04/09 WILTW: Confused LOLs

Published

Hello, everyone! ixchel has been a trooper, juggling many things on her plate, so I have relieved her for this coming week. Here are some of the things I've humbly learned throughout this week:

1. That confused LOL who presses the call light constantly, and presses it several times while you're in the room with her, is charming for the first 5 minutes you meet her. Every time the call light goes off after that makes you want to run in the opposite direction, as fast as you can. Now, I understand what people mean when they say they hear a call light going off during the night. I've been hearing call lights ever since I got home.

2. I'm almost as giddy as my patient when his Foley and wound V.A.C. are removed after weeks of being hospitalized.

3. I emptied my first colostomy bag and was able to teach my fellow cohorts how to do it as well. I've never felt so happy to see a BM (On a side note, am I the only one who notices that my BMs smell like my pt's later on in the day?).

4. A positive Kernig's and Brudzinski's sign are indicative of meningeal irritation and that's not good.

5. Pseudomonas aeruginosa is a gram negative bacteria that is multidrug resistant. Also, not good.

6. Just plastering a smile on your face throughout the shift can really brighten people's days. Although internally, I might not be feeling it, I don't let it show because, come on, the people in the hospital need a LOT more cheering up than I do.

7. Don't inject air into Dilaudid because it will blow the end off the vial. Thankfully, I did not do this, and my instructor told me not to before I even started drawing it up. I also got to flush a central port.

8. My sarcasm and dark/dry humor is not wasted on my clinical mates.

9. There are doctors who don't see some tasks as "beneath them". Garbed in isolation dress, I poked my head out to have a fellow mate grab me some iced water. Seeing my searching gaze, a passing doctor - who was easy on the eyes - asked me what I needed and then brought me some water for my patient.

10. I've been having trouble with frequent urination, including waking up in the middle of the night, even though my bladder isn't that full. It's been irritating, and I'm wondering if I should go see my doctor sometime. I haven't been too concerned, but since it's been persisting for a month now, I do wonder... I've ran through, in my head, the possibilities of diabetes, cancer, and hyperthyroidism with my current symptoms.

So, what have you learned this week?

For anyone who needs a laugh.

In a recent study it was discovered that those who are critical of others' spelling/grammar are also less agreeable people, and more introverted. I am introverted about my less agreeableness and I am okay with that. /QUOTE]

*raises glass*

I've been a nurse for nearly 9 years in ICU and I didn't know about the dilaudid (and other meds that come that way) until about 3 years ago when I accidentally did that! Scare the bajaysus outta me! hahaha xo

Carpuject vials are evil! I learned quickly the first time I blew a patient's Dilaudid all over the room.

Where I work now they actually have the cases needed to administer directly from carpuject vials, but they're clunky and clumsy, and it seems like a hygiene nightmare to have a multi-patient contraption you're near IV ports.

Specializes in Med Surg, ICU, Infection, Home Health, and LTC.
I've learned that SSS (special snowflake syndrome) is not limited to the young. Or the new to the profession. Or even to our profession. Dr. Diva, anyone? New surgeon, very spoiled. Came in, didn't like our surgical instrumentation. So instead of getting raises this year, we bought $100,000 worth of surgical instruments. That will get used once or twice a week. It'll take years to recoup that spending, and because of having to maintain, repair, and replace, it'll probably never balance out. Meanwhile, our tried and true surgeons who have been with us for over 3 decades are dealing with instruments that should have been replaced years ago.

I've learned that a lot of staff (even those I thought would never do so) are letting patient safety slide. Policies not being followed, push back against those of us who want to do the right thing. And I'm debating who I need to talk to about it. Today, I had several people ganging up on me for it. I don't really want to talk to them about it because it'll probably be ignored or I'll continue to be ridiculed for actually doing the right thing, following policy, and CYAing myself. But I don't feel like I should go straight to someone up the chain of command yet either. Because we're adults and we're supposed to be able to work it out ourselves.

Sometimes you have to pick your battles before you hang yourself out there to die on the hill. Just use wisdom in your move, not just knowledge and emotion. (my 2Cents)

And can someone tell me in simple simple terms how to use a multi-quote? So many times I want to respond to more than one entry.

I'm sorry, sassyass. :(

I'm going to look into going optional part time

I'd like to stay there through school because my floor is going to be part of a pilot program to bring LPNs back into our hospital.

Sometimes you have to pick your battles before you hang yourself out there to die on the hill. Just use wisdom in your move, not just knowledge and emotion. (my 2Cents)

And can someone tell me in simple simple terms how to use a multi-quote? So many times I want to respond to more than one entry.

Are you using the app? Just click on the posts you want to quote, they should turn a different color, and then press the Quote button, like normally.

If on the site, there's the " (quotation) button right next to quote. Select that on all the posts you want to quote and click "quote" on the final post you selected. I hope that was clear and concise.

Specializes in Education, FP, LNC, Forensics, ED, OB.
Specializes in Education, FP, LNC, Forensics, ED, OB.

And can someone tell me in simple simple terms how to use a multi-quote? So many times I want to respond to more than one entry.

You have to enable that choice in your account, CheyenneRN,BSHS

Click on your user name upper right and then click Settings.

Scroll to Site Settings

Then scroll and click the box beside Enable Multi-Quote Feature on Every Post

Scroll to Save All Settings

Once you do that, you will see the quotation button on the bottom right of every post like cracklingcraken pointed out. Click that and the quotations turn red. After you have selected all the multi-quote you want, scroll down and click, Leave a Comment. All quotes you selected will appear in that section. Or, click Quote on the last post you selected, like cracklingkraken said.

Are you using the app? Just click on the posts you want to quote, they should turn a different color, and then press the Quote button, like normally.

If on the site, there's the " (quotation) button right next to quote. Select that on all the posts you want to quote and click "quote" on the final post you selected. I hope that was clear and concise.

Thanks, cracklingkraken

Specializes in Oncology; medical specialty website.

Deleted. Didn't work.

Specializes in Hospice / Psych / RNAC.

#10; as we get older we will wake up with hardly any urine and want to void. I bladder train. The theory that don't drink fluids after 4 or 6 doesn't help me. I drink away, at least when I get up I have urine and not 20 ml of whoop.

I would see your urologist for a work up whether you're younger or older. Have you had children? All kinds of things could be a possibility. My urologist put me on meds for OAB, and I couldn't void after that. Almost ended up self cathing!

I've also noticed that when I'm at my best, my waistline is under a certain number; I don't have the urge at night. I'm one of those people that gain and carry it in the middle. My hearts stellar and I've been checked for everything else.

Botox is another solution they are using these days and let's not forget those kegels. Many of us are concerned with outward appearance and we don't think about our plumbing until something goes wrong. Get checked. We all need our uninterrupted sleep. Than of course, good diet, exercise, and good mental health...:bookworm:

https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=3&cad=rja&uact=8&ved=0ahUKEwivwPPvu5zMAhVCy2MKHfHoAGQQFggsMAI&url=http%3A%2F%2Fwww.everydayhealth.com%2Fcolumns%2Frobert-rosenberg-sleep-answers%2F10-surprising-reasons-you-might-be-waking-up-in-the-middle-of-the-night-to-pee%2F&usg=AFQjCNG6WmRV4U_-tlyZQ8DSR9yzWLd6XA&sig2=FJUju0iQYiaWUDGaOLGfHQ

Interesting. I saw that the transplant "failed" but hadn't read yet about the cause. Thanks for posting a link to the article!

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