Published
This week, I have learned....
1. Meth is a hell of a drug.
2. When meth is combined with cocaine and booze, it can destroy a 28 year old heart.
3. When you have one random patient across the unit from your other patients, and that patient is the only patient without psych issues, that poor patient is unfortunately going to be a bit neglected.
4. A discharge with EMS transport, ICU transfer and admission happening simultaneously (literally all less than 5 minutes apart from one another) 2 hours before you're supposed to be giving report means you'll be giving report before your last round of (very late) meds will be given.
5. Never been happier for vacation time. (Today is day 4/15.)
6. All play and no work makes ixchel a very happy girl. :)
That's all I got this week! Not much to learn when all I've been doing is playing! :)
What have you learned this week?
For some reason, it's not letting me quote, but I was trying to quote odaat.
I wanted to apologize. I came across as hating all addicts, and I didn't mean to. I didn't mean I thought she should have put a bullet through her brain because she was an addict. I said that because if I was her, and I knew I was going to die like that, I'd put a bullet through mine first. I was thinking about one person in particular when I wrote that comment.
She was awful to look at - 4+ edema everywhere once her kidneys went after her heart failed, too unstable to pull off fluid with CRRT - not all the way out, either. She could occasionally follow commands, but her eyes were so swollen she could never close them. Can you imagine - having to stare at the ceiling 24 hours a day because you literally can't close your eyes because of the massive edema? And the way her skin started splitting open when anyone touched her was pretty ugly, too. Countless tears and wounds; too many to chart on by the end, because every time we went to turn her something else ripped.
Her fingers and toes were black from the pressors and poor perfusion by the end. We were having talks with the surgeons about how much would have to be taken off her hands and feet if we were going to continue care, because they were getting quite necrotic and there was worry of her turning even more septic because of her dead fingers and toes rotting on her body.
And family wanted her awake to interact with her and the pulmonologists wanted her awake so they could think about extubation, so she was on and off lucid for all of this. It was horrible. A terrible, terrible way to die, really one of the worst I can think of.
I'm sorry I came across as so hateful, but I would do a lot to avoid suffering like this myself, including committing suicide.
For some reason, it's not letting me quote, but I was trying to quote odaat.I wanted to apologize. I came across as hating all addicts, and I didn't mean to. I didn't mean I thought she should have put a bullet through her brain because she was an addict. I said that because if I was her, and I knew I was going to die like that, I'd put a bullet through mine first. I was thinking about one person in particular when I wrote that comment.
She was awful to look at - 4+ edema everywhere once her kidneys went after her heart failed, too unstable to pull off fluid with CRRT - not all the way out, either. She could occasionally follow commands, but her eyes were so swollen she could never close them. Can you imagine - having to stare at the ceiling 24 hours a day because you literally can't close your eyes because of the massive edema? And the way her skin started splitting open when anyone touched her was pretty ugly, too. Countless tears and wounds; too many to chart on by the end, because every time we went to turn her something else ripped.
Her fingers and toes were black from the pressors and poor perfusion by the end. We were having talks with the surgeons about how much would have to be taken off her hands and feet if we were going to continue care, because they were getting quite necrotic and there was worry of her turning even more septic because of her dead fingers and toes rotting on her body.
And family wanted her awake to interact with her and the pulmonologists wanted her awake so they could think about extubation, so she was on and off lucid for all of this. It was horrible. A terrible, terrible way to die, really one of the worst I can think of.
I'm sorry I came across as so hateful, but I would do a lot to avoid suffering like this myself, including committing
suicide.
Thank you for clarifying what you actually meant and for understanding that the way you said it at first did sound pretty horrible! I agree with you that that is a terrible way to go
That I had (what felt to me) a very good interview for a periop RN position. Oh I hope, I hope, I hope!!And Farawyn, though I am not there yet, I understand the thought of having your Big Boy go off to school ((HUGS)). My kiddo told me that he was glad that he has a mom who really "gets him", and I swear I almost teared up thinking, "But I only have you 2 more years". But this is as it is supposed to be, right? It's suckish, but the wheel continues to turn.
Thank you. I'm so excited for him, but, well, you know. (((Hugs))))
I was out in the field this morning for HH orientation, and I learned that old people hate air conditioning.
So do soldiers returning from deployment in the Middle East. We picked my brother up from base, and stupidly had the A/C on in the car as it is summertime in the deep South. He kept turning it off saying how cold it was in the car. So on we drove with no A/C turned on. I thought meat was going to start falling off the bone.
It was a bad week at work.
That I REALLY need a vacation away from work but need to bank up PTO for my maternity leave.
That I REALLY miss several of my coworkers that have recently left.
That I am ready to get the fall semester of school started, but darn are my books pricey this semester.
That parents won't vaccinate their 7th child - despite vaccinating the first 6 (still don't get this phenomenon).
Did I mention that I need a vacation???
That despite trying something positive to say this week - I can't come up with anything honest.
MPKH, BSN, RN
449 Posts
1) The amount of cattiness and drama that occurs on my unit puts Mean Girls to shame
2) People cannot read, comprehend and follow through with a well defined, clearly written piece of instruction
3) My coworker can do amazing impressions of people
4) Transitioning from a crappy manager to a good manager can be a painful learning curve for some people
5) People need to learn to not shoot the messenger
6) Skype does not favour the Internet connection that me and my boyfriend shares. Talking to a pixelated video just isn't the same as having a smooth video stream
7) People really have a poor grasp on the fact that every penny spent on unnecessary things for the unit puts the unit into an over budget status
8)....and people seem to struggle with how budget limits the everyday operational cost of the unit
9) Henna tattoos are amazing
10) I don't do so well on intense spinning rides