8/22 What I learned this week....

Published

This week, I have learned...

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.

My list is boring this week. :(

What have you learned?

Depending on where you are in south Texas, I might be able to help you get the cats adopted. Message me. :)

Done :-)

50 cent corn dogs at Sonic today (8/27)

Why does Ood always know about half priced stuff at Sonic?

I like Sonic.

Specializes in Behavioral Health.

Today I learned the staff at my clinic are 1) a little regimented, and 2) easy to win over. A client called about getting his monthly long-acting antipsychotic injection and an email was sent out because the med nurse is off today. More emails followed. No one knew who could possibly give this injection... even though all of the providers in the med department are RN/NPs or MDs. So when the intern (me) offers to spend 10 seconds giving an IM injection they all think the intern (me) is the nicest person ever.

I hope all my future colleagues are this easy to impress. ;)

Specializes in Neuro ICU and Med Surg.
Indeed.

Another fun task: Yanker suction tips work well to clean up copious amounts of mucous liquid stool.

Yes they do. I gross people out when I suggest that for liquid stool clean up.

Today I learned the staff at my clinic are 1) a little regimented, and 2) easy to win over. A client called about getting his monthly long-acting antipsychotic injection and an email was sent out because the med nurse is off today. More emails followed. No one knew who could possibly give this injection... even though all of the providers in the med department are RN/NPs or MDs. So when the intern (me) offers to spend 10 seconds giving an IM injection they all think the intern (me) is the nicest person ever.

I hope all my future colleagues are this easy to impress. ;)

You know this is your job now, right?

Specializes in critical care.
Today I learned the staff at my clinic are 1) a little regimented, and 2) easy to win over. A client called about getting his monthly long-acting antipsychotic injection and an email was sent out because the med nurse is off today. More emails followed. No one knew who could possibly give this injection... even though all of the providers in the med department are RN/NPs or MDs. So when the intern (me) offers to spend 10 seconds giving an IM injection they all think the intern (me) is the nicest person ever.

I hope all my future colleagues are this easy to impress. ;)

I'm baffled they didn't know who could give it. That's crazy! Note to Dogen: don't work there. Too many stupid people.

I'm baffled they didn't know who could give it. That's crazy! Note to Dogen: don't work there. Too many stupid people.

Or smart, because now Dogen is the go to injection nurse!

Specializes in ICU.
See, I'm that crazy person who would quite enthusiastically say, "bring it!!!" I admit I'm a little odd in the head.

Well, that was the problem. I did get all enthusiastic and say yes.

Specializes in Behavioral Health.
I'm baffled they didn't know who could give it. That's crazy! Note to Dogen: don't work there. Too many stupid people.

It's not so much that they didn't know the psych NPs and psychiatrist could give it, it's that they would never think to ask us to do something outside of our job description. Even if we can bill for it, and it takes no time at all. Which is... really weird, as an inpatient RN who frequently does anyone and everyone's job. Nurse, security, housekeeping, maintenance... whatever needs to get done.

Specializes in Behavioral Health.
Or smart, because now Dogen is the go to injection nurse!

I kinda like doing IMs. They're easy and brainless and yet still support the patient.

Plus, I can always tell them I have an appointment coming in. They let me out of anything for that, since they bill for me but I don't get paid.

Alright, I was out of town today and couldn't check AN for 8 HRS. Did I miss anything good?

Specializes in Oncology; medical specialty website.
When you see the "Responses have been edited and/or removed" message from the Admin team on a thread you've responded to, do you scroll from the beginning of said thread and see if any of YOUR comments "made the cut" so to speak??

Yes, I do. Because I'm paranoid like that.

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