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

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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?

I learned this week that panic ensues when the WILTW doesn't appear ... there's panic in the streets. ;)

I was not panicking. This thread is one of those little things that I look forward to every week.

This week I learned that I can get things done while being a full time everything.

The U.S. is the only developed country in the world without universal healthcare.

I'm not sure if I like writing papers.

Anyone can get shingles.

Hyponatremia.

First week as a new grad at this hospital, so lots of basic stuff.

Two nurses can declare a dead pt, but the doctor still has to sign the certificate.

PIV's can be left in indefinitely if they don't become red and painful, as per a Cochrane study a couple years ago.

Calling Rapid Response is different than calling a code and mistaking one for the other will make lots more people and equipment come to the room.

It feels really weird not having to add a cosigner when I log into Epic.

Starting during Nurse's Week is going to spoil me. What do you mean we don't get free ice cream every day?

Specializes in Education, FP, LNC, Forensics, ED, OB.
Yes...sirI is one of our more 'hidden' AN.com frequent flyers. Anyone who keeps such a low profile with nearly 100,000 posts to her name has a certain degree of stealth. :)

Thank you, TheCommuter. Yes, I am very fortunate to have attained just a degree of wealth in my life.

In all honesty I must say that as a Nurse ....

Oh, wait a minute.

You said stealth.

Nevermind.

:)

I learned this week that the 2016 National Nurses Week7 Days of Giveaways has some downright hilarious as well as very touching comments. You all are so talented.

Buh???

I deleted the app from my phone because I'm not posting as much, and when I went to reinstall it...it is GONE!

I've learned I may cry over this.

No more app? What gives?

What I've learned this week:

Having no days off in April makes for a VERY long month! 18 more days for students and 19 more days for me, summer break cannot get here fast enough!

Getting your wisdom teeth removed as an adult is no fun at all. Had all 4 removed by a fantastic oral surgeon(this is big coming from me as dental people give me some serious anxiety!) just over 6 weeks ago now. It has been a long 6 weeks. Still having pain at 2 week follow-up, then at 3 weeks the pain increased, had a bone spur in one socket, had that removed(it was worse than the actual removal of the tooth!!). Did not heal well, tenderness then became pain again. Had another bone spur removed from the same socket at 5 weeks. Now at just over 6 weeks out, the problem side is starting to feel much better, but the other side is tender and swollen-this is never ending! I cried when I explained it to the nurse at his office because I was just so frustrated with all of it. I live with chronic pain in my left leg/foot, but this dental/jaw pain is whole other beast!

It has been reinforced that, to the school nurse, "If you don't feel good, go to the nurse and I will pick you up" is the single most infuriating phrase a parent can utter to their child. Seriously though, if your boss told you "If you don't feel well, you can go home, no problem" are you going to stay at work all day?

At the start of the school year I decided to write encouraging things on my ice packs (4x4 ziploc, 3 ice cubes, wrapped in paper towel). "Be you", "Rock on", "You rock", "Be kind", "Be awesome", Be Super", "Be a buddy" are my most used, and the basic smiley face. Last week, after going through 40+ ice packs in one afternoon. I made more, but did not have a chance to write on them. When I handed out ice packs to the 5 4th grade boys who were "injured", they all made pouty faces at me and asked me to write on them. It was nice to see that it was appreciated. On this same note, when you give a few extra minutes to a 1st grader who really needs the attention and let her doodle on your ice packs, the pride in her eyes seeing that someone was using one of her ice packs, will make me tear up. It's the little things...

Today we have this awesome program for the kids- earlier this year every student was given the chance to write a short story, play, or poem, to submit to a theater group who then picked several from each grade and is going to preform them for the students. Awesome, right? except their name is "Child's Play" like the horror movie!!!

This week has just started for me and it's been so emotionally taxing. I may need a vacation.

I learned that sometimes, no matter how you try, you can still lose. It breaks my heart to know that some of my classmates who have worked harder than most, are not graduating.

I learned that there are people who can only feel good about themselves by tearing others down.

Educational things I learned this week: hyperkalemia in a burn patient during the emergent phase is anticipated d/t cell damage.

The parkland formula for fluid resuscitation is rad!

START triage leaves a lot of room for interpretation.

I like doing disaster simulations.

Edited to add that I am still waiting to see if I will be able to graduate. Pinning is in 2 days...this is killing me!

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

I deleted the app from my phone because I'm not posting as much, and when I went to reinstall it...it is GONE!

I've learned I may cry over this.

No more app? What gives?

Yes, sorry, Farawyn.

Right now, we are focusing on the mobile web and desktop experiences, not the APP.

I learned I can change my user name to better conceal my identity :mask:

Yes, sorry, Farawyn.

Right now, we are focusing on the mobile web and desktop experiences, not the APP.

Is there a way I can take you with me on my phone?

1) I guess I reinstalled the AN app on my phone right in the nick of time.

2) I got a B in pharmacology

3) On this, my last review day before fundamentals final I will wake up with a soul crushing migraine.

4) I miss clinical. Being stuck in a classroom and not working with people makes me sad.

5) People can and will make it through nursing school only to fail during preceptorship. That scares me so much.

6) I still suck at APA format.

Transient aphasia due to migraine absolutely sucks. I read the word "pulse," but my migraine brain interpreted it as the word "fetus." Confusing and scary.

Specializes in Pediatrics, Emergency, Trauma.
Transient aphasia due to migraine absolutely sucks. I read the word "pulse," but my migraine brain interpreted it as the word "fetus." Confusing and scary.

I experienced transient aphasia during my migraines since my teens; I also get facial droop and paralysis when my migraines were untreated. It is so very scary.

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