quote:
ETA: LSUNurse is right when she says the best nurses (me!) work at these inner-city ERs. They’re dealing with the a lot of trauma and with most of their patients having multiple chronic medical problems.

Some of the best nurses leave for burnout. Houston is a HUGE market for free standing ER's. 2010-2011 it was rolling. It has boomed and now is in decline. It has its place, many of the most experienced nurses leave for a change of pace and the chance for some downtime. This place though sounds like a shitshow. The same chronic patients are going to show up KNOWING they should not be there. Doctors offices WILL SEND THEM there to avoid the longer waiting room. Within a month you will have 4 of your 8 beds held up with admissions waiting for a bed at the "mother" hospital.

Basically nurses there will have the same patients with less resources. There was a First Choice location here in the Houston area that was seeing 40 a day I believe after they accepted M&M. Thats 2 nurses seeing 20 patients per shift. No tech, running your own lab, cleaning your own rooms, no secretary. I dont know what the staffing dynamic will be, but it will be behind their need and slow to adjust.

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Posted by Nynna11

Member since Jul 2012

474 posts

Posted on 11/11/17 at 7:46 pm to lsunurse

quote:
Having an 8 bed "ER" that can't even take real traumas, heart attack and stroke victims....isn't really gonna solve this, yall do realize that?

Some of these will present there in a car with a smoking radiator and will have to be stabilized (or pronounced) prior to transfer.
Having spent my share of years as an ER nurse I can tell you that those that have to be pronounced there will cause a big ruckus to ensue.

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