1. I've decided to keep a tally of most critical labs in one admission, starting today (not including renal failure patients): hgb, glucose, potassium, chloride, PT and INR
2. Farawyn's what I learned thread was way cooler than mine are.
Adding an 80s song makes any thread way cooler.
3. Don't trust a 0600 portable chest X-ray to tell you if pulling a chest tube at 1600 is a good idea. It really sucks to tell someone they have a pneumo still.
4. If someone has q4h benzos and opiates, bring both when they ask for one because they'll just ask for the other after you've already run to the med room twice for them.
5. When someone's paracentesis site is still actively dripping rather steadily, it makes me want to squeeze that sucker and see how far I can shoot the fluid out.
6. This week, it actually was sarcoidosis.
7. I know what sarcoidosis is now.
Sarcoidosis sucks.
8. Doctors really need to stop saying, "we're going to go ahead and discharge you," without adding, "this afternoon", especially when they know full well they won't be putting in discharges anytime soon.
9. I think I've realized that the best docs we have actually enjoy my unit the best because they chart there.
That I must put a strict moratorium on bringing home said stray animals.
That I know absolutely nothing about stray kittens/cats.
That it is nearly impossible, even in a metropolitan area, to find an animal shelter that isn't full.
That it is expensive to feed, clean up after and neuter two kittens.
That I actually think I AM a cat person. (Don't tell my two obnoxious Dachshunds. They are acting soooo dramatic about having to share my attention w/ the kittens.)
That people who dump helpless kittens in an elementary school playground and then squeal off in their car are buttholes of the highest order.
If anyone who lives in south TX wants a super sweet, very engaging kitten who is o.k. w/ dogs PM me.
I also learned that you AN members are some if the funniest, most clever people around. This board has never been as funny as it has been the last few weeks.
On a nursey note: I learned that it is super gratifying when a non pharmacological intervention (that you had to advocate for HARD to get an order to do) takes a pt. from a 10/10 pain to a 0/10. I was on cloud 9. It felt so great to see that man sleeping like a baby after crying nonstop for almost 8 hours.
In addition, I learned that it's also really gratifying when the wife of said pt. seeks you out the next night to thank you b/c she feels that you probably saved her husband's life.
Lastly, that if this same 86 yo man has been given 4mg of Morphine, 0.8mg of Dilaudid, 50 mg of Ultram and 2 T#3 in a 5 hour span w/o any significant relief and the pt. Is still crying, wide awake, hypertensive, tachycardic and tachypneic, there's most likely an underlying cause you have to look for.
HAHAHAHAHA! I know it's tough but I can't wait to be done with the pre-reqs. Ahhh the bane of my existence! I'll probably be complaining when I'm in nursing school but I want to be there, I just want to get in. So on & so forth for the rest of my nursing education.
Ugh the limited entry office (the higher power of who gets into the nursing program at my school) called me yesterday to double check what day I took my entrance exam because THEY rescheduled me due to not having a proctor and didn't change the day in their system.
I wasn't worried before but now that I know they've already gone through my application and ordered me in the 104 spots I'm worried. Can't do anything about it and don't find out until end of October. Yay, waiting.
In other news, I dissected my sheep heart today, learned how to do an ECG using arm leads, and found out that the guy who sits with me in lab has pierced nipples
Today I learned that despite full PPE (faceshield/mask, plastic gown, gloves, bonnet and booties ) an arterial bleed can still get on your person somehow.
Funny, that sounds a lot like my night... except it was massive blood spray out of an ETT when the physician went to advance it a couple cm. A bunch of people were in OR scrubs after that.
Note to self - if tPA is given after a code, approach anything in the face part region as if it is going to be a blood-gushing geyser for the next however many hours the patient lives.
On a totally related note, I learned this week than when your charge gives you that slow, evaluating look, then says, "Hey calivianya, you up for a challenge?" you need to JUST SAY NO.
On a totally related note, I learned this week than when your charge gives you that slow, evaluating look, then says, "Hey calivianya, you up for a challenge?" you need to JUST SAY NO.
See, I'm that crazy person who would quite enthusiastically say, "bring it!!!" I admit I'm a little odd in the head.
Specializes in M/S, LTC, Corrections, PDN & drug rehab.
That my kids are magnets for stray animals.
That I must put a strict moratorium on bringing home said stray animals.
That I know absolutely nothing about stray kittens/cats.
That it is nearly impossible, even in a metropolitan area, to find an animal shelter that isn't full.
That it is expensive to feed, clean up after and neuter two kittens.
That I actually think I AM a cat person. (Don't tell my two obnoxious Dachshunds. They are acting soooo dramatic about having to share my attention w/ the kittens.)
That people who dump helpless kittens in an elementary school playground and then squeal off in their car are buttholes of the highest order.
If anyone who lives in south TX wants a super sweet, very engaging kitten who is o.k. w/ dogs PM me.
I also learned that you AN members are some if the funniest, most clever people around. This board has never been as funny as it has been the last few weeks.
On a nursey note: I learned that it is super gratifying when a non pharmacological intervention (that you had to advocate for HARD to get an order to do) takes a pt. from a 10/10 pain to a 0/10. I was on cloud 9. It felt so great to see that man sleeping like a baby after crying nonstop for almost 8 hours.
In addition, I learned that it's also really gratifying when the wife of said pt. seeks you out the next night to thank you b/c she feels that you probably saved her husband's life.
Lastly, that if this same 86 yo man has been given 4mg of Morphine, 0.8mg of Dilaudid, 50 mg of Ultram and 2 T#3 in a 5 hour span w/o any significant relief and the pt. Is still crying, wide awake, hypertensive, tachycardic and tachypneic, there's most likely an underlying cause you have to look for.
Depending on where you are in south Texas, I might be able to help you get the cats adopted. Message me. :)
Specializes in M/S, LTC, Corrections, PDN & drug rehab.
Ugh the limited entry office (the higher power of who gets into the nursing program at my school) called me yesterday to double check what day I took my entrance exam because THEY rescheduled me due to not having a proctor and didn't change the day in their system.
I wasn't worried before but now that I know they've already gone through my application and ordered me in the 104 spots I'm worried. Can't do anything about it and don't find out until end of October. Yay, waiting.
In other news, I dissected my sheep heart today, learned how to do an ECG using arm leads, and found out that the guy who sits with me in lab has pierced nipples
Wow. How stressful. I haven't taken my entrance exams yet but I'm already freaking out. >.
You are awesome and you can take care of me..anytime.
annie.rn
546 Posts
That my kids are magnets for stray animals.
That I must put a strict moratorium on bringing home said stray animals.
That I know absolutely nothing about stray kittens/cats.
That it is nearly impossible, even in a metropolitan area, to find an animal shelter that isn't full.
That it is expensive to feed, clean up after and neuter two kittens.
That I actually think I AM a cat person. (Don't tell my two obnoxious Dachshunds. They are acting soooo dramatic about having to share my attention w/ the kittens.)
That people who dump helpless kittens in an elementary school playground and then squeal off in their car are buttholes of the highest order.
If anyone who lives in south TX wants a super sweet, very engaging kitten who is o.k. w/ dogs PM me.
I also learned that you AN members are some if the funniest, most clever people around. This board has never been as funny as it has been the last few weeks.
On a nursey note: I learned that it is super gratifying when a non pharmacological intervention (that you had to advocate for HARD to get an order to do) takes a pt. from a 10/10 pain to a 0/10. I was on cloud 9. It felt so great to see that man sleeping like a baby after crying nonstop for almost 8 hours.
In addition, I learned that it's also really gratifying when the wife of said pt. seeks you out the next night to thank you b/c she feels that you probably saved her husband's life.
Lastly, that if this same 86 yo man has been given 4mg of Morphine, 0.8mg of Dilaudid, 50 mg of Ultram and 2 T#3 in a 5 hour span w/o any significant relief and the pt. Is still crying, wide awake, hypertensive, tachycardic and tachypneic, there's most likely an underlying cause you have to look for.