5
577455
I just got off a shift tonight, from the Emergency Dept. and I just wanted some input.
First I've been working as an ED scribe for at least 1 year now and have been able to keep up pretty well with all the Docs so far.
Tonight, I was working with an attending that I usually find difficult to work with, and we were extremely busy. The attending was there much earlier than scheduled and saw a few pts without me. So even though I showed up 15 mins early, I was already behind. Before I could even clean up charts of the pts that the Dr saw without me, a trauma came in that required sedation and intubation. I was trying to fill out the info for the sedation procedure, but the Dr basically told me not to ask her any questions. I understood that she was busy and stopped asking. As you fellow scribes out there know, good communication is directly associated with the quality of our charts. Anyways, I didn't have too much time to dwell on it because, 10 mins later multiple traumas rolled in, needing another sedation/intubation. While we were dealing with all these traumas, the residents were building up a pile of pts that we had to see. The rest of the shift was basically spent catching up to the resident's pts. We basically came in, did a quick exam, told the pt was probably going to happen, then left the rest to the resident.
Because of the rush, all my charts were extremely basic. I was left at the end of the shift with 30+ charts basically with a quick "I have seen and examined the pt, informed of plan" and "Spoke with resident, no change in plan". Some physical exams were incomplete.Usually my charts are much more comprehensive and eloquent.
I'm sure I'm going to get some hate here, either from my chief scribe, or the Dr for having ****ty charts. Maybe I'll even get fired. I'm having trouble sleeping tonight, due to some anxiety about the consequences. The thing is, I don't think that is completely my fault! We were drowning in pts from the beginning of the shift... if the charts are lacking, it's because I didn't have anything else to document. Anytime, I was told something to include in the chart, I made sure to include it. Now I'm just sitting here, feeling like I'm bad at my job, which I hate. I've honestly done very well with all the other Drs, with some even sending me notes thanking me for perfect charts.
Soo... give me your input. Did I **** up? Do I suck? Have you had similar experiences? Whatever.
PS. I want to quit this job. 1 year here +100hrs of volunteering is more than enough on my application. But we are short staffed, and I feel guilty.
First I've been working as an ED scribe for at least 1 year now and have been able to keep up pretty well with all the Docs so far.
Tonight, I was working with an attending that I usually find difficult to work with, and we were extremely busy. The attending was there much earlier than scheduled and saw a few pts without me. So even though I showed up 15 mins early, I was already behind. Before I could even clean up charts of the pts that the Dr saw without me, a trauma came in that required sedation and intubation. I was trying to fill out the info for the sedation procedure, but the Dr basically told me not to ask her any questions. I understood that she was busy and stopped asking. As you fellow scribes out there know, good communication is directly associated with the quality of our charts. Anyways, I didn't have too much time to dwell on it because, 10 mins later multiple traumas rolled in, needing another sedation/intubation. While we were dealing with all these traumas, the residents were building up a pile of pts that we had to see. The rest of the shift was basically spent catching up to the resident's pts. We basically came in, did a quick exam, told the pt was probably going to happen, then left the rest to the resident.
Because of the rush, all my charts were extremely basic. I was left at the end of the shift with 30+ charts basically with a quick "I have seen and examined the pt, informed of plan" and "Spoke with resident, no change in plan". Some physical exams were incomplete.Usually my charts are much more comprehensive and eloquent.
I'm sure I'm going to get some hate here, either from my chief scribe, or the Dr for having ****ty charts. Maybe I'll even get fired. I'm having trouble sleeping tonight, due to some anxiety about the consequences. The thing is, I don't think that is completely my fault! We were drowning in pts from the beginning of the shift... if the charts are lacking, it's because I didn't have anything else to document. Anytime, I was told something to include in the chart, I made sure to include it. Now I'm just sitting here, feeling like I'm bad at my job, which I hate. I've honestly done very well with all the other Drs, with some even sending me notes thanking me for perfect charts.
Soo... give me your input. Did I **** up? Do I suck? Have you had similar experiences? Whatever.
PS. I want to quit this job. 1 year here +100hrs of volunteering is more than enough on my application. But we are short staffed, and I feel guilty.