So I got called into the Boss Man's office this morning, because the floor wrote me up and he wanted to address the issue.
At this point, my feet hurt, I haven't peed yet tonight, I didn't get to eat anything, I have blood on my scrub pants (which I just now noticed), I have poop on my scrub pants (which I just now saw but have been suspiciously smelling for the past two hours), I haven't finished charting on that last arterial bleeder that came in, and my coffee from 7pm is still sitting full on the counter next to my computer. It's been a rough night.
During the night, we moved a patient out of a trauma room and into one of the smaller rooms. The patient who was moved had some fairly big issues going on, but nothing that was going to kill her in the next 6 hours. The patient we cleared the room for, however, was very much going to die if we didn't act. He would probably have died in the next 25 minutes if we didn't get moving. So we got moving, did our ER thing, and eventually sent him off the OR. At the very same time, a cardiac arrest AND and an MVC came in - so our ER staff was split between three very critical patients. The patient who was moved next door was then quickly taken upstairs, as she had a bed assigned already and we needed the space in the ER.
I got written up because, in all the madness, I missed a skin tear on this patient. One skin tear, out of many. And actually, it wasn't my patient to begin with, so really I never did anything for this patient except wave goodbye as she was on the way up to the floor. Although I didn't even really wave goodbye, because I was slightly preoccupied with running the Level 1 Rapid infuser with mass quantities of blood products.
There really isn't a point to this story, except that I'm royally annoyed.
Dear floor nurse: I'm sorry I didn't dress a skin tear. I was busy. You know, actually doing something to save a life. Not that a skin tear isn't important...but...no, wait. It's not that important. Not in the grand scheme of the ER.
Fortunately, the nursing sup was in the ER the whole night, and backed me up regarding the madness. No thanks to Boss Man.