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?
I know what a typewriter is Far I'm 31 not 13. I had one too.
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.
WILTW (Part 2, because I learned it since I first posted):
My request to go part-time has finally been approved and processed! I am so relieved. Mostly. The income reduction makes me cringe, but I'm not up to full-time nursing physically or mentally right now.
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.
I have a few record players and a sizable collection of albums. Nothing sounds better than vinyl!
I just learned I'm older than you and Far and that struck me as Really funny!
I can sometimes be that know-it-all in class when questions are asked (my apologies to those of you who have had to deal with an unsufferable, know-it-all). I don't purposely do it, but I like to participate in class because it helps me learn. I'm trying to keep my mouth shut a bit more, though.
I'm an insufferable know-it-all too and I'm not afraid to let people know it. My coworkers have discovered that I like sharing my opinions! Loudly! To anyone who will listen! So, when they need a second opinion on something about their patients, they've started coming to me. It's great. I get validated as a Resident Smart Person, which strokes my ego quite nicely, and they have someone to come to who's not going to roll their eyes when someone asks them a question, so everybody benefits. Being a know-it-all is awesome.
I learned once again how awesome my full time job is, because I was reminded of how much my PRN job sucks. I would really like to take each and every one of the people who complain about how "terrible" my full time job is to shadow with me at my PRN job. There's nothing like walking into an assignment with two patients and an empty, and discovering one of your patients is such a horrible stick he has a 22g in his left ANKLE, which is blown the first time you flush it, and a 22g in his forearm, which is massively infiltrated with vancomycin less than 15 minutes after the start of your shift, leaving you with no access on an ICU patient. Almost everybody has lines at my full time job. Everybody. I would estimate less than 3/30 patients only have peripherals, and everybody and their dog has peripherals at my PRN job. I hate peripherals. Hate hate hate. Every single time I work at my PRN job I come in to at least one infiltrated peripheral.
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.WILTW (Part 2, because I learned it since I first posted):
My request to go part-time has finally been approved and processed! I am so relieved. Mostly. The income reduction makes me cringe, but I'm not up to full-time nursing physically or mentally right now.
Never had one of those. Our Smith Corona was thankfully new enough that it had the ability to "backspace" so I was lucky. We got our first computer in 1999/2000. Encyclopedia on a disc was horrible. Still spent 99% of my paper writing at the library looking through book index.
If you think that somebody might be sabotaging you...there is a very good chance that they are.
This makes three jobs that have gone from verbal offers to "sorry..." after they've contacted my current boss. And considering my reviews from said boss for the past few years (very good)?
Or I could just be paranoid. But one verbal offer turned into a written offer and oh gosh I'm leaving a place that has become more than a little hostile, isn't paying what I need to survive, and that has just become all around bad juju. I'll miss some aspects of it, but in the long run this will be a good move for me.
vintagemother, BSN, CNA, LVN, RN
2,717 Posts
What I've Learned This Past Week:
I wanted to post an update for sometime, 'cause I've been kinda quiet on here, so here's what I've learned:
1st God is Good!
I haven't posted in awhile, because a lot has been going on in my life.
Namely, my car stopped working about 21 days before my RN program was to be completed, which was right in the middle of my preceptorship.
Oh how I cried.
Fast forward to what I learned this week:
Keep swimming, as Dora said!
I have an A in my Stats class, heading into the final next week!
I've been doing very well in my nursing classes.
I made it through my preceptorship, and it was a great experience.
I was offered 2 nursing jobs last week and started 1 this week.
I just was very unsure of how I'd manage to get there, with no car.
I learned this week that the city bus can indeed get me to and from work.
But what I'm so happy about is that I now have reliable transportation thanks to a *gulp* auto loan in my own name.
I also learned that I have friends who are rooting for me and were willing to step in and help me.
So.....
Keep pushing toward your goals!!!
PS I also learned that a new employer cares not much about your desire to attend your graduation and has scheduled you to work that same day. Business needs, I assume.