I still can't believe it's January! Where did 2015 go?!
If your unit is like mine at all, brace yourselves.... Respiratory failure is coming. Out of 10 different patients since 1/1, I've had only one non-respiratory failure patient. Only two of those had sputum cultures with the same type of bug. That bug was a rare one for adults, too, so it's been fun, to say the least. All's fun and games until you get a patient who has no concept of covering a cough.
Regardless, Ixchel Medical Center and Chez Ixchel have both been full of lessons. Hard to narrow this week's list, but for the sake of people actually reaching the bottom of it, I did. [emoji5]ï¸
This week, I have learned.....
1. I am fully convinced I have smelled the worst possible smelling lady parts.
2. Apparently I am a great big baby about getting invasive procedures done on me.
3. Receiving unsettling news about your health is much less unsettling when the doctor is hot.
4. Also, receiving unsettling news about your health gets easier to process emotionally with each new diagnosis.
5. It seriously sucks to clock out from caring for a whole unit of respiratory failure (half dead) patients only to come home to your smoker spouse.
6. The first couple of times you get asked, "Am I going to die?", it's a little creepy, until you have enough experience in nursing to be able to answer, "not on my watch!" with a reassuring smile, followed with, "you will be okay." But then, when someone actually does die on that admission, after asking repeatedly, it goes back to being creepy again.
7. My unit tends to be a bit wild, so staff turnover ends up being high. This changes the "personality" of night shift a lot, since the new to nursing newbies like night shift. I like the night shift personality right now and hope the newbies stay.
8. It still feels weird to be the most experienced nurse on a shift besides charge.
9. I might lose my shizz if we don't get psych on consult. As much as our hospitalists feel adequate to handle psych, they simply aren't.
10. You should have 1-2 people on your "speed dial" (hahaha!!! You guys remember speed dial?!) as your medical procedure go to people for those times you can't do medical procedures on yourself. (i.e. Stitches removal in hard to reach places.) (Thank you for that idea, Dogen!)
11. My primary care doesn't feel qualified to remove a mole from my shoulder because it's too big and looks like someone more specialized should do it. (This is the 5th item in this week's list related to this topic. I may need some tranquilizers, to stop thinking about this.)
12. I met my favorite patient ever. EVER. I want to take him home and name him Grandpa.
13. It's hard enough to stop being lazy after night shifts when I get an ideal schedule. When my schedule sucks, it's impossible. Seriously, ugh.
14. BEST THING EVER! (That may be an exaggeration.) Medscape sent out an article saying contact precautions for MRSA and VRE are no more effective at preventing transmission than standard/universal.
15. Our legal system may be corrupt, or be inefficient, but that doesn't mean a suspect is innocent.
Phish, anybody? (Don't worry, Farawyn, no one dies in this one.)
So, my loves, what have YOU learned this week?
I'm deranged.
And don't even get me started on the feet of some women! 
Penelope_Pitstop, BSN, RN
2,369 Posts
Yep. Being out of acute care for a while has left me with no gross stories.
I'm deranged.