Has anyone else had this happen to them? The last couple of nights I’ll dream that I am at work, the ED is overflowing and someone is trying to give me report on a dozen patients that are coming in while I am lying in a bed dozing somewhere. Then they get really mad and yell, at which point I wake up. It always takes me a couple of minutes to realize that I am at home, in my own bed and it’s my night off! I actually have to take a second to mentally tell myself it was all a dream and try to relax and go back to sleep.
What the heck? My husband thinks this is weird and so do I. I’ve always been a great sleeper and never had problems working the night shift then flipping back to a normal schedule on my days off. I don’t like to use medications but this is getting silly. Any suggestions nurse sisters and brothers?
After working four nights in a row I was treated this week to my first episode of “Nurses Eating Their Own”. I won’t bore anyone with details, but I made a small mistake and one of the nurses took the chart, not to the charge or even the head of our department, she took it straight to the house supervisor. She even went so far as to make copies of the chart and show the Doc, who got all steamed too.
Now I admit I made a mistake, no harm came to the patient. In fact it was a silly thing and I have learned my lesson to read protocols a little more carefully. But really? Aren’t we all on the same side here? Isn’t our job to provide care to our patients, not hunt out silly mistakes made by another nurse and blow it up into a huge mess? I was so demoralized that morning on my way home, I really do believe that healthcare only works when you have a team. I know this is reality but is it really best for the patients that we care for when Doctors and Nurses are at odds with each other? What ever happened to the Sisterhood of Nurses? Back in the day we hung together, now all we do is try to tear each other down, for what gain? If anyone can tell me what we actually achieve by backstabbing one another I would love to hear it.
Oh yes in case you were wondering, the Director called me into the office in the AM and told me not to take anything personally. Things like this happen she said, no one is mad at me and did I learn my lesson?
Yup I sure did, TRUST NO ONE.
Damn I feel like I working in the spy business may be less stressful!
Last night was pure chaos in the ICU. I took the first admit from the ED while trying to balance a patient who was busy trying to hop out of bed restraints and all. So here is the initial report I got,
60 something male c/o SOB, Respiratory failure and now intubated and ventilated.
Ok no problem, I actually like working with vented patients, and no it’s not because they are out cold, I’ve actually worked with them before as an LPN. So we get the respiratory room set up complete with a special bed that rocks and shakes them. Next thing I know I get the SBAR faxed over and it says: 60 something male, c/o SOB CHF exacerbation, 16L O2 non rebreather mask.
Hold up, what on earth made them think he was vented earlier? Ok, whatever I take report and tell them to bring him on over. Five minutes later the ED nurse arrives with a patient on a gurney and the following equipment: heart monitor, IV pole with a Nitro drip hanging and the fellow on a nasal cannula. Not to mention one measly 20 gauge in his arm.
Nurse Twit then gives me a quick bedside as we are transferring him into his new digs.
“Oh yeah BTW he still has that inch of nitro paste on his chest in addition to the drip because I couldn’t find a doctor to give me an order to take it off”
Ok Brilliant, now the guy is getting a double dose of nitro, wonder what his blood pressure looks like.
“Um yeah and he was diagnosed with pneumonia in the ED but we didn’t start any core measures. He’s going to need two antibiotics and he’s only got the one IV. So you’ll need to start another one. Lucky for you he’s got veins.”
Great, how many hours has he been here and you couldn’t draw the blood cultures or get a sputum? And that IV looks like a field stick so how the heck would you know what his veins look like since you obviously haven’t examined them?
Nurse Twit heads back the the ED and I settle our guy in and tell him that I need to poke him again. He’s pleasant as all heck about it and I don’t tell him this is the first time I have ever stuk someone without a person hovering over me giving directions. Oh yeah his veins were crap, huge and easy to see but all gnarled. I found a decently straight one in his hand and dropped a 22 gauge in there like a pro. Thank god because my other guy was trying to crawl out of bed again.
I somehow manage to survive the night. I nearly kill my relief who takes 30 minutes to get report from the nurse with her other patient and then finally makes it to me. Great now Mr is late for work (yes we still don’t have enough for another car so we carpool) and the director is giving me the evil eye because I’m overtime.
I bolt from that place screaming TGIF (my Friday at least) and hop in the car. Almost home free! Until we get to the intersection a block form home and wonder why no one is moving. I poke my head out the window and my heart just sinks.
From around the big truck blocking my view I see feet, on the concrete, in the middle of the intersection. I holler at the Mr to sit tight and jump out, to take a look. Yep hit and run in the middle of a busy intersection at rush hour, on a Monday with some dear strangers standing around him to keep the jerk drivers who are trying to cut around because they are too busy to care, from hitting him. Thankfully an EMT was on the scene and paramedics were screaming up as I got the the fellow.
I got back into the car and the Mr just looked at me and asked
“Is it a full moon?”
As a student I always giggled when a nurse exclaimed “Oh crap I’ve lost my brain again”. It always sounded so strange, calling that ratty, dog eared scrap of paper your brain. I never fully appreciated how such a small piece of paper could assist a nurse with keeping all pertinent information straight.
That was until now. Now I totally understand how devastating losing my “brains” is. I have also learned that no nurses keeps hers exactly like another nurse. From organization to pertinent information, every nurse has their own unique way scribbling it down to fit on one sheet of paper, making it very apt that we call these papers “brains”. Not to mention every department requires a slightly different brain sheet, you’ll notice a Tele nurses brain looks nothing like an ICU nurses brain.
When I was first getting started it was one of the things that required a lot of trial and error for me to get “just right”. In the development process I looked at how the other nurses around me scribbled down their information, paying close attention to how they organized it and what info they kept and what they did not. Now I have a system that works for me pretty well, and I figured I’d share.
Obviously this is a HIPPA-ized version of my report sheet, but it IS a real one from my last trip to Telemetry.
It was made on a single sheet of paper that was folded in four so that it can be folded and fit easily into my pocket for quick reference.
My belief behind my brain is that is should contain only relevant information but at the same time I should be able to know everything about the patient in just a glance to my brains.
So let’s go over a few of my organizational tricks really fast before I go in depth into my brain.
The first thing I do is color code my brains, notice the red and black pen. Basically the black pen is your basic information, major systems information, vascular access, labs etc. The red pen is important information that you want your eyes to fall on like drug allergies, medical history and diagnosis, and things to do like blood glucose checks and meds to give.
Second thing to do is decide what information is relevant to me and my treatment of the patient. On a Telemetry ward it’s handy to know what telemonitor the patient is assigned. Generally I take down information by exception, meaning I only write down what is abnormal with my patients rather than everything that is going on. I always right down what lines the patient has, where they are and what is running through them this way I know who is going to have IV’s to hang. Also if the patient has any procedures going on like dialysis it’s important to note what days they generally have it done on in case the Doc wants to know.
Third thing I do is review what is on the To Do List for the the shift and jot it down (in red) so I know what has to be done with each patient. More importantly this gives you a picture of what your night is going to look like as a whole and gives you the ability to prioritize. By doing this I can now look at all the meds that I have to give on this shift and know that Patient #4 doesn’t have any meds due until 2300 so I can leave them to last for med admin and get to the other folks who have earlier meds due.
This week a writer for ESPN was fired for writing this headline
But this brings me to my point. All through nursing school we have had cultural sensitivity crammed down our throats and now in the work world we are being constantly being harried by someone in management about being culturally sensitive. But are we now just fostering a need to be hyper-vigilant to anything that could possibly be translated as a racial injustice? I notice nurses around me being worried about how to take care of a patient who’s culture is foriegn to them lest they make a mistake and get hauled into HR for being insensitive. Being Asian myself I have found that on more than one occasion people were offended on my behalf whereas I didn’t even notice the alleged slight. Case in point is this little interaction I had seen with a nurse and patient while in school.
Patient: Nurse have you seen that nice student nurse who has been helping me today?
Nurse: Well Sir we have about ten student nurses here today, which one were you looking for?
Patient: That nice Oriental girl
Nurse: Sir! That is horrible language!
Patient: What is? I didn’t say anything mean.
Nurse: Sir Oriental is a derogatory term and very offensive, the correct word is Asian.
Patient: Since when was Oriental a bad word?
Nurse: Sir! Oriental is a RUG not a Person!
The nurse obviously meant well in trying to be sensitive to my culture, but seriously did she need to berate an 80 year old man? And she never once asked if I was offended by being referred to as “Oriental”, which I was not. My belief is that the intent behind what is said is much more important than a persons choice of words. I also believe that while a respect for a persons culture is important in our ever globalizing world that this trend to hyper sensitivity is not helping anyone. My belief is that as nurses we should strive to treat everyone as with dignity and respect, and in doing this we can transcend cultural difference because we acknowledge each other as human beings.
Thank you for all your support! I survived my first day in the ICU with an awesome preceptor. It was a crazy day, we didn’t get our charting started until the day was nearly half done. We spent an hour in CT scan with a 300 + lb patient. The CT tech looked at us like we were nuts when we brought her in, and wasn’t sure if she would fit in the scanner. After calling in some muscle (we have the best security guys!) to help move her on to the the scanner, we hop into the control room and begin scanning. The patient begins hollering at us from the machine,
“Let me out! I’m hungry, I want to eat!”
“Ma’am that’s what landed you here” mutters the tech.
What does it say when every nursing student I showed it to answered “F”?
Want to know a secret? I never wanted to be a nurse, in fact as a child I though it was one of the most horrible jobs in the world. I mean who wanted to do mean things to people like give them shots that made them cry, not me! As I grew older I viewed nurses as nothing more than mean spiteful people who were grumpy all the time in spite of earning a decent paycheck. So I never gave nursing a second thought as a career.
So now you are wondering how on earth I ended up with the letter RN attached to my name and blogging about it? Well it wasn’t really all that eventful, no major epiphany or light from above, it was necessity. I was stuck in a sales job that just wouldn’t pay the bills and my husband was getting nowhere with a real career, so we made a huge life changing decision. We moved from Canada to the United States and my husband began his studies at a large University. This means we came down on student visas, which basically only allow you to study, working was not an option. After a couple of months of sitting doing nothing I began to go crazy, I needed to do something. A family member offered to help me pay for school if I wanted to go back and get a degree, she suggested nursing. It was a logical suggestion as the degree could transfer back home and just about anywhere we went, so I’d always have a good career to fall back on.
Nursing? Me, the one that wants to crawl under a table at the mere sight of a needle, as nurse. It was almost laughable, absurd really. Somehow I got talked into attempting the pre-requisites. It was terrifying going back to school at 30-somthing and facing my demons like math and chemistry. With a ton of help and patience from my husband I made it through the pre-requisites, but there was a waiting list a mile long for all the programs in the area. We decided I would enroll in a CNA course and get my feet wet to see if I really liked healthcare. It was love at first class. The weeks flew by and I found myself looking forward to every clinical day even though it meant dragging my butt out of bed at 5am.
The CNA certification allowed me entry into an LPN program which I loved even more. Though I will admit when we started learning to give injections my heart rate must have jumped into the 200’s. After I graduated LPN school and received my license I was able to obtain a temporary work permit and began working in a long term care center for patients on ventilators. I loved my job. Many people find what I did depressing, many people in that place never went home, we often talked about the only way out of that place being “celestial discharge”, but I loved it. I found so much joy in the talking to the residents, becoming a familiar and welcome face and a part of their routine and ultimately their lives. I also found great peace in caring for a someone in their last days, ensuring family and friends as well as the patient were together and comfortable for those last moments. When my work permit expired I returned to school to complete my RN.
I now work in a local hospital. I didn’t choose a big, shiny teaching facility, there are many here in my city. Oh no, I work, literally in an inner city ghetto. The neighborhood is slowly trying to fight it’s way out of the depths of poverty and gang violence, trying to become a place where children can grow up without the sounds of gunshots and not fear playing outside. I chose this place because I can truly help people here, I can make a difference in their lives. I feel that if perhaps one person treats these people like people, tells a drug addict that someone believes in them or tells a little kid they can become a Doctor and not a gangbanger, that maybe they will believe it and believe in themselves.
Why did I become a nurse? Because I needed a job. Why do I continue to be a nurse? Because I believe I can make a difference in peoples lives.
|Me this morning, last night, yesterday…….|
Couldn’t sleep, I think I finally passed out around 3am yesterday…er…this morning(?) Got up at 7am because I couldn’t stay asleep and stumbled around like a zombie waiting for 10am to roll around because I have decided that is an acceptable hour to make that “Hi, remember me?” call.
- How long is “normal” for it to take a hospital to get back to you with an offer of employment?
- How long should you wait before you decide you don’t have the job?
- Do you get a “thanks but no thanks” call, email etc? Or do they never talk to you again?
- I’ve called once, is it permissible to contact again and how long do I wait?
- Any tips on how to get a job?
We night nurses love to potluck. What can we say, when the cafeteria isn’t open and your options for dinner is Dennys or organizing a small feast of home made goodies I can tell you what wins every time! But that does mean that you have to actually cook, if you are just coming on after a couple days off you have plenty of time. If you are not you may be scrambling for something that you can whip up in five minutes so you don’t look like the looser who ran to Costco on the way to work.
I found this amazing salsa recipe on Pintrest, I cannot claim any kudos here it is not mine, but I will accept love and adoration for sharing it. The recipe comes from Mountain Mama Cooks, so if you love the recipe please take a moment to pop over and let her know. This salsa is more of the blended type you get at real Mexican restaurants, and the best part is you can literally whip this up in about 5 minutes in a blender. The only change I made to the original recipe is that I left out the teaspoon of honey and add a touch more cumin.
This has been field tested and my co-workers demolished the entire batch I made, this recipe makes about 3 cups of salsa.
Worked the other night in the ER, it was a typical night of babies with runny noses, tummy aches and bug bites. So I wasn’t overly surprised to hear from one of our visitors that they were bitten by a spider, nor was I surprised that they had captured the spider and brought it in a bottle for us to see so we could determine whether it was the poisonous kind. Turns out that it was a wolf spider, a pretty harmless spider that would leave you with a bite that would hurt but with no danger to the patient. PA No-Bullshit was on and he had them in and out in less than an hour much to our delight.
A few minutes after they left I hear a shriek from the room and go running, I see the housekeeper pointing in horror to a water bottle that had been tossed on the floor and had rolled under the bed. The bottle containing the, still live, spider.
Now seriously, first off who the heck just leaves their junk lying around for someone else to clean up? And secondly who the heck just leaves a live spider in a bottle on the floor for someone else to clean up?
Mixed venous oxygen (SvO2)
Cardiac output (CO)
Pulmonary artery pressure (PAP)
25/10 mm Hg (20-30 / 8-12)
Pulmonary artery occlusive pressure (wedge) (PAOP)
4-12 mm Hg
Central venous pressure (CVP)
2-8 mm Hg
Stroke volume (SV)
Stroke index (SI)
Cardiac index (CI)
Systemic vascular resistance (SVR)
Pulmonary vascular resistance (PVR)
The other night was the big kick off to Nurses Week, the pot luck was set out and delicious smells rolled out of the galley and were making my stomach growl. I wanted to run out and grab something hot, but I was stuck. Stuck in my room with a patient who was in a very very bad way and a family who didn’t dare move from the room. I don’t know why but whenever a potluck is set out, my patient crumps. I stayed in that room for most of the night unable to step out for supplies let alone for food, but at the end of the night I couldn’t feel happier.
That night was a blinding example of nursing at its absolute perfection, the team pulled together, nurses in and out of the room helping me with supplies, an extra set of hands or just whisking away the accumulating mess of tubing and wires and surgical instruments. Cups of coffee were cheerfully delivered to the family, reassuring smiles flashed their way and somehow, somehow they knew everything was going to be OK.
At the end of the shift I was exhausted, but not as exhausted as the family who sat and watched helpless to do anything and having to put trust and faith in absolute strangers. When I left that morning I saw tears on their cheeks but hope in their eyes, I received hugs that conveyed so much more than any words.
I walked out the doors that morning exhausted yet somehow renewed and revived. It’s because of these moments I am a nurse.
Happy Nurses Week to all of you who have felt what I felt that morning.
Sorry for the layoff folks but that whole “Real Nurse” thing got in the way of…well everything this week. This week I worked SIX shifts straight, because I can’t say no when the staffing office calls looking for someone to come in extra. Don’t get me wrong here, I’m happy I made a load of overtime this week, but I am exhausted, which leads me kinda to the point here. When does overtime just become overworked?
Let’s be honest, being fresh out of school I still have very vivid memories of what it is like to not know how you are going to make ends meet. So kinda like a stray cat that eats whatever you put in front of it, I will take any chance to pad my bank account. Whether it means floating to any floor in the hospital to avoid being called off due to low census, working holidays without a complaint, or picking up pretty much any overtime shift that is offered to me, regardless of how insane it is. I’m sure plenty of new nurses reading this know exactly what I mean and plenty of you nursing student who are set to hit the workplace soon are planning to do this too, the money is good and it’s there for the taking if you are willing to do it, but should you?
There are always pros and cons to everything you do, and now that I have done what I really thought was impossible I can sit back and go over in my head how smart or stupid this little exercise of my endurance and love of a fat paycheck really is.
Having done it once now I’m not sure I’ll do it again and I am not sure how much I recommend it to any nurse. To be quite honest my whole body hurts and I think I have totally undone the work the massage therapist did on my back last Saturday. My sleep schedule is now seriously messed up having gotten used to sleeping in the AM and being awake in the PM , that it’s going to be tough to revert back to being a “normal” person on my days off.
More concerning is the how my ability to handle stress went slowly down hill the further into the week I got. No matter how you slice it, working 12 hours a day is rough. Now when you are into your 48th hour in 4 days you may find that it has some toll on your emotional endurance. Yes, I was a little crabsy this week, and was that really fair to my patients? I’m not sure, I guess one could argue that with the way things were going, having a nurse was better than the outlook had been at the beginning of the night. At the same time I may have been a better nurse if I hadn’t been on day 5 of 6. Also, my concentration was not great by day 5, when I began to notice I got super cautious with everything I did, double and triple checking meds to be certain that I wasn’t making an error. Sure I get a gold start for being careful, but it really slowed down my productivity and was a little nerve wracking at times.
On the flip side, there ARE upsides to picking up some overtime besides the big paycheck. I have made friends for life with he staffing folks for saving their butts and my co-workers all think I wear a halo for giving up a couple days off to help them out. My boss, our director, thanked me for being such a great team player and probably has a touch more respect for me now. For a new nurse it’s really important for me to establish to the higher ups that I am a team player, I have a connection to my unit and show them that I am willing to work, I think I established all these goals this week.
So, was it worth losing a week of my life? Yes. Would I recommend you do it? I can’t speak to that in a yes or no way. Instead this is what I suggest, nursing is about total honesty. Be totally honest with yourself. Take some self inventory and ask yourself if you REALLY can handle that extra shift. Don’t think about it in dollar terms, just be honest about your limits and if you have even an inkling of a doubt in your mind don’t do it. If you are worried about feeling guilty or caving to pressure, don’t answer your phone and talk to your staffing person, let them leave a message, they always do. Then take a moment to take a personal inventory and decide for yourself if you can handle it, only you can figure that one out. Remember, another opportunity will always pop up down the road to pick up a shift, just because you don’t feel like you handle one in the here and now doesn’t mean you won’t be able later, another day, another time.
In the end I am glad I did it. I learned that I can handle way more than I thought I could, but I also learned a few things about my own personal limitations. I also learned that limitations are not a bad thing, or even written in stone, but just like road signs, they are something that you really need to pay attention to.
Last night was my first night of orientation, meaning my patients all mine. I wound up with a fellow who came in a few days ago a very sick man and ended up vented and a lady who has been with us for a couple weeks now and was really looking more and more like a Hospice candidate if it wasn’t for the family wanting everything but compression’s done.
The fellow began my night with a sudden high fever that required a call out to the Doc on call who laughed at the charming notion that a nurse was calling him for a Tylenol order. After he rounded and teased the newbie things seemed to settle into a decent flow of the night.
Until my lady went down hill and fast. One minute I’m on the phone with the lab and the next I’m trying to get the code cart open for Epi. I would love to say that we heroically saved her, but not so. Part way through the code the family got the idea that the meds we were pushing were not going to save her and requested us to stop. The thanked us for all our efforts and let her go.
I somehow was left at the end of the night feeling like I had not been on my A game and if I had the night would have ended differently. I’m not sure what I have could have done, even the Doc had spoken to the family and let them know that it was best not to continue with life support. I just guess I have that feeling like that should not have happened on MY shift.
Wow time flies, I just completed my very last day of orientation. Next week I will officially be an ICU Nurse, geeze what a weird feeling. It feels like I just stepped into nursing school and already I am stepping out on my own.
My patients, my decisions, my license. There are days when I sign the chart I stop a moment and stare at the “RN” behind my name and it feels so surreal.
- Keep the patients chart open near by, the Doc may want to know the most recent labs. This way you are prepared, not fumbling around, they appreciate that.
- Take five minutes and write your SBAR down so you have everything you want to say in front of you. I have blanked a couple of times when the Doc got on the phone, it saved my butt!
- Don’t take is personally if you do get a cranky Doc, they are people too and like us nurses can have bad days. Just be polite, get what you need and hang up, then vent to your fellow nurses, no point getting too upset over it we have more important stuff to attend to!
When a patient starts to take a turn for the worse it can often be pretty scary especially for a newbie. The best advice I ever got was from my charge who reminded me that a patient rarely goes downhill so fast that you can’t take a minute to organize yourself. Taking a second to clear your mind and focus on all the important things not only improves your patient care but will also make communicating with those Doctors even easier.
It occurred to me after reading the article Being Ken is as Hard as Being Barbie: Why Body Image is a Male Problem, Too (warning this will take you to a website with adult only content, please lock the kiddies up before viewing) that while the modern media is always talking about all the issues women have with “body image” we very rarely talk about how men feel. For the last decade we have very much ignored the male point of view when it comes to body image issues.
Do men not face the same pressures that women to conform to a particular and highly unrealistic image of what is attractive? I find that very hard to believe since every page I turn in a magazine features some well muscled, smooth skinned guy sans his shirt trying to convince you to buy whatever it is he is hocking.
As nurses I believe it is very important for us to understand the issues that face those who will walk through our doors in whatever setting that we work, but even more important is to continue to look at all sides of the issues that are presented to us. I would highly suggest reading the above mentioned article as it is written very honestly from the male point of view, I found it very enlightening.
I’m a total disaster when it comes to baking. I can handle coding a patient and I keep my head in the craziest of situations at work but ask me to make a muffin and beware! Because of this I am always on the look out for easy recipes that impress. No one at the potluck needs to be the wiser about my ability to turn chocolate chip cookies into chocolate studded pucks that could kill someone.
- 1/2 cup butter
- 1 1/2 cups of graham cracker crumbs
- 1 can sweetened condensed milk
- 1 cup chocolate chips
- 1 cup butterscotch chips
- 1 cup nuts (I used a mixture of pecans and walnuts)
- 1 1/2 cup shredded coconut
– Melt butter in the microwave then pour it into a 9″x13″ pan. Tilt the pan and ensure an even coating.
Looking at my last post I feel a little sad, wow it’s been a long, long time since I have had the time (and the drive) to sit down and write. Something that gave me great pleasure not so long ago.
With spring having sprung I decided to start on some spring cleaning, closets have been swept clean of 10 year old clothing, the garden has been cleaned and reseeded and I have decided to return to blogging. I find that now that I am deeper into this world we call nursing that there are times when I need to sit down and really think about what happened and how I feel about it and sometimes seeing my thoughts in the form of words is helpful.
To all the new nurses and students who may stumble across this post, I suggest that you make time to sit and just think. I know this sounds silly but in reality in school and in the working world it is often so hard to find a moment to sit and just go over things in you head, sort them and file them away. I am the type who is always on the go, moving on moving up, but eventually things caught up to me and I began to feel overwhelmed and I had no idea why.
I stopped to “think” because I had to, something inside me broke and I had to stop and ask myself what was really going on, and it was hard.
Things are better now, and one of the things I decided was to return to blogging if nothing else to “journal”, for a lack of better words.
So here we go, a lot of things have stayed the same and a lot of things have changed. There are changes coming, I know that because nothing in this crazy world I have chosen ever stays the same for long, but that is why I love it.
So thank you to those of you who read along and welcome to my corner of the nursing world.
The other night I had the cutest kid in the ED, now you all know I’m not a huge kid person but I swear this child was a better patient than any of my adults that night. He had a painful injury that required us to transfer him out to a pediatric hospital and sat there smiling at me the entire time he was in my care. The little fellow even gulped down a decent dose of oral meds that, from the smell, I’m not sure I would have been able to take in one swallow.
When the ambulance crew came in to take my buddy, the little fellow suddenly burst into tears and began sobbing. I was taken aback at the tears since he had been so cheerful all night.
“He buddy whats wrong? These guys are going to take you for a ride in the ambulance, I thought you were excited about that.”
The little fellow looked up at me and sniffled, “But I want to stay here with YOU! You’re nice!”
I think my heart melted a little right then.
After a couple minutes we had my buddy on the stretcher, giggling and waving good bye, asking the driver if he was going to put on the lights and siren as he was being wheeled out. Every once in a while a patient puts a smile on your face, my little buddy gave me one that lasted most of the night.
Feel, don’t look.
Once again I’m linking up with Anna @ The Days When I’m Not a NurseandRenee @ This Won’t Hurt a Bit
Girls want to know what my Christmas plans are.
This year I am lucky enough to have Christmas Eve off!So I will be chilling with family.
But in the meantime,the holiday is in full swing!
Every year I make every nurse I work with a small handmade gift,this is what I came up with this year.
Last night I spent my shift keeping a dying man alive. I know, this is what I am paid to do, this is my job and as some people say is my “calling”. But when you watch and infection ravage a person in this way and make them nearly unrecognizable to loved ones it becomes hard to see the good that you are doing.
I spent the night asking myself why. Why were we working so hard to keep a person alive when his body was telling us it wanted to do exactly the opposite? His body was shutting down, system by system. Why were we pumping medication into him to keep his heart beating when the medications were just as damaging as the illness that had him here? The pressors needed to keep his blood pressure high enough we starting to have damaging effects on his fingers and toes. Why did we force his lungs to breath with a machine when they had already decided to stop working. If he was able to tell us would he have told us to stop?
At about 3am I got my answer when his family arrived to the unit, arms encircling one another they went into his room. I had tried my best to clean him up and hide the damage the medications and the infection had done to his body by covering him up to his chin in blankets. There were a lot of them, and they surrounded his bed talking softly to one another and touching his face. When the came out the wife came over to speak to us, asking us to not go through life saving efforts when his heart gives out the next time.
She smiled at us and said, “He’s heard his trumpet, he’s going to see Jesus and I am happy for him. He’ll be there waiting for me when it’s my turn.”
Then she and the family thanked us, all of us for taking such good care of their loved one, for making sure he was there so they see him one last time and say good bye to him. Everyone one of them hugged us as they filed out of the unit to go home and get some rest. And everyone of them smiled through the tears, everyone of them was at peace as they left, knowing that they had one last moment with him.
Last night I learned that sometime we don’t always save the lives of our patients, but me make a difference in lives of the people who remain here on Earth.
I have a dilemma, but it is the very best kind of dilemma to have. Mr and I have decided that we need to get away, this will be our very FIRST vacation ever! So we are now tossing around ideas as to where to head off too. We live smack dab in the middle of two great choices, Las Vegas or California, so where to go? Now you see my dilemma!
It is two totally different vacations, in two totally different spots. I could head out to the Coast and spend my vacation on the beach, laid back out in the sun and just chill. On the other hand I could head over to Vegas and party it up, shop and let loose with the glam night life. Such a hard decision!!
OK, so while I consider my trip destination I figured I would offer you ladies a very similar dilemma in the form of a giveaway. (Guys are welcome to join but the prizes are girly stuff, but hey maybe you have a lady in your life who would love them)
Here’s the deal, there are two prize packs to be given away and a lucky winner for each.
This prize contains all a nurse needs to pamper herself after a long shift!
– Simple Moisturizing Face Wash
– Wen by Chaz Dean Sweet Almond Mint ReMoist Intensive Hair Treatment
– Soothing Peppermint Menthol Foot Balm
– Sally Hansen Nail File
You may wear scrubs for a living but a girl has to glam it up once in a while!
– 14 Gorgeous Bangles
– Pair of Aviator Sunglasses
– Multi-Strand Rhinestone Necklace
You must be a follower of this blog either through Google Friends Connect or Google+, your choice. Now leave me a comment telling me which prize pack you would love to win and why you should get it. Make it funny, silly or serious but leave me something to make me decide to give it to you, this will not be drawn at random, my favorite commentors will win the prize. That’s it!
Oh yes, and since I have to choose between vacation spots, you guys have to choose between prize packs, meaning you can only enter for one prize!
The winners will be announced on June 29th.
(Everyone is invited to enter, this giveaway is not limited to nurses only. US and Canadian Addresses only)
I have a blood draw coming up in the next week. Normally, I have veins you could hit with a harpoon from a door three blocks down. This, however, will be a fasting blood draw, and my veins disappear when I fast, no matter how much water I drink.
From “Glee”. Makes me wish I had a TV.
I am a crazy old lady, forty years early.
The horror! The horror!
1. When a nurse charges, we give them little phones to carry around. That way, we can reach them when something like a code or a respiratory-team response happens. If you are a charge nurse, please carry your phone so we can reach you, and some gooberhead like me doesn’t have to respond to RTRs with a little box and a befuddled expression.
Purple patent pumps from ECCO.
The Man of God (my neighbor, Pastor Paul) and I were talking about prayer. I mentioned to him that my Brother In BFE had said that he was trying to pray more; that he felt like he didn’t pray enough (or maybe at the right times).
It’s the solstice. This is always sort of a sad day for me, as it marks the time when the days begin to get shorter. There are plenty of blackberries still to be had, and apples and Brussels sprouts still to come…but. One begins to feel like Robinson Crusoe, rescuing spars and detritus from a wreck that’s long since gone down.
I was thinking about this last night, as I was cooking hashbrowns to go with my breakfast-for-dinner entree of Boca Burger and Muenster omelette (don’t knock it; it’s quite tasty). There was nobody around to say to, hey would you mind scooping the cat boxes because I forgot to do it before I started cooking and now I have to make sure the onions don’t burn.
SQUATTY WOMAN WITH INCONSISTENT PERSONAL GROOMING SEEKS MODERN-DAY ADONIS FOR LIMERICK RECITAL, TRASH REMOVAL, AND CAT-BOX SCOOPING. MUST BE FINANCIALLY SOLVENT AND NOT INTO WEARING BONDAGE GEAR OUTSIDE THE BEDROOM. PLEASE HAVE EQUAL FACILITY IN QUOTING SAYERS AND PEELING GRAPES
When I was a new-new nurse, like my first six months on the job, I would show up way early for work every morning and pray in the hospital chapel that I wouldn’t kill somebody. I was scared–constantly terrified–of all the mistakes I could make, of how little I knew, of how easy it was to screw up and do damage.
Got a call from the happy doctor people yesterday. Doc Pedro reviewed my X-rays and determined that I have degenerative changes in my spine, specifically in the areas C5, C6, C7 (what a shocker that was), but no obvious subluxation or fractures or aliens.