Tuesday, August 07, 2007

Tuesday (again)

ok, I just got off work, from the night from hell!
I work as the nursing supervisor. My job is to place patients, this includes patients that are very very sick, need critical care, and yada yada. (I also do alot of helping, bedside nursing, but I do not count as staff, I am kind like a float, help where I am needed)

anyway. Last night we were full in critical care. We have 3 units. cornary care unit, intensive care unit (neuro, and trauma) and medical intensive care.
We were full. So, I had to figure out what to do with new critical patients that may come in. You see, we have a no divert policy- which like last night, is total crap. Imean, when do you call it done?

I transferred out 5 patients to "I" beds--which means intermediate beds, 3 patients to each nurse. Critical care is 2 patients to each nurse, or if they are really bad, a one to one.

I transferred 5 patients. My personal opinion is 3 of those patients should have stayed where they were. (hey, I am just a nurse, what do I know). I think the patients I admitted to critical care were not as sick as the ones I transferred out. Ugg.
Now, I think no divert is good at times;. I think patients should recieve care as quick as possible. But, if the facility can't handle them without being dangerous with someone else's life, I think we should take them in the ER, then fly them out to a facility that can take them.
I wish senior management saw it that way. sigh.

In other news- I really don't have much, lolol
I am going to SLC this weekend for a crop-- I can't wait! I am going to meet my long time internet friend Teri (terishere) and Jen Gallegher too. and I will see a few ones I have met-- Kara Henry, Kristi lee, oh how fun!

It's kind of lonely here now. Daisey is gone. Dh is in califronia putting in some tile for his sister. (we had a big fight before he left, and I told him to think about what he wanted from this relationship while he is gone-sigh) ds is at my sisters, so I have my poor little peaches, who doesn't understand why she is left alone at night while I go to work.

The thing with dh, not ready to share, but we have problems- I want to go to some counciling, but it seems I am the one with the problem, therefore, he will not go. (ok, whatever)
Life is hard.
I love it, and hate it at the same time.
ok, don't worry about me, I will be ok. I am going to finish my glass of wine (ok, I am a wine-o, lol, but deserve it after my night) and then go to bed. Probably do it all over again at work, then I will be off for 8 glorious days, where I won't have to do anything I don't want to!! (well, except buy some new school clothes for ds, lol)
more later.

4 comments:

Katie Jones said...

sounds like you are busy. I didn't know you were a nurse.

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Stampin' Meg said...

Ohhhh -I remember those days, Shellie. UGH- No beds or no staff yet somehow you have to try to make it all work out!And someone is going to be upset with you no matter what. We called your job "house mama" at my hospital.Very thankless. OH and if someone had a complaint-you were the poor soul who had to listen to it all.