(Forgive the early submission this week. Got a busy day tomorrow and last week's thread has just changed its code status to DNR, with a discharge to hospice. Thankfully, most of the family agrees. Unfortunately, one person thinks I'm trying to get more inheritance than Farawyn, but thankfully that's what probate lawyers are for.)
This week, I have learned:
Creatinine can go from 9 to 1.9 in 12 hours. Then 0.65, 24 hours after that, with 13,000 mL out in two shifts.
If you're prepared to ask if your patient group can be split up tomorrow, be prepared to be made out to be an a-hole in front of the rest of the staff just for asking.
My legs are a-holes.
Furry woodland creatures are terrifying.
Metoprolol is a hell of a drug.
Cardiologists should consult nephrologists for beta blocker dosing once a creatinine hits, like, 2.
Some patients would rather walk across the room to pull the code blue button rather then push the nurse call button on their remote they've had glued to their hands for days.
It appears the end of August is "Celebrate Right Before Shift Change Disasters" season.
There are two miserable ladies who post in every thread. But now I'll never know who they are.
There is a person with an STD in their colostomy stoma.
An iPhone can delete all of your contacts in one area code and rename all of your contacts 'Steve'.
I am incredibly frustrated that hospitalists don't clarify code status at admission. Families are SHOCKED to consider that just because their kids know what they want, doesn't mean we'll know.
The State Highway Administration employs archaeologists.
My baby turns 8 tomorrow. I remember feeling impatience at the end of that pregnancy because I wanted to KNOW her. She was the most beautiful thing I'd ever seen, and has grown more so with every passing year. As fulfilled as I am by being a nurse (I was one of those disgusting "called to it" nurses. Wear gloves when you read my posts, friends. That icky stuff might be contagious.), being Mommy is my one true superpower. :)
That being the only nurse with more than 6 months experience during a 12 hour shift is exhausting and down right scary!
That I am not always nice at the end of a stressful 12 hour shift, when I have put out multiple fires all night long, and you tell me I forgot to check the fridge temps!
That being the only nurse with more than 6 months experience during a 12 hour shift is exhausting and down right scary!
That I am not always nice at the end of a stressful 12 hour shift, when I have put out multiple fires all night long, and you tell me I forgot to check the fridge temps!
Fridge temps! OMG!
I'm feeling you on the inexperience front. We almost always have a CN on the floor, so it's rare when it happens, but multiple times lately I've realized that, holy crap, I'm the most experienced here at the moment. Then I just pray the CN will hurry back soon!
*Apparently my dept will post a new position rather than offer additional hrs to those part-timers who request it
*I have doubts that the clinic/rehab nurse will be ready to be off pacu orientation & go solo in 4 wks.
*The new anesthesiologist is unsure of herself.
*Volunteering to fill in on the floor at 0300 with 2 hrs of sleep followed by my normal shift is stupid
*Do not answer the door to your alcoholic brother at 2300 the night before you had agreed to work at 0300.
*My adult son might actually be starting to understand the importance of good finances.
*I miss my mom terribly (dementia)
*Just as you don't congratulate someone for being pregnant unless you KNOW it beyond a shadow of a doubt, don't congratulate new grandparents either (secret pregnancy).
*CPMs are not necessarily beneficial & will no longer be routinely ordered for our TKRs.
*Apparently my dept will post a new position rather than offer additional hrs to those part-timers who request it
*I have doubts that the clinic/rehab nurse will be ready to be off pacu orientation & go solo in 4 wks.
*The new anesthesiologist is unsure of herself.
*Volunteering to fill in on the floor at 0300 with 2 hrs of sleep followed by my normal shift is stupid
*Do not answer the door to your alcoholic brother at 2300 the night before you had agreed to work at 0300.
*My adult son might actually be starting to understand the importance of good finances.
*I miss my mom terribly (dementia)
*Just as you don't congratulate someone for being pregnant unless you KNOW it beyond a shadow of a doubt, don't congratulate new grandparents either (secret pregnancy).
*CPMs are not necessarily beneficial & will no longer be routinely ordered for our TKRs.
*I absolutely loathe my neighbors.
You've had a very complicated week. Hugs, friend. Hope you get some sleep!
But what I just remembered (prompted by the eating after midnight question) - if I go to bed with a full stomach, I have weird dreams. While that's not news to me, having a shift toward work dreams is all new territory. I never have had work dreams before, but I tend to schedule myself for 4-6 shifts in a row (12-13 hrs), so it must get stuck in my brain. The last one I can remember, I was at a pirate-themed water park with the hospitalists. Very detailed, very long dream.
A pirate-themed water park sounds awesome. All I get are dreams of my grandma chasing me with a knife and my brother getting possessed by demons. I think there is some serious need for therapy over here...
Specializes in OR, Nursing Professional Development.
That when another area of the department needs help, we are expected to drop everything and help them, even though once we cave in, they magically find the staff they needed. Yet, when we need help, it's never given even when we beg.
That Joint Commission must have some sort of quota of things to ding us on- the same things we didn't get dinged for the last time are now suddenly wrong. And it's truly stupid crap, and makes this much more truth than satire.
I work with an awesome bunch who are willing to make a heck of a lot of switches so that I can get to family events when they're announced long after the schedule comes out.
That I would do the same for that awesome bunch in a heartbeat.
That the awesome bunch can put away a heck of a lot of alcohol and still show up at work the next day.
That my bowling score actually improves when I'm drunk.
That I love designated drivers.
That for the next work event that I'm on call, I'm DD. Unless I get called in, then they have to call a cab.
ixchel
4,547 Posts
And omg if you're going to get stuck on YouTube, find LadyBeard.