Trains

If I were a nurse educating you teenagers on the dangers of crossing at unmarked areas of the train tracks, I'd tell you this.

Yes, I have jumped a train. I grew up with the tracks close to my home. I jumped the tracks when the train staff helped me when a locomotive broke down on the tracks on the way to school. I never jumped a train on my own.

My parents grew up in the same area of the tracks, and they both had stories of maimed and dead friends from the neighborhood. One kid I knew, K., died when he was hanging out on a trestle one night and thought he could jump off it into the water below. He didn't make it.

It pains me to see the stories lately of the kids who die cutting over the tracks because they  left their earbuds in and the 60 mph train snuck up on them.

It doesn't have to be...be safe out there. Take off the earbuds, or leave one out so you can hear. Look both ways. If you must cross the tracks in an unmarked spot, run. Do not dawdle. Do not attempt to hurry if you have a cart or stroller or something else that might get stuck.

Take the long way and you just might live another day.

I'd rather not tell K's story again.

Into the weekend

We're getting into a holiday weekend at the Hotel. Things usually calm down. Right now, we're so booked up, that the Hotel Rehab is not taking any new patients. This could possibly change at any time, but it's the first time in a long time that we have no admissions scheduled on our board.

My time with my preceptee is winding down. She has demonstrated so many skills that she will be an excellent nurse. I just hope she can stay focused and not get distracted by internet, etc., like so many of her peers of the same age range. My patience is wearing thin with a few of my coworkers because they are spending way too much time on internet items, and not on work. IV pumps and call lights ring and ring because they will not get up promptly to take care of them. It makes me very agitated.

Since it's a holiday in our neck of the woods (nothing big--just one of those bank holidays observed), there won't be too many folks around Monday, either. Hence, my boss just felt the need for me to be in charge. I'm not too happy about it, but I'm sure he's getting ready for the day when I'll go to our sister unit temporarily while some of their folks are out. It's really not a bad place to be. The unit is very nice and several people coveted the spot I managed to get. It's kind of scary, because I've never done anything like it as a nurse. I will get to use skills I've only read about in books and seen during NCLEX preparation.

Bring it on...I'm ready. Stay tuned for updates.

Countdown

At the end of the week, I will get a long weekend away from the Hotel with my boys. It's not much, but I'll take every single second of it.

Some days are better than others. I was cruising into an uneventful end to my stint on the late shift recently when the quiet was replaced by pandemonium.

First, one patient spikes a ridiculous temp. Said patient's had problems before so we call our MD on call. Get orders. Rush about doing tasks. All is good, even if we have to harass some of our night pharmacists to get what we need.

Next, patient #2 does the same thing. Patient #2 has more pre-existing issues the MD worries about, so we call MD, get orders to have local MD see patient, and he doesn't show up. Nor does he call our MD or do whatever she asked me to ask him. Nope. He says "wait until tomorrow." Our MD is pissed. We had an issue getting the labs to this doc, so with some luck, we managed to do it (not everything is automated at the Hotel) and MD orders an IV.

What does this mean? I get to call pharmacy again and listen to the deep sighs when I tell them I have a stat order. It's as if they've never gotten one. I am so glad I'm not right there to see their faces. I really hate that "Oh, I can't do this because I don't want to do it" entitlement attitude, because I'm a crappy poker face and my thoughts aren't hidden for long.

Charge nurse got everything done because, for the most part, we worked as a team. I just wish all of our team would have cooperated without the attitude.

Outside of that, my grad class is almost done and for a short class, it's had it's share of drama, too, especially for my entire team. Every single solitary one of us has had something going on this semester that's been distracting, even life-threatening. My favorite team member, T., has problems now that may mean she won't be back next semester. I hope they can get resolved. I will miss working with her if she's not around.

Now, back to the grind, and on to the rest of the week. Stay tuned.