True to life. Glaucomenflecken always hits nail on head. *stamps with CCRN stamp of approval*
We're collapsing. It's just invisible because they collapse is measured in outcomes that are only just picking up steam. I'd cite a national news article about "person dies of heart attack because no beds available in surrounding 5 states" but that's normal now.
Like... *accesses EMR*
High 20s-room ER at this hospital I'm on contract with, meaning normally you can treat 25-30 people at a time.
There are 6-8 people waiting transfers to other facilities, multiple for over 24 hours. One of them has been here over a week. There are over two dozen people in the waiting room and it looks like all the spots in the hallways where we can park stretchers and give suboptimal care to people with no cardiac monitors, vital signs machines, or even oxygen hookups are full. Shift change for EMS locally is at 6 o clock and they go on diversion every time like clockwork, meaning there are no ambulances available for the entire county. Hospital is about 20% short of staff tonight and we don't have a dedicated ICU doctor because that doctor is covering the entire hospital outside the ER and labor&delivery, because we have no night shift hospitalist either. Every single nurse in the hospital is taking more patients than their normal ratio except for a handful of critical ICU patients. One of the floors has one nurse for every 7 patients and no nurse assistants because they're all sitting with suicides or dementias, meaning that every hour the patients each get about 8 minutes of staff time assuming the nurse doesn't eat, drink, pee, or document for 13 hours straight.
*giggles maniacally*