Content That Chaya Likes

Content That Chaya Likes

Chaya 6,261 Views

Joined Mar 5, '03 - from 'Bosstown metro area'. He has '15' year(s) of experience and specializes in 'Rehab, Med Surg, Home Care'. Posts: 1,113 (19% Liked) Likes: 471

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  • May 16

    I agree that the food hoarding may be due to having experienced food insecurity in the past and patients can keep unspoiled food in the unit fridge, but if it is spoiled it has to be tossed, the one patient's right to their dysfunctional behaviour doesn't override the of the other patients' right to a clean environment.

  • May 16

    I suspect some of them don't have enough food (or toiletries, or sheets and towels) at home, or at some period in their lives, they haven't had enough. They're used to stockpiling whatever they can get.

    Interestingly, this habit is common in elders who went through the depression. Many very elderly, who were short of everything back then, keep everything now...just in case they might need it.

  • May 12

    Dear Nurse,

    You didn't know this but several years ago, I was burned out. That I had forgotten why I loved my job for so long. That despite the nurses I was working with being great and encouraging I had found a place that was just not the place for me. That I was taking a break and unsure of if I would go back.

    You didn’t know I was trying new things when I got pregnant. That I wasn't happy to find out I was pregnant. That I had thought I would never be able to get pregnant. That I had to work my way up to being excited about it. That when I finally did get excited, it was just in time to have the bombshell that it was ectopic.

    You didn't know that I had been having issues with my new doctor. That I wished my regular provider could keep me but would not because I was pregnant. That my new doctor had talked over me instead of to me during the ultrasound that confirmed I had a problem. That she had told me that if I didn't let her give me shots of medications I had never heard of she was sending me immediately to surgery. That when I had ended up in the ER because I couldn't handle the pain the second time she tried to force me to go to surgery anyway because she didn't want me to come back while she was on vacation. That she made me feel like I had no control.

    You didn’t know that I was scared to call anyone because I was afraid of what they would say if they found out why I was there. That I had already lost people I considered friends for a variety of reasons related to this. That I was feeling so overwhelmed and lost and lonely. That I didn’t know what to do.

    You just knew that I had been in your ER three times that week because the pain was so bad I couldn't breathe. That I was crying and it wasn't just because I was in pain. That I was there all alone and hadn’t called anyone.

    I don't know if you knew how much it meant to me when you came into my room and held my hand while I waited for the doctor to see me. Told me you could tell I was in a lot of pain. Told me I was handling it so well. Ask me if you could do anything else to help me. Gave me back some choice in what was going on. I don't know if you knew how much it meant to me, but years later, I still remember you.

    I want you to know that you are what rekindled a passion that I thought may never come back. That you reminded me of why what I was doing mattered. Helped me to find a goal of what I wanted to do now. Gave me something to remember if I ever felt lost again. If I had never met you, I am sure I would be a very different person than the one I am today. That you were my guardian angel that day.

    Most of all, I want to thank you. Thank you for taking the time, I know it was busy. I’m sure there was a million and one things that you could have done instead. Thank you for not judging me. So many others who knew me better had. Thank you for just being there, and making it a little less lonely and a little less scary.

    I hope that one day, I can be like you.

  • May 9

    Sure you can. You have the background (I don't know how people that have never worked in medical school pass these classes, I swear it), and you have the drive. You'll have days just like everyone else where you feel like throwing things and screaming. But, again like the successful students, you'll get through them and make it through the hoops.

    Hoop after hoop after hoop.

  • May 6

    Aww, I would be your friend!! [emoji53]

  • May 4

    The words drifted around the room as everyone stood quietly engrossed in their own thoughts. The air conditioner rattled then chilled air touched my shoulders prompting goose bumps all over my body. Surrounded by people, the atmosphere was desolate. Pulling the blanket up to the patient’s neck, I looked at her face. Her mouth was open, eyes closed. Death is hollow. In the absence of breath, no amount of warm blankets can bring back blush to the skin.

    With my mind racing I thought of the hour long code we had just finished. I replayed it in my head, marveling at how in an instant death claims us. Gazing at her face I saw the patient exhale. I could have sworn I saw her chest move, but I know the mind can play tricks on us, especially in highly stressed situations. I drew my hands back to my chest and stared. I had seen dead patients do that before, but this disturbed me. Had she really just exhaled, it looked like she had inhaled too, but that wasn’t possible. Looking at my co-worker to my left, I whispered, “she just exhaled, I know they do that sometimes but . . .”

    My co-worker was staring at her too, but then he got a confused look on his face. The next thing I knew, he reached down and put his fingers on her neck and said, “she isn’t dead.”

    Scanning the faces of the doctors, CRNA’s, and nurses in the room with me, I momentarily panicked. I tried to make sense in my head of what was happening. How could she be alive?

    Hand still on her carotid, my co-worker said, “Yeah, she has a pulse! I saw her tongue move and thought . . . wait a minute, she ain’t dead.” The anesthesiologist running the code looks at the CRNA after he felt the patient’s pulse for himself and tells her to re-intubate the patient and that the code was resumed. The patient was re-intubated and the heart monitors reapplied, the IV drips had not been turned off. Everyone in the room seemed to come back alive and stood alert for further orders. Poised to continue giving compressions, I felt a slight soreness in my shoulders.

    The patient’s pulse remained strong enough that compressions were not necessary. The patient was transferred to ICU as soon as it was appropriate. Unfortunately the patient passed away later that day.

    Reflecting on what has transpired, I helped clean up the room and get ready to continue doing cases. Just like that, the room was vacant of the signs that trauma and death had created. I thought to myself how quickly we are gone from this earth. The body is so strong and resilient, but at the same time very fragile.

    **********

    I was the one who went to get the patient from her room. Her nurse had told me she was ambulatory and that she had taken all of her prep for her colonoscopy. However, while waiting for her to get blood drawn we had a chat. As we chatted, she told me she had not finished her prep and that she had not had any results from what she had taken. The phlebotomist struggled to find a vein, finally opting for a finger stick. Observing the patient’s arms and legs, I saw she was extremely edematous. “Are you able to get up to go to the bathroom?” She cut her eyes at me, “Who told you I could get up? I haven’t gotten out of bed in months!” I admired her spunk, and appreciated the attitude. I explained to her that I was going to take the stretcher back, then come back and take her to the department in her bed.

    Later, as the procedure was in progress, something prompted me go into the room to check on her or my co-workers, I don’t know. Things didn’t feel right. I went into the room and shut the door, crossing my arms I began making small talk while watching the screen. As the EGD was finished, the tech began setting up for the colonoscopy, and the CRNA asked for someone to call the anesthesiologist. Things progressed quickly from there and soon we had the code cart open and ready and the patient was intubated.

    Everyone took a role without much being said, someone stood by the code card and found the drugs that were needed, the CRNA used the ambu bag. One person began recording and another called the supervisor. The patient had a pacemaker, and the monitor showed a rhythm but there was no pulse. “Let’s begin CPR,” said the anesthesiologist. I was one of the compression people. I felt something give at the sternum, a crunching sensation and I cringed on the inside.

    There was a striking calm throughout the entire code. I enjoyed being a part of the process. Usually once you hit the code button the room gets swarmed with people and you get pushed aside. Since we had everyone present that was needed, we did not hit the code button, at the request of the anesthesiologist. This time I was able to push medication, do high quality CPR and observe the whole process first hand. Putting my ACLS skills to work felt good, the head knowledge knitted together with the hands on skills. Everything was done according to protocol, with fantastic communication, professionalism, and level headedness. I am very proud of my department for a job well done.

    We were all shocked that the patient revived after an hour of no response. We figure that the drips and the pacemaker combined help do that, however, it was not enough. Knowing that we had done everything possible helped me personally deal with it. I will never forget her, or her spicy words and self advocacy.

  • Apr 15

    Quote from westieluv
    Thanks to all of you for taking the time to reply, I really appreciate your feedback.

    I did receive an email a couple of days ago from a dialysis facility of one of the Big Two dialysis companies that is literally two minutes from my house (I have a year and a half of recent dialysis experience with that same company) and it is a dream schedule: MWF 5:30-5:30 with no weekends. I would jump on this opportunity in a New York minute except that my work ethic tells me that since I committed to the rehab position, I have to try to stay and make it work. This dialysis company was not bad at all to work for, and I regret leaving. If I had it to do over again, I would not have given up my position with them, and now they are contacting me with this position that I could almost walk to!

    It's really hard to commit to the rehab facility after being lied to, that is the problem, plus I actually did tell the dialysis manager when I replied to her email that I had accepted a position at this facility and had already worked a few days. If I contact her today and ask if she is still interested in me for the dialysis position, will she not think that I am a flip flopper and disloyal? If not, I could be tempted into pursuing the dialysis job.
    Your gut is telling you that this job is going to end up being a bad deal. You now have an opportunity in front of you to work for a company you know doing work you know on a schedule that suits your lifestyle. What is there to think about?

    Accept the dialysis job, give the rehab job notice, and move on. Why make yourself miserable? You don't owe that job anything, and it's highly unlikely that things are going to get better there.

    It's time to beat feet.

  • Apr 15

    Quote from springchick1
    Wow. You're lucky you got hired at all. This is very demanding of a potential employer and it says to me that you are not a team player.
    It says to me that she knows what she is looking for and what she is not looking for in a job. If those are her "rules", and she is willing to accept that some jobs may not be options because of that, then so be it. I don't think its fair to judge if she would be a good coworker or team player based on that though - she very possibly is a team player in other ways. We all have deal breakers, that is just one of hers.

  • Apr 15

    Quote from westieluv
    Would you work without CPR certification?
    At the acute rehab facility where I worked, all licensed nurses were required to obtain ACLS and all CNAs were required to have BLS. My former workplace did not allow nurses to set foot on the floor without at least the BLS card due to patient safety and potential liability issues.

  • Apr 15

    "Funny" you would post this as something very similar happened to me this past week..I interviewed for baylor position..was told it was only Sat/Sun, 7a-7p, great hourly rate, benefits, etc. Between the 4 weeks I interviewed/was offered the position to actually starting last week the Nurse Manager I had been in contact with and who had offered me the position suddenly "left to pursue other interests" (after 20 plus yrs at the same hospital) which I wasn't aware of until I tried to contact her to confirm orientation..about a week before..I was given 2 other people's names that were "temporarily filling in for her" - ok - Day 1 of orientation those people are no where to be found, the new Nurse Manager I had never heard of or met until then..I find out the baylor agreement will not be honored, the nurse manager I interviewed with was terminated as was the CNO and CEO (both of which had been there over 10 yrs)...all due to a buy out..the hourly rate also changed as were the hours..Unlike the original poster here I was not about to stay. Fortunately I had another job offer, not my dream job but they at least are going with what they said..so I made it clear on Day 2 of orientation if the position I was originally hired for and the original salary would not be honored I would not continue. Little did I know 2 other new hires had the same thing happen to them..all 3 of us quit on Day 2. Do I feel badly? No. The employer is as much responsible as the employee in honoring agreements when hired. To say - even when the agreement was in writing as mine was - that the needs changed, etc..isn't sufficient..if the needs changed between the job offer and orientation in my case the employer had 4 weeks to contact me and let me know so we could potentially work something out - they didn't and I was blindsided and I felt mislead. My advice to the original poster is do NOT let your dream job pass you by over this position at the rehab..there is a reason the employer lied to you and you are already seeing some of the reason why..I can't imagine it would get better and if you are starting off mistrusting the leadership and HR there that says a lot about what the future could potentially hold. Work ethic works both ways -nurses work long, hard hours in the hospital setting and others places and we have earned and deserved to be treated with professionalism and respect...

  • Apr 10

    1. incest perpetrators
    2. pedophiles
    3. borderline personality disorders
    4. snot
    5. assisting with a spinal tap
    6. the sound and feel when inadvertently hitting a bone while giving an injection...ugh!
    7. the yeasty crud under humongous breasts...eek!

  • Apr 10

    When you speak of trachs with identifiable suction goop, I think of colostomies with easily identified dinner contents. Esp if it is 'problem' colostomy, like one that has blown out or is in one of those difficult abdominal folds.

    Toenails that curl over & under. I call them '911 toenails'. I also find those ridiculously long fingernails the grossest. They look like claws on crabs/shellfish. And not to be nasty, but how do they manage hygiene when they go to the bathroom??

  • Apr 10

    Quote from LM NY
    You guys are hilarious. I am still a new nurse, but already have a few. I don't mind foley insertion that much, but when it is for a woman with excessive skin and I am literally searching and can't find it then I get a little nauseous.

    I am getting better with ostomies. I find it helpful to have extra pairs of gloves on as well as a mask. As for obese patients, that is a whole other level of annoyance. There are those that are somewhat helpful, but the ones that still have functioning legs and don't even bother assisting with moving when being cleaned bothers me.
    Ewwww, just thought of another one: Pannus yeast!

  • Apr 10

    Another one for me is pulling out a bunch of tube feed residual and having to give it back. The smell makes me almost lose it.

  • Apr 10

    Quote from Farawyn
    Eyes are Windows to the soul and why do we want to do gtts, or lazer, or slice into someone's soul.
    You speak the truth!

    The beginning to Un Chien Andalou almost made me jump out of my skin.


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