I work in an Emergency Department though some days it is questionable if indeed it truly is an emergency department.
Case in point. Just today I had a lovely LOL with a head bleed. We are not sure if the fall she sustained was the culprit of the bleed or if uncontrolled hypertension caused it. However her blood pressure was too high and it needed to be lowered.
Doc writes order for Cardene, nurse goes to Pyxis to obtain Cardene and the receptacle is empty. No problem, minor irritation, but no problem. I call Pharmacy and inform them that Pyxis is empty can I get more please. Pharmacy insists that the "computer" says their are two, I insist NO there are none, please get me some....pronto! Then I'm told, we don't have any, WTF!!! What kind of joint are we running here? I call the ICU, "you got any??, "NO". SHIT!!!! Tell the Doc, he's like WTH!! Pharmacy calls back, well we do have a bag but it says do not use and there is no other info on it "well have to call the head pharmacist" Okay great, do that.
Head Pharmacist finally calls back. "So you mean to tell me that your Pyxis count is off and we've lost revenue for the missing product blah, blah, blah," I cut her off and said. I don't care, I have a patient with a BRAIN BLEED and her BP MUST be lowered. "Oh, okay, well have you asked the MD to try labetolol?" WTF, dontcha think he may have thought of that and nixed the idea, hence the reason for writing CARDENE!!!! But hold on let me ask him for you. I ask Doc he starts laughing and says let me talk to her. End of story, head pharmacist tells MD we were holding that bag of Cardene for an EMERGENCY, Oh really, WTF is your criteria for an emergency?
Then there was the time I could not get blood for a GSW to the head. Lab insisted that T&C be done first, "No we can't possibly send Type O, must T&C FIRST!!!"." Guy died, bled to death....and in truth he was going to die anyway. But, about one hour after he died the lab calls "Your blood is ready" Me "UH, too late dude is dead, bled to death because he could not GET any blood!!" "Oh, okay well it's ready." DUH!!!
I'm looking for a new job.
Me
Sunday, September 27, 2009
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