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.
I've learned that the ER/Floors need to be on the same computer system. It sucks and doesn't flow correctly when you have 3 critical care holds in your ED and you don't know how to look at meds that are ordered, nor labs/nursing orders in the floor system. Then, come to find out, the floor system...I don't even have access to. Epic fail. How is this considered safe?
-I am trying to not get my feelings hurt when job #2 decided to extend my orientation one more day
-No matter how much the nurses say job #2 is better or easier, I still love the chaos and my friends at job #2
-Sometimes job #2 makes no sense. They freak out because I didn't peak under a dressing that was just changed before shift change, but nobody does blood return checks on 24 hour chemo? What? I know...its a learning process.
-Dilaudid is a hell of a drug. Unless you've been on it for years, then you'll still be able to eat and function while on a dilaudid drip.
-People with undiagnosed but suspected psych issues make me nervous.
-We're waiting to see if every night shift nurse will fire themselves from a certain patient. And who will take care of him if we all fire ourselves.
-If your ocd patient wants you to not bother her until she calls and tells you she's awake, suddenly she'll get offended you didn't wake her up for her chemo.
-Sometimes when a patient tells you they're going for a walk, you don't think to ask them how far they're going to walk.
-Sometimes you can't stop a patient from going AMA.
-It feels nice when my coworkers say I'm a good asset.
-A former coworker in Texas is going to be working on my old unit in SoCal. Small world.
-Sometimes family/ancillary staff will ignore you when you ask them to wash their hands. I know you heard me say it! I was loud enough!
-Don't ever get a portable x-ray due to questionable walking c-diff mobile. No literally...figuratively.
-The fact that one of our dinosaur doctors is thinking of retiring in a couple years is amazing.
-One of my coworkers likes tennis ball butts
-Our Oscar the grouch nurse didn't bite my head off during report two weeks in a row. She must have gotten a talking to because she still hates me. But I like how our charge nurse said "I have to keep her in the back otherwise she drives everyone crazy"
-I love when a patient told me the plumber didn't wash his hands. And she told me because I told her to make sure everyone washes their hands. Somebody finally listened to my handwashing speech!
Farawyn
12,646 Posts
Aw. I only have 1 dog. A Boxer! I also have 2 cats, one of whom thinks Lola is his mom. They all hang out.
Is that okay?