I’m fortunate enough to work with very specialized and competent doctors. Most of them have good leadership, good organization and most of all passion for their work. What’s unfortunate, is when one of these doctors completely loses his sense of commitment to the public during his journey.
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Posted by: RN13 1 comments
After reading an article in the Medscape Blog about violence in the emergency department, it made me realize how much we are exposed to verbal and physical abuse from patients. From the intoxicated, to the psychotic, to the homicidal and to the plain ‘I’m fed up of waiting in the waiting room 1 more minute’ type of person. About 3 years ago, our staff was the victim of a series of physical assaults.
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Posted by: RN13 0 comments
On Sunday evening, around 19h15, a forty something year old man shows up in triage by ambulance because he had some sort of weakness during the morning. He’s an American Indian who came from up North, escorted to the hospital because of a medical appointment he had to attend the next day. During my physical evaluation the patient didn’t show any signs of distress and didn’t complain of any symptoms. After the paramedic gave me her report she handed me and EKG strip in which she didn’t seem to know what it meant, but for me it seemed at first glance quite alarming, except it didn’t fit the patient’s asymptomatic state.
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Posted by: RN13 2 comments
A colleague of mine once told me, ‘‘when a nurse tells me that she’s good doing triage, I know right a way that she’s wrong.’’
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Posted by: RN13 0 comments
Not long ago we received a couple in their eighties who were in an MVC. The husband ended up having a spine fracture, but the wife was fine. Because she had alzheimer and her husband was her caregiver we couldn’t send her back home by herself. So during the five day hospitalization of her husband we kept the wife in the ED so they could both return home together at the same time.
That situation reminded me of another similar story that happened the previous year where an elderly man was brought to the ED for confusion. We had to put him on soft restrains while we’d investigate his situation. His wife, who was about the same age as the patient, around 80 years old, was at his bedside and would attend his every needs. Although she wasn’t desoriented the way he was, she did have some sort of mild dementia. Every 10 minutes she would come at the nursing station to request help for her husband. Several times we explained to her that since her husband was going to spend the night in the hospital it would be recommended for her to return home, get some rest and come back the next day. But she wouldn’t hear it.
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Posted by: RN13 0 comments
Welcome to At the Nursing station, this blog is about my reactions to what actually goes on in the Emergency Room of a Trauma center during a day… From happy moments, to tragedies, funny situations, this chaotic environment is the source of my inspiration for this blog, i hope you'll enjoy reading. Below you'll find some of the most recent comments on the blog and a contact form, feel free to drop me a line
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Recent comments
By Ovawnvora on 2011 06 27 1
From the entry 'Triage instinct – part 2'.
Nice site ! I will save it in my favorites. thank view the entire comment …
By Eric on 2010 03 17 2
From the entry 'Lazy doctors'.
Good article. People in the medical profession in particular nurses and doctors have to CARE view the entire comment …