Thursday, September 28, 2006

EJGH ER

I am just curious if anyone else feels as if EJGH ER deliberately makes us wait when we bring in our patients. I have heard from Fitz that, on numerous occasions, he has heard or been told by many of the nurses there that they cannot stand N.O. EMS and try to punish us by putting us on the wall Code 77. This could be isolated to night watch only or to a select few of the nurses there but I have definitely had some of the worst experiences there as far as unprofessionalism is concerned. I know some other crews have had issues with this ER in the past and that some may have been written up. I am just absolutely disgusted with EJGH ER and cringe at the fact that if anything serious, God forbid, happens to my family, unfortunately EJ is the closest facility to their houses.

I brought a patient there lastnight who overdosed on 45 Klonapin, intentionally, and felt it was in the patient's best interest to transport to a hospital with psych capabilities. After "hospital shopping" for about 15 minutes, the decision was made to transport to EJ....against my better judgement. To make a long story short, I was second in line to WJMC EMS who were traiaged and sent to a room. Then AMED, who came in after we did and was a BLS truck, was triaged before us for an elderly female with n/v and also received a room. Then immediately after this, nurse in charge of triaging saw that we were the only ones left and walked off. It took about 50 minutes for them to even look at my pt. My pt was triaged and still we sat in the hall. This whole time there were 3 beds open. It eventually took them a little over 2 hours to give us a bed that had been available since we walked through the doors. Also, about 40 minutes before we got our bed, EJGH EMS rolled in with a stable SZ patient and was sent directly to a room without any questions asked or being triaged, once again, skipping us.

This is also another thing I have been witness to on several different occassions....They will make us sit there for 20 minutes before being triaged (on a slow night) and EJGH EMS rolls in and gets right into a bed. Their offload time is about 3 minutes every time.

They are punishing our patients because its "us" that is brining them in. I will be writing my incident up soon. I am just asking that you take notice and report any unprofessionalism that you may experience. Also, if you hear of another crew on your watch being treated like this, please ask them to write it up too. This will never change if no one speaks up.

Thankyou for taking the time to read this

Monday, September 18, 2006

Saturday, September 16, 2006

Funny break

I know this isn't EMS-related but I saw this posted on a nursing forum and I wanted to share it with everybody. We could all use a laugh these days, I think.

These are actual entries in hospital charts that were posted publically to remind people to pay attention to what they are writing. Fitz, are any of these yours??? ;-)

1) The patient refused an autopsy.
2) The patient has no previous history of suicides.
3) Patient has left white blood cells at another hospital.
4) She has no rigors or shaking chills, but her husband states she was very hot in bed last night.
5) Patient has chest pain if she lies on her left side for ove a year.
6) On the second day, the knee was better, and on the third day it disappeared.
7) The patient is tearful and crying constantly. She also appears to be depressed.
8) The patient has been depressed since she began seeing me in 1993.
9) Discharge status: Alive but without permission.
10) Healthy appearing decrepit 69-year-old male, mentally alert but forgetful.
11) Patient had waffles for breakfast and anorexia for lunch.
12) She is numb from her toes down.
13) While in ER, she was examined, x-rated and sent home.
14) The skin was moist and dry.
15) Occasional, constant infrequent headaches
16) Patient was alert and unresponsive.
17) Rectal examination revealed a normal size thyroid.
18) She stated that she had been constipated for most of her life, until she got a divorce.
19) I saw your patient today, who is still under my car for physical therapy.
20) Both breasts are equal and reactive to light and accommodation.
21) Examination of genitalia reveals that he is circus sized.
22) The lab test indicated abnormal lover funtion.
23) Skin: somewhat pale but present
24) The pelvis exam will be done later on the floor.
25) Patient has two teenage children, but no other abnormalities.

Tuesday, September 05, 2006

Flipflops and Socks

I find it amazing how suddenly we embrace an option that allows us the opportunity to slack off. "Weekend Uniforms?" Just what the hell is this all about? Why if given the option wold we happily dress down like the rest of these slack ass services? When I firsr walked into this place we laughed at all of the t-shirt wearing, can't find an iron, boot unlaced sorry excuses for medics. Now here WE are happily wearing a t-shirt just because we can. How bout a little pride? Not only in yourselves but in the service that we are. Let the people who run code 3 to a fallen out PEG tube have their silly little polos. I for one think we should strive to present an image that all the other sub-par services can't match.
If you want to wear to wear you three buttons, more power to you. Just know that it makes us that much more alike everyone else. I remember a time when I was proud to see that starchy line down the middle of my shirt sleave. And I'm still proud to see it there today.
We all need to remember where we came from, how little we had, and how much we did with it.

Saturday, September 02, 2006



Hey check out this photo from the compound days that's up on David Naccari's website promoting "Katrinalaya," his song about, well, you know... Pretty cool that he chose this picture for his website!

You can check it out here, or click the picture above to see it on the katrinalaya.org website and read his story. And the song is cute too.