5/7 (on 5/9) WILTW: ixchel is a cornflake girl

Nurses General Nursing

Published

Friday was a "don't even get out of bed" day.

Saturday and Sunday were "Girl Child needs ALLTHETHINGSRIGHTNOWOMG" days.

Friday through Sunday, the precious few spare moments I have had have been spent helping a friend on a writing endeavor.

Today has been filled with the joy of a mac/apple gal (me) trying to maintain patience long enough to create this OP on a 10-year old's windows 10 laptop. (I am now working on my iPhone.)

So, I'd like to present this week's "what I learned this week", days late and a bit patho heavier than usual. Enjoy! [emoji4]

After spending a couple of (a few?) years in the pre-hypertensive range, I'm finally back to the baseline where I used to be - draw-droppingly hypotensive.

Because I have had FMLA paperwork submitted by two different providers, my HR benefits coordinator decided that the overlapping days counted twice, once per leave request. I had no idea until I questioned the end date I was approved for.

Massospora fungus is a cicada STI. After becoming infected, the abdomen of the infected cicada literally will fall off.

I have felt just as sad the last two or so weeks, reading "one year later" stories of the Baltimore riots, as I was on the days they occurred. I've read an article stating the ground zero high school was promised many things by celebrities aiming to help them out with improvement to their school, and literally not one single person followed through on their promise.

Treature Collins Syndrome is a genetic disorder that leads to under- or undeveloped facial bones, especially the cheeks and jaw, and sometimes resulting in cleft palate. The typical appearance of a person with TCS includes eyes slanting downward, few eyelashes, eyelid coloboma (notch of eyelid), and ear deformities (absent, small, or shaped unusually). Many people with TCS have vision and hearing difficulties when the eyes or ears are deformed.

The difference between Rapid Sequence Intubation and Delayed Sequence Intubation is, in DSI, rather than simultaneous sedative and paralytic administration followed by immediate ET insertion, a sedative that doesn't affect respirations is given, the patient is preoxygenated, the paralytic is administered, and then the patient is intubated.

Von Hippel–Lindau disease is caused by a defect in chromosome 3 where the von Hippel-Landau tumor suppressor gene is located. Tumors associated with VHL include angiomas, hemangioblastomas, pheochromocytoma, renal cell carcinoma, pancreatic cysts/serous cystadenoma, endolymphatic sac tumors, and papillary cystadenomas of epididymis or of the broad ligament of the uterus.

If you google "what the heck is wrong with windows 10?" in elementary school computer class and receive a video result entitled "(F word) windows!", your parents might struggle with hiding the giggles when they read your referral.

Stellate ganglion blocks are being used to treat severe post-deployment PTSD in veterans. Using PCL-M (a standardized questionnaire modified for the military to measure degree of PTSD), severity of PTSD is measured before procedure. An SGB is an injection of anesthetic at C5, C6, or C7 depending on insertion technique. Previously, SGB has been used for reducing UE pain, atypical facial pain, and intractable angina. Research seems promising in vets with severe PTSD. I think this is beautiful!

There are three approaches to a pericardiocentesis: subxiphoid, parasternal, and apical. There is risk of liver injury, but lowered risk of pneumothorax, if the subxiphoid approach is used.

Still, work issues persist. I'm starting to think maybe there was a meeting that went something like this:

On a more serious note, though, I have gone back-and-forth about the idea of obtaining a lawyer. I don't want to be lawsuit nurse. The idea of being that person is horrifying. I'm reaching a point, though, where this has gone so far beyond ridiculous. The idea of being lawsuit nurse is horrible, but I'm not sure that this can really go any other way anymore. One of these days, I really hope that I can tell this story. It really is that bad. I got Tori Amos stuck in my head the other day. I was thinking to myself, "this is not really happening."

You bet your life it is. :\

ixchel is a lawsuit girl...?

What have you learned this week?

Pinning was last night and it was great. My hair looked awesome, super cute dress, rocked my heels and didn't fall. Lol it's the little things.

I was totally floored though, when it was announced that I was being presented with the Nurse of the Future award.

Nursing school has been such a crazy rollercoaster!

Congrats! Roller coaster indeed.

Specializes in Pediatrics, Emergency, Trauma.
Need an OP for Saturday! It's been another week where the only nursing-related stuff I've learned is stuff that I really need to not share.

I can do it if you want..let me know.

Pinning was last night and it was great. My hair looked awesome, super cute dress, rocked my heels and didn't fall. Lol it's the little things.

I was totally floored though, when it was announced that I was being presented with the Nurse of the Future award.

Nursing school has been such a crazy rollercoaster!

Pictures?

Specializes in OR, Nursing Professional Development.
I'm also 31! At one point when I was a kid, we upgraded to this newfangled thing called a "word processor." Mom held on to the record player for quite some time, though.

My parents still own their 8 track player...

WILTW: I will never, ever, ever take call for a whole week at a time. I'm exhausted. I'm slangry (like hangry but with sleep deprivation instead of hunger). My back is killing me. My feet are sore. The paycheck's gonna be rockin' it, but my body is suffering to the point of not being worth it. Nope, I'm sticking to my 1-2 16 hour call shifts per week from here on out.

And I was definitely not at my best to be providing patient care this morning after spending all afternoon, evening, and part of the wee hours of the night working to save the lives of those fine upstanding citizens in the gun and knife club.

Never again.

Specializes in ED, psych.
Pinning was last night and it was great. My hair looked awesome, super cute dress, rocked my heels and didn't fall. Lol it's the little things.

I was totally floored though, when it was announced that I was being presented with the Nurse of the Future award.

Nursing school has been such a crazy rollercoaster!

Congrats - I'm so happy for you, Nurse of the Future!

I have learned that there are really nice people hanging out in airport bars! :up:

Specializes in ED, psych.

Well, made it through Friday the 13th with only one Code Brown, a LOL going all sweet on me in one moment to slapping me upside the head and yelling at me to "Move your muffins!" (still can't figure out what that meant), and watching a grown man cry in the hallway because he wanted to go home (that was tough).

WILTW:

* The correct DKA protocol (thanks Calivianya)

* Some NCLEX facts of the week (thanks Cracklingkracken)

* What "cisgendered" means

... And a whole bunch of other stuff I'm too tired to think about now.

OrganizedChaos -- throwing the finger at the universe for you. Many (((hugs)))

Specializes in critical care.
I can do it if you want..let me know.

I would love that! Thank you! I look forward to seeing it! [emoji5]️

Specializes in Mental Health, Gerontology, Palliative.

I am thankful for awesome supportive employers.

My former employer is still making massive issues for me including stuff that could have massive implications for my new job. Fortunately my new employer has been absolutely brilliant and supportive and still wants me.

I love dementia work. its absolutely crazy but those moments when you really connect with a patient are profound and will stay with me forever

Specializes in Mental Health, Gerontology, Palliative.

Crap and it just gets better. House sitting and went home to pick some stuff up to find a bloody trespass letter. I have been trespassed from my old place of work for two years for doing absolutely nothing (in the sense of making a scene, talking to my old boss, interacting with her in any way shape or form). I have been pursuing official channels to address the systemic issues affecting patient safety and worker safety but apparently instead of addressing those issues, its far more effective to go after the s**t stirrer aka me

It certainly reinforces I made the right decision to leave that toxic cesspool.

Specializes in ICU.
I love dementia work. its absolutely crazy but those moments when you really connect with a patient are profound and will stay with me forever

Bless you, seriously. Working with dementia patients is the most frustrating thing ever for me. You are an angel for enjoying it.

We actually do this at our hospital....you can always work here... ;)

Tempting! I'm so tired of the BS at my job.

Hmm. I'll look into it. Thanks.

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