I guess they had concierge medicine in the old days, too!
Can’t imagine they’d advertise on back tires these days.
But…the doctor is making a house call!
$29.00 for deluxe drugs sounds like a deal to me.
“Deluxe” probably meant instead of a basic, generic run-of-the-mill “mustard plaster”, you could get a “Grey Poupon mustard plaster”.
With a pickle.
Blue Cross would only reimburse $3.67 of course, so the rest would be out of pocket.
They don’t cover pickles.
Man, you know you’ve been blogging a long time when you have to google something to see if you’ve used the title before.
Where do you go when you want stimulating, up-to-the minute news on nursing issues and poignant patient care anecdotes that remind you of why you went into nursing?
Not here, that’s for sure.
But, I am also a trooper. I said I’d blog daily and I shall!
Is it just me or has the night shift changed over the last decade?
In the days of yore, the night shift had a certain ambiance.
You would enter the land of bright lights and dive into the full-department chaos of the evening shift.
The goal: clear the department out as fast as possible.
By 0200, the department would be empty. The next patient would come in around 0530 or 0600.
There was time to read all the latest nursing journals, discuss nursing issues with your colleagues, discuss the various ways of improving the unit, updating all policies and procedures, debating the merits of JACHO and conducting staff inservices to keep each other abreast of the latest in nursing research.
Not that we did any of that.
Usually we would just balance our checkbook, read the latest bestseller, crochet (man, I made some killer afghans!), gossiped and ate our way to wakefulness.
If a patient did come in, they needed to be there and we were all over that case as a team until the patient was admitted or discharged.
At which point we would resume our pre-patient activities.
Things have changed.
Someone, somewhere told John Q. Public that we were open 24/7.
The department is still cleaned out by 0200.
But now the hits just keep on comin’!
Slowly they dribble in.
Patients with sore throats for five years. Patients with chronic alterations in their comfort level who have realized that a 0400 visit means no waiting. Patients we see so often we know their medications lists by heart.
Adults who vomited. Once. Ten minutes prior to arrival.
Acute soul-crushing toe trauma.
Extremely high fevers of 101.0 that, doggone it, keep coming back after the Tylenol wears off.
And then there are the really sick, the ones who absolutely needed to come in to the emergency department. For them it is the difference between life and possible death.
The ones who, for some reason, always come by private car when they should have arrived via Code 3 ambulance.
It’s not just my facility. Hospitals all over the area have had to increase their staffing at night due to the increase in census.
I don’t want to come across like I’m griping. I mean, patient care is why we are there. It’s what we do.
I love my job and I like my patients and I do the best I can for all who seek care.
But… every now and then it would be nice to have one of the “old time shifts”.
Especially when one has two papers due by the end of the month.
If you get my drift…..