12/19 What I Learned This Week: night shift with Macaulay and polio

Nurses General Nursing

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The thing that has me the most wound up this week? Polio. I may be the last idiot to learn this, but our CIA used a vaccination campaign in Pakistan to collect DNA from Pakistani children, trying to find the children of bin Laden. Vaccination rates there have plummeted as a result, making a nearly eradicated disease remain a current threat.

I've been totally over this Christmas since last Christmas.

It sucks when you have an elderly, full blown dementia patient who is both violent and a screamer, and your hands are tied to say what's going on when one of your other patients is deeply bothered by it, saying, "why can't they just leave that poor man alone?"

A man who wants to die will not tell you when his chest pain is 10/10. He's only there because his daughters made him come.

Never remove an African American woman's wig.

Even nurses might not realize ischemic strokes don't kill you. Skipping anticoagulants might have worse outcomes than death.

Ensuring long blocks of days off on a regular basis seriously is crucial to recharging batteries.

I am still very much baffled by the fact that some respiratory therapists choose to smoke. Nurses, too. Look, I love you all, but if you've worked on a unit that gets bipap dependent or vented patients, surely you have some inspiration to quit? I'm not judging, as a former smoker myself, and I know how hard it is to stop. I just don't understand.

I really hate having to adjust to being awake in the AM after working nights, and I am so incredibly glad my husband is switching his hours to daylight so I don't HAVE to adjust my hours by much.

Hospitals are being fined millions because multiple patients were admitted for what Medicare feels should have been outpatient procedures. I'm annoyed by this. Perhaps they didn't require admission. Or, perhaps they were high risk for complications. I really don't know and wouldn't fault a legitimately applied fine. The problem is these massive sweeping fines make our MDs hesitate when they shouldn't.

Obama is a lefty.

The problem with being open minded is struggling to have actual opinions.

In spite of the night shift hangover, it feels so good to be back on night shift.

A video -

(And for those of you who do not get offended by pretty much anything, get on YouTube and check out the new Macaulay Culkin dryvrs video.)

Did you learn anything good?

Congrats, Half Pint!

Specializes in critical care.
I started my bridge. Took 1 class. 98.5.

Life is in the way.

I have 22 credits to my BSN.

(Ominous music)

How did I not know this?!

How did I not know this?!

Shhh.

Specializes in Acute Care Pediatrics.

I've learned there really isn't anything more awesome than being PRN and taking two full weeks off at Christmastime. BOOYAH!

Specializes in Hospice.
I've learned there really isn't anything more awesome than being PRN and taking two full weeks off at Christmastime. BOOYAH!

Well, that's more cheerful than the time I was able to do that. But, it has a happy ending so that's something.

Corporate decided to close our office, and wanted us off their books by the end of the year, so we were all let go two weeks before Christmas.

Of course for the last paycheck of the year, we got our PTO and there was a "generous" severance package: one week pay for every year we had worked for the company ( I know, I know, legally they didn't have to offer us anything). That came out to two weeks, as most of us had been hired at the same time, which was right after this new company took over.

The only ones who really got screwed over were the CNA whose paperwork switching her from casual to part time somehow had never been processed (yeah, it was that kind of Corporate office): she had no PTO and wasn't eligible for the severance pay. And the employee who had been with the organization since two owners prior to this company taking over. She got the maximum of two weeks severance pay-her past 15 years service didn't count.

We all got together and had our own Christmas party. And all of us actually had new jobs we were starting after New Years, so we just had a good time and thumbed our noses at Corporate. We had all paid attention to the rumors and gotten things in order before the axe fell.

One door closes, another opens.

Anyway, I've got a busy two days coming up, so just wanted to say "Merry Christmas", "Happy Chanukah", "Happy Holidays", etc etc. Love you all!!

Thanks for posting this. I relate to each of the items you listed. Well, "it feels good to be back on night shift" has me baffled! The challenges are many but no one can say that nurses don't live colorful and meaningful lives, full of variety. Where would the world be without us?

Specializes in critical care.
Thanks for posting this. I relate to each of the items you listed. Well, "it feels good to be back on night shift" has me baffled! The challenges are many but no one can say that nurses don't live colorful and meaningful lives, full of variety. Where would the world be without us?

Nights are just so much quieter! If you don't mind the change in sleep, it's a much, much better shift! (With occasional exceptions, of course. Can't predict everything.)

Glad to have you here on the WILTW thread! There is a new thread each week if you want to follow them and add your own stuff. [emoji5]️

Specializes in Pediatrics/Developmental Pediatrics/Research/psych.
I'm starting to think I may not do it. Meh.

Far,

You know you want it...

After all "Apeal" is relying on you

Far,

You know you want it...

After all "Apeal" is relying on you

Lol! I forgot all about Apeal! I'm a horrible caretaker!

How is he??

Hahahahaha!

Specializes in Pediatrics/Developmental Pediatrics/Research/psych.
Lol! I forgot all about Apeal! I'm a horrible caretaker!

How is he??

Hahahahaha!

I don't know. I left the job in October. Now I am working inpatient psych. Love it, and there is nothing like school nursing to prepare for psych.

I don't know. I left the job in October. Now I am working inpatient psych. Love it, and there is nothing like school nursing to prepare for psych.

Good lord. I wonder who is taking care of him!

I thought you brought him with you to the psych unit.

This year? My job is all psych all the time. I want more nosebleeds! :(

Specializes in Cardiology, Cardiothoracic Surgical.

1) Poopy water can come out of people's noses via suction.

2) Patients will get visited by 3 different doctors, not mention anything of their pain/nausea/bloating, then promptly expect you to do something about it ( do I LOOK like the order fairy?)

3) Our surgical unit is a dumping ground for SNF gen med overflow this time of year. We're not set up for total cares, GI issues, the like. It makes for heavy work, our remaining cardiac patients don't get the proper attention they need, and we all hate it. Thank God there is this concept of "the transfer".

4) You will only find out about getting written up by another nurse from a third party, hours later, no explanation provided, as that nurse is boarding a plane for the holidays. :mad:

5) What planet does pharmacy actually live on? You expect my patient to literally take 25 meds at once with an already poor appetite? A million middle fingers to you! (I missed 1 med, got a write up. See #4).

Thank God I'm off until Sunday!! Merry Christmas!

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