The system has taken the care out of me. I am at a low point right now. I am just venting. I just don't care right now. I have been out only 3 years and I feel just pounding on by administration and the doctors that I work with. I know it will get better and I have a couple days off but right now, I'm venting.
After recent complaints and one action, I was taken off the schedule from the hospital that I moonlight. Mind me, not suspended, they'll meet for that, but taken off the schedule. I did not admit a child for obvious behavioral issues and not psychiatric so the mother complained (of course after yelling and cursing me out). I did not give narcotics to a frequent flyer and when it was time to give him abx for infection he refused to let me touch him and complained to the hospital. When the urgent care center owned by the hospital and 2 buildings from the ER (1 minute walk) called for help for a status epilepticus, I walked over. After realizing child is hypoxic, seizing for past 25 minutes and transport was going to take another 10 to 15 minutes I carried the child over to our ED and proceeded to intubate and transfer the patient, the hospital said I did the wrong thing. They asked what if I tripped. A family member overheard me talking to case management and psychiatry, at my desk, concerning a patient and then posted on facebook how she heard everything about these patients, who do you think gets the blame despite this being completely protected by HIPAA. All of this in the past 2 weeks.
At my hospital I get an email about a review. Even though I stayed completely within the guidelines of the group (treated an asymptomatic hypertension with home meds) they said I shouldn't have since it brought her blood pressure down too quick. Remember, it was her home medications that she forgot to take.
I have been one of the few at my hospital to stand against the overuse of opoids and abuse of the ER. That doesn't mean that I don't treat those patients, but I do explain that I do not treat chronic pain with opoids and that is for their primary care doctor. As a nocturnist, I unfortunately see a significant amount of these people since express care shuts down at night. That also means that the 25k bonus for PG everyone gets is much harder for me since I don't give it out like candy as some in my group. I've even had a couple tell me they have given up their morals because of it and just don't fight it anymore but they are proud of me for still fighting. Their words, not mine.
And to just add insult to injury my mother was put in the hospital yesterday for infarct to the left with right sided weakness and slurred speech.
Can I just say AAAAHHHHHHHH right now.
After recent complaints and one action, I was taken off the schedule from the hospital that I moonlight. Mind me, not suspended, they'll meet for that, but taken off the schedule. I did not admit a child for obvious behavioral issues and not psychiatric so the mother complained (of course after yelling and cursing me out). I did not give narcotics to a frequent flyer and when it was time to give him abx for infection he refused to let me touch him and complained to the hospital. When the urgent care center owned by the hospital and 2 buildings from the ER (1 minute walk) called for help for a status epilepticus, I walked over. After realizing child is hypoxic, seizing for past 25 minutes and transport was going to take another 10 to 15 minutes I carried the child over to our ED and proceeded to intubate and transfer the patient, the hospital said I did the wrong thing. They asked what if I tripped. A family member overheard me talking to case management and psychiatry, at my desk, concerning a patient and then posted on facebook how she heard everything about these patients, who do you think gets the blame despite this being completely protected by HIPAA. All of this in the past 2 weeks.
At my hospital I get an email about a review. Even though I stayed completely within the guidelines of the group (treated an asymptomatic hypertension with home meds) they said I shouldn't have since it brought her blood pressure down too quick. Remember, it was her home medications that she forgot to take.
I have been one of the few at my hospital to stand against the overuse of opoids and abuse of the ER. That doesn't mean that I don't treat those patients, but I do explain that I do not treat chronic pain with opoids and that is for their primary care doctor. As a nocturnist, I unfortunately see a significant amount of these people since express care shuts down at night. That also means that the 25k bonus for PG everyone gets is much harder for me since I don't give it out like candy as some in my group. I've even had a couple tell me they have given up their morals because of it and just don't fight it anymore but they are proud of me for still fighting. Their words, not mine.
And to just add insult to injury my mother was put in the hospital yesterday for infarct to the left with right sided weakness and slurred speech.
Can I just say AAAAHHHHHHHH right now.