WILTW 7/24: Serving up specials

Nurses General Nursing

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Good evening!!!

I volunteered this week to contribute to another WILTW post-hosting is FUN! :)

The title of my post is indicative of the slang term that was used heavily in the 70s and 80s: "Saturday night special" is a term that would be used for small caliber handguns used in armed robberies. I heard this term in every detective show from the 70s and 80s; gun critics alluded that this term had racial overtones. I don't hear it much anymore, maybe because there are so many other guns that are beyond the .25 automatics of that particular era of revolvers and now rifles and automatics are used in gun violence, the term just isn't suitable anymore.

As trauma season is in place-which is the time when gun violence is high; usually after Independence Day in my area for my Level I PediED, it has been busy on a few nights, leaving me to coin "Monday Night Special", "Tuesday Night Special", etc. to cope with the increase in children arriving in our Trauma Room.

It it was been a busy week with highs and lows; career wise, I continue to be supported in a challenging environment; being given a chance to start precepting and do an educational session with new hires was quite the experience!

Buidling a caucus of unity during a first contract for a newly formed Union and trying to be supportive of a culture of changes could be daunting to many, but not me. I'm stubborn, and committed to rallying against a culture of fear and anger, maintaining my integrity to be a fierce advocate is never easy, but continue to issue the challenge and will continue to until I leave this business.

I also lost a colleague; I worked with this colleague at my longest tenured job that gave me the opportunity to engage in policy making and educating; this person had a plan to enter this business, was a young parent, was missing but was found dead with the suspicion of suicide; I hope for the facts to come out so all of us who love this individual could be able to have questions answered-not that it would change things, but I guess the reason and the rationale for me would give me some closure, as a questioning person at heart.

So I learned:

I can teach again! I participated in a "Trauma Day" educational session to the new hires and enjoyed the process; I precepted the previous day as well; I still teach from a Socratic-ish method-reason and rationale folks.

How powerful my teaching session was able to be experienced by those new hires while able to not be triggered by a kid shot was shot at close range and was stable-he was hanging in there coping, wanting a burger and not to have crutches and all the stuff he needed to do. I kept talking to him and he is doing well. I undertood where he was coming from...I did.

How frustrating it is for a kiddos eyes to remain pinpoint while trying to revive them after a potential ingestion; they unfortunately had to be intubated. Another teachable moment for some of the newbies and for myself; it recalled me to my first resuscitation after getting off orientation and having to document for that initial pt was surreal; but to be able to talk and be a part of that process as a newly experienced nurse had a different vibe to it.

I learned how how unfortunate circumstances can give you a jumpstart to reconnect with members of a good nursing team-my ex-coworkers knew every aspect of my life, from my trauma, everything-we had to cry together and laugh together yesterday. I hope for all of us to get together before the summer or at least the year being through; it has made me more aware to check in with people that I love and keep motivated; I also learned how I can connect with my current co workers and team and foster better outside relationships as well, even if it small groups, which I so need at this period of my life.

Hopefully I will be able to get my feet wet into a non-trauma Adult ED....then go from there for a Level II or Level I; an agency called me and they will try to place me, if this agency can not do it, I will try another one...I will keep my options open!

So, what have you learned this week?

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
If I get called in again tonight, I'm blaming you! Why did I sign up for back to back nights of call?

Lol! [emoji46] I'm sorry. Maybe you signed up because you're crazy? But all the best people are. [emoji12]

Specializes in Pediatrics, NICU.

I learned that having a provider snap his fingers at me while trying to get me to do something is infuriating. I'm a nurse, not a dog. :madface:

I learned that neonates can have new onset dropped beats/PVCs with no definitive cause at times.

I learned that it is possible for people to be upset with you for not drawing labs on a baby, even though the tests were never ordered or communicated to you. :sarcastic: Sorry, I don't draw random labs on random babies at random times... I also had that same brand new resident get very annoyed with me for calling the attending instead of him when a baby's family specifically requested to talk to the attending. You've been a doctor for five seconds and you aren't getting your orders even remotely correct so leave me alone! :bored:

I learned that when all of these things happen in the same shift, it's very hard not to start telling people off.

Side note, I discovered that Barilla makes pasta with puréed veggies and it's so delicious!

Specializes in M/S, LTC, Corrections, PDN & drug rehab.

Side note, I discovered that Barilla makes pasta with puréed veggies and it's so delicious!

Boo, I'm pregnant & now I'm hungry! Lol.

Specializes in Pediatrics, NICU.
Boo, I'm pregnant & now I'm hungry! Lol.

The penne goes great with marinara, ground turkey, and Parmesan. ;)

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
The penne goes great with marinara, ground turkey, and Parmesan. ;)

That sounds aahh-mazing! My mouth is watering. [emoji14]

Specializes in M/S, LTC, Corrections, PDN & drug rehab.

Searching for apartments or homes to rent in this small town is proving to be VERY stressful.

We're trying to find a new place by the time our lease is up & the new baby comes. We are currently in a 2/1 apartment & it is already bursting at the seams with all of our son's toys. I don't want it to be even more cramped when the baby comes.

It sucks. I love where we're living now but the apartment complex doesn't offer 3 bedrooms. The apartments here are in 3 categories: really nasty & not maintained, for the poor & really expensive. There's pretty much nothing if you're in between.

It's extra stressful since I have to base our bills around my husband's paycheck, which isn't much since he just started. Ugh! Some times I hate this town.

Specializes in Mental Health, Gerontology, Palliative.

At the risk of upsetting any special snow flakes.

Have had two lots of students at work. Last week they were brilliant, keen and eager to learn not just the nursing side but help the caregivers as well and just hang out and interact with my patients.

This week..... Lets just say, glad I'm now on days off and they are someone elses challenge. I asked them to give me their paper work and one of them points out a stack of papers and says they are in their. And as much as I wanted to say "love, you are here to learn, I'm not here to run around behind you and sort you out, my priority is my patients and my staff" I repeated (for the third time) 'can you please get the papers you need me to fill in and put them in the nurses station if you need me to complete something before I leave on days off and wont be back this week"

:banghead:

I love palliative care and the satisfaction that comes with helping a patient achieve a good death.

Specializes in Gerontology.

I learned that is you use Sunscreen that comes a a mousse in your hair instead of hair mousse, your hair will be limp and lifeless all day.

I'm sorry for you loss LadyFree28.

Today was my birthday! It was a pretty good day, all things considered. I can't wait to go to my OB/GYN appointment on Thursday to see the sonogram of my little one!

Who wants to start taking bets on if I'm having a boy or girl? [emoji12]

Happy Birthday!!! I say boy! :)

I had 3 finals this week. My mind is too fried to remember what I learned. I hope everyone has a stable week.

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
Happy Birthday!!! I say boy! :)

I had 3 finals this week. My mind is too fried to remember what I learned. I hope everyone has a stable week.

Thank you!!! I get to see my baby tomorrow.

I will post a photo for everyone. [emoji1]

Specializes in LTC and Pediatrics.

During the wee hours of this morning, I learned on a thread on here that I can't be a nurse. Why? Well, apparently since my nephew is a known drug user, I, by association, am a drug user and am not to be a nurse. :banghead:

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
During the wee hours of this morning, I learned on a thread on here that I can't be a nurse. Why? Well, apparently since my nephew is a known drug user, I, by association, am a drug user and am not to be a nurse. :banghead:

[emoji107]🏼[emoji107]🏼[emoji107]🏼 Boo on them!

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