Good Morning -
Tweety - Oh dear! There's nothing like a confused person yelling at you, and hysterically calling for the cops for help, while you clean up vomit (or poop, or pee, or any combination of the above). As for that nurse who did not come in?!?!? Fire his butt, let his termination shine brightly on his record, and ensure that his poor work ethic follows him throughout the rest of professional career. (As you can see, I have little tolerance for such unprofessional behavior.) Hope your work-day, today, is much more kinder.
Gosh. . . Recently work up. Currently drinking First Coffee. . .
As for work last evening?!?! Someone said the "Q" work!!! Again!!! LOUDLY!!!
Although I was (supposed to be) a Shift Director, I actually functioned more as an ER Nurse last evening. Literally at the same time, we had TWO Acute Respiratory Distress people come into our (teeny-tiny) ER. One required intubation, and the other simply required a little suction, a few good coughs, and more suctioning. That was actually the easier part of the shift in the ER. The more challenging part was a steady flow of patients coming in. It was almost relentless. Although this is the normal function of the ER, caring for sick patients, we had the "B Crew" for ER staff. Don't get me wrong. They're good nurses! But at one point during the evening shift, there were no full-time ER nurses on hand. Two were part-timers. One was floated down from the ICU. And one was me! L O L! What added to the challenge was the lack of availability of ambulances to transfer patients to other hospitals. At one point, there were THREE patients to be transferred (including the intubated patient), and NO available ambulances. Of course, this situation added to the minor chaos. Finally, ambulances from 3 different services were available, and all who needed transferred got transferred. In addition to this, there were three admissions for the Med/Surg floor, which was already almost filled to capacity. (Remember, we're a teeny-tiny hospital!) I finally left the ER to do rounds (as a Shift Director) around 9:45 PM. (My shift ended at 11:00 PM). I HAD to leave the ER in order to coordinate the three Med/Surg admissions. The Med/Surg staff were accommodating, and professional, of course. The On-Call OR staff that had to be called in for an OR case, were fantastic, and came in as expected! The ONE THING that made the three admissions a significant challenge was the lack of beds. Literally, I had to find three normal functioning, appropriate-for-patient beds, for the three admissions. Let me tell you that there ain't too many places to store and retrieve three hospital beds. I got lucky, though. Three beds were found!!! I transported all three beds from their storage to the Med/Surg floor by myself!! (Everyone else was busy, faithfully doing their jobs!) I actually left 45 minutes past my shift, which is a rare thing to do as Shift Director.
I must say that I work for a fine crew. All stepped up to the plate. Despite the challenges, and despite the semi-chaotic busyness of it all, everyone remained focused to the tasks at hand and safely got patients where they needed to go.
Prior to starting my shift, I got my yearly evaluation as Shift Director. Happily, it was a really good review!! The review was very affirming, and I got a raise as Shift Director.
Today?!?!? I am off from work! Don't know what Amy and I are going to do. But, right now, I'm in recovery-mode from a very unusually hectic evening shift, yesterday.
Gonna get me Second Coffee now. . .