This is your very first post. Click the Edit link to modify or delete it, or start a new post. If you like, use this post to tell readers why you started this blog and what you plan to do with it.

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2 thoughts on “First blog post

  1. 19 years best description of an ER Nurse but you forgot to say all shift without a break or the lower abdominal pain from holding your urine so long you see yellowish.

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  2. Wow Mark, a must share post. This ER nurse hit the nail on the head with her article. As a recently retired medical assistant and secretary from Mt. Sinai/Beth Israel Medical Center, I know all to well the frustrations that hospital workers are surrounded with every day. Although I worked for the Endoscopy Unit for 45 years, we had close contact with our ER at all times related to cases of GI bleeding, amongst other situations, that required our immediate attention. On a normal day, not only would we have to deal with ambulatory patient complaints but with their family members as well who were escorting them. The never ending questions about why is my procedure taking so long, why is my doctor late, etc. Meanwhile, in the procedure room down the hall, the staff is getting ready to accept a patient from the ER with a massive GI bleed, or one of our fluoroscopy rooms is being readied for a patient in acute hepato/biliary crisis that needs an emergent ERCP to potentially open up an obstructed duct or placement of a drain to insure that the patient will live. We stop in our tracks for a split second when we hear that dreaded overhead call informing us that in one of our procedure rooms there is a respiratory or cardiac arrest and scramble to assist the various teams responding to the call, all the while reassuring patients and their family members watching people scrambling back and forth that everything is okay but there will be a delay in their procedures. We even had the unfortunate experience once where a patients family member threatened to return with a shot gun and “take care of everyone”. That patient was in the last stages of cancer and was now being placed on palliative care. For one week following police investigations which revealed that that family member was part of a known gang in China Town, we worked around NYPD stationed inside and outside our unit. I fully understand the frustrations that patient are experiencing when they find themselves in these situations, likewise, I have found myself on the opposite side of the desk as well. My husband who was training to become a Corrections Officer became critically ill while waiting for a liver transplant, even having to undergo amputation of his left leg. His road to attempted recovery was long and hard but he always reassured me with these words; “there are people out there worse off than me”. He passed away seven years ago but I’ve always held these words close to my heart and his struggles have continued to inspire me to trudge on no matter what the obstacles. And believe me, there were many hurdles especially when he was placed in a nursing home in Manhattan for rehabilitation. At that point, I became a volunteer patient advocate in that facility. Understaffing has been a major problem in our hospitals and nursing homes for such a long time. Just dealing with the monumental issues regarding how to properly staff a particular floor, ER or unit are frustrating enough. We are constantly at the mercy of insurance companies, city, state and local legislators on what should be done to improve health care services. Surveys are now in place and depending on how many “excellent” surveys a hospital or particular unit receives, this will dictate what monies Medicare will pay that facility. This is something that the public does not understand for whatever reason and there are many. We all go home at the end of our shifts tired and drained but get up in the morning to do it all over again. For our nurses, PA’s, medical techs, Fellows and MD’s we see and feel their pain, their emotions when something goes wrong and rejoice in all they have accomplished. Don’t get me wrong, in my career I have seen a number of people who have no business being within ten feet of a patient, something I encountered at the nursing home where my husband was placed, but thankfully this is a small percentage. Overall, all of us in the health care field do this for various reasons. It could be something we experienced in our personal lives or something we may have read about or another person has inspired us by his or her actions. Whatever the case may be, there was a particular driving force that inspired us to undertake the training and commitment that lead us to this field. If I had to do it all over again, I would have chosen to go into nursing. My niece became an RN a few years ago in Florida and I could not be more proud of her. Knowing the triumphs and tragedies she will encounter throughout her career, this is still one of the most noble professions to enter.

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