Posted by : Ain't No Angel
Sitting here on a week off from work following a week of night duty I can get pretty bored. There's me, the cat, Dr Phil and the xbox. Good friends to a man (or cat), but they don't compare to how unbored I generally am at work. Things are usually quite frantic there, eventhough we have a well run shop. Its gotten me thinkin though about what I be doing from one end of the day to the next, and what kind of things it is that seem to keep me so occupied.
So today, I'm thinking that I'm going to share with you all the things that keep me busy in work, along with a little of my thoughts on each.
(This may take a while, its going to be one of those stream of consiousness type posts.....)
Well Duh , I hear you say, and you'd be right. Its primarily the reason I go to work everyday, and most of the time its the patients that make my job so cool, rewarding and interesting. Sure, it'd be great if it was like ICU and they all were asleep all the time, but then I'd miss the banter, the craic and all the good stuff. I'd also miss the tears, the anger and frustration and all the little things.
2) Dealing with Dr's
We're normally not to bad at this. Because we're pretty specialised we have our own teams and everyone gets to know each other pretty well. There is generally someone from the team on the ward all the time, so getting things done is rarely a problem. Things start to go wrong when you are dealing with Dr's from teams that have patients all over the hospital. Even something simple like getting laxatives charted can be a nightmare and take hours. Why? Well sometimes, its because said Dr is a fool/lazy/badly organised, but 99% of the time its simply because they are so so so busy running around the place trying to be all things to all men that they simply can't get to you.
I've posted about how I hate how our NCHD's are treated in this country, particularly interns so I'm not going down that road/rant again, but in this day and age, you'd think someone would come up with a solution that meant Dr's wouldn't have to work for 2 days straight with about 4 hours sleep in-between, if they're lucky.....
Now I know everyone, no matter what job has this issue, and in Ireland the HSE has rightly gotten stick for the increasing bulk of admin workers it employs, so lets not beat that horse again. I'm talking about the nonsense I have to deal with directly, not the people in the ivory towers of HSE/DOH-land.
For a start, despite the amount of worthless admin we have, there simply aren't enough ward/doctor/general secretaries around. Our own ward clerk is a legend. Highly organised and intelligent, she can sort out a multitude of things for you but she's a minority. I've worked with loads, who are useless. When she's not around, getting a patients old medical notes from storage can become a Hurculean task, up there with peace in the Middle East.
Because there's no-one in the records dept free to get it and bring it up.
Never mind that though, what about the litany of paperwork that have to sign, tick or otherwise file on a daily basis on every patient I meet. Add to this mix, meetings, radioographers and their nonsense from time to time, plus the additional hassle of dealing with HR from time to time, porters and finally cleaners (who won't clean or who aren't allowed to clean certain things or areas).
It can all get pretty painful sometimes!
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