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Chaya 7,319 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: 1,122 (19% Liked) Likes: 491

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  • Oct 22

    I am constantly dealing with the hydration problem at work. I also cannot eat or drink much that early in the morning. I will vomit and it only compounds the issue. I have gone 14+ hours at work without time to eat, drink, or even go to the bathroom. The thing that concerns me the most is I'm driving home and realize I don't even have the urge to urinate. The problem often brakes down to being short staffed and not being allowed to have a water bottle anywhere but the brake room. I wouldn't have one in patient care areas, but there are several places that are sanitary that a bottled could be tucked away with a cap on it to make it closer to my whereabouts during the shift.

  • Oct 22

    Quote from Chaya
    You would think by now I would know better than to even think there was nothing left that could surprise me...
    You've seen all, Chaya?

    Maybe you should contact the authorities!

  • Oct 22

    Quote from Chaya
    You would think by now I would know better than to even think there was nothing left that could surprise me...
    You've seen all, Chaya?

    Maybe you should contact the authorities!

  • Oct 6

    I missed the phone calls, yet again. I don’t know how many times I have given my brothers and mom my new cell phone number, but no one seems to write it down or remember it. So, at the end of a long day of nursing, I head home with a throbbing headache and take two Tylenol PMs, and sit down to write an article.

    My phone rings and I smile - it is my daughter. I answer the phone, “Hey Princess!” “MOM! Have you checked your phone? Have you got any texts from your brothers?” “No, I didn’t get any, why?” “Mom, Grandad is in the hospital - call Granny!” I hung up on her and dialed my mom.

    I hang up the phone with my mom promising to drive the 4 hours to where they live in the morning. With the medicine I just took, I will crash, so I am not safe to drive. First thing in the morning, I head out. I have talked to my brothers, and they assure me that dad is fine but they are running more tests. I cannot helped but be stressed out. He’s my dad.

    My dad is 90. He has lived a very full life, and I am very blessed to have both of my parents - I know this. My dad has had several strokes, hundreds of falls, but really, these are his only health issues. His medical history is remarkably healthy, except for the stroke, and possibly, undiagnosed depression. I remember when he was 84, he started to become a lot more quiet. One day he made the remark to me that caught me totally off guard. He said he would die when he turns 85. I asked him why he would say that. He answered, “because my dad died when he was 85”. I replied, “Dad, grandma died when she was 106, and you are more stubborn than she was.” He winked at me and nodded.

    He had his first major stroke at 85.

    Now, here we sit in the hospital. My dad is having a really hard time with his speech, and I can see his frustration in trying to be understood. His blood pressure is low, his GFR and creatinine are high, he is dehydrated. I can tell he is getting a little frustrated with my mom’s chattering. I have heard “the story” about the 9-1-1 call already about 50 times. I don’t stop her from retelling the story - someday I will miss her voice. I just nod and try to tell mom to be patient, we will get answers when the doctor rounds. No, mom, he is busy, he will be here when he can. No, he is not putting us off, he is doing his job with all of his patients here - answering questions from other scared families.

    I try to keep an eye on what I can - his IV site, his repositioning, here dad, try to take a drink. His hand is puffy at the iv site, but the site does not appear infiltrated. The line is flowing at a high rate to flush his kidneys (per my brother who talked to the doctor yesterday). I elevate his hand on a pillow. I feel like I did SOMETHING.

    Sitting. Waiting. Hoping. Praying. It is monotonous. It is incredibly stressful. I feel incredibly

    And then, she walks in, glowing sunshine. This patient care tech (PCT) had a huge smile on her face and I could not believe what a breath of fresh air she brought into the room. The way she talked to my dad, the way she beamed confidence, displayed cheer! She checked every aspect of my dad to make sure he was safe and comfortable. She took all of his vitals and offered reassurance to my mom on his ranges. She teased my dad (very respectfully) and brought a beautiful, handsome smile to his face.

    I didn’t want her to ever leave. I just thought she was amazing. I appreciated her so much.

    I will never forget her. I know that may sound really crazy, but, for me sitting on the other side of the bed, I have a whole new perspective. I can only hope that all nurses everywhere make their families feel as good as she made my family feel. I know - that is a tall order….she did set that bar pretty high.

  • Oct 6

    OH Viva.

    I agree with a PP, that this is what we need to remember when our feet don't want to walk anymore at the end of a shift, and we think that we just don't have any more to give. We do.

    On a lesser scale, I had a woman beg me to blow-dry her hair one night. I almost told her no. I almost told her I couldn't find the blow-dryer, but I didn't.

    When I put her to bed, she passed. Immediately.

    I am so friggen glad I blow dried her hair. So, so, glad.

    YOU did all you could for your hubbs. Others failed, and thats not on you, Viva. I'm so sorry. xxxxx

  • Oct 6

    Viva I am so so sorry for your loss. I know from your writings on this board through the years your husband was your rock. I am sorry his last hours were so painful and awful. I hope in time the pain of the on call nurses failure to act will lessen. I hope on your behalf and in the memory of your DH she takes to heart her lapse in judgment.

    May the Lord bless you and keep you and comfort your sorrow. You are loved by many here on allnurses and we all share in your sorrow and wish you peace.

  • Oct 6

    I am so sorry for your experience. As a long time hospice nurse I can not even imagine not putting my shoes on and heading out on a call like this. Likewise, I can't imagine not having the pain meds in the house and ready to go. At the hospice I work at, either Roxanol or Oxycodone is sent in the comfort pack on admission. I always address these meds on admission ...more so the family can start to process the possible need for it. I find it can be difficult to get a family on board with Roxanol ( morphine) if they don't have some time to think on it a bit. Not everyone, mind you, but some folks equate morphine with death so I bring it up early to get them thinking about the possibility that it may be our best option for management of pain and/ or dyspnea. I love being a hospice nurse but I feel like we have a long way to go to dispel a lot of the misperceptions ...and when things like this happen it just sets us back a few steps.

  • Oct 6

    "Working in oncology, there have been times where we've had someone dying at home peacefully and then at the very end their family brings them to the hospital."

    My husband died from bile duct cancer 6 months ago. My deepest sympathy. My husband was in hospice 13 days before he died. When we finally realized it was more than a lingering winter cough, he lived 7 more weeks. I cared for him day and night until he died. He was a big guy (300+ pounds) and was too weak to even lift a glass of water. I would have given anything the night he died for a suction machine just to clear his mouth and throat of his secretions. I have to admit, that would have been for me and my son, who was with us. I don't think he suffered.

    But I can tell you I suffered. To take care of your spouse 24/7 for 7 weeks was undescribable. The exhaustion I felt was unmeasurable, emotionally and physically. Family members would come to visit and I would fall asleep sitting on the couch. It wasn't that easy to get help with him. He was a complex critically ill patient. And just get him to push himself up in bed was a time consuming task. He was in hepato-renal failure and my Ph.D husbands brain could no longer follow instructions. If I'd had the option to bring him to the hospital to die, I would have done it. All the medical staff thought it was great I was an advanced practice nurse. But it was too much.

  • Oct 6

    I am so sorry for your loss, and for the memory of that last awful night with your husband. I hope that in time the memory of that last night fades and you can remember him with more joy than sorrow, more laughter than tears.

  • Sep 19

    How about the two of you go in together, work as a team and clean it up,
    mess is gone.

  • Sep 19

    Why not quickly clean it up together? We do bedside reporting or at the very least introduce the pt to the oncoming nurse and do line tracing. It should be at this time when the mess is discovered. Personally I would hope both RNs would help to quickly tidy up the room- both are on the same team. If the mess was made by the off-going RN that would be a totally different story, but it's still not something I would make a big deal out of (unless it was a habit).

  • Sep 19

    This is the kind of nit-picking issue that leads to unecesary shift wars. On-coming nurse just needs to pick up and move on, not waste time and energy chasing off-going nurse around and nagging her about it. It would be different if off-going nurse made the mess herself or if she was sitting around making small talk at the change of shift, but that wasn't the scenario.

    The person responsible for the mess is the one who made it. As a lifelong night nurse, I've picked up after a busy previous shift more times than I can count. Got no time for kid stuff.

  • Sep 15

    Hi Nurse Beth,
    I really got terminated during the probationary period with 4 months of OR nursing experience (both scrubbing and circulating). My preceptor hated me and gave me a bad evaluation. Can I list my working experience with new job application? I heard OR nursing is very high in demand and most places would hire one without much interview process. Is this true?

    __________________________________________________ __________________

    Dear Got Termed,

    I’m sorry to hear that. It’s a devastating experience to get fired, and more so when it’s unfair. Situations are not always black and white, but mixed, and so do take some time to consider the performance aspects of your bad evaluation that may have a shred of truth in them.

    It could be that your preceptor both “hated you” and also used some areas for improvement against you. I just want to set you up to have a successful experience next time, friend.

    Your job application will most likely instruct you to list previous work experience. If so, you should list it and then plan how you will speak to a short tenure when asked.

    It’s best to be brief and segue positively to the future “It wasn’t a good fit and I look forward to using my skills in an organization that better matches my values”. Avoid saying anything negative about the preceptor or organization.

    Experienced OR nurses are in high demand, yes, more so in some areas than others. A hiring manager may well see 4 months of training as a benefit, especially if you make a good impression during your interview.

    It’s not necessarily a good thing to be hired “without much interview process” because a good employer will want to select the best applicants to join the team- and you want to work for a good employer.

    Don’t be afraid of the interview, or feel “less-than”. You have marketable skills, and you may thrive in your next position. Let’s hope you do!


    Nurse Beth

  • Sep 14

    Wait until you get a job before you buy more scrubs. Some require a specific color, some let you wear anything. I got a few scrubs tops at for less than $10 in the clearance section. I'm sure other scrub shops have similar deals. Walmart carries scrubs too. You could try goodwill or resale shops too. Good luck!

  • Sep 14

    Quote from Emergent
    Do you have solid evidence to support that statement?
    Took the words out of my mouth.

    I shower before work (nights). After work, leave the shoes by the door, get in PJs, wash face, brush, & hop in bed.

    I keep up good hand hygeine & standard precautions at the hospital and honestly don't feel any more "dirty" or "infectious" after work than after, say, a day with my kids at the mall.

    Of course there are exceptions, such as any major splashing of body fluids or such like.

    By the way, I call the sink-wash-up a "bird-bath" or "pits and bits".