Published
After a week of deliberation on the WILTW threads, I can honestly say I'm glad for a new week! I have only worked one day this week so far, so not a very giant list to share.
This week in nursing, I have learned....
There is a very sad line between moral and legal decision-making in healthcare. When a DNR can be revoked by family only to prolong torture and a DNR not granted on an already terminal suicide attempt, we really need to find a way to make moral and legal stop being mutually exclusive.
After a month of horrible patient acuity, I'm realizing that now "normal" days actually feel a bit slow. Amazing how being pushed beyond your limits teaches you to increase those limits.
I've learned what pleurx drains are. Now I want to play with one.
It takes a lot longer to bring up a 2.3 potassium than a 1.1 mag. A lot.
I have a way about me that makes patients confess very, very strange things to me. (Apparently?)
I'm going to learn tomorrow if short hair is easier at work than long in a braid, bun or ponytail. Also, tomorrow I will get to compare my steps at work on my new Fitbit vs. the app in my phone. And..... Tomorrow is my last day in the 18-34 demographic.
I've realized that hospitals would be more mom-nurse-friendly if shifts were 9-9.
Looking at community health job postings has made me realize I have no idea how to figure out government pay scales. I understand the grade, but how does your starting step get determined?
I've included my children in the "daddy's schedule is changing, so mommy's might have to, too," conversation. It was hard to say no when my girl asked if I could "just" not work for awhile.
Crack is a hell of a drug.
Almost 1.5 years since graduation. I think I've decided I know how to nurse now. It's an amazing feeling!
How about you? What have you learned?
The weekly WILTW threads will remain in yellow as long as we remember to keep the majority of posts/comments focused on things nursing related. Students are welcome to share what they learned in their journey to becoming nurses, and of course, CNAs/PCTs/MAs and other unlicensed people who are part of the nursing team are welcome to contribute as well.
As this thread doesn't really have one single topic, it's very nature is to evolve into conversations that are off topic from individual points shared. This is okay, as long as the majority of posts in the conversations remain nursing, nursing school and UAP-related. Questions or comments on this can be shared in the site feedback thread with "WILTW" in its title.
Still got the brain zaps. The first time I got one I was driving, and heard and *felt* the zap. Bzzzzzt!
I have to ask, is there a medical term for "brain zaps"? I'd really like to find more info on this.
I have had this experience of a popping sound/sensation in my head for years (which made my neuro think I was nuts). Its a really loud sound, like popping a paper bag, along with the sensation of rapid outward expansion of pressure.
*Not soliciting medical advice. Just a vocabulary expansion.*
I have to ask, is there a medical term for "brain zaps"? I'd really like to find more info on this.I have had this experience of a popping sound/sensation in my head for years (which made my neuro think I was nuts). Its a really loud sound, like popping a paper bag, along with the sensation of rapid outward expansion of pressure.
*Not soliciting medical advice. Just a vocabulary expansion.*
I've looked up SSRI withdrawal and seen "brain zaps", but not as medical terminology. It feels as if there's a little buzzer inside your brain. You can feel the bzzzt.
It does not interfere with the Brain Radio, I'm happy to say.
Where's my foil hat?
Eventually I will have time to actually read this thread. Sorry, loves. Now my sinuses are under attack. That, and I'm doing classroom time. I'll be back! Hopefully.
Let's discuss sinuses!
We did Tdap and Hep B, SSRI withdrawal, and awkward assessment moments...
We're keeping on topic for you, bae!
I learned that when I offer to assist a (3years out of school) facility nurse with Foley insertion and she responds with a grateful "Oh thank you! I've never done it before!" I'm able to maintain my smile and say "Welp, guess what you're gonna learn how to do today?"
Apparently it just "never came up before."
I learned that when I offer to assist a 3years out of school facility nurse with Foley insertion and she responds with a grateful "Oh thank you! I've never done it before!" I'm able to maintain my smile and say "Welp, guess what you're gonna learn how to do today?"Apparently it just "never came up before."
And? Struck gold?
And? Struck gold?
Actually, no. End stage prostate cancer, REALLY obstructed. Wouldn't have bothered me too much, as he was imminent, but the bladder that was allowed to distend to the size of an eggplant over the weekend and facility documentation of no output bothered me just a bit.
Sent him to the ER, since the facility had NO idea what a coudé catheter is. They had to have a Urologist do it.
Actually, no. End stage prostate cancer, REALLY obstructed. Wouldn't have bothered me too much, as he was imminent, but the bladder that was allowed to distend to the size of an eggplant over the weekend and facility documentation of no output bothered me just a bit.Sent him to the ER, since the facility had NO idea what a coudé catheter is. They had to have a Urologist do it.
Ooof.
We aren't allowed to do a coude. Only a 3 way.
Anthony D actually just did a project on this for his hospital, let me try to find the thread...
Here: https://allnurses.com/general-nursing-discussion/rns-and-specialty-1001097.html
I have to ask, is there a medical term for "brain zaps"? I'd really like to find more info on this.
Well, the Clinical Handbook of Psychotropic Drugs calls it "electric-shock-like sensations." Stahl's Prescriber's Guide doesn't mention it at all. The users of SDN couldn't come up with a term. Some people refer to them as paresthesias, which is a more general term most people associate with tingling in the fingers from panic attacks or electrolyte imbalances.
So, to answer your question... apparently not. Weird, right? The brain is all mysterious.
Well, the Clinical Handbook of Psychotropic Drugs calls it "electric-shock-like sensations." Stahl's Prescriber's Guide doesn't mention it at all. The users of SDN couldn't come up with a term. Some people refer to them as paresthesias, which is a more general term most people associate with tingling in the fingers from panic attacks or electrolyte imbalances.So, to answer your question... apparently not. Weird, right? The brain is all mysterious.
Google brain zaps and it will bring you to anecdotal drug boards. Apt slang.
NutmeggeRN, BSN
2 Articles; 4,743 Posts
Nope, because they ARE our kids for a great deal of the day!