Acute Med/Surg started yesterday. By the end of the day, my head felt like exploding. My lead faculty for the course has what equates to alphabet soup behind her name...MS, RN, APRN (I thought the RN was unnecessary but I am but a lowly student with a mere BA behind my name.) She, by the way, is a PhD student who, in her free time, writes grants requesting palm pilots for her students. (I recieved mine yesterday and find it most useful in entertaining myself with JawBreaker
during boring lecture where the powerpoints are being read to me.)
So, in a genuine effort to be positive about the next 8 weeks, I am trying my best to get past the question that has plagued me since I started nursing school, "What is up with middle aged female nurses deciding to be nurse educators and then becoming drunk in their authority over the students?" Teach me, mentor me, but please spare me from the the "almighty nurse educator" persona. If you deserve my admiration and respect, you will surely receive it. Rub your sickening authority complex in my face for 8 hours and I will withhold my respect on purpose.
In unrelated news, I picked up a Wall Street Journal yesterday. The article, titled Hospitals Open Up Space in The ER, goes into details of "boarding",
One solution gaining adherents is the Full Capacity Protocol, a standard developed by Peter Viccellio, clinical director of the emergency department at Stony Brook University Medical Center. When his hospital emergency room is full and patients are being boarded in hallways, the emergency department can begin transferring patients to halls in other units, spreading the burden of care around the hospital -- and ratcheting up the pressure on those units to free up beds by discharging patients who are fine to go home. Data he presented at the New Orleans meeting showed that one-third of patients being boarded in the Stony Brook emergency department last year were transferred to other units, and 20% waited less than an hour to get into a room once in those units. "If the emergency department has to hold patients, no one has any incentive to open beds," says Dr. Viccellio. "But put patients in other hallways, and rooms magically appear." To appease patients who have been boarded, the hospital adopted a formal policy to send flowers once they are in a room.
Excellent article, quick read. I recommend it.