Gather ’round, boys and girls, and let Uncle Stretcher Ape regale you with another tale of FDASL.
So, the other week, I meandered into work, safely early (or so I thought). I was just about to drop my lunch, backpack, and coat, when the overhead page alerted: “Code Alert to walk in!”
Well, that was odd. I grabbed my stethoscope, and walked out of the office, simply to be certain that I was, indeed, in the walk in. Yep, I certainly was.
One of the MAs, looking excited, directed me to the room adjacent to where I was standing.
I entered to find a flaccid child, eyes literally rolled up into her head, as the MA at the bedside was busily obtaining vital signs. She gave me hurried report: child had arrived looking unsteady, reception had twigged, promptly to my FAVORITE “vital sign”: (“Dude Don’t Look Right”), summoned the MA staff, and, well, then things got exciting.
The child, as soon as she had been laid down, had gone unresponsive, per the report I got. I auscultated, verifying presence of air movement and heart beat. Finding a radial pulse, I went to the registrar, and asked, “Where is my bus?”
She smiled, knowing how I think, and replied, “I’ve called the ambulance already”
“Outstanding!” was my reply, and I returned to the room.
As I turned around, I noticed my physician supervisor, as well as my pediatric supervisor. I gave them a brief synopsis of what I knew, and what my plan was (“get her off to ED, as soon as humanly possible”, if I recall correctly).
Soon, EMS arrived. I gave them report, as best I could, and they packed her up and skedaddled (No, that is not strictly speaking a medical term. But, it worked for me!)
I subsequently spoke with the registrar who had first contacted mom and child. She had determined, indeed, that this child very much did not look right, and had promptly summoned assistance.
The first MA to respond, had promptly identified that this was way, Way, WAY beyond our level of care, and had initiated calling EMS, RFN (Right Freaking Now), as well as the “Code Alert”.
So, a couple of days later, my physician supervisor, along with the administrator, passed through for a weekly review of our quality indicators. Winding up their pitch, they asked if we had anything to call to their attention. Yep, I did.
I praised the registrar who correctly, and promptly made the triage call. I praised the MA who had responded, and initiated the “Code Alert”, as well as the EMS call, properly, promptly, and effectively. I wound up by stating that they deserved praise for responding appropriately and calmly in a crisis.
This is to illustrate, again, quiet people who, taking pride in what they do, strive to improve, attend to duty, and take care of business. As Heinlein said, “Take a look around you. There never were enough bosses to check up on all that work. From Independence Hall to the Grand Coulee Dam, these things were built level and square by craftsmen who were honest in their bones.” (https://thisibelieve.org/essay/16630/)
I work with these folks. I rely on their intelligence, their judgment, their engagement with what they do. As Eaton Rapids Joe noted, “You get more of what you recognize”.