Monday, October 20, 2008

Boarding..

We are overflowing with patients both in the ER and on the floors. This weekend we have lived on DIVERT.. average patients time in the waiting room 6+ hours. We had patients in the ER for 15+ hours. And now because of this we are Boarding patients that need to go to PCU.

I hate boarding patients and this shift I have 3. I medicate based on a MAR and if I want to give more medication than the DR ordered on the MAR I can't just wander down the hall and ask.. I have to page the admitting Dr. If my patient has hypotension and I want to bolus him I have to call for an order.. this kills an ER nurse.

We work so independently.. we take care of our patients and then let the ER physician know what we have done...This paging, waiting for a return call. summarizing who my patients is and problems and what I think should be done and then the Dr asking tons of questions and then okaying my suggestion is going to be the death of me....

ER nurse needs a vacation.......

2 comments:

Anonymous said...

Welcome to the life of the average Australian nurse. So jealous of how much independence you US counterparts usually have. ahhh...to make a decision all on our lonesome!!... what a dream. (And yet the Australian Medical Association is busy complaining that the doctors work too hard, but they are completely unwilling to relinquish ANY responisbility).

PS. COMPLETELY love the blog. My favourate

::::wifemothermaniac:::: said...

It's so shitty that most ERs are like this! I know it's a redundant statement, but sheesh! And you certainly deserve a vacation!