The venerable Mother Jones hosts Change of Shift this week and it's a tribute to old school nurses. Check out the pictures she has found - I sure am glad I didn't have to wear a couple of those nursing caps!
I like your comment on JCAHO's proposed screening rule.
It seems as if almost all of the people in favor of it are addicts, family of addicts, or making money treating addicts. No conflict of interest there.
I only counted a dozen comments opposed to this, many of them were in favor with specific reservations. And one claiming it is a Neo-Nazi plot. If the comments are any indication, this appears to be inevitable.
I would be surprised if they thought anyone posting against this is worth doing anything about. There are so few of us. Reading through the comments, I felt more like Kevin McCarthy at the end of Invasion of the Body Snatchers.
They seem to assume trauma and ED are the same. If it works in one, it will work in the other. The first time some social worker, who responds to traumas in many places, tries to interrupt an assessment for SBI, they will be experiencing the kind of "intervention" from a trauma surgeon that leads to PTSD.
If only the ED had social workers to ask all of these questions, then it wouldn't be so bad. I am not so much of an optimist that I expect that to happen. If it did, then they would continually cut back on the social workers to trim the budget, until all of them were gone.
Another thing that they were in favor of was the "improved understanding" that nurses and doctors would have after this training. Maybe, some will have a better understanding of the alcoholic's problems, but this will only take away from time that could be spent on refresher training, or initial training, on something life threatening.
How hard is it to understand that the ED is there to deal with the life threatening stuff, not the hand holding, detox placement stuff. Not that there is anything wrong with hand holding - I find it is my most successful intervention, after pain meds. :-)
Thanks very much for visiting, I hope you will enjoy yourself. ER nurses have the privilege of being on the front lines, nowhere else in the hospital are things so chaotic and out of control on a regular basis. This either breeds or attracts a certain kind of person, you will find they have a terrific sense of teamwork as well as well developed senses of humor.
Stories here are composites of experiences I have had in many years of practice. Any resemblance to people living or dead are purely coincidental. If you think this is you, it is not. Events portrayed as recent are not. Stories are products of past experiences and a vivid storytelling bent.
These are my own opinions, no one elses. As people that know me can attest, I have a lot of opinions!
If you take my writing as medical advice then you are an idiot.
3 comments:
I like your comment on JCAHO's proposed screening rule.
It seems as if almost all of the people in favor of it are addicts, family of addicts, or making money treating addicts. No conflict of interest there.
I only counted a dozen comments opposed to this, many of them were in favor with specific reservations. And one claiming it is a Neo-Nazi plot. If the comments are any indication, this appears to be inevitable.
Thanks. Although I sometimes wonder if men in black suits won't be showing up at my door LOLg
I would be surprised if they thought anyone posting against this is worth doing anything about. There are so few of us. Reading through the comments, I felt more like Kevin McCarthy at the end of Invasion of the Body Snatchers.
They seem to assume trauma and ED are the same. If it works in one, it will work in the other. The first time some social worker, who responds to traumas in many places, tries to interrupt an assessment for SBI, they will be experiencing the kind of "intervention" from a trauma surgeon that leads to PTSD.
If only the ED had social workers to ask all of these questions, then it wouldn't be so bad. I am not so much of an optimist that I expect that to happen. If it did, then they would continually cut back on the social workers to trim the budget, until all of them were gone.
Another thing that they were in favor of was the "improved understanding" that nurses and doctors would have after this training. Maybe, some will have a better understanding of the alcoholic's problems, but this will only take away from time that could be spent on refresher training, or initial training, on something life threatening.
How hard is it to understand that the ED is there to deal with the life threatening stuff, not the hand holding, detox placement stuff. Not that there is anything wrong with hand holding - I find it is my most successful intervention, after pain meds. :-)
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