Clinical rocked, but as the title says, I missed the good stuff (mostly)
There was a pt that came in with septic shock who fell down on the floor and was there for 12+ hrs til found and was in such bad shape that the paramedics just wrapped the pt in the rug that was under the pt and transported them into the hospital...
The pt was in such bad shape that it necessitated intubation and being life flighted out
The pt was in such bad shape that while in mid-flight the pt coded!
Don't know if the pt made it or not but WOW!
Onto seatbelts saving lives (as docbastard always says on his blog)......
There were two men who got into MVAs that were thankfully wearing seatbelts - one walked away with nothing more than a forehead abrasion and the other suffered a L1 compression fracture.
One of the vehicles rolled and another ditched (literally) the vehicle - so their injuries would have been WAAAAAAY worse had they not had their seat belts on.
Monday, October 19, 2015
Sunday, October 18, 2015
Another first for me
I worked yesterday...
20 of 24 hours! A day shift, stayed an extra 4 hrs then had 4 hrs off then worked another 8 hrs over nite
SOOOOoooo I was basically awake 26hrs cuz I woke up early to have breakfast and drive to work
Needless to say, it was a busy, busy day!!!
Wraked up some good OT in the midst of it tho
Nothing interesting to report for work - clinical was interesting tho - I'll write about that next time
20 of 24 hours! A day shift, stayed an extra 4 hrs then had 4 hrs off then worked another 8 hrs over nite
SOOOOoooo I was basically awake 26hrs cuz I woke up early to have breakfast and drive to work
Needless to say, it was a busy, busy day!!!
Wraked up some good OT in the midst of it tho
Nothing interesting to report for work - clinical was interesting tho - I'll write about that next time
Friday, October 16, 2015
1/2 way done.... what's I've learned is this....
Finished 1/2 my clinical hours and have gotten through 1/2 the semester
While clinical has been a breeze and a joy, school less so!
I don't think that it's right when a teacher puts 20 (or there abouts) questions on the exam (out of 50) that are "select all" type of questions.... you're just trying to fail your students! I think it's poor form and I would think that if you're trying to weed out students who are weak, senior year isn't the appropriate time to do so! You would think if that was your goal that you would have done it last year or the year before!
Come to learn that this particular teacher is also going to be the teacher for capstone/preceptorship course. UGH!!!
See, my program puts a restriction on who is allowed to do high-acuity nursing (like ER or ICU's) for that course - so only those who are honor roll and have done well in their clinical courses.... now that sounds simple enough except when they are rallying for you to fail exams, that becomes quite the challenge!!!
So I'm really trying to swim against the current and stay afloat.... I'm just hoping I can do so without kicking my GPA too badly!
While clinical has been a breeze and a joy, school less so!
I don't think that it's right when a teacher puts 20 (or there abouts) questions on the exam (out of 50) that are "select all" type of questions.... you're just trying to fail your students! I think it's poor form and I would think that if you're trying to weed out students who are weak, senior year isn't the appropriate time to do so! You would think if that was your goal that you would have done it last year or the year before!
Come to learn that this particular teacher is also going to be the teacher for capstone/preceptorship course. UGH!!!
See, my program puts a restriction on who is allowed to do high-acuity nursing (like ER or ICU's) for that course - so only those who are honor roll and have done well in their clinical courses.... now that sounds simple enough except when they are rallying for you to fail exams, that becomes quite the challenge!!!
So I'm really trying to swim against the current and stay afloat.... I'm just hoping I can do so without kicking my GPA too badly!
Saturday, October 10, 2015
It hurts to burp
Monday I went under the knife again - this time to have ear tubes put in.
Last year the quack immunologist thought it was important to have a head CT done to see whether I had any anatomical abnormalities to account for my ear & sinus infections.
I already knew about the one thing that it turned up - that I have a narrowing in my eustacian tube on the left - which would account for why I have an increased number of ear infections in that ear.
So when I saw the new ENT she thought that it was a good idea to try a new med that I shoot up my nose. Unfortunately the med was super expensive (not covered by my insurance) and it wasn't guaranteed to work.
So we waited to see what would happen with my hearing...
Well it didn't improve and the hearing tests showed that my eardrum wasn't working particularly well because I had an accumulation of something behind it - but it didn't look like fluid but she had no idea what else it could be.
So we made the decision to put in ear tubes again - but longer lasting ones this time. Because clearly I've had ear issues most of my life.
When I came out of the anesthetic (general) holy moly was I in pain - particularly the Rt ear that I thought had an infection in it. Well it turns out that my eustacian tube isn't working very well on that side either. When she came and saw me after I was in recovery she explained that the pain was from the release of pressure. She said I didn't have an infection though - so I guess that's a plus.
But holy does it hurt to burp or hiccup! I've also found that when I'm awake for a while it sort of accumulates throoughout the day and I eventually have to have a nap in order to essentially reset things. Bummers about this is that I'm supposed to be able to hang out with hubby while everyone is gone but I'm lucky if I can stay awake for very long. At least I can say he's being patient and understanding. That's a bonus! Now if only I could get him to clean!
Last year the quack immunologist thought it was important to have a head CT done to see whether I had any anatomical abnormalities to account for my ear & sinus infections.
I already knew about the one thing that it turned up - that I have a narrowing in my eustacian tube on the left - which would account for why I have an increased number of ear infections in that ear.
So when I saw the new ENT she thought that it was a good idea to try a new med that I shoot up my nose. Unfortunately the med was super expensive (not covered by my insurance) and it wasn't guaranteed to work.
So we waited to see what would happen with my hearing...
Well it didn't improve and the hearing tests showed that my eardrum wasn't working particularly well because I had an accumulation of something behind it - but it didn't look like fluid but she had no idea what else it could be.
So we made the decision to put in ear tubes again - but longer lasting ones this time. Because clearly I've had ear issues most of my life.
When I came out of the anesthetic (general) holy moly was I in pain - particularly the Rt ear that I thought had an infection in it. Well it turns out that my eustacian tube isn't working very well on that side either. When she came and saw me after I was in recovery she explained that the pain was from the release of pressure. She said I didn't have an infection though - so I guess that's a plus.
But holy does it hurt to burp or hiccup! I've also found that when I'm awake for a while it sort of accumulates throoughout the day and I eventually have to have a nap in order to essentially reset things. Bummers about this is that I'm supposed to be able to hang out with hubby while everyone is gone but I'm lucky if I can stay awake for very long. At least I can say he's being patient and understanding. That's a bonus! Now if only I could get him to clean!
Friday, October 9, 2015
Cleaning while in nursing school
My house looks something like this this week...
Now my house isn't toys, cuz little tyke is still in Pakistan (it would look like this if she were here tho!) but the mess and clutter evident in this photo is evident in my place - on the table, on the counter, along the edges of the room, on the side table, etc...
This week is insanely busy - it's like my prof enjoys piling on work during certain weeks. This means cleaning and tidying goes onto the back burner.
Next week I head out to do clinical then upon my return I'm working - so after all that, this is what my future holds....
Unless I can convince the hubby to undertake some of this... but as those who have husbands know, they just don't clean the same as us!
Now my house isn't toys, cuz little tyke is still in Pakistan (it would look like this if she were here tho!) but the mess and clutter evident in this photo is evident in my place - on the table, on the counter, along the edges of the room, on the side table, etc...
This week is insanely busy - it's like my prof enjoys piling on work during certain weeks. This means cleaning and tidying goes onto the back burner.
Next week I head out to do clinical then upon my return I'm working - so after all that, this is what my future holds....
Unless I can convince the hubby to undertake some of this... but as those who have husbands know, they just don't clean the same as us!
Saturday, October 3, 2015
Question for surgeons
So this is twice now that I've been taking care of pt's awaiting surgery
Both were "on call" to get said surgery
BOTH got pushed to another day (one actually got pushed back two days)
One has a nasty hip (femur head) fracture and the other had a previous G-tube insertion go wrong and they created a nicked bowel and a fistula + abcess.
The fracture was identified two days post admission and then this pt waited another day after that..
So I would think that these would be urgent enough to actually ensure that they're done on the days that they're supposed to.
Additionally, said surgeon (for the most recent one) left before 2130hrs - which makes me wonder why they couldn't have done the surgery they said that they were going to do!
Also - if the surgeon is too tired (as I'm sure that some would indicate as a reason that the surgeon stopped) - at least have the decency to call my unit and tell me this because you ordered fluids that would be appropriate for a diabetic pt who is NPO for said surgery so now I am going to have to deal with on-call to get a hold of an order to have this changed.... because you couldn't just call me and tell me that you pushed your patient to another day!
Lastly - said pt is in major pain - especially when moved (such as when their incontinence brief needs to be changed) - and I'm sure that when you put the pt out for the surgery you will put in a foley catheter - so why didn't you just order it when you did the orders so that at least I don't have to manipulate this pt more than absolutely necessary.
I put myself in these pt's positions - I hate to see them hurting and wish that others thought about these things as well!
Both were "on call" to get said surgery
BOTH got pushed to another day (one actually got pushed back two days)
One has a nasty hip (femur head) fracture and the other had a previous G-tube insertion go wrong and they created a nicked bowel and a fistula + abcess.
The fracture was identified two days post admission and then this pt waited another day after that..
So I would think that these would be urgent enough to actually ensure that they're done on the days that they're supposed to.
Additionally, said surgeon (for the most recent one) left before 2130hrs - which makes me wonder why they couldn't have done the surgery they said that they were going to do!
Also - if the surgeon is too tired (as I'm sure that some would indicate as a reason that the surgeon stopped) - at least have the decency to call my unit and tell me this because you ordered fluids that would be appropriate for a diabetic pt who is NPO for said surgery so now I am going to have to deal with on-call to get a hold of an order to have this changed.... because you couldn't just call me and tell me that you pushed your patient to another day!
Lastly - said pt is in major pain - especially when moved (such as when their incontinence brief needs to be changed) - and I'm sure that when you put the pt out for the surgery you will put in a foley catheter - so why didn't you just order it when you did the orders so that at least I don't have to manipulate this pt more than absolutely necessary.
I put myself in these pt's positions - I hate to see them hurting and wish that others thought about these things as well!
Monday, September 28, 2015
What 40 degrees Celcius looks like in picture form
Little tyke is LOVING Pakistan - still affirms that she's not returning (at least not anytime soon!) cuz she's having too much fun!
We're getting snippits of updates for little tyke's activities - I'm hoping that when my other two BIL's and the one SIL is heading over there that I will get more pictures of what's going on and such.
Little tyke said it's hot there - according to MIL it's 40+ degrees and so it's quite warm. So as a way to cool off they headed to the local watering hole to cool off - this is what they found...
She was LOVING every second of it! Just hope she doesn't get Giardia or something from it!
It's kinda hard to make the time difference work for us to talk on a regular basis - it's expensive for them to call here and we never know whose house they're going to be at visiting and depending on the city that they're in determines whether there's internet that would be good enough to support skype and it be clear and smooth.
Today I got to talk to her - she just got to my MIL's older brother's house after having a 10+hr bus ride. She said that she slept the entire ride except for anough time to eat some chips! HA - what a girl!
We're getting snippits of updates for little tyke's activities - I'm hoping that when my other two BIL's and the one SIL is heading over there that I will get more pictures of what's going on and such.
Little tyke said it's hot there - according to MIL it's 40+ degrees and so it's quite warm. So as a way to cool off they headed to the local watering hole to cool off - this is what they found...
She was LOVING every second of it! Just hope she doesn't get Giardia or something from it!
It's kinda hard to make the time difference work for us to talk on a regular basis - it's expensive for them to call here and we never know whose house they're going to be at visiting and depending on the city that they're in determines whether there's internet that would be good enough to support skype and it be clear and smooth.
Today I got to talk to her - she just got to my MIL's older brother's house after having a 10+hr bus ride. She said that she slept the entire ride except for anough time to eat some chips! HA - what a girl!
Subscribe to:
Posts (Atom)