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Davey Do Davey Do (Guide) Guide Expert

Wrongway Weekly Reader Feb 8-11, 2019

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Working three twelve hour MN shifts on the weekend at Wrongway Regional Medical Center (WRMC) make it go by like a whirlwind. It seems the entire weekend is spent getting ready for work, working, winding down from work and then repeating the cycle.

I'm not complaining, because when I'm into the work mode, I'm into the work mode. The same with being into the off mode.

During the weekend work mode, I'll make quick notes and sketches in my pocket journal for later use on my own website and/or here on allnurses.

Since I can't get into involved art during the weekends when nursing things happen, I've decided to make a try at a weekly reader. Here's the first edition:

 

942746916_weeklyreader21119.png.3f80333d6eccaf85bf68cb7c01b7e668.png

He was a 58 year old ex CNA dementia patient who was admitted on the Saturday MN shift for aggression at the nursing home. Also aggressive in ER, it took Haldol 5, Ativan 2 , Benadryl 50 mg IM and 4 point restraints to control his behavior.

I thought he was a cute little guy and in my journal entry I drew him as an unsteady Perry the Penguin.

The next day he kicked Dr. Banjo, had a fall on MNs while on 1:1, and vomited.

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The naked, falling crotch-grabbing patient got better, donned clothing, and was behaving relatively appropriately during that day shift on Friday.

He told me his name was not D. Gargoyle, it was "Bob".

Later in the shift, Bob was flopping around on the floor like a fish. I charted Bob's movements as "coarse and undifferentiated" due to his movements reminding me of those of an infant before the nerves are completely myelinated.

 

bob.png.d3e065e3b94bf6c31848f071e330de44.png

 

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The two characters' images used in my Comic Club header from a comic drawn in December could be used again as both were on geriatric psych this past weekend.

This was the initial conversation the young nurse and I had:

fortunte.png.a4c622690b0392a99fa34b74f508dcb5.png

Well, she may or may have not have been the same nurse, as all young people look pretty much the same to me. Regardless, she did a good job and was pleasant with which to work.

The patient was a little more difficult:

lorenzo.png.281a004d12f1b4f7476fdb0bb2510ddd.png

Jim, aka Lorenzo Michael Jackson III, got up in the middle of the night and shot all of our heads off. I told Jim we didn't use them anyway and would he please be more quiet and put a silencer on his gun?

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On Monday morning, while providing direct care to a patient incontinent of urine, my employee badge broke in two. I repaired it with some Scotch tape, but knew the repair wouldn't last long. It's as Garrison Keillor said: "All repairs are temporary".

So I bit the bullet, stayed a few minutes after work until Inhuman Resources opened, and got me a new badge.

I had that old badge for years and had previously repaired it with micropore tape. That micropore tape is great stuff!

247595054_brokenbadge.png.6fea5c272659273c67d9534a76466635.png

 

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I had an admission Sunday night and contacted the psychiatrist, Dr. Dadda, for orders. I read to him the home med list which the ER had entered. He gave the okay to continue the home meds.

ER is infamous for entering into the home med list whatever the patient says they're taking without verification, and two of the meds were controlled substances which did not show up in the patient's UDS.

The patient's preferred pharmacy was closed and I could not verify that the patient was actually prescribed these meds. I informed Dr. Dadda of this, that the patient had a history of non-med compliance, and requested that we hold off on putting the patient on these meds until the the day shift could contact the pharmacy to verify the patient's med regimen.

Dr. Dadda agreed with my request and routine PRNs were ordered in the meantime to get the patient through the night.

The next morning while walking down the hall after getting my new badge from Inhuman Resources, I ran into the house supervisor, Jason Hiney RN. Jason was loudly talking and kidding with some fella who was some ways down the hall.

I heard Jason refer to the fella as "Doc" and when the conversation ended, I asked Jason who the doctor was. He replied, "Dr. Dadda".

Working weekend MN shifts, I rarely see the psychiatrists and Dr. Dadda is relatively new to WRMC, so I have never met him face to face- only talked with him on the phone.

I really wanted to meet Dr. Dadda, as he has a good reputation and always pleasantly answers his pages, so as he left and turned a corner, I called out "Dr. Dadda!"

I hurried quickly down the hall, turned the corner, but there was no Dr. Dadda. I waited a moment to see him duck out of the snack bar and again called, "Dr. Dadda!", but he hurried on down the hallway. So I called out,

439946983_drdadda.png.79fd2270fd3af1e8f7fdec523f291f9f.png

I was wearing my black scrubs, had on my black leather jacket with my black leather baseball cap, and my black leather bag hung from my shoulder. When I called out "I'm nurse Dave!", Dr. Dadda stopped, turned around, smiled, and said, "Oh! I thought you were some motorcycle gang member stalking me!"

We had a good laugh and nice chat after that.

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23 hours ago, Davey Do said:

ER is infamous for entering into the home med list whatever the patient says they're taking without verification

Prioritization 101!

Signed,

👩🏽‍🏭  < female factory worker

 

Edited by JKL33

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Love the Weekly Reader.

That badge, tho...!

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i regularly wear a black leather "biker" style jacket and all black scrubs.  I think we should start our own gang - the Icy stethoscopes 
 

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57 minutes ago, Flare said:

 all black scrubs.  I think we should start our own gang 
 

When I first saw nurses wearing all black scrubs, I thought they were a radical departure from the all white uniforms we use to wear so I put Farawyn and a coworker/allnurses member Sissybee in a movie-style image:

nib.png.99ffe09b5d2589e14dd6ae741f929fe6.png 

 

 

 

 

 

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On 2/11/2019 at 10:50 PM, Davey Do said:

I had an admission Sunday night and contacted the psychiatrist, Dr. Dadda, for orders. I read to him the home med list which the ER had entered. He gave the okay to continue the home meds.

ER is infamous for entering into the home med list whatever the patient says they're taking without verification, and two of the meds were controlled substances which did not show up in the patient's UDS.

The patient's preferred pharmacy was closed and I could not verify that the patient was actually prescribed these meds. I informed Dr. Dadda of this, that the patient had a history of non-med compliance, and requested that we hold off on putting the patient on these meds until the the day shift could contact the pharmacy to verify the patient's med regimen.

Dr. Dadda agreed with my request and routine PRNs were ordered in the meantime to get the patient through the night.

The next morning while walking down the hall after getting my new badge from Inhuman Resources, I ran into the house supervisor, Jason Rockstar RN. Jason was loudly talking and kidding with some fella who was some ways down the hall.

I heard Jason refer to the fella as "Doc" and when the conversation ended, I asked Jason who the doctor was. He replied, "Dr. Dadda".

Working weekend MN shifts, I rarely see the psychiatrists and Dr. Dadda is relatively new to WRMC, so I have never met him face to face- only talked with him on the phone.

I really wanted to meet Dr. Dadda, as he has a good reputation and always pleasantly answers his pages, so as he left and turned a corner, I called out "Dr. Dadda!"

I hurried quickly down the hall, turned the corner, but there was no Dr. Dadda. I waited a moment to see him duck out of the snack bar and again called, "Dr. Dadda!", but he hurried on down the hallway. So I called out,

439946983_drdadda.png.79fd2270fd3af1e8f7fdec523f291f9f.png

I was wearing my black scrubs, had on my black leather jacket with my black leather baseball cap, and my black leather bag hung from my shoulder. When I called out "I'm nurse Dave!", Dr. Dadda stopped, turned around, smiled, and said, "Oh! I thought you were some motorcycle gang member stalking me!"

We had a good laugh and nice chat after that.

"Oh! I thought you were some motorcycle gang member stalking me!"

HaHa, do you dress like that to keep the patients afraid of you!! I had a badge that looked similar to yours (above) from a patient ripping it off me to find out my name to report me to the FBI (or something dumb like that) cuz you know I was so mean not to give him a ride home (and not a psych pt!!). I should have dressed like you to keep them afraid of me!!

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