Published
This week, I learned...
1. Camming is way more fun than $120,000 in student loans for nursing school.
2. Smoking pot before a job interview is totally acceptable.
3. Cocaine is a hell of a drug.... (...that gives you renal failure, heart failure and cardiomegaly)
4. If you tell someone you need to get deer ticks off of testicles, you will have an audience.
5. Night shift. Glorious, glorious night shift. I haven't slept in days, but I got to actually do a good, thorough job changing a bandage and OMG.... I taught people actual STUFF. I miss night shift.
6. I keep forgetting I'm old enough now that doctors can and will be younger than me. It's okay, though, because I look younger than them.
7. Literally every person could end every post with "wait 24 hours before you do the PVT, and people will still brag about their good pop up and offer advice on how to pass.
8. People are actually able to spend $120,000 on nursing school. This girl said $20,000 per semester. I'm pretty sure she says BSN. I'm not sure if she realizes her math is off. But still.... It's crazy.
9. I'm nearing a breaking point on some personal life stuff and confess I've secretly been glad to escape it to go to work.
Did you learn anything worth sharing?
That some families are not interested in palliative care and want their 95 yo father for full resuscitation even as he gasps for air they are arguing with the medical staff.
I see this a lot! I have had patients come to my unit as comfort measures and then their son who hasn't been in the picture for 20 years shows up and decides and later that "oh no, we can let mom die" and makes mom a full code. When mom has brain mets.
My favorite is still the son who decided that mom would be a full code, even though he was 1000miles away and couldn't be bothered to really see how sick she actually was. She never made it. I had 4 days off and I was about to hunt his sorry carcas down and drag him to his mothers bedside.
I learned a patient with scrotal edema can find his member easier by leaning his bed back instead of listening to his shouts of "sit me up! Opps, I lost it, help me find it"
So.... Do you think that works for the memberes that just get lost under the CHF bellies, minus scrotal edema? Because it really makes for an awkward moment struggling to start a foley on a man. We have an old, old urologist who will literally punch these men right at the bladder and somehow magically the innie becomes and outtie, but I'm pretty sure that's outside the RN scope of practice.
Add to my list of things learned that my iPhone just autocorrected RN to Arab. The time it didn't, though. We live in a strange world.
This makes me sad 😢Whenever we have something like this happen, the next thing out of some of the older nurses' mouths is, "don't want to lose that check..."
I think I'm still too green, because it surprises me (in a bad way) every time they say it. I don't want to ever believe a person would full code a suffering family member just to keep a social security or pension check.
Trust me, the amount they are paying for his top notch aged care facility, private nurse (me) while he is in an acute private hospital its not about a check. It's about a combination of religion and a belief that he survived WW2 he can survive this.......zero insight into how cruel they are being. Thank fully this is Australia and even in private hospitals the medical consultant can decide that doing CPR on a frail 95 yo is not going to happen. Which is how I picked up 5 casual shifts sitting with this man overnight basically to guard him from dying........
Trust me, the amount they are paying for his top notch aged care facility, private nurse (me) while he is in an acute private hospital its not about a check. It's about a combination of religion and a belief that he survived WW2 he can survive this.......zero insight into how cruel they are being. Thank fully this is Australia and even in private hospitals the medical consultant can decide that doing CPR on a frail 95 yo is not going to happen. Which is how I picked up 5 casual shifts sitting with this man overnight basically to guard him from dying........
Give him a big hug from the U.S., k?
We have an old, old urologist who will literally punch these men right at the bladder and somehow magically the innie becomes and outtie, but I'm pretty sure that's outside the RN scope of practice.
I had a patient with an inverted member. Maybe this will help... I made a peace sign with my fingers, placed them on either side of where his member should be, and pressed in, causing it to... uninvert? Revert? Exvert? Pop out like a whack a mole. Then I grabbed it and held on tight to keep it from inverting again while I inserted the cath.
Of course, this was a patient on a neuro floor who'd had a watershed stroke, so he couldn't tell me what he thought of the procedure.
I wish this trick worked on female urethras...
I had a patient with an inverted member. Maybe this will help... I made a peace sign with my fingers, placed them on either side of where his member should be, and pressed in, causing it to... uninvert? Revert? Exvert? Pop out like a whack a mole. Then I grabbed it and held on tight to keep it from inverting again while I inserted the cath.Of course, this was a patient on a neuro floor who'd had a watershed stroke, so he couldn't tell me what he thought of the procedure.
I wish this trick worked on female urethras...
Whack a mole!!!!!!!!! Ahhhhhhh that is WAAAAAAY better than innie vs. outie!!!!!!!!!!
ixchel
4,547 Posts
(((Hugs))) I'm so sorry (((hugs)))