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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 I need to brush up on my skills on trying to determine if a kid is high. Not the assessment skills.
I'm very awkward in bringing them in to the office. My line is "A teacher is concerned about you and asked me to check you out.." Then I get all tongue tied when they ask me what's going on, concerned how?
9/10 said kid is NOT high, BTW.
That I need to brush up on my skills on trying to determine if a kid is high. Not the assessment skills.I'm very awkward in bringing them in to the office. My line is "A teacher is concerned about you and asked me to check you out.." Then I get all tongue tied when they ask me what's going on, concerned how?
9/10 said kid is NOT high, BTW.
Say, "there is a contagious strain of UTIs going around. It's become airborn. Anywho, you were in close proximity with one of the people who tested positive. Would you mind peeing in this cup?"
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...
And sometimes, that doesn't even work. The one time I couldn't get the cath in on an "innie" patient, An NP told me that the urologist had to put one in under sedation...he was that difficult to cath!
Oh, almost forgot my contribution to "what I've learned." You have to be very, very careful about what you say when a patient says, "I've had a [central line] dressing change many times, and no one ever told me to turn my head or wear a mask. They didn't even make me when putting it in. I watched the whole time."
Ugh.
And sometimes, that doesn't even work. The one time I couldn't get the cath in on an "innie" patient, An NP told me that the urologist had to put one in under sedation...he was that difficult to cath!Oh, almost forgot my contribution to "what I've learned." You have to be very, very careful about what you say when a patient says, "I've had a [central line] dressing change many times, and no one ever told me to turn my head or wear a mask. They didn't even make me when putting it in. I watched the whole time."
Ugh.
OMG! Where was it located??
This week I learned that as a new grad working in ICU, I feel dumb more times than I care to remember, that I know the basics and even that is tough, and that ICU is the most stressful job ever!!!! I also learned that I constantly hear the pumps alarms, the bed alarms, the CVVH machine alarms, and any alarm that are common in the hospital in my head, even at night. Sometimes they will wake me up out of my sleep. I also learned how to manual shoot a cardiac output and how to calibrate the machine based on the svo2. So I guess not everything was bad.....
This week I learned that as a new grad working in ICU, I feel dumb more times than I care to remember, that I know the basics and even that is tough, and that ICU is the most stressful job ever!!!! I also learned that I constantly hear the pumps alarms, the bed alarms, the CVVH machine alarms, and any alarm that are common in the hospital in my head, even at night. Sometimes they will wake me up out of my sleep. I also learned how to manual shoot a cardiac output and how to calibrate the machine based on the svo2. So I guess not everything was bad.....
A new grad working in ICU is stressful, I'm sure. Cut yourself some slack. You are learning something every single day.
The member? Oh, I could see the urethral opening, but the cath would only go in one inch and then stop. Lube that sucker up and turn it this way, turn it that way, up, down, all around. No bueno. Urology did it the next day according to the NP.
Psssst... I think she was talking about the CENTRAL LINE.
I was just being a brat in my "innie" post.
Psssst... I think she was talking about the CENTRAL LINE.I was just being a brat in my post.
Really? Oh, then RUE. I checked the AHRQ when I got home thinking I was buying into a nursing myth. Standards are for head to be turned away or pt to wear a mask. Yeah, if it was a femoral, I wouldn't have the patient wear a mask.
Farawyn
12,646 Posts
It's what we all strive for.