After almost 6 months of turmoil in our ER and 75+ hour work weeks , I am finally back to writing!
In the last 6 months my ER has gone thru major changes both physically and personnel wise that has not always been for the benefit of the employees or the patients, but great for the hospital's bottom line. A few of those changes including firing the ER MD group and hiring a mega group from out of state, expanding our ER physically without hiring more staff and cracking down on the PC of the ER staff and environment. Our morale in the ER could not get any worse...
After 20+ years of service our ER group was fired and replaced by a corporation from out of state that is determined to make us over into a carbon copy of their other take overs. Our patients are losing continuity of care from MDs that has taken care of the community for 20+ years and they are losing the relationship our ER Drs have had with community and hospital based specialists.
Our ER has expanded physically by opening up an overflow area 24 hours a day but not having the appropriate amount of staff hired to do it.. on average the nurse in that pod works alone with 5+ patients without a tech or secretary and not properly stocked or set up to run as a full time unit. Our Express Care area (walk in clinic) has expanded it's hours--but oh yeah not hired the nurses to operate it....... Brilliant.
And the last major change amongst a million other small changes is the cracking down on inappropriate behavior AKA "NOT PC" comments, attitudes AND attire of the staff. Yes yours truly has been recently compared to (along with her other com padres) TRUCKERS! ( I wonder if I should tell my boss I take that as a compliment as I have always secretly wanted to drive one of those big rigs?!) Apparently it is not appropriate to swear or make judgemental comments in our nurse's station that is a 90% glass soundproof enclosure.. Seriously?
Sorry administration but I am a cranky bitchy nurse that isn't going to change who I am because your white shirt high polished shoe wearing candied asses are offended by what I have to say. If you don't like it, stay in your comfy offices pushing pencils and keep out of my ER where we aren't afraid to get a little dirty and real with our patients.