We will celebrate with relatives we haven't seen in a LONG time! Lots of kids, food and drink.
Today, we will get ready. It will be fun.
Stay tuned...
Friday, December 30, 2016
Thursday, December 29, 2016
It all boils down to this
Life is short. We are seeing that in the news today. A celebrity and her mother die within days of each other. Some people say you can't die of a broken heart, but yet, some people do.
This year has flown by quickly. I'm happy that in the grand scheme of things, I've had some time to reflect and relax. It's a privilege not granted to everyone and I know it and cherish it, especially this week. There just aren't enough nurses at the Hotel, or anywhere really. Bedside nurses are a rare enough commodity in these parts, they are paying five figure bonuses to get to work in various institutions.
The mood of this country has been tentative and taxing. The elections didn't really help anything. When I heard about history and Hoover and trying times of the Depression my relatives talked about when I was a kid, I now think, "Wow! Some of this stuff is really happening here to us now."
A lot of things will end this year. New ones will begin next year. I'll work on what I can and do my best. Hope you enjoy the rest of this week and this year. May we all be here to discuss it all again in 2017. There are no promises but we can hope for the best.
See you next year.
This year has flown by quickly. I'm happy that in the grand scheme of things, I've had some time to reflect and relax. It's a privilege not granted to everyone and I know it and cherish it, especially this week. There just aren't enough nurses at the Hotel, or anywhere really. Bedside nurses are a rare enough commodity in these parts, they are paying five figure bonuses to get to work in various institutions.
The mood of this country has been tentative and taxing. The elections didn't really help anything. When I heard about history and Hoover and trying times of the Depression my relatives talked about when I was a kid, I now think, "Wow! Some of this stuff is really happening here to us now."
A lot of things will end this year. New ones will begin next year. I'll work on what I can and do my best. Hope you enjoy the rest of this week and this year. May we all be here to discuss it all again in 2017. There are no promises but we can hope for the best.
See you next year.
Monday, December 19, 2016
That smell
You know it when you smell it. It's sickly, sweet almost, and nauseating. Once it permeates my nose, I'm done until I can get purge the remnants from my nostrils.
It's the smell of C-diff. I had a patient who had all the classic signs: loose stools, brown going to golden colored stool and the horrific smell. Rehab nurses are used to dealing with bowel, bladder and skin issues. This bowel problem made me want to run out in the arctic tundra that is our parking lot just to get away. And I was starving.
Thank goodness for bleach wipes and my handy, dandy air freshener. The air freshener permeated the room and made the smell go away.
Escaping and taking a nice, long walk helped, along with my lunch. It's amazing how therapeutic a lunch break and a walk at work can make you feel.
More to come...
It's the smell of C-diff. I had a patient who had all the classic signs: loose stools, brown going to golden colored stool and the horrific smell. Rehab nurses are used to dealing with bowel, bladder and skin issues. This bowel problem made me want to run out in the arctic tundra that is our parking lot just to get away. And I was starving.
Thank goodness for bleach wipes and my handy, dandy air freshener. The air freshener permeated the room and made the smell go away.
Escaping and taking a nice, long walk helped, along with my lunch. It's amazing how therapeutic a lunch break and a walk at work can make you feel.
More to come...
Sunday, December 18, 2016
Brrr!
The polar vortex has arrived. It arrived just at the start of the weekend. I have already fallen even in "slip-proof" nursing shoes. They don't help when it's also windy. I added some of these to my shopping list.
Some virus from the neighborhood has invaded. Dahey is recuperating and Bubba is acting a little out of sorts, despite my hand washing protocol and cleaning schedule. We've all had our flu shots, so hopefully, it's just something random. Another joy of winter!
I'm happy this week will be the last one I work this year. More to come in 2017. Stay tuned!
Some virus from the neighborhood has invaded. Dahey is recuperating and Bubba is acting a little out of sorts, despite my hand washing protocol and cleaning schedule. We've all had our flu shots, so hopefully, it's just something random. Another joy of winter!
I'm happy this week will be the last one I work this year. More to come in 2017. Stay tuned!
Wednesday, December 7, 2016
Critter patrol
I found some unwelcome peanuts in an unusual spot in an overhead cabinet in my office. Now I know why that mouse was climbing over my desk? To get to the Shangri-La of peanuts which was right behind all of my nursing books.
Curses! Did a lot of that (to myself) and got the Saniwipes out again to purge my desk of mouse droppings.
The construction outside continues and so does the cold.
It's making for some very interesting sights at the Hotel.
Santa, please make sure we don't end up on the news. And please, keep your reindeer outside on the roof. The regular deer might pay attention.
Stay tuned...
Curses! Did a lot of that (to myself) and got the Saniwipes out again to purge my desk of mouse droppings.
The construction outside continues and so does the cold.
It's making for some very interesting sights at the Hotel.
Santa, please make sure we don't end up on the news. And please, keep your reindeer outside on the roof. The regular deer might pay attention.
Stay tuned...
Sunday, December 4, 2016
All the wild and woolly things
It's getting much cooler here in RehabLand. The dreaded Arctic winds are making their way back, just as they normally do (or did). Last week, we had three of four seasons in a week, but it seems like winter is coming and no other season will be allowed.
The wild: all sorts of construction craziness. Since the SU sits near the front of the building at our pastoral campus, the woollies are the critters trying to get in. A few of them (namely mice) are showing up in our office rooms.
We're also getting a lot of patients. It seems like there's always a rush to get your rehab done before the holidays, but some people don't always make it. We do our best to be festive and motivating during the holiday season.
Lately, we're getting lots of unusual diagnoses including presbycusis and Colles' fracture. It's giving me plenty of homework looking up conditions. I also had a patient come to see me about MRSA. The CDC website was very helpful. Said patient felt relieved in knowing what to look for and they provide some nice patient education.
Well, I'm going to get wrapped up in my own woollies and get ready for tomorrow.
I wish you a great week wherever you go!
The wild: all sorts of construction craziness. Since the SU sits near the front of the building at our pastoral campus, the woollies are the critters trying to get in. A few of them (namely mice) are showing up in our office rooms.
We're also getting a lot of patients. It seems like there's always a rush to get your rehab done before the holidays, but some people don't always make it. We do our best to be festive and motivating during the holiday season.
Lately, we're getting lots of unusual diagnoses including presbycusis and Colles' fracture. It's giving me plenty of homework looking up conditions. I also had a patient come to see me about MRSA. The CDC website was very helpful. Said patient felt relieved in knowing what to look for and they provide some nice patient education.
Well, I'm going to get wrapped up in my own woollies and get ready for tomorrow.
I wish you a great week wherever you go!
Sunday, November 27, 2016
Tomorrow is Monday
Dear Boss.
I know what day it is. Again. I really enjoyed having the holiday weekend off.
Can I please do this again soon? It's a habit I'd really like to continue into 2017.
Sincerely,
RehabRN
I know what day it is. Again. I really enjoyed having the holiday weekend off.
Can I please do this again soon? It's a habit I'd really like to continue into 2017.
Sincerely,
RehabRN
Tuesday, November 22, 2016
Never a dull moment
It may be a holiday week, but it's been busy! The Hotel is always hopping around the holidays because people want to go home. If they can't get home, we have to take care of what we can before lots of other people take off for the long weekend.
While some of our folks would like to go home, they get sick. One character mentioned that he/she had a transient loss of vision. He/she was worked up, then he had another incidence. Between the opthomologist who said the patient had a fugax and the neurologist who wanted a stat carotid exam, he/she ended up with a quick trip to Washington for an overnight to get all the diagnostics done and issues resolved.
In rehab, it's very rare to have a patient on TPN. In fact, I've yet to see one in any of our units (acute or otherwise) because if you're on TPN, you're usually sick and not a rehab candidate NOTE: this may vary in other settings.
However, if you end up with a chyle, a not uncommon sequela of the infamous triple A, you could need TPN for a while, as one of our recent patients did. Thankfully, no more TPN and patient is working up on the diet list, slowly but surely.
One of my favorite things to do is to read imaging reports. We have lots of rehab patients with CTs, Xrays and many, many MRIs. I follow along in the reports and learned this week about Thornwald cysts which popped up in a patient's report.
Finally, since it's turning to winter here in the northern hemisphere, I also learned about thunderstorm asthma, which was sending people to emergency rooms all over the southern hemisphere recently. Just makes me wonder how many of these sent me to the emergency room as a new asthmatic. My poor mother!
Thanks for following and reading along! May you all have a wonderful Thanksgiving (or rest of the week) wherever you are!
While some of our folks would like to go home, they get sick. One character mentioned that he/she had a transient loss of vision. He/she was worked up, then he had another incidence. Between the opthomologist who said the patient had a fugax and the neurologist who wanted a stat carotid exam, he/she ended up with a quick trip to Washington for an overnight to get all the diagnostics done and issues resolved.
In rehab, it's very rare to have a patient on TPN. In fact, I've yet to see one in any of our units (acute or otherwise) because if you're on TPN, you're usually sick and not a rehab candidate NOTE: this may vary in other settings.
However, if you end up with a chyle, a not uncommon sequela of the infamous triple A, you could need TPN for a while, as one of our recent patients did. Thankfully, no more TPN and patient is working up on the diet list, slowly but surely.
One of my favorite things to do is to read imaging reports. We have lots of rehab patients with CTs, Xrays and many, many MRIs. I follow along in the reports and learned this week about Thornwald cysts which popped up in a patient's report.
Finally, since it's turning to winter here in the northern hemisphere, I also learned about thunderstorm asthma, which was sending people to emergency rooms all over the southern hemisphere recently. Just makes me wonder how many of these sent me to the emergency room as a new asthmatic. My poor mother!
Thanks for following and reading along! May you all have a wonderful Thanksgiving (or rest of the week) wherever you are!
Sunday, November 20, 2016
I'm praying...
For my patients, especially the sick ones. It really does suck being around here when you could be home for the holidays. Many come from far away, so they don't have family visits.
For my coworkers, you know who you are. Praying that saying that tough times never last really is true.
For my son, Bubba, who just decided to have a meltdown while Dahey had a friend in the house. Ugh! Being the disciplinarian, he got his attention, though.
For me, that I can get into the holiday season. I started reviewing my charitable contributions (which I do this time every year). I really do enjoy giving and receiving.
Peace, quiet, family happiness and a clean house aren't too much to ask for...are they?
We'll see...stay tuned!
For my coworkers, you know who you are. Praying that saying that tough times never last really is true.
For my son, Bubba, who just decided to have a meltdown while Dahey had a friend in the house. Ugh! Being the disciplinarian, he got his attention, though.
For me, that I can get into the holiday season. I started reviewing my charitable contributions (which I do this time every year). I really do enjoy giving and receiving.
Peace, quiet, family happiness and a clean house aren't too much to ask for...are they?
We'll see...stay tuned!
Friday, November 18, 2016
Dysfunctional families at work
It's not just the patients at the Hotel who have dysfunctional families, but the employees act like a dysfunctional family, too.
Your boss decides to tell your office mate he/she is a "downer and never has anything good to say". Said nurse is always doing more than expected, unlike a large portion of the staff we work with. Said nurse is also stressed by an HR department that "forgot" his/her promotion (which means no more money on the payroll as promised, which is nice during the holidays or any season) and who is genuinely feeling awful. I finally convinced Neighbor to see the new PCP at the Hotel after failed attempts with one in another system who never returned calls. Neighbor has some scary symptoms that don't warrant a hospital stay, but are concerning nevertheless. Crossing my fingers that a specialist appointment (or two) is on his/her appointment list soon.
I had the distinct pleasure of participating in a facility-wide job fair. It's a good thing they rented out hotel space because we were mobbed. I participated in over a dozen interviews for nursing staff. It was amazing the amount of people we got to show up. I hope the nursing recruiter has learned: be prepared for CNAs. They seem to always be looking for a job and freebies. A few were exceptional, a couple were good, but only about half were recommended for hire. It would have been nice to have another group to interview these folks, because we had so many people show up, it took FOREVER.
My partner was another nurse from our department who I don't see a lot. She is Ms. Right as in "I'm always right"and is well-known for spending most of our staff meetings fighting with the boss. She has years of experience, but sometimes doesn't act like it. She thinks what she thinks is more important than following policy, procedure or even, evidence-based practice. She came from another high-intensity area and sometimes, she needs to go straight back. She's gotten comfortable, though, in her role, so short of a egregious error of judgment, she'll never leave before she gets her advanced degree. I really wish her graduation date was soon...
The good thing: some of our staff scheduled appointments for me. This meant I had to show up, so I spend the last hours of my day taking care of them, reviewing what happened this week and it was pretty darned good. We had one of the best weeks ever for SU encounters. It was a bright spot to this Supermoon crazy kind of week. I'll take it.
May your weekend be full of joy. Don't let the turkeys (or Ms. Rights) get you down!
'Til next time...
Your boss decides to tell your office mate he/she is a "downer and never has anything good to say". Said nurse is always doing more than expected, unlike a large portion of the staff we work with. Said nurse is also stressed by an HR department that "forgot" his/her promotion (which means no more money on the payroll as promised, which is nice during the holidays or any season) and who is genuinely feeling awful. I finally convinced Neighbor to see the new PCP at the Hotel after failed attempts with one in another system who never returned calls. Neighbor has some scary symptoms that don't warrant a hospital stay, but are concerning nevertheless. Crossing my fingers that a specialist appointment (or two) is on his/her appointment list soon.
I had the distinct pleasure of participating in a facility-wide job fair. It's a good thing they rented out hotel space because we were mobbed. I participated in over a dozen interviews for nursing staff. It was amazing the amount of people we got to show up. I hope the nursing recruiter has learned: be prepared for CNAs. They seem to always be looking for a job and freebies. A few were exceptional, a couple were good, but only about half were recommended for hire. It would have been nice to have another group to interview these folks, because we had so many people show up, it took FOREVER.
My partner was another nurse from our department who I don't see a lot. She is Ms. Right as in "I'm always right"and is well-known for spending most of our staff meetings fighting with the boss. She has years of experience, but sometimes doesn't act like it. She thinks what she thinks is more important than following policy, procedure or even, evidence-based practice. She came from another high-intensity area and sometimes, she needs to go straight back. She's gotten comfortable, though, in her role, so short of a egregious error of judgment, she'll never leave before she gets her advanced degree. I really wish her graduation date was soon...
The good thing: some of our staff scheduled appointments for me. This meant I had to show up, so I spend the last hours of my day taking care of them, reviewing what happened this week and it was pretty darned good. We had one of the best weeks ever for SU encounters. It was a bright spot to this Supermoon crazy kind of week. I'll take it.
May your weekend be full of joy. Don't let the turkeys (or Ms. Rights) get you down!
'Til next time...
Monday, November 14, 2016
Crazy Monday
I am more than familiar with the quotes mentioned in this article 30 things we hate to hear at work.
Please note that while I may ask for a second, I don't expect to get more than that. We know you're always way busier than the rest of the department, so, as my favorite old ER nurse says "Spare me".
Don't be spared. Read this and enjoy.
You might even be able to add some of these to your own special nursing unit Buzzword Bingo for some fun on Thanksgiving.
Have a happy Monday wherever you are! More later...
Please note that while I may ask for a second, I don't expect to get more than that. We know you're always way busier than the rest of the department, so, as my favorite old ER nurse says "Spare me".
Don't be spared. Read this and enjoy.
You might even be able to add some of these to your own special nursing unit Buzzword Bingo for some fun on Thanksgiving.
Have a happy Monday wherever you are! More later...
Friday, November 11, 2016
Torn...
The dilemmas I've faced this week.
The first one was the dreaded certification renewal (one of them, anyway).
Getting a nursing certification is a little like qualifying for an equestrian event: lots of jumping over obstacles and looking perfectly put together.
After months of combing all my files for CE certificates to put in the application, making sure my membership was updated, then filling in the rest of the application and credit card info, I sent it off. A few hours later, I got the "we're reviewing it" e-mail.
Today, I got the all clear. I'm renewed for another five years. The hamster wheel starts again...
The last couple of days, not throttling some of my coworkers about the US presidential election has been another dilemma.
For those of you not in the know, we not only elected a new president this week, we will, on Bubba's birthday, January 20th, inaugurate the nation's first reality TV star, thrice divorced president married to only the second non-US citizen First Lady. Some of my coworkers want to talk about it all the time.
I'm not one of those people. We give out blood pressure meds for a reason at the Hotel. We're not supposed to be inducing conditions that will send people into rehab.
However, I'm looking forward to the weekend. I'm celebrating my favorite US veteran, Dahey.
Happy Veterans' Day to all of you who have served!
The first one was the dreaded certification renewal (one of them, anyway).
Getting a nursing certification is a little like qualifying for an equestrian event: lots of jumping over obstacles and looking perfectly put together.
After months of combing all my files for CE certificates to put in the application, making sure my membership was updated, then filling in the rest of the application and credit card info, I sent it off. A few hours later, I got the "we're reviewing it" e-mail.
Today, I got the all clear. I'm renewed for another five years. The hamster wheel starts again...
The last couple of days, not throttling some of my coworkers about the US presidential election has been another dilemma.
For those of you not in the know, we not only elected a new president this week, we will, on Bubba's birthday, January 20th, inaugurate the nation's first reality TV star, thrice divorced president married to only the second non-US citizen First Lady. Some of my coworkers want to talk about it all the time.
I'm not one of those people. We give out blood pressure meds for a reason at the Hotel. We're not supposed to be inducing conditions that will send people into rehab.
However, I'm looking forward to the weekend. I'm celebrating my favorite US veteran, Dahey.
Happy Veterans' Day to all of you who have served!
Monday, October 31, 2016
Tricks not treats
Lots of bugaboos on this Halloween Monday at work. Technical difficulties galore and a small fire right when I had patients scheduled for appointments. Thankfully, when I called our local help desk, I was #22 in line, but my call was answered by a real person in about 10 minutes. All the rest of the callers must have given up.
I went on to my afternoon assignment at Washington and stopped by Starbucks to celebrate with a Frappula Frappucino and extra espresso.
Sugar and caffeine might not solve the world's problems, but they helped make mine seem like it went by faster.
Hope you enjoy whatever is left of your day, wherever you are!
I went on to my afternoon assignment at Washington and stopped by Starbucks to celebrate with a Frappula Frappucino and extra espresso.
Sugar and caffeine might not solve the world's problems, but they helped make mine seem like it went by faster.
Hope you enjoy whatever is left of your day, wherever you are!
Sunday, October 23, 2016
All in one day
I try to cram things into certain days, and others, I just use them to do administrative tasks in peace and quiet.
One day recently was a combination of both. I need peace and quiet to get things organized and completed in an efficient manner, so it worked out relatively well.
The first part of my day was great, until I got one of the patients who rarely stops in. He comes in occasionally. He really needs us more than he'll let on, and now that he's got a new health condition, it's obvious. To add insult to injury, while he's not homeless, he could very well be soon due to an issue at home. Homelessness is scary, but even more so when you are disabled.
When our meeting was finished, I actually think he learned something. I am hoping he'll see the need to get help. Technology is a great tool for this gentleman, but he needs to come see us, too.
As I run around the building, I often encounter folks who are visiting our outpatient clinics or other programs. Many of them never avail themselves of my area's services (it's optional). I say hello and sometimes chat as I go by.
Friday, one of these characters liked what I wore to work (a sweater and dress pants). He rolled up and knocked on my door. I asked how I could help.
He said, "I just wanted to tell you I think you look more beautiful today than ever." Frankly, I was stunned by the compliment. We chatted some more about the services of the SU, but he declined as usual. I told him (as I tell all the patients), "If you change your mind, let me know." and he rolled away smiling.
It made my week.
Hope you enjoy your weekend wherever you are and someone sees your beauty too!
One day recently was a combination of both. I need peace and quiet to get things organized and completed in an efficient manner, so it worked out relatively well.
The first part of my day was great, until I got one of the patients who rarely stops in. He comes in occasionally. He really needs us more than he'll let on, and now that he's got a new health condition, it's obvious. To add insult to injury, while he's not homeless, he could very well be soon due to an issue at home. Homelessness is scary, but even more so when you are disabled.
When our meeting was finished, I actually think he learned something. I am hoping he'll see the need to get help. Technology is a great tool for this gentleman, but he needs to come see us, too.
As I run around the building, I often encounter folks who are visiting our outpatient clinics or other programs. Many of them never avail themselves of my area's services (it's optional). I say hello and sometimes chat as I go by.
Friday, one of these characters liked what I wore to work (a sweater and dress pants). He rolled up and knocked on my door. I asked how I could help.
He said, "I just wanted to tell you I think you look more beautiful today than ever." Frankly, I was stunned by the compliment. We chatted some more about the services of the SU, but he declined as usual. I told him (as I tell all the patients), "If you change your mind, let me know." and he rolled away smiling.
It made my week.
Hope you enjoy your weekend wherever you are and someone sees your beauty too!
Wednesday, October 19, 2016
I'm not hiding
I'm just dealing with fallout. Fallout related to the end of our hospital's fiscal year.
Some of thefun meetings I've been subjected to:
1. Year end recap
Actually, I'll be forced to do that next month. Boss didn't show for this month's meeting (that's really a waste of time).
2. Meetings with my boss, coworkers and a provider who was forced to be there.
An hour of telling people what I do, what I am allowed to do, and why you telling me what to do isn't a good idea.
NOTE: my boss sat on the sidelines watching this car crash. He/she knows better.
I had fun by pointing out how I know what you know, and when I knew it, even though I'm not supposed to do your job.
3. "Scut work"
Said provider in #2 said he/she isn't going to do the work that other providers in our system do, because he/she can delegate that "scut work" to the NP. BTW none of the scut work mentioned here is even done by an MD in our system.
NOTE: this "scut work" requires a physician or licensed independent provider to write an order. Our MDs are really "busy" not writing as many orders as they can, especially at odd hours.
My favorite excuse: "just blame the computer". This wreaks havoc for the nurses, especially when your facility supposedly "disciplines" providers for too many verbal or telephone orders.
I really wanted to ask what he/she normally does when not goofing off, but I bit my tongue.
The train is coming, so off I go. Enjoy your day wherever you are!
Some of the
1. Year end recap
Actually, I'll be forced to do that next month. Boss didn't show for this month's meeting (that's really a waste of time).
2. Meetings with my boss, coworkers and a provider who was forced to be there.
An hour of telling people what I do, what I am allowed to do, and why you telling me what to do isn't a good idea.
NOTE: my boss sat on the sidelines watching this car crash. He/she knows better.
I had fun by pointing out how I know what you know, and when I knew it, even though I'm not supposed to do your job.
3. "Scut work"
Said provider in #2 said he/she isn't going to do the work that other providers in our system do, because he/she can delegate that "scut work" to the NP. BTW none of the scut work mentioned here is even done by an MD in our system.
NOTE: this "scut work" requires a physician or licensed independent provider to write an order. Our MDs are really "busy" not writing as many orders as they can, especially at odd hours.
My favorite excuse: "just blame the computer". This wreaks havoc for the nurses, especially when your facility supposedly "disciplines" providers for too many verbal or telephone orders.
I really wanted to ask what he/she normally does when not goofing off, but I bit my tongue.
The train is coming, so off I go. Enjoy your day wherever you are!
Wednesday, October 5, 2016
La rentree
No, I'm not a kid going back to school, but returning to work after escaping for a conference was very similar. I feel as if I was jarred out of a deep, restful sleep and thrown into a world that is constantly going and I'm running in, then looking forward to the time I can run straight out.
It's always nice to go to a conference just for nurses. People, for the most part, look at you, talk to you in the hall and are social. Some other disciplines (which will remain nameless...Freudian cough cough) often walk with darting glances because you might actually talk to them. We had lots of interesting sessions. I even gave one this year. One presenter brought her demo dog, as she was speaking about how to get a service dog and ADA guidelines.
Overall, I had a wonderful time. I may even look to turn my presentation into a journal article (one of the things on the bucket list). I'm fortunate that my subject is not typical rehab (bowel, bladder or skin), so I just need to sit down and do it.
This week, I get to interview new staff for the Hotel. It should be exciting. I just hope they can survive the Manglement.
Stay tuned...
It's always nice to go to a conference just for nurses. People, for the most part, look at you, talk to you in the hall and are social. Some other disciplines (which will remain nameless...Freudian cough cough) often walk with darting glances because you might actually talk to them. We had lots of interesting sessions. I even gave one this year. One presenter brought her demo dog, as she was speaking about how to get a service dog and ADA guidelines.
Overall, I had a wonderful time. I may even look to turn my presentation into a journal article (one of the things on the bucket list). I'm fortunate that my subject is not typical rehab (bowel, bladder or skin), so I just need to sit down and do it.
This week, I get to interview new staff for the Hotel. It should be exciting. I just hope they can survive the Manglement.
Stay tuned...
Saturday, September 24, 2016
Here I go again
***Happy National Rehabilitation Week! ***
Life is distracting. Especially when you have lots of things going on at once. Teenage kid getting hormonal. People at work being uncivil. Weather being unusually warm. Such is my life in RehabLand.
I've been finding and cataloging some great articles I've run into about these subjects, so here are a few of them. Hope you enjoy! I am, since it's helping me to stay sane as I get ready for the last week of travel for this year (I hope!) I'm looking forward to more learning, sightseeing and a Philly cheese steak while I'm hanging out with a whole bunch of other rehab nurses from around the country.
It may be from July, but KevinMD never fails to deliver some compelling content from nurses. I have to say if I were going to put something together, I'd be anonymous, too. The truth hurts, but hopefully, more folks will learn from the examples given in this article.
While it's not health related, if you are a foodie, and you love fried chicken, like Dahey (it's a genetic thing) you won't want to miss this article on the best fried chicken in the US. I swear he's still alive because of it. Dahey was a regular many moons ago when he lived down the road from Hattie's first storefront.
Finally, in light of national rehab week, take it from a former rehabber himself (who I just met, along with his parents, on one of my trips recently), ASK. People in wheelchairs, in many cases, can talk and advocate for themselves. Don't be afraid to ask, or you too, might miss a golden opportunity. Thanks Charlie for reminding us.
Hope you enjoy your weekend wherever you are!
Life is distracting. Especially when you have lots of things going on at once. Teenage kid getting hormonal. People at work being uncivil. Weather being unusually warm. Such is my life in RehabLand.
I've been finding and cataloging some great articles I've run into about these subjects, so here are a few of them. Hope you enjoy! I am, since it's helping me to stay sane as I get ready for the last week of travel for this year (I hope!) I'm looking forward to more learning, sightseeing and a Philly cheese steak while I'm hanging out with a whole bunch of other rehab nurses from around the country.
It may be from July, but KevinMD never fails to deliver some compelling content from nurses. I have to say if I were going to put something together, I'd be anonymous, too. The truth hurts, but hopefully, more folks will learn from the examples given in this article.
While it's not health related, if you are a foodie, and you love fried chicken, like Dahey (it's a genetic thing) you won't want to miss this article on the best fried chicken in the US. I swear he's still alive because of it. Dahey was a regular many moons ago when he lived down the road from Hattie's first storefront.
Finally, in light of national rehab week, take it from a former rehabber himself (who I just met, along with his parents, on one of my trips recently), ASK. People in wheelchairs, in many cases, can talk and advocate for themselves. Don't be afraid to ask, or you too, might miss a golden opportunity. Thanks Charlie for reminding us.
Hope you enjoy your weekend wherever you are!
Monday, September 12, 2016
Patriot day + 1 reflection
Yes, it's the 12th of September and I feel like 15 years ago and one day, were almost a blink of an eye, and a lifetime all at once.
I remember that day. Much is blurry, but the terror is real--the unknown, the ruthlessness, the destruction are unnerving. I still see that today.
I lived another life, and when I go near where I used to work on September 11, I even see people who used to work in my building. We're not friends, but I still recognize them. They still work at the same place. They've aged just like me.
But occasionally, I come in costume in my scrubs, when the local food trucks pull outside and I'm in the neighborhood. My job now warrants a weekly trip from one campus to another, so it's on the way back and I stop for lunch. The building have new names. The company I worked for has been bought out multiple times.
If I close my eyes, I still remember that life.
The world has changed, and so have I. I don't worry anymore about what could have been there. I realize that life is living and I'm doing it every day.
Fifteen years and a day, I pray still.
More later....
I remember that day. Much is blurry, but the terror is real--the unknown, the ruthlessness, the destruction are unnerving. I still see that today.
I lived another life, and when I go near where I used to work on September 11, I even see people who used to work in my building. We're not friends, but I still recognize them. They still work at the same place. They've aged just like me.
But occasionally, I come in costume in my scrubs, when the local food trucks pull outside and I'm in the neighborhood. My job now warrants a weekly trip from one campus to another, so it's on the way back and I stop for lunch. The building have new names. The company I worked for has been bought out multiple times.
If I close my eyes, I still remember that life.
The world has changed, and so have I. I don't worry anymore about what could have been there. I realize that life is living and I'm doing it every day.
Fifteen years and a day, I pray still.
More later....
Saturday, September 10, 2016
Everything old is new again
When they send an e-mail at the end of the day, one of my colleagues at the Hotel says, "it's usually not good."
The latest e-mail: one of the most hated medical administrators is back. Apparently, he/she came out of retirement to take a job in our internal medicine service, the largest service in our system.
Frankly, I just hope the rest of them stay retired.
Enjoy your weekend wherever you are. Stay tuned...
The latest e-mail: one of the most hated medical administrators is back. Apparently, he/she came out of retirement to take a job in our internal medicine service, the largest service in our system.
Frankly, I just hope the rest of them stay retired.
Enjoy your weekend wherever you are. Stay tuned...
Thursday, September 8, 2016
Reality bites
Yes I'm still recuperating from my recent travels. It was fun, but tiring.
I did my presentation to lots of applause (along with my partner). Being scheduled after lunch is entertaining, since you get an upfront view of everyone in the room falling asleep. "No one was nodding off while you talked," my traveling partner said.
"Au contraire," I said. "You'd have seen them all snoozing from my seat." Luckily, she got some action shots of my speaking partner and I fielding questions at the end.
I got to see lots of people I haven't seen lately, including some folks who retired. They came for the CEUs. We had a big group of folks go to dinner at one of these Food Channel-famous joints. It was interesting. After taking a stealth photo of the namesake owner talking to my traveling partner, I was waiting for security to come and throw me out. Needless to say, we're not famous, so said proprietor was not keen on a photo with us or my traveling partner, who told Mr. Big how excited she was to be there. Bubba, however, was impressed. (After watching all those episodes of MasterChef and MasterChef Junior, in addition to all the other food shows I miss...)
Thankfully, one of the folks who attended and works in a satellite office, knew that it was Restaurant Week in town and got us the "special menu" (similar to a prix fixe in normal places). It was good. The only thing that was annoying was the overcharging on the alcohol. I paid $14 for a glass of chianti when my traveling partner and I could have bought a bottle for the price of two glasses.
However, the happiest part of the trip, besides hanging out with my speaking partner and talking to the chief of staff of the organization (he/she was our main speaker one day), was escaping a hurricane. Despite Dr. H's insistence that he survived many a hurricane during his years in Florida, I was not keen on adding one to my own bucket list, thank you.
I made it home in time to do some chores, check my packed suitcases, then go out West with Bubba and Dahey to Dahey's niece's wedding. She's a sweet girl who was a guest book assistant at our wedding many years ago. Since then, she must have liked weddings, since she went into the wedding business herself. Needless to say, she had a whole lot of stuff and events. It was a busy weekend. Lots of food, drink and hanging out with the relatives, in-laws, and outlaws.
We even went on a horseback ride near one of the local wineries with the bride's Uncle Beau. Beau's brother, Bob, a professional rodeo star, had a party at his house for us when we were done. Bubba wanted nothing with riding a horse on the trails, so he went with the older folks on the wagon ride. However, he did ride the rodeo star's favorite horse, Biff at his house. We have lots of photos of Bubba smiling on Biff and he kept saying no, every time Uncle Beau asked if he wanted to get off. Thankfully, the other kids were busy playing in a water slide and didn't notice Biff was busy after a while. Despite keeping him up late, looking at those photos made him smile.
Thankfully, we didn't encounter any rattlesnakes or wild pigs in Bob's front yard as we were leaving. It was really dark and we could see the stars on a clear night. It was fun.
The day of the wedding we rested after all the excitement, because it was a long night. We went to the wedding at 5, had drinks after, then dinner, speeches, and dancing. Since everything was outside next to a famous creek side hotel, we also saw some wildlife. Mona, one of Dahey's relative's wives screamed when she saw a huge beetle on her side of the table. I wish we had a video of the encounter, because all of a sudden one of the flower girls appeared on scene. The bug rescuer was Dahey's five year old niece, Ella. She promptly rescued the flightless beetle and released him on a tree near the creek. She was smiling from ear-to-ear. Her father said, "Just call her my Crocodile Dundee."
After all the wedding excitement, we got up early and saw the Grand Canyon. It was clear, pretty and windy. Bubba was most impressed with the ambulance we saw about halfway through our hike. We heard no screams or saw any hysterics, so we kept moving along, since help had arrived. That definitely was one of the bucket list items I got to check off my list.
We returned home at the end of the holiday, then I went to work. It was tiring. I'm finally feeling like I'm not jet-lagged anymore.
So now it's almost the weekend. Hope you enjoy yours wherever you are. Hug your family members (human and furry) today. Life is short.
I did my presentation to lots of applause (along with my partner). Being scheduled after lunch is entertaining, since you get an upfront view of everyone in the room falling asleep. "No one was nodding off while you talked," my traveling partner said.
"Au contraire," I said. "You'd have seen them all snoozing from my seat." Luckily, she got some action shots of my speaking partner and I fielding questions at the end.
I got to see lots of people I haven't seen lately, including some folks who retired. They came for the CEUs. We had a big group of folks go to dinner at one of these Food Channel-famous joints. It was interesting. After taking a stealth photo of the namesake owner talking to my traveling partner, I was waiting for security to come and throw me out. Needless to say, we're not famous, so said proprietor was not keen on a photo with us or my traveling partner, who told Mr. Big how excited she was to be there. Bubba, however, was impressed. (After watching all those episodes of MasterChef and MasterChef Junior, in addition to all the other food shows I miss...)
Thankfully, one of the folks who attended and works in a satellite office, knew that it was Restaurant Week in town and got us the "special menu" (similar to a prix fixe in normal places). It was good. The only thing that was annoying was the overcharging on the alcohol. I paid $14 for a glass of chianti when my traveling partner and I could have bought a bottle for the price of two glasses.
However, the happiest part of the trip, besides hanging out with my speaking partner and talking to the chief of staff of the organization (he/she was our main speaker one day), was escaping a hurricane. Despite Dr. H's insistence that he survived many a hurricane during his years in Florida, I was not keen on adding one to my own bucket list, thank you.
I made it home in time to do some chores, check my packed suitcases, then go out West with Bubba and Dahey to Dahey's niece's wedding. She's a sweet girl who was a guest book assistant at our wedding many years ago. Since then, she must have liked weddings, since she went into the wedding business herself. Needless to say, she had a whole lot of stuff and events. It was a busy weekend. Lots of food, drink and hanging out with the relatives, in-laws, and outlaws.
We even went on a horseback ride near one of the local wineries with the bride's Uncle Beau. Beau's brother, Bob, a professional rodeo star, had a party at his house for us when we were done. Bubba wanted nothing with riding a horse on the trails, so he went with the older folks on the wagon ride. However, he did ride the rodeo star's favorite horse, Biff at his house. We have lots of photos of Bubba smiling on Biff and he kept saying no, every time Uncle Beau asked if he wanted to get off. Thankfully, the other kids were busy playing in a water slide and didn't notice Biff was busy after a while. Despite keeping him up late, looking at those photos made him smile.
Thankfully, we didn't encounter any rattlesnakes or wild pigs in Bob's front yard as we were leaving. It was really dark and we could see the stars on a clear night. It was fun.
The day of the wedding we rested after all the excitement, because it was a long night. We went to the wedding at 5, had drinks after, then dinner, speeches, and dancing. Since everything was outside next to a famous creek side hotel, we also saw some wildlife. Mona, one of Dahey's relative's wives screamed when she saw a huge beetle on her side of the table. I wish we had a video of the encounter, because all of a sudden one of the flower girls appeared on scene. The bug rescuer was Dahey's five year old niece, Ella. She promptly rescued the flightless beetle and released him on a tree near the creek. She was smiling from ear-to-ear. Her father said, "Just call her my Crocodile Dundee."
After all the wedding excitement, we got up early and saw the Grand Canyon. It was clear, pretty and windy. Bubba was most impressed with the ambulance we saw about halfway through our hike. We heard no screams or saw any hysterics, so we kept moving along, since help had arrived. That definitely was one of the bucket list items I got to check off my list.
We returned home at the end of the holiday, then I went to work. It was tiring. I'm finally feeling like I'm not jet-lagged anymore.
So now it's almost the weekend. Hope you enjoy yours wherever you are. Hug your family members (human and furry) today. Life is short.
Thursday, August 25, 2016
Miles to go
I feel like it. I have run a good race this week at the Hotel. I have set goals and attained some. Others make me want to beat my head into the desk. No way that's happening!
And I volunteered for a computer setup job tomorrow with one of my elderly relatives.
But I still have to get through Friday. Then I pack for not one, but two trips, for three people (because I have men who would pack socks and the computer (along with some allergy meds) and forget the rest.
I feel like I'm living that "miles to go before I sleep" line.
Stay tuned...
And I volunteered for a computer setup job tomorrow with one of my elderly relatives.
But I still have to get through Friday. Then I pack for not one, but two trips, for three people (because I have men who would pack socks and the computer (along with some allergy meds) and forget the rest.
I feel like I'm living that "miles to go before I sleep" line.
Stay tuned...
Monday, August 22, 2016
Signs of the end of summer
It was too good to last. Yes, summer is trying to escape here in RehabLand. It didn't even get to 90 degrees today, and for August, that's cool. The pools are still open (mostly on the weekends) but many are getting ready for the last weekend: Labor Day.
I escaped today as I usually do. I have to go on rounds at Washington, so if I'm not feeling adventurous, I just hop on a shuttle bus. The trip is short, so I don't see much. Standing outside is the part I like if the weather is nice: seeing the sun and soaking up some rays (even if I'm wearing heavy-duty sunscreen to avoid both cancer and wrinkles). Today was glorious. The potted plants aren't wilted and the flowers are blooming again as if it's spring.
The patients like this weather too. When you can convince your therapist to take you outside for a game, or to go wheeling around campus, you've won. We call it community integration and on days like today, it's a good thing.
Why? Because you learn how to get up and down curbs (and how to gauge where the water will be when it rains) and despite whatever illness or injury put you in a wheelchair, for the moment, you're free to hang out and be a lounge lizard. Don't worry, our patients get sunscreen too. Orders for sunscreen are harbingers of spring around the Hotel, just like the swallows coming back to Capistrano.
However, the shuttle trips never last. I'm always dropped off at the door to reality. And today, someone is waiting. Waiting for me, the resident expert, to help them solve one more problem, before they go off into the summery, yet cool sunshine.
I'll take it any day! Hope you enjoy every minute of gorgeous whenever it comes your way.
More later...
I escaped today as I usually do. I have to go on rounds at Washington, so if I'm not feeling adventurous, I just hop on a shuttle bus. The trip is short, so I don't see much. Standing outside is the part I like if the weather is nice: seeing the sun and soaking up some rays (even if I'm wearing heavy-duty sunscreen to avoid both cancer and wrinkles). Today was glorious. The potted plants aren't wilted and the flowers are blooming again as if it's spring.
The patients like this weather too. When you can convince your therapist to take you outside for a game, or to go wheeling around campus, you've won. We call it community integration and on days like today, it's a good thing.
Why? Because you learn how to get up and down curbs (and how to gauge where the water will be when it rains) and despite whatever illness or injury put you in a wheelchair, for the moment, you're free to hang out and be a lounge lizard. Don't worry, our patients get sunscreen too. Orders for sunscreen are harbingers of spring around the Hotel, just like the swallows coming back to Capistrano.
However, the shuttle trips never last. I'm always dropped off at the door to reality. And today, someone is waiting. Waiting for me, the resident expert, to help them solve one more problem, before they go off into the summery, yet cool sunshine.
I'll take it any day! Hope you enjoy every minute of gorgeous whenever it comes your way.
More later...
Saturday, August 20, 2016
Thank goodness
It's almost time for vacation again. Surprisingly, I'm partaking of a little office escaping for one week for not one, not two, but THREE months in a row. In the computer, it's not vacation (I'm actually going out on the road for conferences, etc.) but to me, any day outside of the Hotel is freedom. I'll take it! Traveling partner and I get to have a reunion, too, which is even better. Look out folks, as we shop and eat in interesting places in our off time (plans are underway...)
This week was a full moon. Somehow, I didn't realize this until I was driving home one night from an event. The sky was hazy but relatively cloudless. There it was: the big monster sturgeon moon right up there. It explained the craziness that was this week.
I work with technology that helps patients see their providers from home, so in theory, I shouldn't have people not show up. In a week with a full moon, don't count on it. One patient couldn't make it (we always call to check) because he had last minute visitors, or patients (he/she's also a healthcare professional). This happened last week, too, but that patient is a sweetheart and invited his/her guests to see us and talk to us before he/she completed our assessment. We dispensed with the usual formality, got the visit done post haste and wished them all well until the next visit.
Besides the fun at work, I'm doing plenty of work in advance for a committee that audits nurses' training and continuing education. What does this mean? I look at a lot of CEU certificates. My favorite one this week was a CE class on humor in healthcare. It is worth 20 CEUs. I thought to myself: if I could market a 20 CEU experience here in the Hotel, I'd bet I could make some money too. If that's too expensive for you, however, the author does belong to this group you can check out for free.
Now that Bubba is being a typical teenager, it's driving me nuts. Pray we survive...
Stay tuned...
This week was a full moon. Somehow, I didn't realize this until I was driving home one night from an event. The sky was hazy but relatively cloudless. There it was: the big monster sturgeon moon right up there. It explained the craziness that was this week.
I work with technology that helps patients see their providers from home, so in theory, I shouldn't have people not show up. In a week with a full moon, don't count on it. One patient couldn't make it (we always call to check) because he had last minute visitors, or patients (he/she's also a healthcare professional). This happened last week, too, but that patient is a sweetheart and invited his/her guests to see us and talk to us before he/she completed our assessment. We dispensed with the usual formality, got the visit done post haste and wished them all well until the next visit.
Besides the fun at work, I'm doing plenty of work in advance for a committee that audits nurses' training and continuing education. What does this mean? I look at a lot of CEU certificates. My favorite one this week was a CE class on humor in healthcare. It is worth 20 CEUs. I thought to myself: if I could market a 20 CEU experience here in the Hotel, I'd bet I could make some money too. If that's too expensive for you, however, the author does belong to this group you can check out for free.
Now that Bubba is being a typical teenager, it's driving me nuts. Pray we survive...
Stay tuned...
Saturday, August 6, 2016
The joys of the weekend
Friday I felt as if I was trapped in a Dilbert cartoon. Dealing with Dahey's issues with the new employer and dealing with our big boss made me want to run, run, run far away.
So far, the weekend has been nice. The rain and steamy heat are quieting down for a little while. I visited my sister and we enjoyed the lack of rain and stuffiness.
Now, I am doing more research. It's almost time to turn in my homework, (slides) for the next presentation.
Better get back to work...stay tuned.
So far, the weekend has been nice. The rain and steamy heat are quieting down for a little while. I visited my sister and we enjoyed the lack of rain and stuffiness.
Now, I am doing more research. It's almost time to turn in my homework, (slides) for the next presentation.
Better get back to work...stay tuned.
Wednesday, August 3, 2016
Dealing with the devil
Today, I was dealing with some of his minions.
Dahey, through no fault of his own, got a new-to-him employer. Nothing new, just one of the bonuses of working in his line of work.
Said employer, which I shall now call Highly & Grossly iLogical Inc. gave him a mandate to fill out all of the on-boarding paperwork this weekend. This meant I got to use my home printer and my own ream of paper for all the forms. No more print shop for these folks! No submitting online, either, because they require paper with signatures.
The e-mails were terse and there was a 27 point checklist, including boring stuff as insurance, training plan, and even their social media policy.
I knew they were high up on the illogical part, when Dahey called me, not once, not twice but three times in the last two days about insurance. As a regular employee at the Hotel (with good rates) I get it. Dahey filed the waiver and Highly Illogical Inc. sends several more terse e-mails saying, "What we had on the waiver is not good enough".
The waiver said to include your insurance information (written) and a screen shot of your information on the company website (with dependents, etc.) as your proof of enrollment.
The first screenshot was rejected because it didn't have a date on it.
The second screenshot was rejected because I couldn't screen capture the date on my desktop, so I took a picture with my phone and e-mailed that.
The third screenshot didn't have my name (but did have the date, insurance company and how many people I insured ).
Dahey was frazzled. I called the insurance company. The people who can send those "I have insurance" letters were gone for the day. They said they can send me one tomorrow when they return if I have a secure fax. It's in a room that locks (and we get patient info on it, so maybe it qualifies).
Finally, I hiked over six blocks to the other side of campus to see our HR department. They had never heard of such craziness (and I talked to six of them). One of the staffers (who handles insurance) gave me one of my official personnel record forms with my insurance election on it.
Since it does have sensitive data, I elected to go home and write an e-mail to the supervising (er, harassing) HR specialist at Illogical Inc. I put a read receipt on it so it would sound official (and hopefully, irritating).
Dear Mrs. Dick (not kidding- just slightly altered to protect the guilty):
Here are three screenshots that you rejected earlier today. I hope these are less blurry. I have another form that the Hotel has given me from my official record today, but as it has sensitive information, I cannot send it to you until I can get to a secure fax.
I will forward it and any other information to you tomorrow. My phone numbers are below. Please contact me directly, as I am the subscriber, not Dahey.
Please note: I may not answer your call immediately if I am caring for patients. Please leave a message and I will return your call as soon as I can.
RehabRN
Now I just hope that they stop harassing Dahey. I'm not getting very good vibes right now about Illogical. They won't like me if they continue to p*&s me off.
More later as the saga continues....
Dahey, through no fault of his own, got a new-to-him employer. Nothing new, just one of the bonuses of working in his line of work.
Said employer, which I shall now call Highly & Grossly iLogical Inc. gave him a mandate to fill out all of the on-boarding paperwork this weekend. This meant I got to use my home printer and my own ream of paper for all the forms. No more print shop for these folks! No submitting online, either, because they require paper with signatures.
The e-mails were terse and there was a 27 point checklist, including boring stuff as insurance, training plan, and even their social media policy.
I knew they were high up on the illogical part, when Dahey called me, not once, not twice but three times in the last two days about insurance. As a regular employee at the Hotel (with good rates) I get it. Dahey filed the waiver and Highly Illogical Inc. sends several more terse e-mails saying, "What we had on the waiver is not good enough".
The waiver said to include your insurance information (written) and a screen shot of your information on the company website (with dependents, etc.) as your proof of enrollment.
The first screenshot was rejected because it didn't have a date on it.
The second screenshot was rejected because I couldn't screen capture the date on my desktop, so I took a picture with my phone and e-mailed that.
The third screenshot didn't have my name (but did have the date, insurance company and how many people I insured ).
Dahey was frazzled. I called the insurance company. The people who can send those "I have insurance" letters were gone for the day. They said they can send me one tomorrow when they return if I have a secure fax. It's in a room that locks (and we get patient info on it, so maybe it qualifies).
Finally, I hiked over six blocks to the other side of campus to see our HR department. They had never heard of such craziness (and I talked to six of them). One of the staffers (who handles insurance) gave me one of my official personnel record forms with my insurance election on it.
Since it does have sensitive data, I elected to go home and write an e-mail to the supervising (er, harassing) HR specialist at Illogical Inc. I put a read receipt on it so it would sound official (and hopefully, irritating).
Dear Mrs. Dick (not kidding- just slightly altered to protect the guilty):
Here are three screenshots that you rejected earlier today. I hope these are less blurry. I have another form that the Hotel has given me from my official record today, but as it has sensitive information, I cannot send it to you until I can get to a secure fax.
I will forward it and any other information to you tomorrow. My phone numbers are below. Please contact me directly, as I am the subscriber, not Dahey.
Please note: I may not answer your call immediately if I am caring for patients. Please leave a message and I will return your call as soon as I can.
RehabRN
Now I just hope that they stop harassing Dahey. I'm not getting very good vibes right now about Illogical. They won't like me if they continue to p*&s me off.
More later as the saga continues....
Tuesday, July 26, 2016
Staycation theme: Back to school
Today it was get ready for Bubba's last year of grade school. Shop until you drop, even without the boy nearby.
This means I'll end up back at the store later, exchanging whatever His Highness doesn't want. I don't mind because I want to beat the sales that are coming this weekend.
More to come...
This means I'll end up back at the store later, exchanging whatever His Highness doesn't want. I don't mind because I want to beat the sales that are coming this weekend.
More to come...
Monday, July 25, 2016
A little this, a little that
I've been escaped from the office and I've been busy. Dahey and I got Bubba from camp and took him on a road trip.
We're not the Griswolds, but we had a similar adventure on this trip. I inadvertently only read some reviews of the Hotel Hell we stayed at. I missed the good ones that said "Don't ever stay here."
It was really, really hot where we were. I packed lots of drinks in the truckster just in case.
The first clue we were in Hotel Hell was the neighborhood once we got off the highway ramp. It was sketchy. The lobby of HH looked decent, but I'm always a little concerned if they have doors to the outside, especially if the neighborhood is not so good. When you have to ring the doorbell to get into the lobby at night, it's not good.
Next, we got a non-smoking room with cigarette burns in the comforter. And if that wasn't enough, crumbs were on the floor (between the beds).
The room had a slightly musty odor and the air conditioning wasn't on. We turned it on, I inspected some more. There were no bedbugs or any other visible bugs and the in-room fridge looked new and was COLD. I got the extra strength Febreeze out and sprayed the room. I knew it would come in handy someday (have carried it, but never used it). I figured it would get better. It didn't.
All night we heard noise from the AC the room temp never went below 85 degrees. It was horrible. On top of that, there was a lot of noise from the parking lot. When that got quiet, the trains came by.
I probably slept about 4 hours all night. Needless to say, once the boys fell asleep, I booked another room in a nearby town for the second night. In the morning, I told the hotelier we were checking out.
We went off to see the sights and had fun. We even saw a movie while we waited for the check-in at the new hotel.
Our new hotel was an oasis. I checked everything then took a nice shower, so I could go out into the heat and sit at a baseball game.
It didn't matter. With more air conditioning and a clean room (and bathroom) I could tolerate anything. Even a 110 degree heat index!
Now, it's back to staycation. It's going to be fun.
Stay tuned!
We're not the Griswolds, but we had a similar adventure on this trip. I inadvertently only read some reviews of the Hotel Hell we stayed at. I missed the good ones that said "Don't ever stay here."
It was really, really hot where we were. I packed lots of drinks in the truckster just in case.
The first clue we were in Hotel Hell was the neighborhood once we got off the highway ramp. It was sketchy. The lobby of HH looked decent, but I'm always a little concerned if they have doors to the outside, especially if the neighborhood is not so good. When you have to ring the doorbell to get into the lobby at night, it's not good.
Next, we got a non-smoking room with cigarette burns in the comforter. And if that wasn't enough, crumbs were on the floor (between the beds).
The room had a slightly musty odor and the air conditioning wasn't on. We turned it on, I inspected some more. There were no bedbugs or any other visible bugs and the in-room fridge looked new and was COLD. I got the extra strength Febreeze out and sprayed the room. I knew it would come in handy someday (have carried it, but never used it). I figured it would get better. It didn't.
All night we heard noise from the AC the room temp never went below 85 degrees. It was horrible. On top of that, there was a lot of noise from the parking lot. When that got quiet, the trains came by.
I probably slept about 4 hours all night. Needless to say, once the boys fell asleep, I booked another room in a nearby town for the second night. In the morning, I told the hotelier we were checking out.
We went off to see the sights and had fun. We even saw a movie while we waited for the check-in at the new hotel.
Our new hotel was an oasis. I checked everything then took a nice shower, so I could go out into the heat and sit at a baseball game.
It didn't matter. With more air conditioning and a clean room (and bathroom) I could tolerate anything. Even a 110 degree heat index!
Now, it's back to staycation. It's going to be fun.
Stay tuned!
Saturday, July 23, 2016
The drought is over...
But the heat is still on here in RehabLand.Yes, it's always hot here this time of year, but you don't really appreciate it until you're out in it. Since I'm officially escaped from the Hotel Rehab for an ENTIRE week, I'll be back shortly with more interesting stuff.
Right now, I'm still recovering from the last two days out and about. More on that later.
Stay tuned. You'll be surprised, and yes, amazed.
Right now, I'm still recovering from the last two days out and about. More on that later.
Stay tuned. You'll be surprised, and yes, amazed.
Saturday, July 9, 2016
The weekend is here!
I'm not complaining one bit. I've been productive so far today. I had a nice, restful sleep and I woke up to make my breakfast, then to get my coffee and take my car, the family truckster, for an oil change.
After that, I headed to get coffee again (because one really ISN'T enough) and visit my sister. We enjoyed her patio in the gorgeous, only slightly steamy weather.
Now I'm back at home doing laundry and assessing all the tasks I have to do before work Monday.
Again, it's not a bad option, doing chores. I could be stuck doing something completely different.
Hope you enjoy your weekend wherever you are!
After that, I headed to get coffee again (because one really ISN'T enough) and visit my sister. We enjoyed her patio in the gorgeous, only slightly steamy weather.
Now I'm back at home doing laundry and assessing all the tasks I have to do before work Monday.
Again, it's not a bad option, doing chores. I could be stuck doing something completely different.
Hope you enjoy your weekend wherever you are!
Thursday, July 7, 2016
It's coming
Vacation, that is. For me, and a lot of people around the Hotel. Many folks are gone the month of July, so it makes things interesting. I was going through my junk mail and actually learned that vacation accrual, etc., is usually related to state laws. As usual, here in RehabLand, little is legislated about vacation: except they don't have to give it to you in certain cases.
Bubba is going to an overnight tech camp, and we're going to take a couple of days roaming around. After that, we come back and Bubba goes to day camp. All day every day for a week won't be nearly enough! He's been bored. The week before school, he gets to see his band buddies at band camp.
I can't wait until school starts.
More later...
Bubba is going to an overnight tech camp, and we're going to take a couple of days roaming around. After that, we come back and Bubba goes to day camp. All day every day for a week won't be nearly enough! He's been bored. The week before school, he gets to see his band buddies at band camp.
I can't wait until school starts.
More later...
Tuesday, July 5, 2016
Monday on Tuesday
Yes, the day after a holiday sucks on so many levels. People who can't take it (or imbibed too much) take off.
Otherwise, it seems like any other Tuesday. Except today didn't seem like a day after a holiday or Tuesday. Today, after our regular weekly meeting, (which was blissfully short) had a terrible pall.
One of my favorite interdisciplinary team members, C. is dying. Dying as we had our meeting, and were talking about our current crop of rehab patients. It reminded me of one other time where I went into report and the boss told us, "As we speak Mr. Warhero is dying." He was right: Warhero died that night. To me, how small and insignificant the meeting seemed today.
I finally left the meeting (after our chaplain prayed for him/her) and it got a little better. I buried myself in a project or two. As a result, I had to look at the way things have been going over the past few years. Thankfully, they are getting better. C. helped us to get where we are. C. helped inspire other folks in his/her discipline to do the same. We are not where I want us to be for our little group in the Hotel Rehab (I thought we'd be there three years ago...) but we are closer.
I was sad for so many things when C. retired last year, due to health reasons. Sad that I could no longer go down the hall and see him/her. Sad that we'd never get to work together and get your rehab program where it rightly belonged. Sad that I knew this day would eventually come.
'Twas a pity it came so soon. Godspeed you on your journey, C, and may the angels greet you and lead you to paradise. You've earned it.
Otherwise, it seems like any other Tuesday. Except today didn't seem like a day after a holiday or Tuesday. Today, after our regular weekly meeting, (which was blissfully short) had a terrible pall.
One of my favorite interdisciplinary team members, C. is dying. Dying as we had our meeting, and were talking about our current crop of rehab patients. It reminded me of one other time where I went into report and the boss told us, "As we speak Mr. Warhero is dying." He was right: Warhero died that night. To me, how small and insignificant the meeting seemed today.
I finally left the meeting (after our chaplain prayed for him/her) and it got a little better. I buried myself in a project or two. As a result, I had to look at the way things have been going over the past few years. Thankfully, they are getting better. C. helped us to get where we are. C. helped inspire other folks in his/her discipline to do the same. We are not where I want us to be for our little group in the Hotel Rehab (I thought we'd be there three years ago...) but we are closer.
I was sad for so many things when C. retired last year, due to health reasons. Sad that I could no longer go down the hall and see him/her. Sad that we'd never get to work together and get your rehab program where it rightly belonged. Sad that I knew this day would eventually come.
'Twas a pity it came so soon. Godspeed you on your journey, C, and may the angels greet you and lead you to paradise. You've earned it.
Monday, July 4, 2016
RehabRN book club: Summer 16 part 3
I've been busy reading, since Bubba is in the home stretch of the local reading club. We take at least 1-2 trips to the library each week.
I'm still working on We have the technology, which has vignettes by sense, and I really enjoy it.
However, on our latest trip (since they are closed Monday for the holiday) I found a book I've been waiting to read, When Breath Becomes Air by Paul Kalanithi. I saw his interviews and knew some of the story, but the little book (I actually read it all this afternoon) was so much more than the videos of his interviews.
You read about what it's like for a doctor to get cancer and be a patient. You read about happy things, but things are also very sad. Many reviewers, big name authors themselves, recommend this as one of the most important books you'll read. I have to agree. Life is short, and only some of us will have the courage to live it, in the face of some terrible things, on our own terms with dignity.
More later on what's new on the reading list...
I'm still working on We have the technology, which has vignettes by sense, and I really enjoy it.
However, on our latest trip (since they are closed Monday for the holiday) I found a book I've been waiting to read, When Breath Becomes Air by Paul Kalanithi. I saw his interviews and knew some of the story, but the little book (I actually read it all this afternoon) was so much more than the videos of his interviews.
You read about what it's like for a doctor to get cancer and be a patient. You read about happy things, but things are also very sad. Many reviewers, big name authors themselves, recommend this as one of the most important books you'll read. I have to agree. Life is short, and only some of us will have the courage to live it, in the face of some terrible things, on our own terms with dignity.
More later on what's new on the reading list...
Sunday, July 3, 2016
Using that extra day wisely
So far, the holiday weekend is working out well. I've been busy trying to take care of all my usual chores, as well as enjoying the weekend.
I have spent some time volunteering. Thankfully, this can occur at home, as I read over stuff and review it for continuing education credit. It's something new and exciting.
We've taken Bubba on his fried chicken quest. Since he's inherited a genetic proclivity for these crispy birds (from his MD grandpa, no less) and there are all sorts of new (and older) restaurants really advertising. At our latest stop, we found out there's actually a fried chicken festival coming up, so we know where we'll be eating in a couple of weeks.
I've still got my usual chores, but with the pretty weather and fun of the Fourth of July, it's been enjoyable lately. Having another day to celebrate is also a good thing, too.
Stay tuned...
I have spent some time volunteering. Thankfully, this can occur at home, as I read over stuff and review it for continuing education credit. It's something new and exciting.
We've taken Bubba on his fried chicken quest. Since he's inherited a genetic proclivity for these crispy birds (from his MD grandpa, no less) and there are all sorts of new (and older) restaurants really advertising. At our latest stop, we found out there's actually a fried chicken festival coming up, so we know where we'll be eating in a couple of weeks.
I've still got my usual chores, but with the pretty weather and fun of the Fourth of July, it's been enjoyable lately. Having another day to celebrate is also a good thing, too.
Stay tuned...
Wednesday, June 29, 2016
I wonder if...
The moon is changing. Lots of weirdness going on in this neck of the woods in RehabLand.
1. I was doing a patient visit today and I thought I was going to hear a sad tale of woe. Said patient got one of those "grandkids need money to stay out of jail" scammer calls. He almost fell for it, but his daughter called some of my friends (yes, I do have some) at ReallySwankySuburb PD and they told her not to do anything, since it's a scam. It's a very good one, too, with multiple phone calls, etc. The patient was pretty proud that it was Senior 1, Scammer 0, and so was I.
2. The boys at home are crabby. All day, every day. Bubba forgot his lacrosse stick and missed his last game. Puberty is driving everyone nuts.
3. My equipment I wished for is messed up. Hopefully, our guy in safety can get it fixed. Hurry up and wait for the specialty mechanics.
Will Friday get her sooner? If only...
Stay tuned.
1. I was doing a patient visit today and I thought I was going to hear a sad tale of woe. Said patient got one of those "grandkids need money to stay out of jail" scammer calls. He almost fell for it, but his daughter called some of my friends (yes, I do have some) at ReallySwankySuburb PD and they told her not to do anything, since it's a scam. It's a very good one, too, with multiple phone calls, etc. The patient was pretty proud that it was Senior 1, Scammer 0, and so was I.
2. The boys at home are crabby. All day, every day. Bubba forgot his lacrosse stick and missed his last game. Puberty is driving everyone nuts.
3. My equipment I wished for is messed up. Hopefully, our guy in safety can get it fixed. Hurry up and wait for the specialty mechanics.
Will Friday get her sooner? If only...
Stay tuned.
Sunday, June 26, 2016
RehabRN book club: Summer 16 part 2
Yes, I'm doing a better job reading my books this year; however, I'm still working on my Kara Platoni book.
I started it about the same time as The Rainbow Comes and Goes by Anderson Cooper and his mother, Gloria Vanderbilt. Once I started this one, it took over.
Personally, I like short books. While I can read quickly when I want to, I often read near the end of the day when I'm tired, so I read slowly. This book certainly fits the bill.
Some things of note:
About 85% of folks liked this book. There's always some complaints (hence the 15%) from folks, so don't be deterred. If you are looking for a comprehensive biography, this isn't it. As some folks mentioned, if you don't know the basic history of Anderson Cooper and his mother, you may need to do some research or you could get confused.
Nevertheless, I really enjoyed this book. I always wonder about things, and while, I knew some of the story of Anderson Cooper and his mother, this book filled in the gaps. I liked the dialogue aspect of this book. Page 181 of this book talks about lessons in life that apply to nearly everyone:
"It is very easy to simply define yourself by your job, your title, your salary, but these things rarely give you long-term feelings of success and happiness."
Being present and listening are two themes that run through this book over and over. Not acting hastily is also important, too, because you'll see how it affects a lot of Gloria Vanderbilt's life. Impetuousness and lack of a solid, constant mentor, certainly defined many of her decisions.
Pros: It's short with a lot of life lessons.
Cons: It's lacking some detail. (easily found on a quick Google search)
Hope you enjoy your reading! Stay tuned for more reviews...
I started it about the same time as The Rainbow Comes and Goes by Anderson Cooper and his mother, Gloria Vanderbilt. Once I started this one, it took over.
Personally, I like short books. While I can read quickly when I want to, I often read near the end of the day when I'm tired, so I read slowly. This book certainly fits the bill.
Some things of note:
About 85% of folks liked this book. There's always some complaints (hence the 15%) from folks, so don't be deterred. If you are looking for a comprehensive biography, this isn't it. As some folks mentioned, if you don't know the basic history of Anderson Cooper and his mother, you may need to do some research or you could get confused.
Nevertheless, I really enjoyed this book. I always wonder about things, and while, I knew some of the story of Anderson Cooper and his mother, this book filled in the gaps. I liked the dialogue aspect of this book. Page 181 of this book talks about lessons in life that apply to nearly everyone:
"It is very easy to simply define yourself by your job, your title, your salary, but these things rarely give you long-term feelings of success and happiness."
Being present and listening are two themes that run through this book over and over. Not acting hastily is also important, too, because you'll see how it affects a lot of Gloria Vanderbilt's life. Impetuousness and lack of a solid, constant mentor, certainly defined many of her decisions.
Pros: It's short with a lot of life lessons.
Cons: It's lacking some detail. (easily found on a quick Google search)
Hope you enjoy your reading! Stay tuned for more reviews...
Not exactly motivational
Dear Tony Robbins:
You are an awesome speaker. I've admired your work for many years.
But really, coal walking? Do you realize we are in the United States of America, Land of the Lawsuit for any random thing? Maybe you should have shared this article before your event.
Here's hoping you've got plenty of money for a top-notch legal team to bail you out of this one.
My feet burn already if I don't wear the right shoes and socks.
Sincerely not,
RehabRN
You are an awesome speaker. I've admired your work for many years.
But really, coal walking? Do you realize we are in the United States of America, Land of the Lawsuit for any random thing? Maybe you should have shared this article before your event.
Here's hoping you've got plenty of money for a top-notch legal team to bail you out of this one.
My feet burn already if I don't wear the right shoes and socks.
Sincerely not,
RehabRN
Saturday, June 25, 2016
An Irish wake
Dahey's boss was also named Dahey. He had a lot of similarities, besides his heritage: the same number of siblings, they were from the same state, and they both lived in the same town for a while. Off and on, my Dahey worked with Boss Dahey since 2000.
However, on this beautiful day, we loaded Bubba up in the family truckster and we traveled about an hour from our home in RehabLand up the river to celebrate Boss Dahey's life at an Irish wake. His family rented a big hall, they had lots of food, and Boss Dahey was there: in a Chicago White Sox urn.
Boss Dahey lost his life at 52 recently because he had a hard head and procrastinated. His doctor told him he didn't like a mole he showed him in May and that he should see a specialist. Boss Dahey figured he'd do it later, but later never came. Boss Dahey was tough.
Right before the holidays, Boss Dahey had a seizure, which he had never done before. He was checked up, then sent home until he could see a specialist the next week. On the weekend, he had another seizure at home and he coded. His girlfriend saved him. This time, he didn't get to go home. He got stabilized, they ran tests, and then they told him. Boss Dahey had a brain tumor.
My Dahey called me from work when he had the first seizure. I knew it was probably something unusual. When he called me up at work, to tell me the boss had a brain tumor, I told him and his friends, they'd just have to wait until the workup was done. There are lots of brain tumors.
It turns out Boss Dahey's brain tumors were mets. From the nasty mole he procrastinated on. Boss Dahey had metastatic melanoma. When my Dahey told me what the stage was (he always asks), I knew it was not good. He was Stage 4. Needless to say, this scared a lot of Dahey's coworkers.
Boss Dahey showed up a couple of times at work after he was diagnosed, but after two days, he went home. He was accepted into an NIH trial at World Renown Hospital. His prognosis was six months. Boss Dahey made it to seven.
As terrible as everything was, a lot of good came out of Boss Dahey's short time. He reunited with his family. He married his girlfriend. His friend from North Dakota came and visited him every time he could during that time (which was about four times). He settled his affairs and arranged this party we attended. The management at Dahey's work is being more flexible about letting staff leave early or take time off for medical appointments. They never realized that the macho attitude Boss Dahey exhibited made people afraid to take time off until the staff told them.
Boss Dahey bought Jameson whisky which he wanted used in a toast to celebrate everyone being together. We raised our glasses in a toast to Boss Dahey. As we left the gathering, I thought of this Irish blessing:
May the road rise to meet you.
May the wind be always at your back.
May the sun shine warm upon your face.
And rains fall soft upon your fields.
And until we meet again,
May God hold you in
the hollow of His hand.
We left into the sunshine of a beautiful day, and the soft rain came just as we were rolling up to our house.
RIP Boss Dahey. Until we meet again...
However, on this beautiful day, we loaded Bubba up in the family truckster and we traveled about an hour from our home in RehabLand up the river to celebrate Boss Dahey's life at an Irish wake. His family rented a big hall, they had lots of food, and Boss Dahey was there: in a Chicago White Sox urn.
Boss Dahey lost his life at 52 recently because he had a hard head and procrastinated. His doctor told him he didn't like a mole he showed him in May and that he should see a specialist. Boss Dahey figured he'd do it later, but later never came. Boss Dahey was tough.
Right before the holidays, Boss Dahey had a seizure, which he had never done before. He was checked up, then sent home until he could see a specialist the next week. On the weekend, he had another seizure at home and he coded. His girlfriend saved him. This time, he didn't get to go home. He got stabilized, they ran tests, and then they told him. Boss Dahey had a brain tumor.
My Dahey called me from work when he had the first seizure. I knew it was probably something unusual. When he called me up at work, to tell me the boss had a brain tumor, I told him and his friends, they'd just have to wait until the workup was done. There are lots of brain tumors.
It turns out Boss Dahey's brain tumors were mets. From the nasty mole he procrastinated on. Boss Dahey had metastatic melanoma. When my Dahey told me what the stage was (he always asks), I knew it was not good. He was Stage 4. Needless to say, this scared a lot of Dahey's coworkers.
Boss Dahey showed up a couple of times at work after he was diagnosed, but after two days, he went home. He was accepted into an NIH trial at World Renown Hospital. His prognosis was six months. Boss Dahey made it to seven.
As terrible as everything was, a lot of good came out of Boss Dahey's short time. He reunited with his family. He married his girlfriend. His friend from North Dakota came and visited him every time he could during that time (which was about four times). He settled his affairs and arranged this party we attended. The management at Dahey's work is being more flexible about letting staff leave early or take time off for medical appointments. They never realized that the macho attitude Boss Dahey exhibited made people afraid to take time off until the staff told them.
Boss Dahey bought Jameson whisky which he wanted used in a toast to celebrate everyone being together. We raised our glasses in a toast to Boss Dahey. As we left the gathering, I thought of this Irish blessing:
May the road rise to meet you.
May the wind be always at your back.
May the sun shine warm upon your face.
And rains fall soft upon your fields.
And until we meet again,
May God hold you in
the hollow of His hand.
We left into the sunshine of a beautiful day, and the soft rain came just as we were rolling up to our house.
RIP Boss Dahey. Until we meet again...
Friday, June 24, 2016
Assessments
I had lunch with a coworker today whom I normally don't see. He/she works in another part of the same building.
We were talking about the working environment because he/she is newer in our area. It was not a surprise that we noticed many of the same things.
1. Many folks on our team are territorial to the point of being hostile to others. Our boss thinks things don't need to be addressed by leadership, but they do.
It's nice to know that I wasn't the only one with that thought.
2. While the team says "Yeah team" and acts friendly, they are often not very friendly, especially if you encroach on the item in #1. I found this out when I asked a coworker about something the boss brought to me.
3. The team, besides being so territorial and in some cases, mercurial, is always competitive.
While reading this week, I found an article on befriending competition. It's not exactly my situation, but I feel like many things ring true in my dealings with my coworkers.
We both agreed, that while our jobs have their minuses, they definitely have their advantages. It would not make sense to let the mean girls (and boys) win.
Stay tuned...
We were talking about the working environment because he/she is newer in our area. It was not a surprise that we noticed many of the same things.
1. Many folks on our team are territorial to the point of being hostile to others. Our boss thinks things don't need to be addressed by leadership, but they do.
It's nice to know that I wasn't the only one with that thought.
2. While the team says "Yeah team" and acts friendly, they are often not very friendly, especially if you encroach on the item in #1. I found this out when I asked a coworker about something the boss brought to me.
3. The team, besides being so territorial and in some cases, mercurial, is always competitive.
While reading this week, I found an article on befriending competition. It's not exactly my situation, but I feel like many things ring true in my dealings with my coworkers.
We both agreed, that while our jobs have their minuses, they definitely have their advantages. It would not make sense to let the mean girls (and boys) win.
Stay tuned...
Tuesday, June 21, 2016
Perils of modern living in the office
If you have e-mail, it just might get hacked if you open attachments you shouldn't. I'm so glad one of my technical people actually confirmed my suspicions recently. Our mail has been terrible. The issues we have with technology are scary, but not surprising.
My latest issue: some of my coworkers want to be exempt from policies and procedures that can cause issues with billing some services they provide. This is another example of following the chain of command. They do it (or suggest it) so I have to make their boss aware of the situation. It sucks, frankly, when these same folks could have been doing this job (they've been dodging) for a few years now, had they let me put the resources in place.
More construction starts at the Hotel. We got some equipment (they forgot until I asked and money was found) for our exam room, so once we get our security devices (probably next month) we can officially say construction is over in our office.
Bye, bye convenient parking when the monsoon comes through later this week. Guess I may actually start wearing my backup scrubs. Our parking lot shuttle is a joke. I often see them at the local Wal-mart. Last time I checked, Wal-mart was not our parking lot.
Patients will be patients. They are now asking pointed questions and so it makes our lives very interesting everyday.
Off I go to another exciting day. Stay tuned.
My latest issue: some of my coworkers want to be exempt from policies and procedures that can cause issues with billing some services they provide. This is another example of following the chain of command. They do it (or suggest it) so I have to make their boss aware of the situation. It sucks, frankly, when these same folks could have been doing this job (they've been dodging) for a few years now, had they let me put the resources in place.
More construction starts at the Hotel. We got some equipment (they forgot until I asked and money was found) for our exam room, so once we get our security devices (probably next month) we can officially say construction is over in our office.
Bye, bye convenient parking when the monsoon comes through later this week. Guess I may actually start wearing my backup scrubs. Our parking lot shuttle is a joke. I often see them at the local Wal-mart. Last time I checked, Wal-mart was not our parking lot.
Patients will be patients. They are now asking pointed questions and so it makes our lives very interesting everyday.
Off I go to another exciting day. Stay tuned.
Sunday, June 19, 2016
Happy Fathers' Day
"My father gave me the greatest gift anyone could give another person, he believed in me." - - Jim Valvano
It comes the same weekend every year, but never gets as much interest. That holiday is Fathers' Day.
Since I volunteered to take a father's place at church this weekend, my own celebration was broken up. (My husband agreed to it). I got up early and made Dahey and Bubba a breakfast casserole. The route to a man's heart may be through his stomach, but for these two, there had better be meat and cheese on the way, too. (Sorry vegetarians! I try all the time and sometimes I'm successful!)
I took care of my church volunteer obligation, then came home. We ate leftovers for lunch, and we went out for dinner at a swanky steakhouse nearby. Bubba wasn't thrilled that there were few kids there but he got used to it, and enjoyed the food.
We left and got dessert at home since the two wanted to watch the NBA finals. Dahey's father would have enjoyed that--he loved basketball. My father would have just taken the pie and gone on his merry way. Bubba was happy to see Cleveland win.
For all of you nurses out there, who are dads and are working, I hope your organization treats you right. Some do make things better when working these holidays. If you are working and can't see your father, I hope you can soon.
For the rest of us, who wish our fathers were here today, I wish you peace. I feel your pain everyday. I am so glad I have lots of happy memories with my dad, who loved us, pies (and just about any sweets) and being a dad. I'll never forget him.
More later.
It comes the same weekend every year, but never gets as much interest. That holiday is Fathers' Day.
Since I volunteered to take a father's place at church this weekend, my own celebration was broken up. (My husband agreed to it). I got up early and made Dahey and Bubba a breakfast casserole. The route to a man's heart may be through his stomach, but for these two, there had better be meat and cheese on the way, too. (Sorry vegetarians! I try all the time and sometimes I'm successful!)
I took care of my church volunteer obligation, then came home. We ate leftovers for lunch, and we went out for dinner at a swanky steakhouse nearby. Bubba wasn't thrilled that there were few kids there but he got used to it, and enjoyed the food.
We left and got dessert at home since the two wanted to watch the NBA finals. Dahey's father would have enjoyed that--he loved basketball. My father would have just taken the pie and gone on his merry way. Bubba was happy to see Cleveland win.
For all of you nurses out there, who are dads and are working, I hope your organization treats you right. Some do make things better when working these holidays. If you are working and can't see your father, I hope you can soon.
For the rest of us, who wish our fathers were here today, I wish you peace. I feel your pain everyday. I am so glad I have lots of happy memories with my dad, who loved us, pies (and just about any sweets) and being a dad. I'll never forget him.
More later.
Saturday, June 18, 2016
The incredible lightness
The weather since Friday has been lovely. The oppressive heat of the week before has left RehabLand for a couple of days.
I certainly enjoyed sitting outside drinking coffee with Bubba and my sister (Bubba drinks lemonade). Last week when we were outside, we were desperately trying to keep iced drinks going down because the heat and humidity was stifling.
I will enjoy the reprieve. Hope you enjoy your weekend wherever you are!
I certainly enjoyed sitting outside drinking coffee with Bubba and my sister (Bubba drinks lemonade). Last week when we were outside, we were desperately trying to keep iced drinks going down because the heat and humidity was stifling.
I will enjoy the reprieve. Hope you enjoy your weekend wherever you are!
Wednesday, June 15, 2016
RehabRN book club: Be inspired
If you are a burn nurse, I applaud you. You have one of the hardest jobs on the planet. Your work encompasses so many skills: ICU skills, rehab skills, and above all, those sterile dressing skills, working on dressings that often takes hours to complete. I've heard a few stories from my traveling partner, who spent the first part of her career as a RN and NP in a burn unit at a level one trauma center.
John O'Leary's On Fire centers around his experience as a burn victim and the things that happened after this life-changing event.
There are a lot of tear-jerking and inspirational events in this book, but the one that got me was when he saw his favorite nurse years later.
If they ever make this into a movie, that part will have everyone in the audience bawling.
Hope you enjoy it as much as I did. Stay tuned for more book reviews.
John O'Leary's On Fire centers around his experience as a burn victim and the things that happened after this life-changing event.
There are a lot of tear-jerking and inspirational events in this book, but the one that got me was when he saw his favorite nurse years later.
If they ever make this into a movie, that part will have everyone in the audience bawling.
Hope you enjoy it as much as I did. Stay tuned for more book reviews.
Tuesday, June 14, 2016
Meeting agenda and assorted paperwork
Today's meeting agenda was like a ransom note but lacking a weapon. The list of demands was long, but the list of assurances was short.
I know I'll never forget this moment. I tell myself that I'm keeping that e-mail forever because it's going in my book. The book I'll write about the Hotel (and some of my crazy coworkers) that will be called Is this a bad business case or reality? You decide (working title). If that title isn't snappy enough, we'll get another.
Some of the agenda items were crazy:
1. First of all, when the boss asks each attendee for a meeting agenda item, it does not mean 10 from one person. (not kidding). He/she is running the meeting, not you.
2. The need to define our "communication terms". Last time I checked, you had a company-provided cell phone, a desk phone, a laptop and a desktop PC. If you can't communicate with that, I don't know what to tell you.
3. Asking the boss for prizes. Don't you need an extra trinket for nurses' week? Maybe I'm just weird because I don't.
My assorted paperwork continues. Paperwork for the siblings, paperwork for this agency and my all encompassing travel paperwork that will probably get rejected on the first round.
I feel like a hamster in a wheel...stay tuned.
I know I'll never forget this moment. I tell myself that I'm keeping that e-mail forever because it's going in my book. The book I'll write about the Hotel (and some of my crazy coworkers) that will be called Is this a bad business case or reality? You decide (working title). If that title isn't snappy enough, we'll get another.
Some of the agenda items were crazy:
1. First of all, when the boss asks each attendee for a meeting agenda item, it does not mean 10 from one person. (not kidding). He/she is running the meeting, not you.
2. The need to define our "communication terms". Last time I checked, you had a company-provided cell phone, a desk phone, a laptop and a desktop PC. If you can't communicate with that, I don't know what to tell you.
3. Asking the boss for prizes. Don't you need an extra trinket for nurses' week? Maybe I'm just weird because I don't.
My assorted paperwork continues. Paperwork for the siblings, paperwork for this agency and my all encompassing travel paperwork that will probably get rejected on the first round.
I feel like a hamster in a wheel...stay tuned.
Friday, June 10, 2016
RehabRN book club: Summer 16 edition
The reading clubs (yes, even for adults) are back at RehabLand's library system and Bubba and I are reading away. Dahey always does (he could spend every waking minute reading if left to his own devices...) but never competes in the contest.
While my boys have methods to selecting the books they get, I don't really have one, outside of the fact that I like new books. Ones with catchy titles and authors I recognize also helps. Lately, I've taken to just picking up a book while I wait for Bubba, randomly opening the book, and reading a few pages while I wait.
If I like the book, I check it out.
The two books on my reading list right now are those kinds of books.
The first one I'm reading is Beyond the tiger mom: East-West parenting for the global age by Maya Thiagarajan. I liked it because Ms. Thiagarajan is a teacher. She's got street cred. She's not just avowing a philosophy to make us working mothers look like slackers. To top it off, she has some great ideas for interventions you can try at home with your kids.
My favorite quote in the book is not just applicable to education, it's also applicable to my job as a nurse:
"Don't worry so much about making everything "fun"...I personally believe "fun" is the wrong word to use. Learning should be challenging, meaningful, rigorous, engrossing, interesting, and satisfying." (p.132)
You could easily switch learning to work and it would still make sense.
The next book on my list right now is We have the technology: How biohackers, foodies, physicians, and scientists are transforming human perception, one sense at a time by Kara Platoni. I'm only a couple of pages into this book but it's looking promising.
More updates to come. Hope you enjoy whatever's on your reading list. Feel free to discuss.
While my boys have methods to selecting the books they get, I don't really have one, outside of the fact that I like new books. Ones with catchy titles and authors I recognize also helps. Lately, I've taken to just picking up a book while I wait for Bubba, randomly opening the book, and reading a few pages while I wait.
If I like the book, I check it out.
The two books on my reading list right now are those kinds of books.
The first one I'm reading is Beyond the tiger mom: East-West parenting for the global age by Maya Thiagarajan. I liked it because Ms. Thiagarajan is a teacher. She's got street cred. She's not just avowing a philosophy to make us working mothers look like slackers. To top it off, she has some great ideas for interventions you can try at home with your kids.
My favorite quote in the book is not just applicable to education, it's also applicable to my job as a nurse:
"Don't worry so much about making everything "fun"...I personally believe "fun" is the wrong word to use. Learning should be challenging, meaningful, rigorous, engrossing, interesting, and satisfying." (p.132)
You could easily switch learning to work and it would still make sense.
The next book on my list right now is We have the technology: How biohackers, foodies, physicians, and scientists are transforming human perception, one sense at a time by Kara Platoni. I'm only a couple of pages into this book but it's looking promising.
More updates to come. Hope you enjoy whatever's on your reading list. Feel free to discuss.
A profound statement
"You’re not where you work and your work is not you." Howard Behar
Be true to yourself. Jobs will come and go.
Happy Birthday Bro!
Be true to yourself. Jobs will come and go.
Happy Birthday Bro!
Thursday, June 9, 2016
Cramming in a few more things
It's that time of year, otherwise known as June, the due date month. Due date for presentations and my annual review (which I have to prepare feedback on every year, even if I don't get promoted.)
I have fun doing slide shows. Since we have to have everything we present approved in advance by legal, I have lots of fun. For a long time, I refused to use photos (I'd use free license cartoons, but no pictures). I decided this year that was dumb. For fun, I have added some old home ones with interesting captions. I'm actually in one, so I'm not technically picking on just relatives. And I don't have to ask for permission from anyone, which is helpful.
My annual review, unfortunately, doesn't include pictures. If it did, I could have a lot of fun.
Things I'd take pictures of to put in my review if I could:
1. The ethics consultation (no photo available) part. Can you photograph integrity? Maybe not, but our ethics chair looks like he came out of a film noir. (His photo would be good in black and white).
2. The associate chief nurse looking befuddled when I explained that her simple project wouldn't be so simple. It only took her a couple of years for her to believe that I actually knew my job. She thought another manager (who was directly assigned to his/her position with no experience) knew everything.
That look was priceless. I wanted to say "I told you so" but I didn't. Hindsight is 20/20.
3. The pie my coworkers and I bought after a long ride to take care of a patient in his/her home. The famous pie place was on the trip back. I'd have given our driver a gold medal, but it wasn't available.
I guess if they ever make us do a portfolio, I'll have to add more photos.
Hope you enjoy the rest of your week wherever you are. Friday will be here soon enough.
I have fun doing slide shows. Since we have to have everything we present approved in advance by legal, I have lots of fun. For a long time, I refused to use photos (I'd use free license cartoons, but no pictures). I decided this year that was dumb. For fun, I have added some old home ones with interesting captions. I'm actually in one, so I'm not technically picking on just relatives. And I don't have to ask for permission from anyone, which is helpful.
My annual review, unfortunately, doesn't include pictures. If it did, I could have a lot of fun.
Things I'd take pictures of to put in my review if I could:
1. The ethics consultation (no photo available) part. Can you photograph integrity? Maybe not, but our ethics chair looks like he came out of a film noir. (His photo would be good in black and white).
2. The associate chief nurse looking befuddled when I explained that her simple project wouldn't be so simple. It only took her a couple of years for her to believe that I actually knew my job. She thought another manager (who was directly assigned to his/her position with no experience) knew everything.
That look was priceless. I wanted to say "I told you so" but I didn't. Hindsight is 20/20.
3. The pie my coworkers and I bought after a long ride to take care of a patient in his/her home. The famous pie place was on the trip back. I'd have given our driver a gold medal, but it wasn't available.
I guess if they ever make us do a portfolio, I'll have to add more photos.
Hope you enjoy the rest of your week wherever you are. Friday will be here soon enough.
Tuesday, June 7, 2016
So not rehab
***Deviation ahead, please stand by...***
I'll never profess to being a hip, happening fashion or movie blogger. I'm just too "straight" as one of my patients told me recently.
However, I really enjoyed this article featuring Helen Mirren discussing fashion, insecurity, butt, and thighs.
I hope you enjoy being who you are as much as I do. Live like you want to live, baby!
More to come...
I'll never profess to being a hip, happening fashion or movie blogger. I'm just too "straight" as one of my patients told me recently.
However, I really enjoyed this article featuring Helen Mirren discussing fashion, insecurity, butt, and thighs.
I hope you enjoy being who you are as much as I do. Live like you want to live, baby!
More to come...
Monday, June 6, 2016
The little people
We finally found out where the VIP entourage went while they were touring Washington recently, and we were patiently waiting on the floor for them to stop by on our unit. The VIPs stood us up.
Since everything our hospital system does is now posted on Facebook, the photos told us where they went.
I'm used to being "cut" from the A list in my area all the time. Nurses are used to it. My bosses, he and she, are not.
It's not fun finding out you are the "little people" after you come to work when you really could be doing something better.
Life is full of small victories. Enjoy every minute.
More to come.
Since everything our hospital system does is now posted on Facebook, the photos told us where they went.
I'm used to being "cut" from the A list in my area all the time. Nurses are used to it. My bosses, he and she, are not.
It's not fun finding out you are the "little people" after you come to work when you really could be doing something better.
Life is full of small victories. Enjoy every minute.
More to come.
Saturday, June 4, 2016
Dear Coworker
Sometimes I hold my tongue, not to embarrass you, but to keep from getting prosecuted.
First of all, I eat "quickly" because while you're regaling the bosses at our business lunch and one-upping everyone with your stories, I'm eating. Plain and simple. You might just catch up if you stopped talking.
Second, it would also help if you actually left the table when your phone rings. Have your phone ring six times while we were eating is not acceptable. It shows that you really cannot be present with our boss (who has better reasons to answer his/her phone) and actually listen.
Constructive criticism is helpful if you choose to learn from it.
Quietly yours,
RehabRN
First of all, I eat "quickly" because while you're regaling the bosses at our business lunch and one-upping everyone with your stories, I'm eating. Plain and simple. You might just catch up if you stopped talking.
Second, it would also help if you actually left the table when your phone rings. Have your phone ring six times while we were eating is not acceptable. It shows that you really cannot be present with our boss (who has better reasons to answer his/her phone) and actually listen.
Constructive criticism is helpful if you choose to learn from it.
Quietly yours,
RehabRN
Tuesday, May 31, 2016
A rehab fact: inaugural edition
Since we see lots of stuff in the media about cool technologies and procedures, did you ever want to know more?
Fear not, as a rehab nurse, here's my take (with a little help from our PTs) on some topics of interest.
Our first installment is about one of the hottest topics out there in rehab: exoskeletons. I worked with a general surgeon who actually said in a meeting, "We could solve every problem with our SCI patients if we could get them an exoskeleton, and what wonderful PR it would be for Madison as a whole."
My first thought: wow! Yes, exoskeletons ARE cool, but unfortunately, they don't work for everyone.
Here's a list of criteria (which is also on the website of one manufacturer)
1. You must be between 5'3"-6'3" tall. Too short or too tall disqualifies you.
2. You must be able to use a walker or crutches. Certain SCI patients who cannot grip adequately would be disqualified.
3. You cannot be over 220 lbs.
4. You have to meet bone density requirements.
5. You must have a companion with you at all times.
In general, cost is often a prohibitive factor with these devices, which can cost $70,000 and up. Another factor to consider: you need to plan on taking 20-25 minutes to both don and doff this device. As with any prosthetic device, proper use is crucial.
Finally, this technology will continue to evolve. Nurses, don't just think it's for your SCI patients, you very well could be using this daily in your own tasks on the job. If so, the concept of robonurse might not be so far behind. Baymax here we come!
I hope you enjoyed this discussion about a current rehab topic. Feel free to share your thought or ideas for the next installment.
Stay tuned!
Fear not, as a rehab nurse, here's my take (with a little help from our PTs) on some topics of interest.
Our first installment is about one of the hottest topics out there in rehab: exoskeletons. I worked with a general surgeon who actually said in a meeting, "We could solve every problem with our SCI patients if we could get them an exoskeleton, and what wonderful PR it would be for Madison as a whole."
My first thought: wow! Yes, exoskeletons ARE cool, but unfortunately, they don't work for everyone.
Here's a list of criteria (which is also on the website of one manufacturer)
1. You must be between 5'3"-6'3" tall. Too short or too tall disqualifies you.
2. You must be able to use a walker or crutches. Certain SCI patients who cannot grip adequately would be disqualified.
3. You cannot be over 220 lbs.
4. You have to meet bone density requirements.
5. You must have a companion with you at all times.
In general, cost is often a prohibitive factor with these devices, which can cost $70,000 and up. Another factor to consider: you need to plan on taking 20-25 minutes to both don and doff this device. As with any prosthetic device, proper use is crucial.
Finally, this technology will continue to evolve. Nurses, don't just think it's for your SCI patients, you very well could be using this daily in your own tasks on the job. If so, the concept of robonurse might not be so far behind. Baymax here we come!
I hope you enjoyed this discussion about a current rehab topic. Feel free to share your thought or ideas for the next installment.
Stay tuned!
Monday, May 30, 2016
Memorial Day
I thank those who have gone before, leaving families, friends, babes in arms, children who would never know them except through photographs or home movies or stories told from the grieved spouses, siblings, brothers, sisters, parents and friends.
That sting of a lost loved one in the war was a pained expression I saw every year in my family. My grandmother next door wore it, some days with bearing and dignity, other days, with much distress.
These are a few of the quotes that sum up what this day means to me.
I remember those brave men and women who answered America's call today and every day. I hope you will, too.
Until next time...
That sting of a lost loved one in the war was a pained expression I saw every year in my family. My grandmother next door wore it, some days with bearing and dignity, other days, with much distress.
These are a few of the quotes that sum up what this day means to me.
I remember those brave men and women who answered America's call today and every day. I hope you will, too.
Until next time...
Sunday, May 29, 2016
Deep thoughts
I really loved Jack Handey on Saturday Night Live. Some things they mentioned on that segment of the show were delightfully sarcastic.
While some of you might say the same thing about two things I'll address below, I'm going to say them. Because someone needs to mention them. Because my patients mention them.
So sit down and listen, please.
First, I enjoy getting my regular copy of the American Journal of Nursing every month. Since I subscribe to the newsletter, too, I also get a copy of the electronic table of contents. I saw this listed in the TOC and just about blew a gasket. Why you ask?
Because we have a whole lot moreidiots, or shall we say "free spirits" out in the world who are so nervous they have to make fun of things they don't like or understand. Since I am not allowed to discuss politics in my home, I won't even discuss a certain political candidate who has endeared himself to the physically challenged, prisoners of war (also military veterans) and something I can identify with: women.
The point: Nurse researchers, please get with the program. While my folks may use safety belts, I have yet to see any "bound" to a wheelchair. If you are so up-to-date, please use modern terminology, please. Wheelchair user would do just fine in your article.
Finally, never assume. Wheelchair users most likely are not deaf, nor stupid. Treat them the way you'd want to be treated. In the fine words of one of my friends with multiple sclerosis (who celebrated World MS Day this past week), "I have MS, but it doesn't have me!"
And now for a moment from our sponsor. Stay tuned!
While some of you might say the same thing about two things I'll address below, I'm going to say them. Because someone needs to mention them. Because my patients mention them.
So sit down and listen, please.
First, I enjoy getting my regular copy of the American Journal of Nursing every month. Since I subscribe to the newsletter, too, I also get a copy of the electronic table of contents. I saw this listed in the TOC and just about blew a gasket. Why you ask?
Because we have a whole lot more
The point: Nurse researchers, please get with the program. While my folks may use safety belts, I have yet to see any "bound" to a wheelchair. If you are so up-to-date, please use modern terminology, please. Wheelchair user would do just fine in your article.
Finally, never assume. Wheelchair users most likely are not deaf, nor stupid. Treat them the way you'd want to be treated. In the fine words of one of my friends with multiple sclerosis (who celebrated World MS Day this past week), "I have MS, but it doesn't have me!"
And now for a moment from our sponsor. Stay tuned!
Saturday, May 28, 2016
Holiday weekend thoughts
"The more we assign the soldiering to a select few volunteers—we don’t have an equalizing draft and there is no required national service—perhaps the easier it is to forget what it means to share a common citizenship or feel a sense of indebtedness or appreciation. If we no longer share in the service, risk and obligation, maybe that explains why many of us no longer observe Memorial Day."
This is a quote from John Bussey's worthwhile assessment on why Memorial Day needs to be more than a day off or shopping.
I do believe that we are living in troubled times, and unfortunately, the sacrifices aren't shared.
I hope you have time to reflect this holiday weekend. I know I will.
More later...
This is a quote from John Bussey's worthwhile assessment on why Memorial Day needs to be more than a day off or shopping.
I do believe that we are living in troubled times, and unfortunately, the sacrifices aren't shared.
I hope you have time to reflect this holiday weekend. I know I will.
More later...
Monday, May 23, 2016
Can you say...inappropriate?
One of my returned calls today:
Me: Hi this is RehabRN returning your call Mr. RehabEscapee (aka almost AMA).
Mr. RE: Yes, RehabRN, I know we need to do that appointment. (RE whispers)
Me: Sure, is it a good time right now? I notice you're talking lower.
Mr. RE: Well, I'm at the emergency room.
Me: For you or someone else? (I've gotten some weird calls before, but...)
Mr. RE: Oh no! I'm helping out. For someone else, so I have a few minutes and I figured I'd talk to you.
What Mr. RE doesn't realize that I have a long set of questions to ask him. And no, he might not want to answer them in the ER, since they can get personal.
If you're there to support someone else, wouldn't it be nice to pay attention to them?
I convinced Mr. RE it was. His wife might like him later if he does.
More later...
Me: Hi this is RehabRN returning your call Mr. RehabEscapee (aka almost AMA).
Mr. RE: Yes, RehabRN, I know we need to do that appointment. (RE whispers)
Me: Sure, is it a good time right now? I notice you're talking lower.
Mr. RE: Well, I'm at the emergency room.
Me: For you or someone else? (I've gotten some weird calls before, but...)
Mr. RE: Oh no! I'm helping out. For someone else, so I have a few minutes and I figured I'd talk to you.
What Mr. RE doesn't realize that I have a long set of questions to ask him. And no, he might not want to answer them in the ER, since they can get personal.
If you're there to support someone else, wouldn't it be nice to pay attention to them?
I convinced Mr. RE it was. His wife might like him later if he does.
More later...
Saturday, May 21, 2016
What not to do: Happy Graduation 2016 edition
Congratulations graduates! You worked hard and now you're prepping for that NCLEX. Some people say it's the hardest exam they've ever taken. You may get nauseated (I did) before it's done.
Please, grads, don't find your way into your state's Board of Nursing (BON) newsletter for getting a ding or losing your license. Trust me, keep it clean and shiny. You are worth it!
Here are some of the things I noticed in this edition:
1. Use respectful language.
Yes, believe it or not, one RN was censured due to this little problem. They just keep piling on the issues, too, as they did for this nurse, if you're really a pain (unauthorized record access, changing orders, etc.)
Just say no.
2. For all of you nursing instructors out there, don't dope slap your nursing students.
One RN did and she was written up in this BON newsletter. One word: priceless. I think some of my nursing instructors may have thought it, but no one ever did it.
3. Don't steal a resident's purse, then get something from the med room and shoot up.
This nurse did. She obviously forgot the video cameras reported her every move.
4. Don't ask nursing students to do the wrong thing.
Telling your student to give a patient normal saline instead of Dilaudid is a perfect example. Someone will notice. The patient did and reported the nurse.
5. If you forget a specimen, get it to the lab. Do not take it home.
Yes, someone actually took a specimen from a procedure home, since the nurse forgot to send it along. A technician found it when cleaning the room. Admit your mistakes, but get it to the lab!
6. Drug testing is not optional.
Just remember: your facility policy is not optional. Compliant is a lot different than "slightly compliant".
7. Do not forget to document drug wastes.
Always, always, always waste drugs per your facility policy (we have special containers for various classes of drugs) and make sure you document appropriately. Your license really does depend on it.
Many happy returns and best wishes for a long nursing career!
Please, grads, don't find your way into your state's Board of Nursing (BON) newsletter for getting a ding or losing your license. Trust me, keep it clean and shiny. You are worth it!
Here are some of the things I noticed in this edition:
1. Use respectful language.
Yes, believe it or not, one RN was censured due to this little problem. They just keep piling on the issues, too, as they did for this nurse, if you're really a pain (unauthorized record access, changing orders, etc.)
Just say no.
2. For all of you nursing instructors out there, don't dope slap your nursing students.
One RN did and she was written up in this BON newsletter. One word: priceless. I think some of my nursing instructors may have thought it, but no one ever did it.
3. Don't steal a resident's purse, then get something from the med room and shoot up.
This nurse did. She obviously forgot the video cameras reported her every move.
4. Don't ask nursing students to do the wrong thing.
Telling your student to give a patient normal saline instead of Dilaudid is a perfect example. Someone will notice. The patient did and reported the nurse.
5. If you forget a specimen, get it to the lab. Do not take it home.
Yes, someone actually took a specimen from a procedure home, since the nurse forgot to send it along. A technician found it when cleaning the room. Admit your mistakes, but get it to the lab!
6. Drug testing is not optional.
Just remember: your facility policy is not optional. Compliant is a lot different than "slightly compliant".
7. Do not forget to document drug wastes.
Always, always, always waste drugs per your facility policy (we have special containers for various classes of drugs) and make sure you document appropriately. Your license really does depend on it.
Many happy returns and best wishes for a long nursing career!
Friday, May 20, 2016
You get what you wish for...
Or at least it seems that way right now. What a week!
For almost five years, I've been asking for help and/or equipment. While I can't get them to give me the help, in terms of personnel I want, I am getting equipment, so it's keeping me busy.
My favorite thing: I'm finally having days where I actually do the job I was hired to do for almost the entire eight hours I'm there (and sometimes then some...). The patient flow is something I have to work on, though. I follow the guidelines, but somehow, I always have a patient who wants to tell me more.
This week, I got to go to training that was cancelled many moons ago. It was interesting, even though I had to attend with my boss, who, with his/her MBA, knows everything. He/she succeeded in driving a lot of people nuts, which got me lots of sympathy from the folks I already know.
Finally, after working on my last patients this afternoon (and one emergency with a speech therapist), I got the e-mail I've been waiting for from the boss. He/she's recommending that the holdouts complete things they need to do to work with me in my clinic.
Five years is a short time where I work but almost a lifetime anywhere else. That e-mail made my week. I can only hope I'll get a few more wishes...
Happy weekend wherever you are. More to come...
For almost five years, I've been asking for help and/or equipment. While I can't get them to give me the help, in terms of personnel I want, I am getting equipment, so it's keeping me busy.
My favorite thing: I'm finally having days where I actually do the job I was hired to do for almost the entire eight hours I'm there (and sometimes then some...). The patient flow is something I have to work on, though. I follow the guidelines, but somehow, I always have a patient who wants to tell me more.
This week, I got to go to training that was cancelled many moons ago. It was interesting, even though I had to attend with my boss, who, with his/her MBA, knows everything. He/she succeeded in driving a lot of people nuts, which got me lots of sympathy from the folks I already know.
Finally, after working on my last patients this afternoon (and one emergency with a speech therapist), I got the e-mail I've been waiting for from the boss. He/she's recommending that the holdouts complete things they need to do to work with me in my clinic.
Five years is a short time where I work but almost a lifetime anywhere else. That e-mail made my week. I can only hope I'll get a few more wishes...
Happy weekend wherever you are. More to come...
Wednesday, May 11, 2016
I'm still a kid
When I think of that day 30 odd years ago. I was on my way to school. I knew my mother was dying of cancer, but I didn't realize that I wouldn't make it there before she did.
I came into my grandmother's house and all I heard were laments. My father was silent and hugged us. He let my brother and I see Mom before my uncle called his friends at work (who were the undertakers). My father was always the one who was there, when his mother and his wife died.
My grandma was a mess. My mother was her youngest child.
There are a lot of things that are a blur, but a lot of things I will never forget. I learned much later that I could spend all my time thinking about the horrible things a teenager could have to witness (the stretcher, the body bag, the death rattle), or I could choose to remember the things my mother left me.
Her happy disposition despite many trials. Her stubbornness and relentlessness to see things right. Her wavy hair that always curled when you wanted and sometimes, when you didn't. Her enjoyment of the little things in life, like the salami sandwiches from our town's Italian section. The jello (red and green) that Santa left us at Christmastime.
My mother also left me her faith. Her faith that we are all actors in our own story and a little divine intervention never hurts. Sometimes we need to help and be helped. Those traditions of perseverance were more helpful than I ever knew later in life.
So while my mom is no longer here to be celebrated, I look every day for the places where she left her mark on my life. And I see her every day. I put a photo of happy times on my refrigerator, so I remember that. She and Dad took us to get family photos. It was the last group family photo we would get.
So I can mourn this day, or I can live it as Mom would want me to do. My mother always wanted me to be a nurse, so I know somewhere in Heaven she smiles. Even with my detours and stubbornness, she got her wish.
I came into my grandmother's house and all I heard were laments. My father was silent and hugged us. He let my brother and I see Mom before my uncle called his friends at work (who were the undertakers). My father was always the one who was there, when his mother and his wife died.
My grandma was a mess. My mother was her youngest child.
There are a lot of things that are a blur, but a lot of things I will never forget. I learned much later that I could spend all my time thinking about the horrible things a teenager could have to witness (the stretcher, the body bag, the death rattle), or I could choose to remember the things my mother left me.
Her happy disposition despite many trials. Her stubbornness and relentlessness to see things right. Her wavy hair that always curled when you wanted and sometimes, when you didn't. Her enjoyment of the little things in life, like the salami sandwiches from our town's Italian section. The jello (red and green) that Santa left us at Christmastime.
My mother also left me her faith. Her faith that we are all actors in our own story and a little divine intervention never hurts. Sometimes we need to help and be helped. Those traditions of perseverance were more helpful than I ever knew later in life.
So while my mom is no longer here to be celebrated, I look every day for the places where she left her mark on my life. And I see her every day. I put a photo of happy times on my refrigerator, so I remember that. She and Dad took us to get family photos. It was the last group family photo we would get.
So I can mourn this day, or I can live it as Mom would want me to do. My mother always wanted me to be a nurse, so I know somewhere in Heaven she smiles. Even with my detours and stubbornness, she got her wish.
Saturday, May 7, 2016
In honor of mothers
It's that time of year again. One I never fully understood until I joined the sorority of women over a decade ago.
The things you learn...
1. That those nine months seemingly last forever, but you never realize, the end may be a sprint.
2. After the sprint, you hit the marathon. Only a couple of other times in my life was I ever as physically exhausted as I was by taking care of a newborn. It's almost like a semi-permanent state of jet lag.
3. You'll never forget that first smile, or that first laugh.
4. You'll become the sentinel, the guardian, the protector, because that little cherub really is your heart walking around (or just plain escaped) outside of your body.
5. Everything and little things are milestones you'll want to record. Don't sweat it if you run out of film or space on your device so you have proof. A good story (told over and over) will be a family memory for generations.
6. Be kind and curious. So many folks don't appreciate those things anymore.
7. You'll miss your mother so much when she's no longer with you. I know I do. My mom never got to know Bubba or any of her other grandchildren. Losing her as a teenager meant she missed so much.
If you've never known your mom or the love of a mother figure, you may be sad today, too. But remember, if you are or planning on being a mother, you'll write your own story. Be the mother you want to be. The past is in the past for a reason. The present is a gift for you.
Enjoy your day and weekend! Happy Mothers' Day!
The things you learn...
1. That those nine months seemingly last forever, but you never realize, the end may be a sprint.
2. After the sprint, you hit the marathon. Only a couple of other times in my life was I ever as physically exhausted as I was by taking care of a newborn. It's almost like a semi-permanent state of jet lag.
3. You'll never forget that first smile, or that first laugh.
4. You'll become the sentinel, the guardian, the protector, because that little cherub really is your heart walking around (or just plain escaped) outside of your body.
5. Everything and little things are milestones you'll want to record. Don't sweat it if you run out of film or space on your device so you have proof. A good story (told over and over) will be a family memory for generations.
6. Be kind and curious. So many folks don't appreciate those things anymore.
7. You'll miss your mother so much when she's no longer with you. I know I do. My mom never got to know Bubba or any of her other grandchildren. Losing her as a teenager meant she missed so much.
If you've never known your mom or the love of a mother figure, you may be sad today, too. But remember, if you are or planning on being a mother, you'll write your own story. Be the mother you want to be. The past is in the past for a reason. The present is a gift for you.
Enjoy your day and weekend! Happy Mothers' Day!
Friday, May 6, 2016
Some you win...
I felt like I was winning today until I got to my patient as arranged today. When I saw him, he was a mess. Bedraggled and anxious. Terrified. Lonely. I worked with him the best I could, but it didn't seem to be enough.
I called one of our other staffers to help. I did everything I could.
Finally, I wrote my note. I finished my work that needed to be done. Even though, I accomplished much, it didn't feel that way.
I tried. It was all I could do today. I will do the same the next time.
I called one of our other staffers to help. I did everything I could.
Finally, I wrote my note. I finished my work that needed to be done. Even though, I accomplished much, it didn't feel that way.
I tried. It was all I could do today. I will do the same the next time.
Wednesday, May 4, 2016
Reality check
How many of you go to work sick? Raise your hands.
If I had a 100% rate, I would not be surprised. Nurses often come to work with illnesses for a variety of reasons. This article has one of the best arguments I've seen for a long time.
I have gone to work because I'm a master at assessment. I've had chronic health issues (nothing major) for years. My body is good at telling me what's wrong.
These are my rules:
1. If I have a fever and will be in regular contact with patients, I'm not going to work. Plain and simple. If I can't do paperwork that day and hide to avoid breathing on anyone, I'm out. I had nursing instructorsbeat this into me, I mean, reinforce this vigorously on my clinical rotations. As I know from my work in the SU, if you have a fever, you probably are infected with something. This red light is one you should not ignore.
Do everyone a favor. Don't share and stay home. This health system actually publishes an algorithm.
2. Diarrhea will also keep me home. If they only knew how busy our staff bathrooms are (and many times, it's not just staff using them).
3. If you have any other symptoms that are not normal or normal for you, i.e. vision or balance disturbances, you probably need to see what's going on first before coming to work.
My managers always love the "migraine with vertigo" call in (I've used it), but I don't care. You should like being able to keep affordable car insurance. If walking is a problem, driving will be, too.
Also, never take any open wounds (even paper cuts) for granted. If you can't cover them effectively, you need to consider staying home until you can.
I like my doctors. They know I won't bug them unless I think it's an issue for me and my patients. Be sure to have a PCP, so when you need them, you have them. I love mine because she likes nurses and always has our back (she has no problem talking to pesky nurse managers if needed).
To sum it up, if you're sick, don't buck it up. Take care of yourself so you can take care of your patients (and not contaminate your coworkers). You deserve to be well, and so do your patients and coworkers.
More later.
If I had a 100% rate, I would not be surprised. Nurses often come to work with illnesses for a variety of reasons. This article has one of the best arguments I've seen for a long time.
I have gone to work because I'm a master at assessment. I've had chronic health issues (nothing major) for years. My body is good at telling me what's wrong.
These are my rules:
1. If I have a fever and will be in regular contact with patients, I'm not going to work. Plain and simple. If I can't do paperwork that day and hide to avoid breathing on anyone, I'm out. I had nursing instructors
Do everyone a favor. Don't share and stay home. This health system actually publishes an algorithm.
2. Diarrhea will also keep me home. If they only knew how busy our staff bathrooms are (and many times, it's not just staff using them).
3. If you have any other symptoms that are not normal or normal for you, i.e. vision or balance disturbances, you probably need to see what's going on first before coming to work.
My managers always love the "migraine with vertigo" call in (I've used it), but I don't care. You should like being able to keep affordable car insurance. If walking is a problem, driving will be, too.
Also, never take any open wounds (even paper cuts) for granted. If you can't cover them effectively, you need to consider staying home until you can.
I like my doctors. They know I won't bug them unless I think it's an issue for me and my patients. Be sure to have a PCP, so when you need them, you have them. I love mine because she likes nurses and always has our back (she has no problem talking to pesky nurse managers if needed).
To sum it up, if you're sick, don't buck it up. Take care of yourself so you can take care of your patients (and not contaminate your coworkers). You deserve to be well, and so do your patients and coworkers.
More later.
Sunday, May 1, 2016
It's the weekend
Now I have enough time after a busy week to make an attempt at getting sick. I feel a cold trying to overtake me.
Happy Orthodox Easter to all who celebrate today.
Joy...stay tuned.
Happy Orthodox Easter to all who celebrate today.
Joy...stay tuned.
Thursday, April 28, 2016
The Revenant
No, I was not mauled by a bear, but alas, I do realize that I've taken leave from here a wee bit too long.
Lots of stuff cooking, so I plan on adding some material soon.
The work of a rehab nurse is never done! Stay tuned.
Lots of stuff cooking, so I plan on adding some material soon.
The work of a rehab nurse is never done! Stay tuned.
Monday, April 11, 2016
Take ownership
Yes, I had to do this in a few different ways lately.
First, my fancy new external hard drive got messed up when I changed a security setting. It looked as if I totally erased the drive. Thankfully, that Windows certification came in handy (haven't used it in a decade, but...) I finally found the page on www.microsoft.com about Taking Ownership of a drive.
My data wasn't gone. It was just hiding (since I didn't have permission to view it). What a relief!
At work, I finally got to the bottom of what happened to my dream job a while ago when I was stuck waiting with one of my coworkers. It was enlightening, and frankly, nice to hear, that no matter what, I did my best. The other person involved probably was not too happy, either, but I still had my day job.
One of my coworkers mentioned that there was an incident with a patient this weekend. He/she knew because the patient had confided in him/her. Some of our staff are being rather surly. While it's not disruptive yet, it's certainly becoming hostile on the floor at the Hotel.
Since I had a similar issue recently, I sent my coworker to the other team provider. He/she will tell him/her to take ownership, too.
Hostile and/or disruptive behavior is really not welcome in a healing environment.
Hope you will take ownership of your space wherever you are. You and your patients deserve dignity.
More to come...
First, my fancy new external hard drive got messed up when I changed a security setting. It looked as if I totally erased the drive. Thankfully, that Windows certification came in handy (haven't used it in a decade, but...) I finally found the page on www.microsoft.com about Taking Ownership of a drive.
My data wasn't gone. It was just hiding (since I didn't have permission to view it). What a relief!
At work, I finally got to the bottom of what happened to my dream job a while ago when I was stuck waiting with one of my coworkers. It was enlightening, and frankly, nice to hear, that no matter what, I did my best. The other person involved probably was not too happy, either, but I still had my day job.
One of my coworkers mentioned that there was an incident with a patient this weekend. He/she knew because the patient had confided in him/her. Some of our staff are being rather surly. While it's not disruptive yet, it's certainly becoming hostile on the floor at the Hotel.
Since I had a similar issue recently, I sent my coworker to the other team provider. He/she will tell him/her to take ownership, too.
Hostile and/or disruptive behavior is really not welcome in a healing environment.
Hope you will take ownership of your space wherever you are. You and your patients deserve dignity.
More to come...
Sunday, April 3, 2016
RIP
Dahey lost a relative this week. It was one we never actually met.
R. was from the old sod, a place from which Dahey's ancestor had escaped (and occasionally returned) a long while ago. We met him through Facebook. One of his cousins actually met R. last year with her family. It was fun to see some of the family resemblance.
We knew he was a relative once we saw his photo, because he was a doppleganger for Dahey's uncle (so much so, it would have been fun to have a photo with the two of them in it). Dahey's dear departed uncle was one of those folks who traveled a lot and looked for his surname in the phone books wherever he went.
I'd suspect that's how he'd found cousin R.
An Irish blessing
May your neighbors respect you,
Trouble neglect you,
The angels protect you,
And heaven accept you.
Until we all meet again...
R. was from the old sod, a place from which Dahey's ancestor had escaped (and occasionally returned) a long while ago. We met him through Facebook. One of his cousins actually met R. last year with her family. It was fun to see some of the family resemblance.
We knew he was a relative once we saw his photo, because he was a doppleganger for Dahey's uncle (so much so, it would have been fun to have a photo with the two of them in it). Dahey's dear departed uncle was one of those folks who traveled a lot and looked for his surname in the phone books wherever he went.
I'd suspect that's how he'd found cousin R.
An Irish blessing
May your neighbors respect you,
Trouble neglect you,
The angels protect you,
And heaven accept you.
Until we all meet again...
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