You Know It’s Going to Be a Long Shift When…
- You get the news that there are four emergency admits during report.
- Admits outnumber the total nursing staff on duty.
- The registry coordinator bursts out laughing when you call for more help.
- The emergency admits are lined up in the hall because housekeeping staff is squabbling over who is going to clean the beds.
- Dr. HighandMighty sweeps in expecting to have his hand held as he makes rounds. (This is because he wants to give 27 verbal orders which he expects you to remember and write for him.)
- None of the meds the pharmacy promised you would be ‘right up’ are there half an hour after they were due.
- X-ray can’t understand why you can’t just “Bring Mr. Jones and Miss Smith down” for their chest x-rays. (For one thing, all the wheel chairs are horded in x-ray. For another, you are already supposed to give two insulin injections, do a pre-op med, and find some lost dentures.)
- The director of nursing comes up wearing a $600 silk suit and asks “How can I help?” You are tempted to tell her to grab anyone off the street who can stand up unassisted and has an open airway to come transport patients for you. Instead, you suggest she answer phones, knowing the kind of indelible stains one encounters daily in bedside nursing won’t exactly make the fashion statement she’s used to.
- The patient in 323 throws up all over the central line dressing you just changed, and it was the last dressing kit in the known universe.
- The CT scanner overheats and goes down. This means you get to call Dr. Irascible, the neurosurgeon, and tell him that his patient’s scan will have to be delayed. You hold the receiver 6 inches from your ear to avoid being deafened by his tirade.
This Classic JNJ article is by Carol Edson, RN. Part Two will run next week. In the meantime, what are your tried and true signs that it’s going to be a long shift? Spill the beans!
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You’ve done it already… you shoveled out all that thankfulness and gratitude stuff in late November. Our federally mandated annual reflection on all with which we have been blessed.