The Resus Room, where we take care of acutely ill patients, was empty. As in five beds, no patients.
On the other hand, I was in the Treatment Rooms, where we usually treat the walking wounded. We were as busy as hell and had a couple of patients who were a just wee bit unstable. Contestant No. 1 was an elderly guy, epistaxis and vomiting blood, who suddenly dropped his BP into the low 60s systolic. Probably having a vasovagal, but given his extensive cardiac history and not to mention his present complaint, who in hell really knew?
So I brought him over to a Resus bed, which you would think would be the best place for your typical unstable patient. The Cutesy Twins —BFF! — were on. Individually they’re tolerable, but their work as a team is characterized by a lot of squealing, giggling and generally adolescent behaviour.
Both of the Twins were madly texting* on their Crackberrys; both were supremely annoyed at the interruption. Why are you bringing him over here? went the whine. What us, work? was the subtext. He’s just a nosebleed. And so on. Wah, wah, wah, wah.
Yeah, a nosebleed. With no blood pressure. And a history as long as my left arm. So can you please shut up, put down you phones, and actually do some patient care?
Contestant No. 2 was a vaginal bleed, probably a missed abortion, and actively bleeding and (again) had no blood pressure. I called over to Resus to tell them I was bringing them another patient.
“Fine. Whatever,” said one of the twins. Click.
I couldn’t believe she whatevered me. WhatEVAH.
Almost immediately I got a call from the charge. Do you really need to bring this patient over to Resus?
What the fuck? I was starting get a little peeved.
“I’m bringing her,” I told the charge. “Resus has four empty beds. Frankly I actually don’t need to justify moving the patient. Tell the Twins to suck it up.”
Much grumbling and dirty looks when I brought the patient over. The Twins were visibly angry.
Was there something I was missing here? Other than the Twins preferring to text their boyfriends to working?
*I’m rapidly coming around to the point of view of banning all freakin’ personal digital assistants from patient care areas — but I’m cranky, and it’s probably impossible to enforce and therefore pointless.