Rumor Control
Wednesday: 10am - Shift Coordinator Allison (coordinates admissons and transfers, float pool and travler staffing etc for all the oncology units) rushes on to our unit and informs Charge Nurse Ellen "We've got two criticals coming to you. They just intubated a guy on A, and D has a floater, they're pretty sure he's going to go." Mass painc on B ensues; we have3 critical care nurses, each with 2-3 patients and an orientee or LPN. So myself and Alicia, both 6 moths off orientation prep to take on 2 more patients and an orientee. Our unit is the middle of a complete "bed swap" with brand-new state of the art beds, all of our empty, clean rooms are now emptier and dirty. Housekeeping steps it up to hurricane mode and prep the rooms. Now there are no pumps! Criticals usually need at least 3 pumps, we have 0. Two days ago Clinical Enginereeing took 3 pumps for service, promising a 24 hour return time, they have not returned and clinical engineering states they have no record of taking them (a case of pump robbery from another unit perhaps?) Charge has compleatly lost it, and is running arround the unit like the Tazmanian Devil, stopping to ask me "What supplies do we need in a critical room?" It's 11am, so June and I decide if this all does happen, we're not going to see the seat of a chair unitl 8pm that evening, so we take our lunch break.
1pm - Charge visits the other units, no one was intubated on A and the floater on D has a intra-staff critical care nurse, who can just come wiht her to our unit if/when she crashes. Panic dies down somewhat, but everyone is on edge.
2pm - Data coordinator calls the floor looking for Mrs. M's nurse, June looks at the schedule (yesterday's) and calls Sunu to phone, "It's about Mrs.M"
Guy, eating his lunch, "she's in IPOP (our intensive outpatient clinc) today"
June "M is getting readmitted, we jsut discharged her yesterday!"
Chrage (taking phone from Sunu) "We don't have a nurse or bed for her, C has the IPOP bed, make them take her. I don't care that she's a BMT-er" hangs up to take another call.
Guy - picks up phone and calls IPOP "Is M getting admitted? No, I didn't think so." To us "You guys are wacko today"
5pm - no criticals came over, all has remained calm. Charge comes to me. "Right now our numbers look really good for tomorrow, you're at the top of the Pick list, do you want off?" Of course I do!
Thursday
5am - No call from work, no big surprise, I've been at the top of the pick list for a month now, and have been offered off at least 4 times, it nevers happens. So I drag my butt into work, only to find that I've been pulled to D! Oh this is cruel!
8am - Getting myself acquainted with the am routines of D, not a bad place, (except they are notorius for having the worst MD team) D Charge comes up to me, "I'm so sorry you had to come over here, thanks so much for doing it. Are you here for an 8?" "Oh a 12, well, I'll see if I can't send you home, or at least back to B for the last 4 hours, I know we gave you one discharge." Sweet! I really wanted the afternoon off.
11:30 - D nurse goes home sick, I pick up another patient, no chance of an 8 hour day now.
Never beleive anything unitl it happens.
1pm - Charge visits the other units, no one was intubated on A and the floater on D has a intra-staff critical care nurse, who can just come wiht her to our unit if/when she crashes. Panic dies down somewhat, but everyone is on edge.
2pm - Data coordinator calls the floor looking for Mrs. M's nurse, June looks at the schedule (yesterday's) and calls Sunu to phone, "It's about Mrs.M"
Guy, eating his lunch, "she's in IPOP (our intensive outpatient clinc) today"
June "M is getting readmitted, we jsut discharged her yesterday!"
Chrage (taking phone from Sunu) "We don't have a nurse or bed for her, C has the IPOP bed, make them take her. I don't care that she's a BMT-er" hangs up to take another call.
Guy - picks up phone and calls IPOP "Is M getting admitted? No, I didn't think so." To us "You guys are wacko today"
5pm - no criticals came over, all has remained calm. Charge comes to me. "Right now our numbers look really good for tomorrow, you're at the top of the Pick list, do you want off?" Of course I do!
Thursday
5am - No call from work, no big surprise, I've been at the top of the pick list for a month now, and have been offered off at least 4 times, it nevers happens. So I drag my butt into work, only to find that I've been pulled to D! Oh this is cruel!
8am - Getting myself acquainted with the am routines of D, not a bad place, (except they are notorius for having the worst MD team) D Charge comes up to me, "I'm so sorry you had to come over here, thanks so much for doing it. Are you here for an 8?" "Oh a 12, well, I'll see if I can't send you home, or at least back to B for the last 4 hours, I know we gave you one discharge." Sweet! I really wanted the afternoon off.
11:30 - D nurse goes home sick, I pick up another patient, no chance of an 8 hour day now.
Never beleive anything unitl it happens.
posted by kiki @ 8:30 AM
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