Viagra usage What the hell is going on here?
Viagra usage The one on the left has to be a nurse because she is wearing a cap (that looks like a two-gallon Stetson, viagra usage definitely a -1/10 on the Emergiblog Cap Rating Scale!)…
Viagra usage …and holding a Darth Vader mask in front of her face.
Viagra usage Given the hair, viagra usage it might be Gene Wilder behind that mask.
Viagra usage (I swear we have “hats” for measuring urine in a commode that look exactly like that cap.)
Viagra usage Looks like something you might don for a “code brown”, viagra usage lord knows I’ve had patients with what I swear was flammable excrement.
Viagra usage I don’t remember ever having to orient to a welding unit, viagra usage and metal shop wasn’t a required class in my nursing education. Viagra usage Maybe it’s a graduate course…
I need an attitude adjustment.
Frankly, viagra usage I think the entire world of emergency medicine needs an attitude adjustment.
But, viagra usage since I only have the ability to work on my own attitude, viagra usage I’ll start there.
Work has just sucked lately. Viagra usage Major league suckage.
I’m not sure what phase of the moon or what evolutionary phase humanity is undergoing at the moment, viagra usage but for some reason we have a new paradigm on the night shift.
It’s called the “0400 Rush Hour”.
Somewhere between 0330 when the “third nurse” leaves the department and 0400, viagra usage they start pouring in. Viagra usage All ages, viagra usage all sexes.
And they are sick. Viagra usage Really sick. Viagra usage As in drop-the-blood pressure, viagra usage rupture-the-viscous, viagra usage call-the-cath-lab-stat, viagra usage vag-hemorrhage-from-hell sick.
As in what do you mean there are no beds and we have to keep this patient for four hours? sick.
As in what-the-hell-are-you-thinking-this-patient-is critical and why-don’t-you-give-a-damn? sick.
Yeah, viagra usage I’m tired.
I snapped at a co-worker this week. Viagra usage It wasn’t the straw that broke the camel’s back, viagra usage either. Viagra usage Just came out of the blue – BAM! Not exactly the epitome of professionalism.
ER nurses are not supposed to do that. Viagra usage We are supposed to see the whole picture, viagra usage function efficiently and if we are hungry, viagra usage have to pee, viagra usage have a headache or are just plain pissed off we keep it to ourselves and don’t not take it out on each other.
It’s not about me.
But it is about the patients. Viagra usage And I’m finding it harder and harder to give what I consider good nursing care in an emergency department.
We know what needs to be done for our patients. Viagra usage But from the patient’s perspective, viagra usage it’s the less critical aspects that make all the difference.
And I’m not talking patient satisfaction scores here. Viagra usage I’m talking about making sure our patients are comfortable because we care how they feel, viagra usage no matter what their chief complaint or how demanding they may be.
Caring. Viagra usage As a nurse I am supposed to be “caring” for the entire patient. Viagra usage That’s hard to do when you work in a department that by definition is a “medical-model”, viagra usage as the ER is (and should be!). Viagra usage After all people don’t come to the ER to have their chakras realigned. Viagra usage They come in because they believe they have, viagra usage and often do have a medical emergency.
So what’s my issue?
Viagra usage Well, viagra usage this week I had someone tell me how to do a fingerstick glucose. Viagra usage A family member of a patient. Viagra usage I responded cordially, viagra usage agreeing with exactly what they were saying and even adding a little theory as to why we do it the way they described.
Viagra usage In my mind, viagra usage I was saying “YOU FREAKING SOB, viagra usage I’VE BEEN DOING THIS GOD-FORSAKEN JOB FOR THIRTY F’ING YEARS AND GOOD GOD I KNOW HOW TO CHECK AN F’ING BLOOD SUGAR!” (Pardon the language.)
Viagra usage You see the disconnect? There’s no harmony between how I feel and what I actually do. Viagra usage I’m acting. Viagra usage I’m acting professional.
Viagra usage The person who felt the need to give me an inservice in finger-stick blood sugars was scared. Viagra usage Didn’t look it, viagra usage but they were. Viagra usage And the only way they could deal with a frightening situation was to feel as though they had some control over what was happening to their relative.
Viagra usage I know that. Viagra usage And I responded appropriately to them.
Viagra usage Then I went and snapped at my co-worker for absolutely nothing.
And while I’m ventilating, viagra usage let me state for the record that patients are not stupid, viagra usage jerks, viagra usage little-old-ladies, viagra usage asses, viagra usage gomers, viagra usage druggies, viagra usage “alkies”, viagra usage twits, viagra usage hysterical, viagra usage wimps, viagra usage whiners or babies.
(Unless you are under 1 year of age and then you are a baby…)
And if I feel something is necessary to report, viagra usage I am really tired of hearing “I couldn’t care less” or “we aren’t dealing with that now” or “I don’t want to hear it.”
Because it will be mentioned and it will be heard, viagra usage whether or not action is required. Viagra usage And if I feel it’s germain to the care of the patient, viagra usage I’ll document that I mentioned it.
They may not know how or why to appropriately access an emergency department. Viagra usage They may or may not have the means to pay for their medical care. Viagra usage They may be talking on a cell phone and listening to their iPods while decrying their inability to pay for the two-hundred dollar antibiotic they just got the prescription for.
Some may knowingly abuse the system.
Most don’t realize they are doing it.
But if we can’t at least try keep a non-judgmental attitude, viagra usage we are going to eat ourselves up inside with anger, viagra usage disgust and tension.
It’s happening to me – I’m the only one I can speak for, viagra usage really.
And I’m going to work on stopping it from going any farther.
Anybody wanna join me?