Updates over Pancakes

        After a little over a week of night float I’m thankful to report that the first night was by far the worst night. The work load is really hit or miss, and I think it depends who is staffing the ER. Some attendings are seasoned walls and can feel comfortable managing a wide variety of things, and will let very few cases slip by and be admitted to the hospital. While others are sieves that tend to let the simplest of complaints warrant an overnight stay. The two major problems I’m starting to see at least at this military hospital is that a lot of staff are pretty young leading to less seasoned staff running the ER, which means more things slip through to get admitted. Second, there are no observation beds in the ER. Other hospitals tend to have a 24 hour observation section off the side of the ER for lower acuity patients. Not here, so again more patients need to be admitted. So in short, some nights the ER might be full and we won’t get a single call, other nights it may not seem that busy, but we are somehow admitting all night long. Read more