Seriously, there is actually coffee in that cup! 32,160 cups!
A Guinness World Record.
Brewed on site at BlogWorld/New Media Expo 10, by the folks at Gourmet Gift Baskets.
I think it represents about 6 months of my yearly consumption.
I’m putting Change of Shift together tonight, so if you have any last minute submissions, I’m “standing by” to take your order!
I am having a crisis.
I’m not sure if it’s an ethical crisis, a moral crisis, or an I’m-just-too-full-of-myself crisis.
But is is getting harder and harder to be an ER nurse.
I can’t detach.
I mean, it’s no skin off my nose if a patient with no discernible pathology calls 911 for the tenth time in four weeks and requests transport from the other end of the county. For narcotics.
It’s no skin off my nose if a patient that has been to five other emergency departments up and down the state in the last 48 hours presents to us. For narcotics.
It’s no skin off my nose if I a patient shows up so medicated they can’t walk straight. For narcotics.
I mean, really.
I should just assess ’em, push ’em, vital ’em and street ’em.
So why does it bother me? I get angry. Angry at the audacity of the abuse of the system in general, angry by the feeling I’m being manipulated, angry at the willingness to order narcotics on demand.
And tired of having to pretend that it’s all good.
It’s not good.
I’m not helping anyone.
I’m certainly not therapeutic in any way.
And I’m not stupid.
I’m aiding and perpetuating addictions.
On a daily basis.
There was a time I could smile and pretend that I didn’t see the holes in the stories or the flat out lies I would catch in the course of a conversation.
Pretend that I believed a patient could not remember the name of that….”oh dear what is it called….Daludad…Dileded…oh yes! Dilaudid! That’s it!”
Pretend that patients weren’t drug seeking, knowing they knew I knew.
Getting patients out of pain is one of the most rewarding aspects of emergency nursing. It’s as close as you can get to instant gratification – you medicate, the patient gets relief.
That isn’t what I’m talking about.
I’m talking obvious, blatant, in-your-face drug seeking that is becoming more obvious, more blatant and more in-your-face every day.
But the narcotics still flow.
And it’s getting harder and harder to be a part of that.