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6/30/19 8:00 PM-6:00 AM, 10 hours; 7/1/19 8:00 PM-6:00 AM, 10 hours; 7/4/19 8:00 PM-6:00

AM, 10 hours; 6/5/19 8:00 PM-6:00 AM, 10 hours; 7/6/19 8:00 PM- 8:00 AM, 10 hours
Hours worked this week – 50
Total hours – 328/456

The week of July 4 brought quite a few trauma patients to the ER with injuries from the

fireworks. Burns of various degrees on multiple body parts - some minor, some major. I do not

think that common sense was applied when the fireworks were dispensed. Who thinks it is a

good idea to give the baby a sparkler? Or let the 8-year-old help to light the large rockets? Is that

a portion of that child abuse? It was enlightening to see the evidence of either poor judgement or

a momentary lack of good sense in the heat of the moment. The days after the holiday also

brought in those people who are noncompliant with their medical regimens - the dialysis

patients who missed their hemodialysis sessions or were not compliant with the low salt, limited

fluid intake or the heart failure patients that needed to eat the hotdogs, salty foods and drink or

the diabetics that were having too much fun to take their insulin or abide by low sugar intakes.

The hospital admissions were up after the holiday. It was interesting to see how the staff

dealt with the "regulars" that need the same thing as last holiday or those that "ran thru" their

designated amount of pain medication stated in their pain contracts and now want more.

Dealing with a team of people, all who have different outlooks, opinions, jobs, skill sets

and responsibilities is interesting to step back and watch. It seems like every job interacts or

impacts the next, like the rungs of a ladder. It runs smoothly enough with critical issues, but the

mundane, or "routine" cases can led to frayed edges and tempers when someone perceives that

they are not working hard as hard as they are, or make a poor clinical decision, or is being slow.

The same thing happens at Publix, but that does not impact people’s lives. Learning how to be

part of a group, or team with responsibilities and accountability is yet another skill that needs to
be mastered. Group projects in school do not come close to the reality of it, but I guess are as

close as the professor can get.

I am learning a lot from discussing topics with the variety of people found in the ER.

There are many different professional fields represented and pretty much all of them are willing

to discuss the pros and cons of their chosen professions and the responsibilities inherent in their

fields. Most of them would continue in the same field, but many are actively working to change

fields and improve themselves. Others are burnt out in their current field and want different

challenges. Many of them are eager for me not to repeat the mistakes they made as young people

just starting out. Although they fight amongst themselves, it takes a village.