Recent content by Boatswain2PA

Just finished "One Second After"....and then bought a manual well pump. Scary. Started on The Brothers Karamazov.

Bolus of geodon and loperimide and then admit!

Then there is the best series of all time, written by the master himself J.R.R. Tolkien....

And then there was this case...

The Rescue of the Gale Runner by Dennis Noble.

No mention of USUCKS....

Very common in small midwest hospitals. New grad NPs with student loan debt take locums jobs going to remote hospitals for these long shifts thinking it's easy seeing only a few patients per day. And most hospital administrators only care about getting a warm body and a license - and no...

I saw 50 in 24 hrs on Christmass a few years ago. Worst shift of my life. Walked in to relieve a locums NP who said "I'm glad you're here, the nurses said you know how to intubate, and I think room 4 needs intubated". Yeah, a few hours ago. Thats how it started and never got better in that 5...

That is Hell.

I work 24, 48, and occasionally 72 hr shifts. Primary gig averages 10 patients per day. I do 8 24 hr shifts (usually four 48s) a month there, sometimes more. I've seen 2 a day, I've seen 20 in a day. I almost always get 3-4 hrs of uninterrupted sleep a night, commonly get 6+, and the nursing...

Janders for the win....I've had to pull some miraculous stuff to get transfers, but I've never told the receiving doc where the medication was in their own ED. It's unbelievable what we have to do sometimes.

"I want you to get the BEST medical care you can get, so we need to get you to the right place." -they argue "Look, if you were having a stroke, you wouldn't want to be seen by a bone doctor, and if you had a broken leg you wouldn't want to be seen by a brain doctor, right?" -vacuous nod...

Your APPs are seeing .73 pph? What am I missing here?

Nothing transcends politics when there is massive amounts of money involved. Money = power, and power corrupts. Just look at the debacle with the recent pandemic where OUR TAX MONEY likely created the little bug. Crazy. The source of the solution is our poorly educated patient population...

To come up with a solution means you have to identify the ACTUAL cause of the problem, which is the disconnect between the "customer" and the "payor". The further away the customer and the payor get, the worse the problem. This ties in with how health care is rationed (and it is ALWAYS...