As the high peak season continues, one of the most frustrating things that comes with my position is a particular provider that works the fast track and will have patients that are otherwise 1-2 hours a four out visit, which makes a level 4 or 5 patient a 4 hour wait, allowing the waiting room to remain overcrowded during the 12 hours this provider is working.
With sick kids coming in, staying, and boarding mixed with a provider who treats fast track like a small low volume doctor's office, it can make one keep the mantra "I need my job"...
The silver lining was other providers picked up patients and tried to help the situation, but everyone knows that this person is not up to par, but due to short staffing continues to be needed and makes a shift challenging between disgruntled parents and delay of care.
I anticipate a much better week; I have four days off starting Tuesday, which makes my next shifts much easier to look forward to.
So, what I learned this week:
That I knew that a DinaMAP only measure mean arterial pressure and guesstimates what an actual blood pressure COULD be.
That our unit needs to advocate more for detecting ovarian torsion in our female pts; the residents seem more willing to work up for PID first instead of torsion, for some reason-although so far no ovaries have been lost, why take that chance?
Subjective opinion in a position of power can be dangerous and make peers question one's intent;
That healthcare advocacy can allay people's fears and can help turn frustrations into a position of progress.
That I could probably pass the CPEN, but will take a few more steps before I take the certification test-my plan is to have the same study blueprint that I had for the NCLEX to allay my test anxiety.
Specializes in M/S, LTC, Corrections, PDN & drug rehab.
I learned to keep my mouth shut when 18 yr old baby daddy of 16 yr old mommy tells me to shut up and pay attention when she was pushing.
I learned that there are mothers who give their 16 yr old daughters a diamond necklace when they give birth too.
Other than this delightful entitled couple, L and D has been phenomenal!
I couldn't imagine giving my son a gift for becoming a father as a teenager. He's only 2 but I'm already telling him he better not make me a grandmother at an early age. í ½í¸œ
Speaking of ovarian torsion, this week I learnt even 7 year old girls can have ovarian torsion. It didn't take long to un-twist it though. But this poor girl will have to worry about this for the rest of her life. Every period she will have to think about if she's just having cramps or if her ovaries are twisted again.
Thats literally my mantra every day right now. School is not particularly hard, I just learned that I am *over it* right now. I'm so ready to be done with this semester.
I learned that my Psych teacher likes to relate disorders to TV shows. And subsequently that Grey's Anatomy has had ALOT of psych disorders on their show at one point or another.
I learned that I will likely start interviewing for jobs in January. I'm giddy and terrified.
I'm still waiting to learn where our rotation will be for the final semester. I'll most likely end up at the hospital closest to my house. Which is a blessing because it's literally 10 minutes away. It's s a regular med-surg floor, I've been there before, and I can't deny that I really wanted to put PCU as my 1st choice, but alas I needed to take my family and our finances into consideration, especially since that means saving 40 minutes of driving every clinical shift for the whole semester.
On the upside, it's also one of the places I'm considering working so having done more clinicals there can't hurt.
I just learned there is a position open for L&D at a local hospital I really want to be at. It's a wonderful hospital and would cut my commute in half. I'm currently on a very busy tele floor. Time to start revamping my resume- any big suggestions or pointers?
OrganizedChaos, LVN
1 Article; 6,883 Posts
I couldn't imagine giving my son a gift for becoming a father as a teenager. He's only 2 but I'm already telling him he better not make me a grandmother at an early age. í ½í¸œ