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!
- It's night shift (I told them when I applied that was the one shift I couldn't/wouldn't work)
- It's two hours away from me
- I have to pay for lodging
- Only 1 nurse has stayed with the case, a bunch have left & no one can tell me why
- The house is filthy
- People come in & out of the house constantly
After working in corrections the one thing that raises a flag for me is a dirty house & people constantly leaving & going. Hello, drugs! I'm not gonna work a case & put my life in danger. This area is a predominantly Hispanic area & I don't speak ANY Spanish. If I go in there as a small white girl, they will be able to tell.
I was excited because they offered me a position with benefits but then he told me the down & dirty of the case & I'm not cool with it. My week just busted. [emoji22]
- It's night shift (I told them when I applied that was the one shift I couldn't/wouldn't work)
- It's two hours away from me
- I have to pay for lodging
- Only 1 nurse has stayed with the case, a bunch have left & no one can tell me why
- The house is filthy
- People come in & out of the house constantly
After working in corrections the one thing that raises a flag for me is a dirty house & people constantly leaving & going. Hello, drugs! I'm not gonna work a case & put my life in danger. This area is a predominantly Hispanic area & I don't speak ANY Spanish. If I go in there as a small white girl, they will be able to tell.
I was excited because they offered me a position with benefits but then he told me the down & dirty of the case & I'm not cool with it. My week just busted. [emoji22]
Would you guys take the case?
Comes a time when the bennies and extra money don't mean bupkiss when held up to peace of mind and personal safety.
- It's night shift (I told them when I applied that was the one shift I couldn't/wouldn't work)
- It's two hours away from me
- I have to pay for lodging
- Only 1 nurse has stayed with the case, a bunch have left & no one can tell me why
- The house is filthy
- People come in & out of the house constantly
After working in corrections the one thing that raises a flag for me is a dirty house & people constantly leaving & going. Hello, drugs! I'm not gonna work a case & put my life in danger. This area is a predominantly Hispanic area & I don't speak ANY Spanish. If I go in there as a small white girl, they will be able to tell.
I was excited because they offered me a position with benefits but then he told me the down & dirty of the case & I'm not cool with it. My week just busted. [emoji22]
Specializes in M/S, LTC, Corrections, PDN & drug rehab.
I talked to my other agency & they had a job for me in my town. It's still nights but at least I don't have to drive far or to a creepy town. Whew, that was scary. I hope I can transfer this case to the other agency. [emoji17] How do you do that? Anyone do that before?
That it's cheaper to run off the good managers than to staff adequately.
Playing the guitar makes me happy. I learned 3 new chords today!
The Panthers are killing me. My poor dogs had to hide from the f-bombs.
I am not normal and other people tend to gang up on the different. I find that after I get over the initial hurt, I really don't care.
I still miss my Mama. They tell you grief fades. It's a lie. You just get stronger and cope better.
A Cadillac Margarita with a Death Star molded ice ball is delicious and nerdy and cool, all at the same time.
My poodle looks really silly in his spring haircut this year. I left his ears long and he kind of looks like Phyllis Diller.
Cani-
You're just different- which is an excellent thing. "Normal", if there is such a thing, is boring! (I speak as a 'different' person myself)
I learned a long time ago that as long as the people I care about love & accept me- everyone else can bugger off!
I lost my Father less than two weeks ago. I'm hoping the pain lessens as time goes by, but I expect to miss him every day for the rest of my life. (((((Hugs))))
You're just different- which is an excellent thing. "Normal", if there is such a thing, is boring! (I speak as a 'different' person myself)
I learned a long time ago that as long as the people I care about love & accept me- everyone else can bugger off!
I lost my Father less than two weeks ago. I'm hoping the pain lessens as time goes by, but I expect to miss him every day for the rest of my life. (((((Hugs))))
Farawyn
12,646 Posts
Nope. Too many cons.
I'm sorry, Chaos. *hugs*