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This week, I have learned... (8/8)

Specializes in critical care.

This week, I have learned....

1. I have never in my adult life slept through an alarm clock. I only learned (realized?) that because last night was the first time ever that I DID sleep through and alarm clock.

2. I have learned the one thing that as a nurse, I hate to do most: convince patients with dementia to take their medications.

3. A bad day at work feels even worse when it's your first day back after vacation.

4. It still upsets me a bit deeply when Alzheimer's patients get shipped to us from a nursing home and they are absolutely terrified of us doing pretty much anything, regardless of how gentle we are. I know that a lot of dementia is irrational, but what if some kind of abuse really is happening regularly? It's sad. :(

5. My kid stole my telemetry/dysrhythmias book and notebook. He's been reading it at bedtime.

7. The coworker I dislike the most professionally (lazy, rude), turns out to be an amazing charge nurse. Pleasantly surprised!

8. I genuinely want to find a way to practice IV skills. I'm just so tired of being bad at them.

What have you learned this week?

OrganizedChaos, LVN

Specializes in M/S, LTC, Corrections, PDN & drug rehab.

#8 YES! I'm no good at drawing blood or starting IVs, wanna practice on each other???

This week I realized things in my life are actually going well for me. I think my husband is my good luck charm.

I start A&P 1 & micro on the 17th. I'm excited & nervous all at the same time.

1. Taking three days off this week gave me 5 fabulous (and much needed) days off.

2. Cleaning out closets/dressers and throwing stuff away can be very therapeutic.

ixchel

Specializes in critical care.

I forgot one:

Scratching/rubbing my legs and feet after taking off my compression socks is amazing.

Rose_Queen, BSN, MSN, RN

Specializes in OR, education.

I am in desperate need of another vacation! Unfortunately, the time I have won't cover more than an extra day, plus the schedule is already out and no one to switch with.

Bailey's is perfectly acceptable in coffee at 0600 on a Saturday when you're up making cupcakes for cub scouts.

1. Nonpulsatile LVAD/RVAD/BiVAD pts have funky looking rhythms/art line waveforms and I really have to attune myself to it. It freaked me out to see nurses silence alarms on a heart rate of 0 and a clear vtach rhythm...but the patients sitting up watching wheel of fortune, lol.

2. Nurses are hard patients to have.

3. Changing specialties is like starting over in nursing.

meanmaryjean, DNP, RN

Specializes in NICU, ICU, PICU, Academia.

This week I learned:

1. That if you continually accept low census days, you won't have much of a paycheck.

2. That a 20 year old female who lives in your upstairs would rather pay rent than clean their room- three months in a row

3. That an extra $200 (see #1 and #3 above) can come in pretty handy sometimes

4. That for the 40th consecutive year, Mr. Meanmaryjean and I have planned absolutely nothing to celebrate our wedding anniversary

5. That the end of my doctoral program (246 more days!)and my transition away from the bedside cannot come soon enough

6. That live-chatting the SYFY movie 'Lavalantula' with a policeman's wife from Iowa and a non-destructive testing mamager from Michigan (both of whom I've never met, BTW) is the most fun one can have from their recliner.

Bailey's is perfectly acceptable in coffee at 0600 on a Saturday when you're up making cupcakes for cub scouts.

Absolutely! People got on me for wanting wine with my lunch on a day off last week. It's 5 o'clock somewhere. :up:

missmollie, ADN, BSN, RN

Specializes in Neuroscience.

1. If you discharge someone, expect to take report on an admission about half an hour before your shift ends.

2. Never say that the day seems easy

That my ICU does not have a good skills mix. Of the 12 nurses working my last shift, nine had less than one years experience. Flu season will be an absolute nightmare.

ixchel

Specializes in critical care.

More to add:

Being an HIV patient as a middle-aged black man married to a white man in a traditionally conservative Christian area is pretty terrible. This guy has a steady reputation of being mean to staff to the point that multiple have left his room in tears. I had him for the first time ever my last shift, and he was as sweet as sweet can be. All I did was listen and be nice to him. I left him alone when he wanted to be left alone. I treated him with respect and dignity. I couldn't imagine walking a mile in his shoes. :(

I forgot one:

Scratching/rubbing my legs and feet after taking off my compression socks is amazing.

You've got that right!! :yes:

(I have loved reading these each week!!)

What I learned this week:

-I learned what a Clagett window is. I never knew someone could walk around with a ginormous hole covered with a simple dressing and not have further wickedness happen

-People are level-crazy enablers

-My husband makes a terrible patient

-I worry way too much about ridiculous things. Example, I couldn't sleep one night this week because we had storms, and our daughter was spending the night at grandma and grandpa's...sleeping in the upstairs bedroom...and I worried that a tornado would take out their upstairs while she was sleeping (I know it's ridiculous, it's the OCD in me.)

-I walk at least 5 miles every day during my 12 hour shifts

WKShadowNP, DNP, APRN

Specializes in Hospital medicine; NP precepting; staff education.

More to add:

Being an HIV patient as a middle-aged black man married to a white man in a traditionally conservative Christian area is pretty terrible. This guy has a steady reputation of being mean to staff to the point that multiple have left his room in tears. I had him for the first time ever my last shift, and he was as sweet as sweet can be. All I did was listen and be nice to him. I left him alone when he wanted to be left alone. I treated him with respect and dignity. I couldn't imagine walking a mile in his shoes. :(

I love you even more now. In my very young days, pre-nursing, I had an unfortunate patient in the ER. I was a phlebot then. She was so sad and quiet and pulled at my heart strings. HIV+. When I finished drawing her blood I took of my gloves, hugged her, and kissed her forehead. She cried. She said, "no one wants to touch me anymore, thank you." I did not fear the disease because it was intact skin to intact skin.

What I've learned this week:

#1 Field advisors can't see the humor in a teleconference when my preceptor tells her (jokingly) that I'm a horrible student nurse practitioner.

#2 That I forgot the name of a disorder that describes behavior inclusive of nervous picking of skin.

#3 That being done with clinicals for this quarter has made me have mixed emotions: happy it's over but sad because I was having fun!

#4 That I'm still looking for a preceptor for women's health because two more have turned me down this week and two still have to call me back. I've been trying since December 2014. :/

#5 That it is much harder to tone and lose weight now that I'm older, even than just a year ago. Dog-gone it!

#6 I'm a peer eater, apparently, but I have great motivating coworkers who know my struggle and are keeping me from being my own worst enemy (in more ways than one.)

#7 I knew this already, but it's always good to re-acknowledge it, my husband knows me better than I know myself and that I so love and appreciate how well he takes care of me.

#8 Bathing suit shopping is evil.

Edited by WKShadowRN
added another

nursej22, MSN, RN

Specializes in med/surg,CV.

i learned about Graston maneuvers--basically rubbing/scraping metal instruments over tight muscles for myofascial release.

Also learned that cupping will leave a hicky on your arm.

I am sore from that massage session, but by gum, my shoulder feels better.

Ixchel,

There are those of use who try very, very hard to NOT send out our Dementia patients; because of everything you mentioned. It is heartbreaking to be suspected of abuse because your Dementia patient who fell and has a knot on their forehead is scared and frightened and away from the ones that they recognize and is really combative. It is also heartbreaking when you get the same patient back who, you now have to detox off all the ativan and haldol and seroquel and zyprexa that was used to control said combative behaviors; medications that they were never on in the first place.

What I have learned this week? It's hard when your nursing style is so different than my counterpart. It is difficult/embarrassing to hear "thank you, because "The Other Nurse" never does this".

I have also learned, that while difficult on the budget, going part-time in prep to finish pre-reqs for my bridge program was the best decision I have made.

I've learned that behind innocuous doors on an average street there are people desperate for home care, way more than SN, PT, and OT can provide.

I've learned that the elderly are getting lost in the system.

I've learned we need way more SW and Pysch for said population.

I've learned I am starting to really like Home Health nursing. Then again, I'm a noob. Give me time.

I've learned the Mets will probably break my heart again. Screw you, hope!

n.igmatic1

Specializes in Cardiac and OR.

1.That I love sitting with a patient, holding their hand as I explain pre-op prep, what will happen day of the surgery and then what happens afterward, answering questions they have regarding the procedure (those within my scope), and seeing apprehension fade a bit

2.That I am completely thrilled about transitioning to the OR

3.That I still get a little happier than I probably should when people appear shocked that I am 10-15 years older than they thought. Vanity? Psshht.

I learned that if you say "Goodbye" to a Vocera, you will hear a voice from the grave.

I learned that the three way stopcock that you attach to a PEG tube is called a Lopez valve.

I learned that a timely hug and kiss can prevent a suicide. Pay attention to the people you love.

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