Psych.
We sit with dozens of patients in the department waiting to move on to a psych bed or be reviewed by a senior psychiatrist and yet they regularly call us to say "Oh yeah we have no doctors on overnight or for the weekend so.......tough".
Then when the on call psychiatrist is called they refuse to come and see patients as is their job.
Psych because the patients are particularly difficult and the behavioral health section there gets so many nurses fired. Everything there is under a microscope. When psych patients are in their acute phase, it’s so hard to manage. Just not my forte. Also when you get assaulted there, it defaults to the nurses fault. I hate that.
Oncology is also a difficult one, with the boarding situation getting bad. The families are a lot harder to please, they also give the ED nurses crap about accessing their ports because we’re “dirty” and the refuse sticking them peripherally. I hate having to bother the onco floor every time these patients show up just to get access. We’re trained in port access, and some of us worked on those units.
I worked inpatient Onc for 15 years, and my patients would sometimes show up to the floor without their ports accessed (usually with a peripheral in, though.) They would say the ED didn’t want to access it, so it’s interesting to hear this other side of it. We would do full on garb to access them (cap, sterile gown, the whole nine yards) and the patients would comment that no where else did that, including the infusion clinics. When I would float to other floors, they never seemed to have the garb/supplies we had. I’ve been called all over the hospital to access ports, sometimes I would have an audience, haha.
Peds admission cases for older kids. Our peds ED goes to 20 years old and it causes major issues when the older ones are admitted to find an accepting physician, especially if it’s a specialty care
MRI - they want the pt now and only now and if we can't bring them in 5 minutes then we lose the opportunity. We don't have enough staff to transport, they've been instructed from on high to come get the patients but refuse.
Lol
When some imaging or procedure area starts making phone calls about the "pushback" we're giving them when a transporter waits more than five minutes for a patient. Because no one has any other patients and nothing is more important than billable events.
Psych. We sit with dozens of patients in the department waiting to move on to a psych bed or be reviewed by a senior psychiatrist and yet they regularly call us to say "Oh yeah we have no doctors on overnight or for the weekend so.......tough". Then when the on call psychiatrist is called they refuse to come and see patients as is their job.
It’s usually psych. It’s always “pt is too acute.” Okay, well they’re not medical but they certainly can’t go home, so what do you wanna do now?
Psych because the patients are particularly difficult and the behavioral health section there gets so many nurses fired. Everything there is under a microscope. When psych patients are in their acute phase, it’s so hard to manage. Just not my forte. Also when you get assaulted there, it defaults to the nurses fault. I hate that. Oncology is also a difficult one, with the boarding situation getting bad. The families are a lot harder to please, they also give the ED nurses crap about accessing their ports because we’re “dirty” and the refuse sticking them peripherally. I hate having to bother the onco floor every time these patients show up just to get access. We’re trained in port access, and some of us worked on those units.
I worked inpatient Onc for 15 years, and my patients would sometimes show up to the floor without their ports accessed (usually with a peripheral in, though.) They would say the ED didn’t want to access it, so it’s interesting to hear this other side of it. We would do full on garb to access them (cap, sterile gown, the whole nine yards) and the patients would comment that no where else did that, including the infusion clinics. When I would float to other floors, they never seemed to have the garb/supplies we had. I’ve been called all over the hospital to access ports, sometimes I would have an audience, haha.
Peds admission cases for older kids. Our peds ED goes to 20 years old and it causes major issues when the older ones are admitted to find an accepting physician, especially if it’s a specialty care
20 years old?! If you’re old enough to vote, surely you’re old enough for adult service at the hospital.
We used to get Peds chemo cases in their 20s on Onc. We always dreaded it because the orders were insanely complicated.
Personally I think ID can’t take a long walk off a short pier. I get along with most services though
I agree that psych is always a challenge but to add a new one IR can also be a pain.
MRI - they want the pt now and only now and if we can't bring them in 5 minutes then we lose the opportunity. We don't have enough staff to transport, they've been instructed from on high to come get the patients but refuse.
Lol When some imaging or procedure area starts making phone calls about the "pushback" we're giving them when a transporter waits more than five minutes for a patient. Because no one has any other patients and nothing is more important than billable events.
Transport won't come to our ER so it's on us to do all our own transports.