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This week I have learned (6/20, a day late)

Posted

Specializes in critical care.

I almost didn't start one of these this week because I did the "I am thankful for" list a few days ago, but I just love, love, love the way these conversations go! I'm keeping it rolling!

This week I have learned.....

1. A healthy young man who uses toilet time to escape the kids for 30-60 minutes a day can cause a bleeder that bleeds to the point of a 6.5 hgb and three blood transfusions during an inpatient stay.

2. I will always be so deeply touched and amazed at the endurance of humans who truly want to have it.

3. I married a person so colossally different from myself, which lately is starting to be more and more of a problem.

4. I'm really starting to lose patience and understanding for the young exaggerating patients. I had one this week in a room next to a 94 year old walkie talkie CVA that manages to have zero residuals and got frustrated because we wouldn't let her get up and move around as much as she wanted to at night. This other woman.... I can't tell if she's having some kind of somatoform disorder legitimately or if truly she was making it all up. What she said was going on, though, wasn't. She hit jackpot gold because her hospitalist was the one who does next to nothing anytime he can get away with it, so he'll turn what should be 2 night admissions into 6 nights just to pass the buck to the next guy. So lucky young lady got to soak up all the pampering at hotel d'ixchel with complete room service.

5. I want to precept. Like, I'm craving it. I know only a year in on this gig is too soon, but God I love working with the noobs. I had a brand new right off orientation nurse take report from me the other day and we shared a patient who straight up sounded terrifying. But really, he was just way more complex than we might see, even in a really sick patient. Heck, he might be the most complex I've had yet. But I loved helping her regain footing, walking her through how things aren't really as scary as they seemed, reassuring her that she will have the charge nurse keeping an eye out for her knowing she's going to be nervous anyway. *sigh* I think I've found my next adventure. Just not sure how I'll know I'm ready.

I don't have much this week. Been a bit boring! How about you? What have you learned?

ixchel

Specializes in critical care.

Oh! One more thing!

I learned blueberry plants get sweet berries after waiting for a few years. We have 4 blueberry bushes that have put out sour, terrible fruit. But this year the berries are giant and amazing!!!

Farawyn

Has 25 years experience.

I've learned that I am the only person on my husband's side of the family that can keep eating dinner as my very animated 23 year old nephew talked to me about his anal fissure.

I'm just commenting to make sure this gets bookmarked because sometimes just selecting it to do so doesn't work.

meanmaryjean, DNP, RN

Specializes in NICU, ICU, PICU, Academia. Has 40 years experience.

I learned that pushing out a frank breech 9# baby in only 30 minutes makes it hard to walk for a few days.....

LadyFree28, BSN, RN

Specializes in Pediatrics, Rehab, Trauma. Has 10 years experience.

This happened tonight-I can find a vein on one of society's own "fluffier people's and get a forearm IV at the same time-SCORE! :D

jojo489

Has 3 years experience.

I learned how truly freeing it is to get a schedule that works for you, and to leave a job you're ambivalent about to get into something you love.

I'm leaving a full time, 80 hour position for something 64 hours and less pay, but it's in an area I couldn't love more. And because it's both 8's and 12's, it leaves me time for per diem or agency work.

I'm so incredibly excited, and I feel like I've been freed of a weight I didn't know I was carrying.

I've also learned to always be patient with people, because you don't know their story. I was out with my boyfriend's friend and a few people he knows, and one of his friends was talking to me about nursing and asking a lot of ignorant questions, but I could tell he just didn't know any better so I educated him. I had said something about him to my boyfriend, and he informed me that that was the friend who just got out of rehab and had been a heroin addict. Once he said that, it all made sense and I was very glad that I was nice and not snarky with him.

K+MgSO4, BSN

Specializes in Surgical, quality,management. Has 12 years experience.

I have learned that even a graphic discussion of FMT cannot put me off a free lunch.

mmc51264, ADN, BSN, MSN, RN

Specializes in orthopedic; Informatics, diabetes. Has 9 years experience.

I've learned that no matter how hard you try, you are nothing but a body and that as a person you don't matter. Whether you are the best nurse or the worst, you are a number.

"Never push a loyal person to the point where they no longer give a damn"

Edited by mmc51264
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Farawyn

Has 25 years experience.

I've learned that no matter how hard you try, you are nothing but a body and that as a person you don't matter. Whether you are the best nurse or the worst, you are a number.

"Never push a loyal person to the point where they no longer give a damn"

I've felt that way. It's actually why I quit my job after 22 years. And yea, there were people who looked at me as "well, we have Far, we can keep her there, she's worked 22 years here, she's not leaving..." and I did.

But there's also those people who know what I did there, who miss me desperately, and to whom I will never be a number.

Unfortunately, they have about as much say as I did.

I'm sorry.

stephatron289

Specializes in Renal, Diabetic. Has 1 years experience.

1: There is a difference between 108 degrees and 112 degrees.

2: I can physically say the words, "it's only 110 degrees today!" and not be sarcastic.

3: Be eager to try to draw the patients that are hard sticks, and missing doesn't mean you'll be a terrible nurse. Practice, practice, practice!!

1: There is a difference between 108 degrees and 112 degrees.

2: I can physically say the words, "it's only 110 degrees today!" and not be sarcastic.

3: Be eager to try to draw the patients that are hard sticks, and missing doesn't mean you'll be a terrible nurse. Practice, practice, practice!!

Hey you must live by me!

My unit function in the stone ages....I have to do manual BP! I haven't done manual BP since 1st semester clinicals! I had to go find my BP cuff tonight and practice on my kid....Lawd help me not to look crazy tomorrow!

Despite having a few months in oncology, and not being a new nurse, this week I really, truly learned what cancer is.

Cancer is this horrifying, life changing, anxiety to-the-point-of-hysterical-sob-inducing word. It starts off bad, and gets worse. First we get you through the new diagnosis. Then, we give you treatment options. We are going to cut you, burn you with radiation and then poison you with chemo. We can't promise any of this will cure you. We can promise you will feel horrible. Awful. You will probably lose your job, which is the source of your insurance which is partly at least covering the unbelievable costs of these drugs in the first place. The physical, emotional, financial stress these patients are feeling is unreal.

In the ER the nature of our patient interaction is short. I never gave cancer much thought. We see oncology patients for sepsis, pain control, transfusions.....but always briefly. This new practice area has forced me to get to know these patients and their families who hold their hands through every treatment, every last drop of chemo....and my heart breaks. I feel some of the compassion that the ER has robbed me of returning.

Mavrick, BSN, RN

Specializes in 15 years in ICU, 22 years in PACU. Has 30 years experience.

2: I can physically say the words, "it's only 110 degrees today!" and not be sarcastic.

You gotta experience it to believe it. I lived in Tucson for awhile and found 110 degrees to be the cut off. Above that it really is HOT!

Mavrick, BSN, RN

Specializes in 15 years in ICU, 22 years in PACU. Has 30 years experience.

What I learned this week:

1) I can't work my newfound word, butthurt, into enough conversations.

2) Five full-sheet "going away" cakes is too much for a three-day work week.

3) It's OK to help out a fellow nurse because you feel sorry for her. That foot surgery patient just would not stop bleeding and a leaky Wound Vac is no fun. I messed around with that thing for two hours until I finally called the surgeon and he took the patient back to surgery to tie off some bleeders.

4) My wife wants to convert to Buddhism so I'm checking it out. I might, too.