Print Vila Health: Human Resources · Introduction · Emergency Room · PICU · Hospital Conference Room · Conclusion · Credits Introduction Human Resources St. Anthony Medical Center (SAMC) is the third largest hospital in the Minneapolis-St. Paul metro area. Not only does SAMC serve as the main teaching hospital in the area, it also offers care to the community's most vulnerable populations, including low-income and uninsured residents. Like many hospitals across the country, nursing shortages and revenue shortfalls make staffing a particular challenge. Today, a chemical spill caused by a train derailment is highlighting some already tight staffing levels, and so are some other patient situations. Explore the various locations in St. Anthony Medical Center (SAMC), paying attention to how staffing issues are affecting the staff nurses and the nursing leadership. Emergency Room Caleb Harvey, the ER nurse manager, has to address the apparent "turfing" of a pregnant patient by another hospital and other concerns during a very busy time. Caleb deals with staffing issues. Caleb Harvey, ER Nurse Manager: I called Ramona about getting more staff, but I had to leave a voice message. Until she gets back to me, Emilio, I need you to go with Dr. Cartwright to get Mrs. Kalombo up to Labor & Delivery. Tell Juan that I need him on triage until you get back. Victor is already on beds 1-4 and Juan can go back to covering 5 – 8 when you're back on the floor. Emilio Boggio, ER Nurse: Got it. Robert: Agreed. Nathan Cartwright: Emilio, they just called down from L&D, they're ready for us to bring her up. Sarah Kalombo, a patient who speaks French but not English, tries to make herself understood. Sarah Kalombo (Originally in French): Don't send me away again. I am not going to have this baby in the middle of the street. I'll push this baby out now if I have to. Don't send me away. Nathan Cartwright (Originally in French): Of course not. You need to stop pushing and try to relax. We need you to slow down and let your baby come in its own time. Sarah Kalombo (Originally in French): You won't put me out on the street? Nathan Cartwright (Originally in French): No. Of course not. What gave you such an idea? Sarah Kalombo (Originally in French): The others. At Regency Hospital. I told them I have no insurance and the doctor told me I had to leave and come here. Nathan Cartwright (Originally in French): He what? Sarah Kalombo (Originally in French): He said I wasn't ready, so I should come here. The nurse, she didn't agree, I could tell, but he said no, I was not ready and I had to leave. Nathan Cartwright: Caleb, this doesn't make sense to me. Mrs. Kalombo says that Regency sent her here when she told them she didn't have insurance. Caleb Harvey: Sorry, but I'm not shocked. Nathan, tell her she needs to stop pushing. Nathan Cartwright (Originally in French): Mrs. Kalombo, you need to stop pushing. I promise, we will help you deliver your baby, but try to not push. Cale ...