The
Wednesday, January 31st, 2007
Whenever the topic of my job comes up, my dear aunt always likes to bring up the fiancée of her friend’s nephew. I feel like this guy’s old lady is my sister RN down south.
“Hey, Frank’s (friend’s nephew) fiancée is a nurse too.”
“Oh really? Where”
“She works in the emergency room at St. Suzie’s in Santa Monica. Do you work in the ER?”
“No, I work on the Med/Surg floor.”
With a perplexed look, “What’s that?”

You might think that the “ER” is the heart of the hospital. It could be, it depends on context and definition. If you get into a car wreck, or are having a heart attack, that’s where the ambulance is going to take you. It’s also where people walk in at all hours when “they need to go to the hospital.” If it’s serious and you need to be admitted, you go to the ICU. If not, then it’s the Med/Surg floor. If you are in bad shape but improve, you get transferred to the Med/Surg floor.
While still in nursing school, I had to interview one of my old college professors that had spent several years working in the ER, and still worked occasional shifts there. During this interview, she scoffed at the “hoochieism” of ER nurses concerned with their make-up and fake tits. She told me that nurses in that unit sometimes went to dentist’s appointments or shopping on the clock. Just slipped out the door for a few hours. It was a common occurrence, and apparently is elsewhere.
I’ve seen the ER nurses who bring up the patients for admission, and some of them are pretty sexy. Sexy hairstyles, sexy smoky eye shadow, nice fake tits, and a colorful silky looking thong peeking out from beneath their form-fitting scrubs.
The ER is the nemesis of the Med/Surg floor. They will pawn off anything that can on you. I’ve had patients tell me how they laid in the ER crying in pain while two nurses drank coffee at the foot of their bed. This is possible because there really aren’t any rooms in the ER. A curtain can separate a foot of a bed from the rest of the department.
I’ve had plenty of patients come up from the ER with nothing done. The nurse had eight hours to take care of certain orders, but didn’t do anything besides start a crappy IV line that will beep once I connect it to a IV pump. I’ve had patients wailing in pain because they hadn’t pissed in eight hours. So, in order to continue my admission, I have to stop everything and call the doctor to get an order for a catheter. I insert it, and a liter of urine immediately dumps out. I once had a patient wheeled up to the floor covered in urine. She had fell, so she couldn’t turn to either side for us to put the bedpan under her. I again had to call and get a catheter order. An hour later and five tries later, I finally got it in, and 800 milliliters of urine dump out. I look back through the chart to see that a catheter had been ordered eight hours before she arrived on the floor. According to the patient, no one had tried to put a catheter in her. Write up!
The pharmacy won’t give out medications without three things recorded on a sheet and faxed to them: height, weight, and allergies. To be honest, I do not know if it is their responsibility, but the ER has always completed this sheet. The pharmacy closes at 11PM. A lot of times, the admission orders are written well before this, but the patient has to wait for a bed to open up or some other arcane reason. If the ER nurse can just take a minute to fax those orders written at, let’s say, 1800 to the pharmacy as well as getting the patient to answer the three previously mentioned questions, I would have all of the ordered medications on a computerized sheet. Otherwise, I have to write them all out by hand for both my current and the day shift.
Lately, the ER hasn’t been doing this. There was one guy, a fellow RN that received a patient on the M/S floor with orders written from 2PM. Twelve hours later, the patient arrives and nothing was done! No labs drawn, no allergy sheet. He had to scurry to get all of this done along with his usual tasks for the other four patients he was responsible for. The ER has hours upon hours to accomplish this; we only have a couple. We don’t have time to “write them up” because we are trying to get everything done. Maybe they know this.
I read a couple of fellow bloggers who are ER nurses. I’m pretty sure that they are highly talented and care for their patients. But it seems like a lot of my old classmates wanted to work in the ER because it’s got a lot of pizzazz. At least people know what the hell it is.



