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Wed Dec 31 11:32:25 GMT 2008

And so we've isolated the real problem here.  

Credit to the surgeon who, however volatile, has nonetheless resisted
the opportunity to respond in kind by detailing an unnamed nurse's
shortcomings to a global audience, seeking our "advice" on how to live
with his insolent coworker.  

If we were all as insecure, immature, and passive-aggressive, the List
would be drowning in anecdotal end-arounds of interpersonal and
interpersonnel grievances.

Angela, take a lesson.

Let's close this stinking thread and be rid of it.

Pret

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Jon Hoerner
Sent: Wednesday, December 31, 2008 5:29 AM
To: Trauma &amp, Critical Care mailing list
Subject: Re: is yelling acceptable?? ever??

Bringing an issue like this to the attention of someone via a global
list-serv is quite unprofessional and lacks a sense of respect.  I am
just a lowly paramedic, but when I have an issue with someone
(physician, nurse, politician, relative, etc.) I talk to them about.
I certainly don't air my dirty laundry for the world to see.
Surprisingly (or not), I get better results than other methods of
passive-aggressive problem solving.  Personally, I don't feel
passive-aggressive is a personality trait that should be in an part
emergency services. That type of behavior is best left at the
water-cooler of a paper supply company (no offense to anyone in the
paper supply business).

And you are right, if one of my co-workers did what you did, I would
give them quite an earful.

My purpose of this email wasn't to yell at you.  I wanted to point out
that in the care of trauma patients, it is a team effort and every
link is important and should be respected in order to get the best
possible outcome.  From the first responders to the EMTs and medics to
the nurses/physicians/support personnel, everyone has a job.  If a
nurse says to a paramedic "don't bother giving me a report.. you guys
are wrong half the time anyway" it has the potential to affect patient
outcomes in a negative manner.  It is our duty to make sure we can
have open and honest conversations as we are all professionals.
Disagreements are just opportunities to learn from each other.

I think sometimes we all need a friendly reminder of this fact in our
daily practice.  Hopefully some of you will pause to think about this
before treating your next patient and ponder how you can create a
better working environment.

Also, please do not reply to the entire digest email.  It makes things
a little more challenging to follow and read.  Unfortunately, I
suspect a lot of people, like me, get frustrated and simply hit that
nice delete button than try to navigate the email.

Jon Hoerner, BS NREMT-P

On Wed, Dec 31, 2008 at 12:25 AM, Angela <angie504 at hotmail.com> wrote:
>

>>
>> To subscribe or unsubscribe via the World Wide Web, visit
>>       http://list.mistral.net/mailman/listinfo/trauma-list
>> or, via email, send a message with subject or body 'help' to
>
> I am a nurse, I work trauma ICU and ER. I brought this up because I
know he reads this lists and would maybe take a hint from his other well
respected colleagues. I am no saint myself, I recall yelling-for help-
once , however, when I ended up with a pt in the resus room stab wound
to the chest and had the "feeling " something was going wrong fast. And
it did. All my fellow teamates disappered somewhere for what felt like
forever, so it was me trying run the level one, do cpr , check chest
tubes , ambu, all while I had a small audience of ems and students
watching me in an 85 degree room with 20 lbs            ( however much
the stuff weighs ) of lead on.  I was upset, and still managed to yell
for help, not at any person . I was aware enough to know I needed help
and my team and surgeon (nice one ) would never leave if this pt showed
these signs earlier. He has been spoken to many times and it results in
basically  a slap on the wrist. Keep the comments coming , I hope he
  will gain some insight from them. And once he finds I wrote this I'm
sure I might even get an earfull!! I'm used to it though, I don't let it
affect my day, my work. I believe in God or by a higher power, karma
etc. ,   he will be humbled at some point. And sometimes, I admit I
don't help .  He asked to for a T-pod once and I told him all I had was
my I-pod or I could find a T-pot. Everyone else laughed and after a
small tantrum we found one :)
>
> Angela RN , BSN
>
>
>
>
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is yelling acceptable?? ever??