Alright, friends. I'm keeping this one short and sweet because my brain is sore and my dog is annoying.
This week, I have learned....
1. There should be a time limit hospitals should have to fix a problem. If things aren't better after, say, 15 days, let someone else try.
2. I'm in the mid Atlantic of the US with spring travel plans to Florida, and I'm actually feeling nervous about Zika. I had a guillian barre syndrome patient in nursing school. On his way driving home from work, his chest felt off, so he course corrected to the ED. When he pulled up and walked to the doors, he struggled with leg weakness. After he was done in triage, he couldn't stand. He was intubated, and completely paralyzed, before he left the ED for ICU.
3. A patient on neuroleptics will still have detectable epileptiform patterns on an EEG.
4. A good neurologist knows no matter how crazy the patient sounds describing symptoms, what they say is legit and will stay the course for diagnosis.
5. My favorite doctors to work with are the ones who will sit and talk patho with a nurse and enjoy that the nurse legitimately loves to learn.
6. Sliding scale coverage alone for inpatient management is not currently supported by research.
7. If working day shift doesn't eventually make me check into a psych ward, nothing will.
8. The GI doc who left me scrambling to save a guy's life (what felt like) single-handedly by doing no intervention before he got dumped on us (actively bleeding out 2 points of hemoglobin over 8 hours and maintaining a BP that won't leave 70s-80s) has suddenly become cautious enough to send a perfectly stable (hemodynamically, symptomatically, and on CBC) rectal bleed to ICU before meeting or scoping her after I've literally done all the work needed on her for the shift. And of course, I was rewarded with an end of the shift admission.
9. The Florida Man Collective has evolved to include its latest - Wrinkles the Clown. He is a scary-looking clown who is for hire to scare anyone you want, for any reason.
10. The more you annoy the doctor about the same thing, over and over and over, the more likely it is they will listen and maybe put in an order.
I have nothing else right now. My broken brain is feeble!
Is it: grab the ankle, plant one foot in the crotch, and push/pull? Because that was my first thought, and usually my knee jerk reaction is spot on.
An s knot around the foot, a cravat around the thigh, a presette knot around a stick then attached to the thigh. Then truckers hitch to the s knot, attached to the other end of the stick and counter pressure then secure.
If you have 2 people one pulls the leg and holds until the splint is secure. If only one responder you can pull traction get with a second rope tied off while you rig up the splint.
And I learned the thin morphine tubes do not need to have air inserted in it or the back blows off and you end up spraying morphine all over the wall. OOPS!
several of us did that in nursing school. The instructor was PISSED at the amount of paperwork that caused LOL...
I finally had my baby.. 2 kids are a lot more work than 1!
That I am SOOO enjoying my Maternity Leave from work.
I turned my nursing school application in for the transition program. I'll find out in a month or so if I got in.
That the nurses at my hospital rocked despite the ridiculous policies of their units ( L&D and special care OB nurses were being low censused, yet MB had to accept higher that usual ratios (4 couplets).
My OB is amazing.
I'm trying to like this but it keeps saying post action thanks denied or something.
Cardiacgirl12
3 Posts
I have learned that if you lurk on allnurses.com regularly and for long enough (5 years haha!) one day you will finally come to your senses and join!