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!
-that my application at a large hospital ED got turned down. And I'm let down. I know that's silly. But I can't figure out why they'll hire a new grad in a heartbeat when I have 5 years experience. It obviously wasn't meant to be so I need to just get over it.[emoji17]
-that my application at a large hospital ED got turned down. And I'm let down. I know that's silly. But I can't figure out why they'll hire a new grad in a heartbeat when I have 5 years experience. It obviously wasn't meant to be so I need to just get over it.[emoji17]
1. I don't like floating to cardiac (OR) anymore than I did the first time.
2. Despite cardiac not being my thing, both times, the attending surgeon(s) have tried to lure me away from my service line to do hearts. *Over my dead body, I know how good I have it on my service line (even on the worst of days)*
3. I was compensated with extra money this week at work. All for finding a personal belonging that one of our surgeons lost. I thought it was a joke, and tried to refuse payment but he made me take the money.
4. Folks in the professional organization I belong to (local chapter) are frustrating me. Cliques, bickering, and utter surprise at why people may not want to try to fit in with their group which is incredibly hard to do. I don't really want to feel like I'm in high school again, but I do, every meeting.
5. Somehow, some way, I'm on the second renewal cycle for my RN license in my current state? How in the WORLD have I been in this state for 4ish years practicing as a nurse?
6. Residents. Some don't seem to learn? We had one this week questioning the attending's post op plan for the patient. Despite that the attending verbalized their plan to everyone AND put the transfer order in.
My unit gets very incestuous. There is a really good male/female nurse split, probably almost 40/60, and we are very close to our physicians, so it's just about inevitable that there are going to be various relationships developing - especially on night shift when there aren't as many supervisor-type people roaming around.
I'm the only male nurse on my unit, but most of my coworkers are in their 50's. It just wouldn't feel right ...
-that my application at a large hospital ED got turned down. And I'm let down. I know that's silly. But I can't figure out why they'll hire a new grad in a heartbeat when I have 5 years experience. It obviously wasn't meant to be so I need to just get over it.[emoji17]
They don't want to pay for the experience you bring to the table. New grads are cheaper.
Specializes in long term care Alzheimers Patients.
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).
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CBlover, BSN, RN
419 Posts
I learned
-that my application at a large hospital ED got turned down. And I'm let down. I know that's silly. But I can't figure out why they'll hire a new grad in a heartbeat when I have 5 years experience. It obviously wasn't meant to be so I need to just get over it.[emoji17]