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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?
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.
That's why I was asking, because if it was femoral, I could see why others might skip the mask and they would've be able to let her watch. But UE is a bit different.
I guess that's why I always gravitate to corrections. I've never had to bite my tongue. I don't know what I would do if I actually HAD to be nice at work!
I'm married to a CO who has actually FORBID me from doing corrections. I'm the stubborn type who normally would do the exact opposite of what he says not to do (REALLY?! You do NOT tell me what not to do!), but I think I'll listen on this one. Scary stories come out of that place.
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.....
Sounds like a very successful week to me, love! Critical care is HARD. You will constantly be learning new things. Write stuff down so you don't feel bad asking people to repeat, and maybe reread the stuff you wrote down before your next shift. Give yourself a break - these months will be the absolute hardest of your professional life. You'll still feel "new" a year from now, but you'll feel steady, less nervous, and you'll know what resources you have to back you up when you are in over your head. For now, just be the eager student you just graduated from being and know that YOU CAN AND WILL DO THIS. Gotta go through this part to get through this part. Big big hugs to you!
I learned:
(1) You can snort morphine. Maybe I'm just naive, or maybe I worked in the wrong areas (most of my past patients preferred heroin, meth, and/or crack) but this was new to me.
(2) Heroin is still a heck of a drug.
(3) I miss the ER.
(4) Call lights, tele alarms, IV alarms, etc., will haunt me in my dreams. As will dreaming that I need to find a patient's room NOW and I get lost...
(5) My older-than-dirt and deafer-than-a-rock neighbor can hear my dog bark and will not hesitate to yell at me because it took me 5 minutes to get the dog.
(6) Critical care does not share the same dark humor as ER and EMS.
I'm married to a CO who has actually FORBID me from doing corrections. I'm the stubborn type who normally would do the exact opposite of what he says not to do (REALLY?! You do NOT tell me what not to do!), but I think I'll listen on this one. Scary stories come out of that place.
I've never had any issues & loved all my jobs in corrections.
ixchel
4,547 Posts
Oh, God... Best laugh in ages!
For some reason it reminds me of a 4chan thread I got stuck on recently of a guy with two functioning, larger than average memberes (with photos included). He led a q&a session, and of course I was scrolling right through every last bit of it, trying to find out the physiological details, but everyone was being total pervs. He answered every single one of the pervs, though, AND the people with medical backgrounds curious about the functional aspects. Both released urine and ejaculate. I can't remember how he said the ureters went, though. If I recall, he'd been shunted at some point because one had a blockage. I believe that was during childhood. Anyway, getting back to my point.... I can't imagine foley placement there being uncomplicated. He has to hold the meatus and opening so that pee only comes out of one, so you'd have to foley both.