mercurysmom 4,606 Views
Joined Jul 25, '11.
Posts: 151 (70% Liked)
When my sisters and I were young, my Mom worked nights at a little nursing home/rest home type facility. Our babysitter usually went on vacation for a few weeks in the summer, and we spent the night sleeping in the back of our huge green station wagon. The patients knew the three of us kids, and the cook used to make us breakfast around 6:00. (This was in the late 70s/early 80s, and no one complained or thought it was odd.) Until one morning...
Do you remember Figment, the purple dragon from the old Imagination ride at Epcot center? My grandparents had just come back from a trip to Florida to see the brand new park, and brought back a hat for my 6 year old sister. Purple hat with huge googly eyes and yellow horns. She was wrapped up in a patchwork quilt, with the hat perched on top of her head. My Mom noticed a lol with a very puzzled expression on her face, and asked "What's wrong, Mabel?" Mabel took a few more seconds to stare at my sister, drew in a deep breath, and said...
"I don't know what kind of animal that is, but it's eating a kid!" [emoji33][emoji33][emoji33]
There's a difference between "learning" and "being taught." One requires you to depend on yourself, and the other requires you to depend on other people. Are you prepared to spend the rest of your life looking for dependable people?
Good judgement comes from experience. Experience comes from poor judgement.
And the classic Dr. Seuss quote:
"Be who you are and say what you feel, because those who mind don't matter, and those who matter don't mind."
Aaaaaand, just because I'm a Mom to 17 and 18 year old kids...
"Who owns the problem?"
"You knew the rules before you broke them. Go ahead and get mad at me. I'm your Mom, not your friend. I have plenty of grown-up friends, I don't need any teenage friends."
My Mom is looking down at me, watching her words come out of my mouth, and is definitely laughing her butt off! [emoji33]
"1700: Pt A&Ox4, steady on feet, independently amb in hallway q15min, denies discomfort or anxiety, states "I'm waiting for my boyfriend, the ********** said he was on his way."
2010: pt not in room. unit searched, security notified. Pt discovered in ambulance bay, escorted back to floor. Pt drowsy, pinpoint pupils, Pulse 55 reg, Resp 12/min. Clave missing from saline lock, tubing tied in a knot. MD notified, new order rec'd for narcan if resps<8 or LOC, remove PIV. Pt remains on 1:1 supervision. "
I hope I'm the off-going shift!
Totally off topic beckysue920, but.... how do you find out how well you did on boards. We were told if you pass then that's that. If you fail you get a breakdown of each category and if you were at, above or below passing standard.... But as far as percentages correct, or hardness of the questions, rankings...Just curious, it'd be fun (or terrifying) to see my score.
This was one of my Mom's stories, but since we both worked at the same LTC at one point and had "experiences" with the same Dr, I believe her 100%...
One night, Mrs. Smith, a pt who was DNR, comfort care, with family at the bedside, finally passed away. Mrs. Smith's Dr routinely wrote orders for "No RN Pronouncement" on all of his patients and refused to refer them to Hospice, either, no matter what their primary Dx was or their current medical condition. (Mrs. Smith was admitted 5 days earlier, with CA mets to everywhere, sub-q morphine pump, scopolamine, etc.)
So, Mom called "Dr. ImInChargeDontForgetIt" to inform him that's Mrs. Smith's respirations had ceased, no audible apical pulse, no BP, etc. and reminded him that she needed to be pronounced, since he ordered "No RN pronouncement." It was just before midnight, and the family wanted to call the funeral home ASAP. Dr. I said "what the h*** is their rush? I'll be there at 8am.
Mom politely reminded him that the policy of that particular LTC was that patients who expire before midnight need to be pronounced within 4 hours of the next day, which meant he had a four-hour deadline to come in and pronounce her. Otherwise, she would have to call to have her transported to the ER to be pronounced, since he specified "no RN pronouncement."
Dr. I pauses, then says...
"Are there any stab wounds?" "Any bullet holes?"
Mom says "Of course not!" So Dr. "ImInChargeDontForgetIt" says, "Then leave her in bed, continue all care, and open the damn window. I'll be in at 8!" And slams down the phone.
Mom called the DON, who came in, did her own assessment, and called to have poor Mrs. Smith transferred to the ER, where the hospital's medical director was waiting for Dr. I to meet her as soon as she arrived (which he did!)
I worked a few days later...all of Dr. I's DNR/comfort care patients had orders for RN pronouncement andHospice consults! [emoji6]
One of my neighbors has never vaccinated her 15 y.o. son against anything. I love in an area with a high percentage of parents who choose to decline all vax due to "personal and/or religious reasons." Her explanation for continuing to refuse vax for her 6'w", 180lb son with size 14 shoes? "He was a preemie and I'm worried that his immune system wouldn't be able to handle all those chemicals forced into his body." 🐂💩
Yes, he was born prematurely, 33 weeks 6 days (IUI so dates are accurate), 4lbs 15oz, developmentally normal for gestational age and escaped all of the typical preemie tricks (RDS, NEC, anemia, sepsis, etc.). He was on CPAP for 12 hrs and room air via NC for a few days, occasionally a little whiff of O2 blended in during bottle feeds. Mom was quite unhappy. She was planning a home birth with a lay midwife and "no drugs in either of their systems," including eye prophylaxis after birth, it K, pitocin, pain meds, etc. She wanted to do something with his placenta where it stays attached for a few days (????!?!) and wasn't permitted to take home his placenta (I'm sorry, but...eww!).
Once blood cultures were negative for a few days he was moved to SCN as a feeder-grower. He was a model NICU baby, totally sailed right through every test and advanced quickly to gavage feeds, then bottle feeds, maintaining temp in an open crib, etc. Despite all of the good news and complications avoided, she constantly fought with the NICU staff re: IV ABX, fluids, anything "un-natural." (A serious chat with the NEonatologist and Social Workers helped her change her mind about refusing treatment for him. She wasn't happy and constantly voiced her displeasure to anyone who would listen, but she did what she needed to do in order to allow her son to come home with her!). Fortunately, he was big and healthy and was released a few weeks later. He was a total "rock star," even caught up developmentally by 18mos chronological age.
A few weeks ago, she texted me to say that he had a cough that was so severe that he would cough until his face was purple and he vomited. Knowing his vax status (actually lack thereof), I encouraged her to call the MD immediately. She replied " Oh, I know he doesn't have pertussis, since one of his friends had it recently, and he isn't making that "whoop" sound after he coughs (she compared his cough to a YouTube video in order to make this dx, so there ya go!). He's just throwing up." UGH. I have a kid who has complete IgA and IgG 2 and 4 deficiency, so it's kind of important to know if he's been exposed to these things, preferably by a real live doctor or FNP not Dr. Google!
I don't know what the vax rate is for my area, but I'm pretty sure it's nowhere near 95%. Herd immunity? I wouldn't count on it. I know that this kid isn't vaccinated, but how many other unvaxed kids are running around for every kid that I DO know isn't vaxed? 😷
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