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?
