Sometimes patients are overt in their desire for privileged treatment. Sometimes coworkers want to convey a desire for exceptional care for certain people. But in many circumstances, the lines are a little blurry.
I observed how in the busiest of times when an ER nurse was trying to move patients “upstairs” (MedSurg or ICU), they would often feel a palpable amount of cultural tension. Not only did other departments appear to work at different speeds, but had very different goals and ways of doing things.
I work in a rural hospital that is not a trauma center. Sure, traumas come in, but it is our job to stabilize patients and send them to a facility with trauma teams and surgeons. We call the cavalry, which is usually a helicopter, while we stabilize.
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