Are you jacked up?

Head Nurse explains:

We occasionally use the phrase "jacked up" at work. This is somewhere between "on vulture precautions" and "train wreck", and is a source of confusion for those people not versed in the cynical and bitter humor of a neuroscience unit. Therefore, I present examples of "jacked up" and "not jacked up" for your perusal. It is to be hoped that they will clarify the issue.

Hole in your belly I could put my head through: not jacked up.
Hole in your belly secondary to an abcess that's been cooking for twenty years, ever since you had gastric stapling: jacked up...

Twinkies: total jacked-uppery.
Deep fried Twinkies with Hershey's syrup: not jacked up.

Fractured pelvis and dislocated hip: only semi-jacked-up.
Fractured pelvis, dislocated hip, history of polio: jacked. Up.

Nurse on day one of a three-day week: not jacked up.
Nurse on day three of a three-day week: jacked up.

Having a kneecap kicked off by a horse: jacked up.
Getting inadvertently stepped on by a one-ton bull: not jacked up.

I think I get it. Let's see:
Psychiatrist with 40 incomplete, undictated charts on her desk: not jacked up.
Psychiatrist on call, with 4 psychiatric emergencies in ER and only one available hospital bed: severely jacked up...