Thursday, July 14, 2011

Chatting on the Phone to Girlfriends

My third week in the Emergency Room. The people moved a little slower than usual; the staff on shift were new to the job. It was uncomfortable seeing how slowly the Emergency Room moved, when people started actually filling the waiting room--normally the pace moves quickly enough to where there are only a few people waiting to be registered or treated.

This week, I noticed an unusual amount of Spanish speakers. Normally, there are one or two Spanish speakers who come to the Emergency Room who have difficulty speaking English, but this week, there were at least 10 appointments during my shift where a Spanish speaker needed assistance to communicate with the staff.

The unusual number of Spanish speakers really opened my eyes to how useful some of the things we were learning in school were--I could understand and communicate with the people, rather than bark "Que?" or "Mucho grande?" like Miss Ronda (God bless her heart) who was sitting at the desk today.

Miss Ronda was an interesting head nurse. Incredibly blunt, forceful, but like a courteous matron, she whirled around the Triage and the Emergency Room encouraging the newer faculty. She never used euphemisms to try and calm people down, but rather told them the truth, immediately and objectively.

This brings me to the other faculty. I've worked with many different nurses before; some nurses are more relaxed about helping the patients, while others are much more careful and busy. But this week, I noticed something that actually upset me about a certain group of nurses. In the Emergency Room Triage, where patients were to be seated for treatment after they had been registered, the nurses usually try and clear the area as quickly as possible. The nurses in question would sit at the desk, and use the phone at the desk to chat with their girlfriends. I would catch snatches of their conversations: "Belk is having a huuuuuuuuuge sale today, girl!" "Mm, mm, mm... I've gained sooo much weight hehehe, I don't even know if my man recognizes me!" among other chatter. Other than just chatting on the phone, some of the nurses even congregated around the desk, sitting in the seats the patients were supposed to sit in.

The Emergency Room Triage started to get backed up. When I was done registering people, that means that there was no room to bring them in to be treated. Each of the bays (waiting areas for the patients) were filled, and the nurses in the Triage were not replacing the papers, tissues, etc like they should be. To reassure the patients, I said, "The Triage is getting a little backed up, but the nurses will be with you shortly. I'll put you in one of the bays while you're waiting."

One of the nurses, who had stopped chattering on the phone, overheard me say that to one of the many patients in the Emergency Room. She pulled me aside, her expression stony and indignant, and said, "Next time, you just tell the patients that we'll be with them shortly."

That was the upsetting part. If the nurses aren't quickly moving the patients to get treated because they are too busy socializing, they shouldn't be indignant about the truth.

The nurses chatter in the Emergency Room while a man is wheezing, having trouble breathing, and his family is panicking...

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