-Nurse-Who-Isn’t-Gay-Contrary-to-the-Stereotype Routine? (An oldie-but-a-goodie. By far and away the most popular
Continue readingThose Emergency Blues: Dying Alone, Continued
Thanks to commenter Pagan Chaplain (Twitter ~ web) for pointing out the No One Dies Alone program, where volunteers under nursing supervision support patients who would be otherwise alone at the end of life. The program was started by Sandra Clarke at Sacred Heart Medical Center in Eugene, Oregon. She cared
Continue readingThose Emergency Blues: So Long, Robert
Not unnoticed by me is Robert Fenton’s likely last post at Nurse XY. This a real loss — Robert is a truly gifted writer, and always has something interesting and insightful to say. If you have a chance, head over and check out his stuff. Here’s hoping he changes his mind.
Continue readingThose Emergency Blues: What Nursing Leadership Doesn’t Look Like
A small, belated Christmas tale on how not to manage an emergency department. But first a few preliminary points of information. First: in Ontario, front line nurses are generally forbidden from taking vacation over the Christmas holidays, usually from some point from the first or second week of December to
Continue readingThose Emergency Blues: Dying Alone
A few weeks ago I had a patient named Helen who died. I’m not talking about a dramatic code or trauma, with people running around shouting for IV access, but rather an elderly woman who was at the end of her natural life. Dying in the Emergency Department is not
Continue readingThose Emergency Blues: Back
More or less. Everyone who emailed me, thanks. I am quite well, if a little bruised. Therein lies a tale, you say — true enough, but one I’m not quite ready to tell, though I’m working on an article for a (non-nursing) publication about it. Everyone who sent me an
Continue readingThose Emergency Blues: Awesome
A few days ago, we had VSA come into the department. According to EMS, the patient had collapsed while grocery shopping down the road; CPR was started almost immediately by another shopper; EMS arrived and gave the usual ACLS drugs — epinephrine and atropine, as well as defribrillating him, but
Continue readingThose Emergency Blues: Got Mine. Got Yours?
The flu shot, that is. I got mine yesterday. And no, I did not get any flu-like symptoms. So get it over it, and go get the shot. Now. Especially if you’re a health care professional. What I wrote during the glory days of H1N1 two years ago still applies:
Continue readingThose Emergency Blues: Under Construction
Meaning me, of course. I worked a (rare) Night 12 a few days ago. It was the usual dog’s breakfast of high acuity, walking wounded without end lining up at Triage, and the particular Emergency Department hell of having no beds for, you know, emergency patients, the department being a
Continue readingThose Emergency Blues: Asking for Drugs
In the Emergency Department, part of a nurse’s job in discharging patients is to figure out if they are good to go home, because in part it’s good nursing practice, but mostly you don’t want to have them bouncing back in a few hours because they didn’t understand something, or have a question. So you […]
Those Emergency Blues: Smokers Have Other Problems Besides, Well, Smoking
If you work in the North, you’re familiar with the scene: patients in gowns, riding wheelchairs and trailing IV pumps scrambling over snow banks and icy walkways and braving frostbite-inducing winds to get off hospital property to have a smoke. I suppose for most of my readers, the image will induce a great big “Meh.” […]
Those Emergency Blues: All Nurses Are Not Equal
My best friend Reid made an interesting point the other day. “I have,” she said, “an alphabet soup of certifications. I have ACLS. I have BCLS. I have TNCC. I have ENPC. I have pieces of paper that tell me I can run traumas and defibrillate people. I have critical care courses up the wazoo. […]
Those Emergency Blues: Says Blatchford, First We Shoot All The Nurses
I actually did a double take, and my jaw dropped, slightly when I read this: It’s why, where I used to think that before I got really old I’d get me a gun so I could shoot myself, I now wonder if I won’t instead turn the weapon on some officious hospital executive, wanker bureaucrat […]
Death to PowerPoint and Other Notions
Back again.Yeah, I’ve been away for a while, for reasons that have absolutely nothing to do with writing or blogging. However my unintentional sabbatical has had the benefit of leaving me refreshed and full of ideas and so maybe wasn’t such a bad thing after all. I mean, in the two years I have operated […]
Those Emergency Blues: Andrea Horwath has a Complaint about the Health Care System.
For my American friends and readers, we’re having a provincial election here in Ontario. Since health care is deemed a provincial responsibility (though funded extensively by the federal government), it’s naturally a hot topic of discussion. At the televised leader’s debate a couple of days ago, New Democrat leader Andrea Horwath managed to step in […]
Those Emergency Blues: On Allegations of Patient Abuse at St. Joseph’s
This story concerning alleged abuse of a senior at St. Joseph’s Health Care Centre (and yes, I know “alleged” is a weasel word) has been making the rounds in the Toronto media, including some blaring front pages in the Toronto Sun: Ron Meredith claims two burly security guards at a west-end hospital manhandled him, dragged […]
Those Emergency Blues: Labour Day and the Toronto Sun: An Annotation
Public sector workers are lazy and overpaid parasites sucking at the taxpayer teat. Or something. Please remember to tell us this when we’re doing ACLS on your sorry ass. Happy Labour Day. Love, TorontoEmerg Filed under: Colour Me Cynical, Life in the Emergency Department, What Passes for Humour Around Here Tagged: Canada, emergency department, emergency nursing, […]