Sunday, December 11, 2011
Saturday, December 10, 2011
A lucky day
All they wanted for Christmas was to come home.
And in two short days, I'll have one Christmas wish of my own...a class that's over.
Have a great weekend, all!
And in two short days, I'll have one Christmas wish of my own...a class that's over.
Have a great weekend, all!
Friday, December 9, 2011
Just lovin' it
Yes, in a mere three days I'll be done with the latest installment of my graduate education. And I have to say, I learned a lot. I learned that some people are just a pain in the arse. Yes, they are.
I thought we only hired non-professionals at the Hotel. No, kids, the non-profs are everywhere. What distinguishes them?
1. When you're supposed to function as a team and communicate with members who can't show up for meetings, you take minutes and post them before the next meeting.
2. You act like an adult.
3. You actually show up, and do some work.
and finally,
4. When you're assigned to be the leader, you lead. You don't goof off hiking in the woods when you're supposed to be responsible for an assignment (I wish that wasn't a real excuse...).
Now, I'm going to finish what I started, just like I said I would. And when I'm done, I'm gonna pray that we get a passing grade out of this one. I don't have a really good feeling.
Should make doing evaluations really interesting.
More on the way!
I thought we only hired non-professionals at the Hotel. No, kids, the non-profs are everywhere. What distinguishes them?
1. When you're supposed to function as a team and communicate with members who can't show up for meetings, you take minutes and post them before the next meeting.
2. You act like an adult.
3. You actually show up, and do some work.
and finally,
4. When you're assigned to be the leader, you lead. You don't goof off hiking in the woods when you're supposed to be responsible for an assignment (I wish that wasn't a real excuse...).
Now, I'm going to finish what I started, just like I said I would. And when I'm done, I'm gonna pray that we get a passing grade out of this one. I don't have a really good feeling.
Should make doing evaluations really interesting.
More on the way!
Thursday, December 8, 2011
Nothing sweet
However, this gift, was definitely not sour. One of my coworkers from a previous job in another life, just saved MY butt and she's not even a nurse.
Thanks A.C. for all that help. I really, really appreciate it.
If my team doesn't like it, tough. Only four more days...I can make it!
Stay tuned.
Thanks A.C. for all that help. I really, really appreciate it.
If my team doesn't like it, tough. Only four more days...I can make it!
Stay tuned.
Wednesday, December 7, 2011
No gold rings...
But in five days, this grad class will be over.
Maybe getting up early after staying up late will allow me to see any pinot grigio induced errors in our implementation plan.
Stay tuned...
Maybe getting up early after staying up late will allow me to see any pinot grigio induced errors in our implementation plan.
Stay tuned...
Tuesday, December 6, 2011
Ringing bells
'Tis the season for bells ringing on television and out at your favorite stores by the Salvation Army.
And even a rehab nurse can find a topic of interest in the non-medical press. TBI is common among topics in rehab, mainly due to issues in young men and veterans from Iraq and Afghanistan.
In this week's NY Times, there's a series on hockey enforcer, Derek Boogaard, who often 'got his bell rung' in many, many hockey fights. Repetitive traumatic brain injury can cause chronic traumatic encephalopathy.
After reading this story, this is one bell I wish would not get rung.
More later...
And even a rehab nurse can find a topic of interest in the non-medical press. TBI is common among topics in rehab, mainly due to issues in young men and veterans from Iraq and Afghanistan.
In this week's NY Times, there's a series on hockey enforcer, Derek Boogaard, who often 'got his bell rung' in many, many hockey fights. Repetitive traumatic brain injury can cause chronic traumatic encephalopathy.
After reading this story, this is one bell I wish would not get rung.
More later...
Sunday, December 4, 2011
Down the rabbit hole
Sometimes life surely seems that way. I've been busy doing this, that and the other thing and I feel so overwhelmed.
Just like being on the floor, you have to have a plan.
The current plan:
1. Orient the new boss. Nice character, so this should not be difficult. I like hands-on management, especially when I don't feel like I need to take a cultural orientation class to figure out what to do with them.
2. Orient my manager re: my new projects. I just love being an employee who reports to multiple people.
3. Work, work, work until the end of the semester for my grad class. So glad it will be done in just shy of one week.
Then this house really will be merry!
Stay tuned...
Just like being on the floor, you have to have a plan.
The current plan:
1. Orient the new boss. Nice character, so this should not be difficult. I like hands-on management, especially when I don't feel like I need to take a cultural orientation class to figure out what to do with them.
2. Orient my manager re: my new projects. I just love being an employee who reports to multiple people.
3. Work, work, work until the end of the semester for my grad class. So glad it will be done in just shy of one week.
Then this house really will be merry!
Stay tuned...
Monday, November 28, 2011
Benefits of being a student
1. You get to read lots of magazines that have absolutely nothing to do with nursing, but are interesting when studying the US healthcare system.
This FastCompany article on Medicare fraud was very enlightening.
2. You get an international perspective from more than just your classmates on privacy issues, whether it's HIPAA or some other national protocol.
Word to staff: Don't try this one, even if she is cute.
3. Another plus: idiots exist wherever you go, just like the MD and her husband in this article.
Thank you Vince Ciotti for posting these links via HIStalk. You make being a student very interesting, indeed. Keep up the good work!
Off I go to work. More later...
This FastCompany article on Medicare fraud was very enlightening.
2. You get an international perspective from more than just your classmates on privacy issues, whether it's HIPAA or some other national protocol.
Word to staff: Don't try this one, even if she is cute.
3. Another plus: idiots exist wherever you go, just like the MD and her husband in this article.
Thank you Vince Ciotti for posting these links via HIStalk. You make being a student very interesting, indeed. Keep up the good work!
Off I go to work. More later...
Sunday, November 27, 2011
It's nice to know...
We're not alone. Another parent from our daycare pulled their kid from there, for different reasons.
So, so, so happy Bubba's outta there. Now I'm just waiting for the bigwigs there to lose something.
Then it will really be a Merry Christmas in RehabLand. Cross your fingers and pray if you're so inclined, whatever your faith. We'll take it!
Stay tuned, kids. We're in for a wild ride, no matter what.
So, so, so happy Bubba's outta there. Now I'm just waiting for the bigwigs there to lose something.
Then it will really be a Merry Christmas in RehabLand. Cross your fingers and pray if you're so inclined, whatever your faith. We'll take it!
Stay tuned, kids. We're in for a wild ride, no matter what.
Saturday, November 26, 2011
Just in case...
Dear readers:
Please note: I did go out shopping on Black Friday, and no, I did not need pepper spray/knives/guns. I wait until THOSE people are gone before I shop. (I also take Bubba, and frankly, they are a bad influence to children.)
Since I actually paid attention in economics way back when I was in school, I figured out early, that getting beat up and spending thousands of dollars on a trip to the hospital for a $200 big screen just ain't worth it.
I'll be lurking around my computer bright and early for Cyber Monday, though.
Hoping there are no traffic jams on the internet before I go to work Monday. Happy shopping!
Yours truly,
RehabRN
Please note: I did go out shopping on Black Friday, and no, I did not need pepper spray/knives/guns. I wait until THOSE people are gone before I shop. (I also take Bubba, and frankly, they are a bad influence to children.)
Since I actually paid attention in economics way back when I was in school, I figured out early, that getting beat up and spending thousands of dollars on a trip to the hospital for a $200 big screen just ain't worth it.
I'll be lurking around my computer bright and early for Cyber Monday, though.
Hoping there are no traffic jams on the internet before I go to work Monday. Happy shopping!
Yours truly,
RehabRN
Thursday, November 24, 2011
I am thankful
Despite all of the horrible things that have happened in the past month at work and at home in the RehabRN household, we are so very, very lucky.
No one in our family (or extended family) will be spending the holidays in the hospital. Hooray!
Bubba is much happier now that he is out of the horrible situation he was in, and I am so, so, so thankful for the caring and support he has gotten at school from the teachers and the staff.
Slowly, but surely, I am seeing progress in my work, even though it's only been a short period of time since I started in my new job. The lights are going on...people get it, patients get it. Now all I have to do is get it all together, synched and working.
I have been one lucky human this year.
Happy Thanksgiving all, wherever you are!
No one in our family (or extended family) will be spending the holidays in the hospital. Hooray!
Bubba is much happier now that he is out of the horrible situation he was in, and I am so, so, so thankful for the caring and support he has gotten at school from the teachers and the staff.
Slowly, but surely, I am seeing progress in my work, even though it's only been a short period of time since I started in my new job. The lights are going on...people get it, patients get it. Now all I have to do is get it all together, synched and working.
I have been one lucky human this year.
Happy Thanksgiving all, wherever you are!
Wednesday, November 23, 2011
The fun continues...
What are you, if as a mandatory child abuse reporter you choose not to report when you "think the whole thing's overblown," and your kid "is just melodramatic"?
Maybe this as noted in this document:
Rationalizing: Another danger is the professional’s acceptance of unrealistic explanations for how an injury occurred. If any doubts exist, no matter how small, assessment should continue, and/or consultation should be sought.
In this state, for not reporting, you are charged with a crime.
Good luck hanging on to that child care license, b&*tch!
Maybe this as noted in this document:
Rationalizing: Another danger is the professional’s acceptance of unrealistic explanations for how an injury occurred. If any doubts exist, no matter how small, assessment should continue, and/or consultation should be sought.
In this state, for not reporting, you are charged with a crime.
Good luck hanging on to that child care license, b&*tch!
Tuesday, November 22, 2011
Until you see it up close and personal
You never believe the statistics.
I do believe you, Bubba, and so do your teachers. And I hope and pray for all the other kids involved.
Pray for us, if you believe, 'cause I'm sure gonna need it to keep from killing certain "responsible adults". Will be so happy to see my PD friends real soon...
Stay tuned.
I do believe you, Bubba, and so do your teachers. And I hope and pray for all the other kids involved.
Pray for us, if you believe, 'cause I'm sure gonna need it to keep from killing certain "responsible adults". Will be so happy to see my PD friends real soon...
Stay tuned.
Sunday, November 20, 2011
Who says Sunday is a day of rest?
Not at the RehabRN household...at least for me.
No cleaning, lots of laundry and plenty of cooking: Endives with ham in bechamel sauce, leek, potato and carrot soup, cheddar beer bread, and stewed apples.
Now I can go back to work for a short week. Thank you relatives for inviting me (and the crew) to Thanksgiving dinner. We (especially me) appreciate it!
More to come...
No cleaning, lots of laundry and plenty of cooking: Endives with ham in bechamel sauce, leek, potato and carrot soup, cheddar beer bread, and stewed apples.
Now I can go back to work for a short week. Thank you relatives for inviting me (and the crew) to Thanksgiving dinner. We (especially me) appreciate it!
More to come...
A little housekeeping
In real life and on this blog. I have gone through the links on the sidebar and removed the ones that don't work anymore or the links to password protected, "members only" sites.
If you'd like to be added or re-added, let me know.
Now back to regularly scheduled laundry...
If you'd like to be added or re-added, let me know.
Now back to regularly scheduled laundry...
Saturday, November 19, 2011
Another day with the boss...
Yes, Boss #1 was up to his usual tricks, just like when we were travelling recently. He made me do this, do that, just because I was in the right office.
But thankfully, I had "earwitnesses" this time when I told him, "Hey, after all this work, you have to buy me something at X's Happy Hour." (still going to way too many going away parties).Thanks P and Q (my classmates) conferenced in on the other line.
I finally got something good out of him: a nice, fresh local Hefeweizen with lemon.
But thankfully, I had "earwitnesses" this time when I told him, "Hey, after all this work, you have to buy me something at X's Happy Hour." (still going to way too many going away parties).Thanks P and Q (my classmates) conferenced in on the other line.
I finally got something good out of him: a nice, fresh local Hefeweizen with lemon.
So glad it's the weekend...
We're halfway there...oh!
Thank goodness the grad class is actually more than that, but this certainly conveys the feeling I often had as a teenager out with my friends on a weekend...or in this class!
Thank goodness the grad class is actually more than that, but this certainly conveys the feeling I often had as a teenager out with my friends on a weekend...or in this class!
Friday, November 18, 2011
The new math
Manglement sure hasn't figured out how to do math, although they are really good at subtraction and negative numbers.
Here's how.
If you say you need to save money and "rightsize", why are you hiring, not one, but two administrative "management team leaders" who cost nearly $200,000?
If you let nurses leave units, don't hire anyone to replace them, then have a couple die, retire, or just plain quit, you will start to have negative staffing patterns.
And finally, if you nitpick every single solitary person who knows how to do their job, and scrutinize every second of extra time they put in when their management says "do it", they can and will subtract themselves from your department.
You have it folks, the new Manglement math.
Here's how.
If you say you need to save money and "rightsize", why are you hiring, not one, but two administrative "management team leaders" who cost nearly $200,000?
If you let nurses leave units, don't hire anyone to replace them, then have a couple die, retire, or just plain quit, you will start to have negative staffing patterns.
And finally, if you nitpick every single solitary person who knows how to do their job, and scrutinize every second of extra time they put in when their management says "do it", they can and will subtract themselves from your department.
You have it folks, the new Manglement math.
Wednesday, November 16, 2011
Only a few can serve...
On certain compliance committees that meet at the Hotel and in our hospital system. What a surprise that I was chosen for this committee that requires I go to a four hour inspection quarterly. My only hope is that I only have to serve the two years they told me, and not anything extra.
It's getting cold outside in RehabLand, so the visitors are coming out of the woodwork even if the holidays aren't here yet. Today, a few sports guys were in the neighborhood visiting the patients. One of our patients has been in so many PR photos that the PR office guy said, "I should have just asked for a blanket release for him." He's really interesting for the PR guys because he's young and friendly, which is not always our typical patient. We're known for old and crotchety characters who would fit in great in a neighborhood bar, like Cheers, if it were accessible.
Ah, it's so much fun working...stay tuned!
It's getting cold outside in RehabLand, so the visitors are coming out of the woodwork even if the holidays aren't here yet. Today, a few sports guys were in the neighborhood visiting the patients. One of our patients has been in so many PR photos that the PR office guy said, "I should have just asked for a blanket release for him." He's really interesting for the PR guys because he's young and friendly, which is not always our typical patient. We're known for old and crotchety characters who would fit in great in a neighborhood bar, like Cheers, if it were accessible.
Ah, it's so much fun working...stay tuned!
Tuesday, November 15, 2011
Winding down
It really was a crazy day today, not unlike my regular Tuesday schedule.
First, I get to work and try to catch up on the e-mails I meant to send yesterday.
Next, I go to the network admin's PC and mess with some specialty software for my school project. (He is the best, and doesn't care if I use his computer when he's out). I go to the staff meeting, all is good, I work for an hour or so before the next meeting, and our patient ditches us.
What's more fun: a beehive full of bees or a pissed off surgeon who's supposed to evaluate a patient for surgery and the patient doesn't show up? Hmm...
After that fun thing, inhale lunch, then sit in the boss's office for a conference call (because we have to stop using up all those unnecessary lines at lunch when we can eat quietly in peace). Thankfully, it was over much more quickly than they said on the agenda.
As a result of that meeting, I get an assignment. Not just any assignment, but one that requires I finish it before I leave...an hour late.
At least, I have one less thing hanging over my head! Stay tuned...it's never dull at the Hotel.
First, I get to work and try to catch up on the e-mails I meant to send yesterday.
Next, I go to the network admin's PC and mess with some specialty software for my school project. (He is the best, and doesn't care if I use his computer when he's out). I go to the staff meeting, all is good, I work for an hour or so before the next meeting, and our patient ditches us.
What's more fun: a beehive full of bees or a pissed off surgeon who's supposed to evaluate a patient for surgery and the patient doesn't show up? Hmm...
After that fun thing, inhale lunch, then sit in the boss's office for a conference call (because we have to stop using up all those unnecessary lines at lunch when we can eat quietly in peace). Thankfully, it was over much more quickly than they said on the agenda.
As a result of that meeting, I get an assignment. Not just any assignment, but one that requires I finish it before I leave...an hour late.
At least, I have one less thing hanging over my head! Stay tuned...it's never dull at the Hotel.
Saturday, November 12, 2011
Countdown
In 14 (or so) days, I'll have another new boss. Lucky me! We can't hire enough nurses, but the Hotel can hire people to be administrators and bosses. So much for a flat management structure!
In 29 days, my latest grad school class will be over for the semester. And in 71 days, I'll be starting the last year of grad school. Hooray!
More to come...
In 29 days, my latest grad school class will be over for the semester. And in 71 days, I'll be starting the last year of grad school. Hooray!
More to come...
Friday, November 11, 2011
This post courtesy of...
United States Military veterans. Young and old. Tall and short. Army, Navy, Marine, Air Force and even a few Merchant Marines thrown in.
Today is the day we remember the end to a horrible, horrible war, and I thank you all, past, present and future.
Without you all, I might not be here today.
With sincerest gratitude,
RehabRN
Please enjoy this video shot for the holiday yesterday (Happy Belated Birthday Marine Corps!) You will be moved. I know I was.
Many thanks to the Marines...they never leave anyone behind!
Today is the day we remember the end to a horrible, horrible war, and I thank you all, past, present and future.
Without you all, I might not be here today.
With sincerest gratitude,
RehabRN
Please enjoy this video shot for the holiday yesterday (Happy Belated Birthday Marine Corps!) You will be moved. I know I was.
Many thanks to the Marines...they never leave anyone behind!
Thursday, November 10, 2011
A lesson in life
The whole Penn State thing has prompted lots of discussion at the RehabRN household with Bubba.
Points to ponder...
Yes, there are no secrets between adults and children. Period. Surprises, yes. Secrets, no.
You have to be responsible. As a kid, being responsible means telling an adult if something doesn't look right.
As an adult, being responsible in a situation like this means either 1) beating the ever-loving c*(p out of someone abusing a kid or 2) getting on your phone and calling the authorities IMMEDIATELY, not later, not after you think about it for years, right away.
No sport is life. Sports are part of life, but in most cases, should not qualify you for life behind bars.
As honorable people, there is a reason why we value protecting children, orphans and widows (and/or anyone in a weakened, general condition).
Because it's the right thing to do.
Points to ponder...
Yes, there are no secrets between adults and children. Period. Surprises, yes. Secrets, no.
You have to be responsible. As a kid, being responsible means telling an adult if something doesn't look right.
As an adult, being responsible in a situation like this means either 1) beating the ever-loving c*(p out of someone abusing a kid or 2) getting on your phone and calling the authorities IMMEDIATELY, not later, not after you think about it for years, right away.
No sport is life. Sports are part of life, but in most cases, should not qualify you for life behind bars.
As honorable people, there is a reason why we value protecting children, orphans and widows (and/or anyone in a weakened, general condition).
Because it's the right thing to do.
Tuesday, November 8, 2011
It was bound to happen
The natives are indeed restless at the Hotel. No one is surprised, really, that people are in such a horrific mood, but I'm getting to the point where I don't want to talk to some people anymore.
They are stressed and upset with the scheduling now that they're full-time again. Full-time on the floor is not like half-time clinic and floor. It is different.
Once the Slug found out from the new manager the way things are, he/she said the Slug will probably look for a new job. There's some news. I expect the Slug to just dig in and see what happens.
Things should be even more exciting once the holidays get here. Oh, the joy that awaits us...stay tuned!
They are stressed and upset with the scheduling now that they're full-time again. Full-time on the floor is not like half-time clinic and floor. It is different.
Once the Slug found out from the new manager the way things are, he/she said the Slug will probably look for a new job. There's some news. I expect the Slug to just dig in and see what happens.
Things should be even more exciting once the holidays get here. Oh, the joy that awaits us...stay tuned!
Sunday, November 6, 2011
You live, you learn
I learned quite a lot the past few days. I escaped for a combination of a long weekend, short out-of-town trip and some training.
What did I end up with...plenty.
1. A reusable blue bag with plenty of books to prepare for my next certification exam.
2. Lots of beautiful fall photos I took on the grounds of where I stayed at a conference center in a rural area outside the town. (see previous post to get the general idea of what the rest look like...)
3. Sixteen continuing education hours.
4. One folder
5. One spiral binder of power points.
6. Some fall decorations that were on our group tables. I'm using mine for my Thanksgiving centerpiece.
7. Networking among the participants. I even got a networking contact for my grad school team mate.
8. Lots and lots of stories from very experienced people, some of whom are pioneers in the industry.
It was fascinating to hear them for the whole time. Our facilitators were professionals who could give you the inside scoop on just about everything.
It was so much fun working the weekend. Going back to work tomorrow won't be nearly as as fun as it is being away from home, but boy, it will be different.
I can't wait.
Stay tuned...
What did I end up with...plenty.
1. A reusable blue bag with plenty of books to prepare for my next certification exam.
2. Lots of beautiful fall photos I took on the grounds of where I stayed at a conference center in a rural area outside the town. (see previous post to get the general idea of what the rest look like...)
3. Sixteen continuing education hours.
4. One folder
5. One spiral binder of power points.
6. Some fall decorations that were on our group tables. I'm using mine for my Thanksgiving centerpiece.
7. Networking among the participants. I even got a networking contact for my grad school team mate.
8. Lots and lots of stories from very experienced people, some of whom are pioneers in the industry.
It was fascinating to hear them for the whole time. Our facilitators were professionals who could give you the inside scoop on just about everything.
It was so much fun working the weekend. Going back to work tomorrow won't be nearly as as fun as it is being away from home, but boy, it will be different.
I can't wait.
Stay tuned...
Saturday, November 5, 2011
My favorite thing about this time of year
I love the color. Blazes of red, yellow and orange are amazing. Here in RehabLand, it looks almost exactly like the photo.
We celebrated another departure at the Hotel. Yes, Boss #2 has left the building, but not before yours truly had the Traveling Partner arm wrestle the largest guy in our group to buy him the first drink. Those old paramedics are dangerous! Boss sent me a nice text once she told him, since I could not be at the watering hole for the party/roast/drinking contest. (all true except the last one)
What a wonderful weekend! Hope you all enjoy (at least some of it).
Stay tuned...more to come!
Friday, November 4, 2011
What doesn't kill you...
Makes you stronger, or so they say.
Grad school is tiring me out! How many more days...37? That date won't come soon enough.
Stay tuned!
Grad school is tiring me out! How many more days...37? That date won't come soon enough.
Stay tuned!
If you want peace...
MJ, I don't have to agree with everything, but I do agree that social justice is largely misconstrued in this day and age as socialism.
Why is taking care of people such a radical notion?
Why is taking care of people such a radical notion?
Thursday, November 3, 2011
In some places...
You have to know a lot more about certain subjects when you graduate from high school than what you do here in the US.
It's pretty obvious really. Even though a city may start with the same letter, having the same letter does not mean it is the same. Omaha, dear friends, is not Oklahoma City.
One of these days, some of the people I work with will figure this out, or nursing education will have to go back to high school again.
We won't be able to hire some corporate communications spokesmen to get the word out, however, because they don't get it, either.
It's pretty obvious really. Even though a city may start with the same letter, having the same letter does not mean it is the same. Omaha, dear friends, is not Oklahoma City.
One of these days, some of the people I work with will figure this out, or nursing education will have to go back to high school again.
We won't be able to hire some corporate communications spokesmen to get the word out, however, because they don't get it, either.
Wednesday, November 2, 2011
I'm open...
Be open to the amazing changes which are occurring in the field that interest you.~
Leigh Steinberg
Dear Boss:
I'm also open to having Manglement make those decisions that I cannot. If you continue to tell me to do stuff without much direction, I will figure a way to do it on my own.
And being your micromanaging self, you may not like the results.
Just sayin'...
RehabRN
Leigh Steinberg
Dear Boss:
I'm also open to having Manglement make those decisions that I cannot. If you continue to tell me to do stuff without much direction, I will figure a way to do it on my own.
And being your micromanaging self, you may not like the results.
Just sayin'...
RehabRN
Monday, October 31, 2011
The joys of childhood
Bubba declared this to be, "The best Halloween ever."
He got to wear his favorite costume twice, and then go door-to-door with one of his best friends, who decided to be the Grim Reaper this year.
Now all I have to do is keep him out of the seven pounds of candy he managed to bring home, even when they have the treat police (no peanuts, no soy, etc.) at school this year.
And a day off tomorrow...what more could a kid want.
Stay tuned.
He got to wear his favorite costume twice, and then go door-to-door with one of his best friends, who decided to be the Grim Reaper this year.
Now all I have to do is keep him out of the seven pounds of candy he managed to bring home, even when they have the treat police (no peanuts, no soy, etc.) at school this year.
And a day off tomorrow...what more could a kid want.
Stay tuned.
Friday, October 28, 2011
Simply the best
Oh, we're gonna celebrate at the Hotel. The place was hopping on evenings when I called S., who was leading the charge.
Now maybe the baseball fans will be quiet...until spring.
So, so wrong
Driving through the tree-lined lane on my way home, as I'm admiring the fall colors, I see one of the Hotel patients. (I know Mr. X pretty well because I admitted him on his previous trip.)
At this point, he's nearly a mile from the Hotel, with his wheelchair loaded up with shopping bags. To add to the fun and excitement, there is no sidewalk and no shoulder. If a car comes, he's in trouble.
I call the unit and they must be busy, so no one answers the phone. I get the pleasure of bouncing to the on-call doc. The boss is the doc of the day.
So glad I don't work those evenings anymore...
At this point, he's nearly a mile from the Hotel, with his wheelchair loaded up with shopping bags. To add to the fun and excitement, there is no sidewalk and no shoulder. If a car comes, he's in trouble.
I call the unit and they must be busy, so no one answers the phone. I get the pleasure of bouncing to the on-call doc. The boss is the doc of the day.
So glad I don't work those evenings anymore...
Thursday, October 27, 2011
Tuesday, October 25, 2011
I'm out of time...
But not out of touch, like the song says. So, so happy good things happen after hours and your homeboys and girls at the Hotel send you messages about it.
Y'all are the best, kids.
Kisses,
RehabRN
Y'all are the best, kids.
Kisses,
RehabRN
Thankfully, Monday's over...
Every man has a sane spot somewhere. --Robert Louis Stevenson
Will use my sharp nursing assessment skills to determine if my boss fits this category after his/her behavior yesterday.
I won't hold my breath, however.
Stay tuned...
Will use my sharp nursing assessment skills to determine if my boss fits this category after his/her behavior yesterday.
I won't hold my breath, however.
Stay tuned...
Monday, October 24, 2011
Only...
49 days until the end of the semester...yes!
I now have a mission: survive Monday and the rest of this class.
It can be done...cross your fingers.
I now have a mission: survive Monday and the rest of this class.
It can be done...cross your fingers.
Sunday, October 23, 2011
I'm raising a barbarian
Bubba: (extremely loud belch) "That's how you burp, Mom". "A, B, C, D..."
Me: Excuse me? I could have lived without that, dear.
(head bang on desk)
My child hasn't left grade school, and he's perfecting all the things he'll need if he ever joins a fraternity, like Dahey.
I'm so glad I'm sending him to school tomorrow...
Stay tuned...a mother's work is never done!
Me: Excuse me? I could have lived without that, dear.
(head bang on desk)
My child hasn't left grade school, and he's perfecting all the things he'll need if he ever joins a fraternity, like Dahey.
I'm so glad I'm sending him to school tomorrow...
Stay tuned...a mother's work is never done!
Saturday, October 22, 2011
Hangin' with the Queen
The Queen of Saintarama Rehab on the occasion of the celebration of the 20th anniversary of her 30th natal day that is.
Yes, the Queen of Rehab Scheduling turns 5-0 (oops! said it!) Thanks so much for "forgetting" I (and a few others) was supposed to work every other weekend until they made you, and it was time for me to exit. It was so nice to catch up with everyone again.
I am still, and will be, eternally grateful. Enjoy another year of fun! At least Dr. S. won't be there with you to drive you crazy, just like at that conference. (wink wink) That's my extra special gift that wouldn't fit in the bag at the party.
Enjoy every minute!
Yes, the Queen of Rehab Scheduling turns 5-0 (oops! said it!) Thanks so much for "forgetting" I (and a few others) was supposed to work every other weekend until they made you, and it was time for me to exit. It was so nice to catch up with everyone again.
I am still, and will be, eternally grateful. Enjoy another year of fun! At least Dr. S. won't be there with you to drive you crazy, just like at that conference. (wink wink) That's my extra special gift that wouldn't fit in the bag at the party.
Enjoy every minute!
Friday, October 21, 2011
Thursday, October 20, 2011
It ain't Bob and Bing on the Road to Utopia, but..
All of these things happened to me on the road recently with the boss.
1. I was accused of drinking the last of the caffeinated coffee in the conference room. I drank decaf instead, and waited for the new stuff to arrive. "No, " I replied. "It ran out before I got there."
2. Boss almost choked. Thank goodness I didn't have to do the Heimlich on him/her.
3. Boss kept borrowing so many office supplies that my return flight seat mate said, "What are you going to have to do next? Make coffee?"
But it wasn't all terrible.
1. Boss held my spot in line to get on the plane as I desperately ran to Starbucks for a coffee and he/she declined one. (I was nice and offered, as I always do.)
2. Boss stood in the rain to get a cab.
3. Boss and I sat near each other in the conference and I didn't hide his/her pens once (although he/she "borrowed" my only notepad to take calls from people at the Hotel.) Yes, while the meeting was in progress. Boss also wrote remote orders on his/her laptop.
4. Boss complimented me on my knowledge in front of our work group, who had come from around the nation.
It is always interesting to watch
1. Specialists squirm when they don't understand something.
2. People getting in those inside comments, "We finally went out and got Nurse X a Queen's Square hammer for the clinic after that study." Thanks to Grumpy, I actually KNEW that one. (still have to find out what Boss's favorite is though...I'm guessing a Troemner)
Nevertheless, I survived. Boss, I'll miss you when you're gone the next time.
Just remember...I have pictures of you sleeping with your mouth wide open on the plane, proving, yet again, that you're still human like the rest of us.
Stay tuned...could be on the road again before you know it.
1. I was accused of drinking the last of the caffeinated coffee in the conference room. I drank decaf instead, and waited for the new stuff to arrive. "No, " I replied. "It ran out before I got there."
2. Boss almost choked. Thank goodness I didn't have to do the Heimlich on him/her.
3. Boss kept borrowing so many office supplies that my return flight seat mate said, "What are you going to have to do next? Make coffee?"
But it wasn't all terrible.
1. Boss held my spot in line to get on the plane as I desperately ran to Starbucks for a coffee and he/she declined one. (I was nice and offered, as I always do.)
2. Boss stood in the rain to get a cab.
3. Boss and I sat near each other in the conference and I didn't hide his/her pens once (although he/she "borrowed" my only notepad to take calls from people at the Hotel.) Yes, while the meeting was in progress. Boss also wrote remote orders on his/her laptop.
4. Boss complimented me on my knowledge in front of our work group, who had come from around the nation.
It is always interesting to watch
1. Specialists squirm when they don't understand something.
2. People getting in those inside comments, "We finally went out and got Nurse X a Queen's Square hammer for the clinic after that study." Thanks to Grumpy, I actually KNEW that one. (still have to find out what Boss's favorite is though...I'm guessing a Troemner)
Nevertheless, I survived. Boss, I'll miss you when you're gone the next time.
Just remember...I have pictures of you sleeping with your mouth wide open on the plane, proving, yet again, that you're still human like the rest of us.
Stay tuned...could be on the road again before you know it.
Tuesday, October 18, 2011
Sad but true
Yes, some people think makeup makes you more competent.
When they perfect a mascara that is totally sweatproof, tearproof and rubproof, I'll wear better stuff. Some days makeup lasts all of 10 minutes at the Hotel, so you have to be careful what you wear.
Stay tuned...real life happens today. Welcome to meeting-o-rama for me!
When they perfect a mascara that is totally sweatproof, tearproof and rubproof, I'll wear better stuff. Some days makeup lasts all of 10 minutes at the Hotel, so you have to be careful what you wear.
Stay tuned...real life happens today. Welcome to meeting-o-rama for me!
Monday, October 17, 2011
You know you're in another world when...
Someone asks you what the KISS principle is. If you're feeling diplomatic in your grad class, you say it's Keep It Short and Simple.
Otherwise, if your inner nerd comes out, you tell the truth, and run like the wind.
More high drama later...
Otherwise, if your inner nerd comes out, you tell the truth, and run like the wind.
More high drama later...
Sunday, October 16, 2011
Right down the middle...
It's wild and wooliness at the Hotel with all the patients, since the World Series is right in the middle of America, with the St. Louis Cardinals vs. Texas Rangers. I think all we have left are baseball fans on our census. Not a peep about football.
Oh, we'll never hear the end of it. Where's the rest of the popcorn (since the vending machines don't stock Cracker Jack)?
I love a good diversion...
Oh, we'll never hear the end of it. Where's the rest of the popcorn (since the vending machines don't stock Cracker Jack)?
I love a good diversion...
Joy of joys, details at 11
Team meeting tonight. It would possibly include the news tagline "Details at 11" if R. lived in the same city as one of our other teammates for this grad class. Thank goodness for the internet...keeping nurses from physically throttling other nurses at team meetings.
It also helps that we have a leader who is completely clueless on the group dynamics. Here's a chance to have more hours of my life thrown into a black hole of nothingness, and to top it all with a cherry, this assignment is due this week.
And if that's not enough, Boss and I get to hit the road to visit for a meeting halfway across the country.
I'm packing my bags, 'cause Maalox here I come! Stay tuned...
It also helps that we have a leader who is completely clueless on the group dynamics. Here's a chance to have more hours of my life thrown into a black hole of nothingness, and to top it all with a cherry, this assignment is due this week.
And if that's not enough, Boss and I get to hit the road to visit for a meeting halfway across the country.
I'm packing my bags, 'cause Maalox here I come! Stay tuned...
Saturday, October 15, 2011
Lather, rinse, repeat part 37
(head bang into wall) Please tell me how many more days of Purgatory this grad school "teamwork" class is again?
Only 57 more days, my classmate, R. reminds me. It's just not soon enough.(another head bang)
Only 57 more days, my classmate, R. reminds me. It's just not soon enough.(another head bang)
Friday, October 14, 2011
Wednesday, October 12, 2011
If I ran Hotel Rehab...
Dear Boss:
Yes, after a recent meeting in which the nursing staff was errantly dressed down by management for flagrant patient violations of house rules, here's what I'd do if I ran the Hotel Rehab.
1. Yes, bring in the guys in the uniforms (our security force) and make them lay down the law.
Rule: you break it, you buy it, which means as soon as you can, you're outta here, pal.
2. Have psychology work rotations 24/7 on call. What a pain it is to have no support at odd hours when you need it. Psych's busy enough with all the commitments, suicidal ideations, etc. Come on down and peel this "not sick enough for psych" character off the ceiling so I can do my work. And stop the groper from groping my fellow staff members.
3. Really discharge non-compliant patients. You're perfectly competent, but choose to disobey rules and make yourself sick enough to require emergency care? Out you go...
Just my two cents. Maybe it'll stick if I repeat it enough.
Yours truly,
RehabRN
Yes, after a recent meeting in which the nursing staff was errantly dressed down by management for flagrant patient violations of house rules, here's what I'd do if I ran the Hotel Rehab.
1. Yes, bring in the guys in the uniforms (our security force) and make them lay down the law.
Rule: you break it, you buy it, which means as soon as you can, you're outta here, pal.
2. Have psychology work rotations 24/7 on call. What a pain it is to have no support at odd hours when you need it. Psych's busy enough with all the commitments, suicidal ideations, etc. Come on down and peel this "not sick enough for psych" character off the ceiling so I can do my work. And stop the groper from groping my fellow staff members.
3. Really discharge non-compliant patients. You're perfectly competent, but choose to disobey rules and make yourself sick enough to require emergency care? Out you go...
Just my two cents. Maybe it'll stick if I repeat it enough.
Yours truly,
RehabRN
Tuesday, October 11, 2011
Pollen, be gone!
One of these days, all of this fall pollen will be history. It won't be soon enough for me. I had a horrible day duking it out with dust and other random pollens.
Back to work...
Back to work...
Monday, October 10, 2011
Dude...
What a way to start the day: Bubba, who did all his homework, is up early watching Japanese Pokemon episodes on YouTube.
Should be interesting to see how much he picks up.
More to come...stay tuned.
Should be interesting to see how much he picks up.
More to come...stay tuned.
Saturday, October 8, 2011
Thank you for smoking
Dear Patients,
Yes, I'm not talking about the movie, I'm just talking about what I see at the Hotel Rehab.
By spending lots of money on cigarettes, you are, in a roundabout way, financing my house, car and Bubba's college education. Thanks so much.
Here's how.
1. Smoking impairs wound healing, according to studies. You sign a contract at the Hotel saying you won't smoke, so what do you expect, when I see you out on the front lawn, with your visitors and your IV pole, talking and taking long drags?
And BTW, some of those studies mentioned above say that smokers get impaired absorption and effectiveness of some drugs, too. Dr. Z will not give you the flap of your dreams if you're not compliant.
2. And word to the wise, Mr. S.: Don't be lying to that person who's calling you to help you, and who needs you to be abstinent of tobacco.When note after note says you were outside smoking, who do you think he/she's gonna believe? (He/she can read our notes)
3. And if either one of you two idiots smoke outside my window again, I can and will water my plant on the windowsill. That darned gravity is crazy on the second floor.
Cheers, love and good wishes (you may want to wear a raincoat),
RehabRN
Yes, I'm not talking about the movie, I'm just talking about what I see at the Hotel Rehab.
By spending lots of money on cigarettes, you are, in a roundabout way, financing my house, car and Bubba's college education. Thanks so much.
Here's how.
1. Smoking impairs wound healing, according to studies. You sign a contract at the Hotel saying you won't smoke, so what do you expect, when I see you out on the front lawn, with your visitors and your IV pole, talking and taking long drags?
And BTW, some of those studies mentioned above say that smokers get impaired absorption and effectiveness of some drugs, too. Dr. Z will not give you the flap of your dreams if you're not compliant.
2. And word to the wise, Mr. S.: Don't be lying to that person who's calling you to help you, and who needs you to be abstinent of tobacco.When note after note says you were outside smoking, who do you think he/she's gonna believe? (He/she can read our notes)
3. And if either one of you two idiots smoke outside my window again, I can and will water my plant on the windowsill. That darned gravity is crazy on the second floor.
Cheers, love and good wishes (you may want to wear a raincoat),
RehabRN
Friday, October 7, 2011
Take on me...
Nothin' like a little Norwegian fun to end a week of mixing, matching and mangling with Manglement. Hope you all enjoy wherever you find yourselves this weekend.
Say it anyway
Today isn't my day to find you...
Take on me
Take me on...
I'll be gone...
Stolen away
Slowly learning that life is game
It's no better to be safe than sorry!
Say it anyway
Today isn't my day to find you...
Take on me
Take me on...
I'll be gone...
Stolen away
Slowly learning that life is game
It's no better to be safe than sorry!
Thursday, October 6, 2011
Mixin' it up...
Sometimes I am nice. I return calls, I do favors for my friends on the floor. I walk back to the unit from the SU with patients who are going that way, and their transporter's not there.
In fact, I'm getting used to the temporary office, and the fact, that I'm allowed to wander around to do my job. Yes, with stuff here, there and everywhere, I am getting my exercise walking. I need to walk anyway, since I sit for longer periods than I ever did while I was caring for people on the floor.
But if you try to tell me you're going to make me take less time doing my job to make you happy, Big Boss, I'm going to tell you the truth. You, nor your providers will get reimbursed for me or that SU work you're volunteering me for 'cause it ain't codeable. (Thank you coders and Ms. SU Guru for teaching me all the magic words to say about provider workload.)
I am here for the SU patients, you know, the rehabbers you wanted me especially for in the first place.
And if you think you're gonna mess with my people (even indirectly), you're gonna have to deal with me: She who will not be cowed.'Cause all these other coders and assorted folks who get you money are banking on me.
Any questions? I didn't think so...
In fact, I'm getting used to the temporary office, and the fact, that I'm allowed to wander around to do my job. Yes, with stuff here, there and everywhere, I am getting my exercise walking. I need to walk anyway, since I sit for longer periods than I ever did while I was caring for people on the floor.
But if you try to tell me you're going to make me take less time doing my job to make you happy, Big Boss, I'm going to tell you the truth. You, nor your providers will get reimbursed for me or that SU work you're volunteering me for 'cause it ain't codeable. (Thank you coders and Ms. SU Guru for teaching me all the magic words to say about provider workload.)
I am here for the SU patients, you know, the rehabbers you wanted me especially for in the first place.
And if you think you're gonna mess with my people (even indirectly), you're gonna have to deal with me: She who will not be cowed.'Cause all these other coders and assorted folks who get you money are banking on me.
Any questions? I didn't think so...
Wednesday, October 5, 2011
RIP Steve Jobs
Be a yardstick of quality. Some people aren't used to an environment where excellence is expected. ~Steve Jobs
Dear Steve,
I live this quote every day. It's harder some days than others, but in the bureaucracy of the Hotel, every once in a while, someone notices.
Say hello to all those patients in Heaven I took care of just like you. One even called himself your brother. I'm sure he's hanging out somewhere looking for you. "We are all together in transplant", he and another lady told me, no matter what organ it is.
BTW I still really love my iPhone, even if I spent all those years on the Dark Side of computing. Elegant simplicity is, as always, truly stunning.
Godspeed and rest in peace,
RehabRN
Dear Steve,
I live this quote every day. It's harder some days than others, but in the bureaucracy of the Hotel, every once in a while, someone notices.
Say hello to all those patients in Heaven I took care of just like you. One even called himself your brother. I'm sure he's hanging out somewhere looking for you. "We are all together in transplant", he and another lady told me, no matter what organ it is.
BTW I still really love my iPhone, even if I spent all those years on the Dark Side of computing. Elegant simplicity is, as always, truly stunning.
Godspeed and rest in peace,
RehabRN
Tuesday, October 4, 2011
Yes, Nobel season
'Tis the season again, as one of my patients reminded me, to handicap the Nobel Prizes. You don't know who's nominated, but it's fun to see who wins. No one is ever a Nobel Prize nominee.
So happy they decided to let Ralph Steinman stay a Nobel laureate for his (and two contributors) work in medicine.
RIP Ralph wherever you are. Your work will make life better for others, just as it extended your own life.
So happy they decided to let Ralph Steinman stay a Nobel laureate for his (and two contributors) work in medicine.
RIP Ralph wherever you are. Your work will make life better for others, just as it extended your own life.
Misspent youth, part 65
Yes, at one of my first jobs, I had a boss who was a major gamer in the bad old days when you didn't have high speed internet at home. He invited all his buddies (no use hiding the sex here...ain't no HIPAA among gamers!) for LAN parties at the office, which was closed for the weekend. This was, of course, explained to management, as "network load testing."
My job entailed a lot of internet surfing. I was the chief user on the user internet stats at Ye Old Government back in the day. All was for my job (and I had the stats on my side, too, baby!)
But, as a nurse, I have to say, I thought this was pretty cool, doing hospital orientation in a virtual world.
Wonder if I could frag anyone...or at least run a virtual code?
Stay tuned...you never know.
My job entailed a lot of internet surfing. I was the chief user on the user internet stats at Ye Old Government back in the day. All was for my job (and I had the stats on my side, too, baby!)
But, as a nurse, I have to say, I thought this was pretty cool, doing hospital orientation in a virtual world.
Wonder if I could frag anyone...or at least run a virtual code?
Stay tuned...you never know.
Monday, October 3, 2011
All on a Monday
You know you're going to have a day when...
1. The first two things you learn when you come to work is that one coworker and one relative of a coworker died over the weekend.
2. The wheelchair you've been waiting for never shows up. Paging therapy, purchasing, anyone who can get you wheels.
3. The crazy MD you talked to as you were walking out the door Friday sent you a cheery e-mail. Why am I having this Cruella DeVil vision when I think about that phone conversation?
4. Your supposedly "clean" office is so dusty, you may just have to go back to the allergist.
But things get better...really.
1. You get a guy who's been at your place for two weeks out of bed. "C'mon, I need your help." works a lot...I guess if you're a lonely guy who feels sorry for the nutty clinic nurse who can fling him on his stretcher with the best of them.
2. You and your office mates stage the latest potluck to scare away culinary boredom at the hospital cafe. How about a nice salami, mortadella and some coppa with that melon....yum!
At least, I'll get to do some more fun stuff later this week. Can't wait...stay tuned.
1. The first two things you learn when you come to work is that one coworker and one relative of a coworker died over the weekend.
2. The wheelchair you've been waiting for never shows up. Paging therapy, purchasing, anyone who can get you wheels.
3. The crazy MD you talked to as you were walking out the door Friday sent you a cheery e-mail. Why am I having this Cruella DeVil vision when I think about that phone conversation?
4. Your supposedly "clean" office is so dusty, you may just have to go back to the allergist.
But things get better...really.
1. You get a guy who's been at your place for two weeks out of bed. "C'mon, I need your help." works a lot...I guess if you're a lonely guy who feels sorry for the nutty clinic nurse who can fling him on his stretcher with the best of them.
2. You and your office mates stage the latest potluck to scare away culinary boredom at the hospital cafe. How about a nice salami, mortadella and some coppa with that melon....yum!
At least, I'll get to do some more fun stuff later this week. Can't wait...stay tuned.
Sunday, October 2, 2011
Some reruns
Are just classics, so if you haven't already seen Dr. Grumpy's latest Sunday Rerun, you just better run right on over and check out this week's version about insurance companies and bureaucracy.
It makes the Govermint look tame in comparison. Who'd have thought office folks would love Medicare?
Stay tuned...I'm relaxing and enjoying the weekend while it lasts.
It makes the Govermint look tame in comparison. Who'd have thought office folks would love Medicare?
Stay tuned...I'm relaxing and enjoying the weekend while it lasts.
Saturday, October 1, 2011
All that was missing...
Were the exquisite chocolates, when Dahey and I went out for dinner for our anniversary recently.
Moules, frites with mayo, and a delightful lambic.
I wanna go back to Bruges! Somebody take me away...on y va!
Moules, frites with mayo, and a delightful lambic.
I wanna go back to Bruges! Somebody take me away...on y va!
Friday, September 30, 2011
Profundity
I have known Dahey more than half of my life now. (We passed even not that long ago.)
It's funny to think that a decade ago this week we were eating, drinking and being merry. And so many terrible and wonderful things have happened in our life together in the interim.
May we have many, many more years. Happy anniversary, dahling!
Love and kisses,
RehabRN
It's funny to think that a decade ago this week we were eating, drinking and being merry. And so many terrible and wonderful things have happened in our life together in the interim.
May we have many, many more years. Happy anniversary, dahling!
Love and kisses,
RehabRN
Thursday, September 29, 2011
Crazy
Bubba has been a mess lately. As a diagnosed sports nut, he is getting up early to check ESPN for all the sports scores before school. Baseball, football (college and pro) and hockey...it's all going on right now. Heavens!
Unfortunately, this caused him to misinterpret the news (in his sleep deprived haze) "Mom, my favorite player, Michael Jackson died."
"No, dear. Your favorite player is Michael Jordan, not Jackson."
Go back to bed!
It won't be any better at the Hotel. We have that illness, too--sports overload sweeping the unit.
Ugh...stay tuned.
Unfortunately, this caused him to misinterpret the news (in his sleep deprived haze) "Mom, my favorite player, Michael Jackson died."
"No, dear. Your favorite player is Michael Jordan, not Jackson."
Go back to bed!
It won't be any better at the Hotel. We have that illness, too--sports overload sweeping the unit.
Ugh...stay tuned.
Wednesday, September 28, 2011
Some nurses...
Like me, hate to leave Manglement out in the cold. Yes, it's terribly fun, to state, in measured terms the following when they come and hold "Town Hall" meetings at the Hotel.
1. If you know that nurses aren't documenting *exactly* what the Evil Insurance Companies want, and the Hotel is losing money, why not teach us what they *do* want, so we can make sure we have bulletproof documentation that gets us the most money?
2. Point out that your best nurses are/can/will leave if you refuse to invest in them, by providing some sort of tuition assistance. Hello..when every bloody hospital in this part of the woods (and my cohort, D., did the research, and they all do) does, what are you going to do? Sit? Wait?
Will the last RN please turn out the light? Whoops...it's going out in another unit next door. Yes, that's why we have to shut down beds.
3. I'd have liked to, but I forgot to mention Mr. Hospital Admin, to some of us who worked in the real world outside the Hotel and its mothership, rightsize really is a bad word. Please stop using it because you're making me nervous.
Feel free to "redesign the system" and "remove silos" all you want. That's not nearly as scary.
That is all for now. Enjoy the rest of your day.
More to come...
1. If you know that nurses aren't documenting *exactly* what the Evil Insurance Companies want, and the Hotel is losing money, why not teach us what they *do* want, so we can make sure we have bulletproof documentation that gets us the most money?
2. Point out that your best nurses are/can/will leave if you refuse to invest in them, by providing some sort of tuition assistance. Hello..when every bloody hospital in this part of the woods (and my cohort, D., did the research, and they all do) does, what are you going to do? Sit? Wait?
Will the last RN please turn out the light? Whoops...it's going out in another unit next door. Yes, that's why we have to shut down beds.
3. I'd have liked to, but I forgot to mention Mr. Hospital Admin, to some of us who worked in the real world outside the Hotel and its mothership, rightsize really is a bad word. Please stop using it because you're making me nervous.
Feel free to "redesign the system" and "remove silos" all you want. That's not nearly as scary.
That is all for now. Enjoy the rest of your day.
More to come...
Tuesday, September 27, 2011
Some people...
Say the darnedest things...here's the latest version of Heard on the Unit.
(Q&A on one of our rehab program posters) "Q. Why can't I participate in rehab if I smoke marijuana?
A. We find that patients who use marijuana don't think clearly."
Yes, we actually have to tell some of our patients not to smoke weed. Nice.
"I couldn't come over and get my foot x-rayed Friday because I was busy." Mr. Random Roller.
It did not help that RR was noted at a seminar, picking up all the free goodies and eating food on Friday by one of the other staff members who had no idea RR had a problem.
RR had no problem taking over our NP's office on Monday, though.
"I can't remember to cath on time, but boy did I have a headache today!" Mr. SCI
Word to the wise: if you cath on time, Mr. SCI, you won't get that headache. Thankfully, his nurse reminded him by putting a note on his pant leg, so he remembers when he's due again.
What's a little AD among friends, right?
"RehabRN, Mickey (his nurse at home) told me you went to the SU. Are you done with them yet? Come back." Mr. C.
Yes, one of my favorite patients came back to the Hotel for a checkup, and wants me back. It's a nice way to end the day, knowing someone values you as a nurse.
The fun never ends...stay tuned.
(Q&A on one of our rehab program posters) "Q. Why can't I participate in rehab if I smoke marijuana?
A. We find that patients who use marijuana don't think clearly."
Yes, we actually have to tell some of our patients not to smoke weed. Nice.
"I couldn't come over and get my foot x-rayed Friday because I was busy." Mr. Random Roller.
It did not help that RR was noted at a seminar, picking up all the free goodies and eating food on Friday by one of the other staff members who had no idea RR had a problem.
RR had no problem taking over our NP's office on Monday, though.
"I can't remember to cath on time, but boy did I have a headache today!" Mr. SCI
Word to the wise: if you cath on time, Mr. SCI, you won't get that headache. Thankfully, his nurse reminded him by putting a note on his pant leg, so he remembers when he's due again.
What's a little AD among friends, right?
"RehabRN, Mickey (his nurse at home) told me you went to the SU. Are you done with them yet? Come back." Mr. C.
Yes, one of my favorite patients came back to the Hotel for a checkup, and wants me back. It's a nice way to end the day, knowing someone values you as a nurse.
The fun never ends...stay tuned.
Monday, September 26, 2011
You just never know...
One day, I ask a crazy question, get an answer, submit the details for a national conference, and voila! I'm on stage at one of the largest rehab conferences in the US with my boss.
Today, it's a Monday and I decide I need to do a little investigating about saving the department some money. I was talking to one of our docs about "what would you do" to save money. He/she tells me, and along with some guidance from our department NPs (patients would love it, they said), I write up a quickie proposal and ask the big boss if it would work.
By the end of the day, the chief of medicine has added it to the hospital's task force to investigate.
If all goes well, our unit could save our hospital big, big bucks.
Yes, indeed, it is a happy Monday.
Stay tuned...
Today, it's a Monday and I decide I need to do a little investigating about saving the department some money. I was talking to one of our docs about "what would you do" to save money. He/she tells me, and along with some guidance from our department NPs (patients would love it, they said), I write up a quickie proposal and ask the big boss if it would work.
By the end of the day, the chief of medicine has added it to the hospital's task force to investigate.
If all goes well, our unit could save our hospital big, big bucks.
Yes, indeed, it is a happy Monday.
Stay tuned...
Saturday, September 24, 2011
Rejection
I think that you have to believe in your destiny; that you will succeed, you will meet a lot of rejection and it is not always a straight path, there will be detours - so enjoy the view. --Michael York
It's been a while since you first came back to the Hotel. Yes, I saw you in the clinic while I was in the SU for a regular visit. "I'm going home if they don't decide to keep me, " you said, as I passed you between patients. Once I saw them put you on the stretcher, I knew you were going to stay.
They brought you back to the Hotel Rehab because you got sick.You had a monstrous UTI but the docs said you were stable enough to stay with us for a bit, until it ran it's course. Unfortunately, the course was not typical or easy.
One day you felt bad and the next, we noticed you were sick, and then the week was over and you were really bad. Pretty soon, you were on the fast track to ICU and they airlifted you to the specialty hospital because you were horribly sick. World Renown Hospital took care of your specialty issue and kept your "lemon" as you called the lump they removed from you (damn med students!) but you just wouldn't wean from the vent. It took about a couple of months, but finally you got off it. You still have a trach, which drives you nuts.
And so, you go back and forth, from illness to getting better and just about done, then back again. But now, you can't go home again. Your family can't deal with the trach and they have their own problems. Your parents are sick and old and falling apart, too. Mom and Dad finally relented and told you, "Son, we love you, but we can't physically do it anymore." Your children have families of their own with lots of work, too.
Now, you cycle through the latest illness and wait. Nursing home after nursing home says maybe they'll take you, then they "decline due to staffing". You are still you: silly, gossipy, funny, grandpa, dad, son, but now everything has changed because of that darned "lemon".
It sucks to be rejected.
It's been a while since you first came back to the Hotel. Yes, I saw you in the clinic while I was in the SU for a regular visit. "I'm going home if they don't decide to keep me, " you said, as I passed you between patients. Once I saw them put you on the stretcher, I knew you were going to stay.
They brought you back to the Hotel Rehab because you got sick.You had a monstrous UTI but the docs said you were stable enough to stay with us for a bit, until it ran it's course. Unfortunately, the course was not typical or easy.
One day you felt bad and the next, we noticed you were sick, and then the week was over and you were really bad. Pretty soon, you were on the fast track to ICU and they airlifted you to the specialty hospital because you were horribly sick. World Renown Hospital took care of your specialty issue and kept your "lemon" as you called the lump they removed from you (damn med students!) but you just wouldn't wean from the vent. It took about a couple of months, but finally you got off it. You still have a trach, which drives you nuts.
And so, you go back and forth, from illness to getting better and just about done, then back again. But now, you can't go home again. Your family can't deal with the trach and they have their own problems. Your parents are sick and old and falling apart, too. Mom and Dad finally relented and told you, "Son, we love you, but we can't physically do it anymore." Your children have families of their own with lots of work, too.
Now, you cycle through the latest illness and wait. Nursing home after nursing home says maybe they'll take you, then they "decline due to staffing". You are still you: silly, gossipy, funny, grandpa, dad, son, but now everything has changed because of that darned "lemon".
It sucks to be rejected.
Friday, September 23, 2011
I'm just wondering...
If the big boss is getting nervous about a project I have to do with him in three weeks. He/she acts as if I should take a different flight.
Hello, this is not the Royal Family. The world will go on if something happens to either one of us. The Hotel, despite all its construction, reconstruction and clogged toilets will go on.
My departing direct manager has two weeks before he/she leaves for the assigned new position. Will he/she get me the award I've been waiting for since last year for my special project when others on that team have already gotten theirs? I don't know, but I know one thing...he/she may get a rude awakening in the new job, if I don't get the time and consideration before he/she leaves.
Just sayin'...
Hello, this is not the Royal Family. The world will go on if something happens to either one of us. The Hotel, despite all its construction, reconstruction and clogged toilets will go on.
My departing direct manager has two weeks before he/she leaves for the assigned new position. Will he/she get me the award I've been waiting for since last year for my special project when others on that team have already gotten theirs? I don't know, but I know one thing...he/she may get a rude awakening in the new job, if I don't get the time and consideration before he/she leaves.
Just sayin'...
Rumor has it
We will have a Fun Friday, yes indeed, even if last Friday was one for the record books. (As in how many nurses/docs/therapists/social workers can you get to play air guitar...)
Thursday, September 22, 2011
Amen, brother
"If you're quiet, you're not living. You've got to be noisy and colorful and lively."
--Mel Brooks, American filmmaker
Life is too short to be boring, as more than a couple of my patients told me today. I ran onto the unit at the Hotel and I was surrounded by a couple of long-timers, who kept asking me to come back.
This continues to irritate the Slug, much to my great amusement. New Manager is really surprised, but also overwhelmed. It should be interesting to see what happens during his/her first year. I just hope we all make it! He/she has no idea what's going on.
Stay tuned. I plan on being noisy and colorful and lively on a regular basis...just because it irritates some people.
--Mel Brooks, American filmmaker
Life is too short to be boring, as more than a couple of my patients told me today. I ran onto the unit at the Hotel and I was surrounded by a couple of long-timers, who kept asking me to come back.
This continues to irritate the Slug, much to my great amusement. New Manager is really surprised, but also overwhelmed. It should be interesting to see what happens during his/her first year. I just hope we all make it! He/she has no idea what's going on.
Stay tuned. I plan on being noisy and colorful and lively on a regular basis...just because it irritates some people.
Wednesday, September 21, 2011
Good ol' PA
Ah, I thought that only floor nurses could be wildly passive aggressive. Little did I know that some of our office staff, supposedly "professionals" are just as bad (aka PAP).
You know it's going to be interesting when your new boss asks you how you liked the pool party after the conference, 'cause he/she saw the photos PAP took. Yes, yours truly did the air guitar contest with the rest of the rehab team from our network. We had a blast.
Sending photos to someone's boss unbeknownst to them, however, is a little odd. All I have to say is Karma's a b*tch, honey....just you wait!
Stay tuned.
You know it's going to be interesting when your new boss asks you how you liked the pool party after the conference, 'cause he/she saw the photos PAP took. Yes, yours truly did the air guitar contest with the rest of the rehab team from our network. We had a blast.
Sending photos to someone's boss unbeknownst to them, however, is a little odd. All I have to say is Karma's a b*tch, honey....just you wait!
Stay tuned.
Tuesday, September 20, 2011
Still tired...
So much work and training and conferences in the last week has left me exhausted!
Hung out with some of the folks at this conference. It was an amazingly interesting and fun time. Saw old and new friends from all over the country.
Stay tuned...
Hung out with some of the folks at this conference. It was an amazingly interesting and fun time. Saw old and new friends from all over the country.
Stay tuned...
Sunday, September 11, 2011
Never forget...
The highest patriotism is not a blind acceptance of official policy, but a love of one's country deep enough to call her to a higher plain.
George McGovern
Ten years ago today, we learned the meaning of sacrifice, terror and felt the winds of change on a beautiful, sunny day.
Let us never forget all those lost, those grieving, and those fighting for freedom against terror around the world. Let us remember the good that has come from such terror and strive to live as those lost would have wanted us to do, remembering them with the honor they deserve.
George McGovern
Ten years ago today, we learned the meaning of sacrifice, terror and felt the winds of change on a beautiful, sunny day.
Let us never forget all those lost, those grieving, and those fighting for freedom against terror around the world. Let us remember the good that has come from such terror and strive to live as those lost would have wanted us to do, remembering them with the honor they deserve.
Saturday, September 10, 2011
The show hits the road
So, I got my quickie orientation (which isn't really over, BTW, Boss) and now I'm off to training, 'cause Manglement said the network requires it, and you're going.
Doesn't bother me in the least...I love traveling! Bring it on. I'm excited about meeting more clinic monkeys like me.
Stay tuned!
Doesn't bother me in the least...I love traveling! Bring it on. I'm excited about meeting more clinic monkeys like me.
Stay tuned!
Wednesday, September 7, 2011
Be careful
What you wish for, because you just might get it.
Oh, I got it today all right. Our hospital network Big Cheese said at our meeting, "Sure. You get a desk and your own office and all the admin stuff done you asked for. I'll take care of it."
"So can you open that clinic by the end of the month?"
WT...I think my mouth was open so wide I could have had a whole lot of flies coming on in.
Thankfully, Bob, our clinic manager (and my orienting RN) pinched me and said to BC, "Sure. We'll get it done."
No more daydreaming, because it's off to work on the finest clinic in the SU of RehabLand. I'm gonna need a whole lot more coffee...stay tuned.
Oh, I got it today all right. Our hospital network Big Cheese said at our meeting, "Sure. You get a desk and your own office and all the admin stuff done you asked for. I'll take care of it."
"So can you open that clinic by the end of the month?"
WT...I think my mouth was open so wide I could have had a whole lot of flies coming on in.
Thankfully, Bob, our clinic manager (and my orienting RN) pinched me and said to BC, "Sure. We'll get it done."
No more daydreaming, because it's off to work on the finest clinic in the SU of RehabLand. I'm gonna need a whole lot more coffee...stay tuned.
Me? You really like me?
No, Sally Field isn't coming to RehabLand anytime soon, sillies (although we'd love to see Teri Garr). Yours truly got interviewed!
Thanks Kim for passing my info along to Martin. You can read all about my interview here at http://www.onlinenursingdegrees.org/news/nursing-beyond-the-books/
Many, many thanks and I hope you all enjoy!
Thanks Kim for passing my info along to Martin. You can read all about my interview here at http://www.onlinenursingdegrees.org/news/nursing-beyond-the-books/
Many, many thanks and I hope you all enjoy!
Tuesday, September 6, 2011
Another day...
More construction work on tap at the Hotel. More issues found in my trainer's office.
Guess we might end up with a whole lot of people in the emptied out Detox unit really, really soon at the rate we are going.
Or as Jess, our therapist mentioned, "Just put up a trailer outside."
Just in time for winter...right!
Guess we might end up with a whole lot of people in the emptied out Detox unit really, really soon at the rate we are going.
Or as Jess, our therapist mentioned, "Just put up a trailer outside."
Just in time for winter...right!
Monday, September 5, 2011
Laboring away
I'm not at the Hotel, but at the RehabRN household, Dahey, Bubba and I are doing lots of oddball stuff we've had on hold. Trimming bushes, sorting books, you name it.
Don't fret though, we're taking lots of breaks in between, enjoying the beautiful weather here in RehabLand.
And for all my friends laboring away today with your patients, the Labor Day songs here are for you.
My favorite is below, because it talks about working hard, in crazy circumstances, as many of you are doing today.
"'Cause it's hard to keep a good man (or woman) down!"
Don't fret though, we're taking lots of breaks in between, enjoying the beautiful weather here in RehabLand.
And for all my friends laboring away today with your patients, the Labor Day songs here are for you.
My favorite is below, because it talks about working hard, in crazy circumstances, as many of you are doing today.
"'Cause it's hard to keep a good man (or woman) down!"
Saturday, September 3, 2011
Another...
I can hardly believe that another of my old coworkers from Saintarama has been diagnosed with cancer.
I never thought rehab was a dangerous specialty, but I'm wondering what might be causing this. So many epidemiological factors, so many people aging, so much time.
Whew...crossing fingers and hoping this ends soon. Too many people lately are getting lives stalled and retirements shortened.
I never thought rehab was a dangerous specialty, but I'm wondering what might be causing this. So many epidemiological factors, so many people aging, so much time.
Whew...crossing fingers and hoping this ends soon. Too many people lately are getting lives stalled and retirements shortened.
Friday, September 2, 2011
One week down
Yes, it's terribly different in the clinic I'm in. With all the construction and learning new stuff, I am thoroughly discombobulated. I'm not horribly exhausted, but my days literally fly by as I work on e-mails and documents I have to attend to on a regular basis.
I still traverse through the Hotel, but lately, with all the construction, there's not much people stuff going on. No patients congregating in the hallways between therapies, not too many outside, since the weather's getting weird again, and not too much activity.
Overall, though, I'm pleased with the change. I like doing this work in the clinic because it is challenging. I am forced to grow, and to make contact with lots of people from lots of places every day.
Despite the fact that some of the work reminds me of being in sales again (the making the numbers part), I feel like I can make a difference: for those patients, as well as for my coworkers and the staff at our sister hospitals, too.
I may be a newbie, but I'm ready to go. I'll keep at it until we get everything done...and right!
Stay tuned...it's a thrill a minute here!
I still traverse through the Hotel, but lately, with all the construction, there's not much people stuff going on. No patients congregating in the hallways between therapies, not too many outside, since the weather's getting weird again, and not too much activity.
Overall, though, I'm pleased with the change. I like doing this work in the clinic because it is challenging. I am forced to grow, and to make contact with lots of people from lots of places every day.
Despite the fact that some of the work reminds me of being in sales again (the making the numbers part), I feel like I can make a difference: for those patients, as well as for my coworkers and the staff at our sister hospitals, too.
I may be a newbie, but I'm ready to go. I'll keep at it until we get everything done...and right!
Stay tuned...it's a thrill a minute here!
Thursday, September 1, 2011
When the cat's away...
Some folks can look so busy doing nothing that they seem indispensable.~Kin Hubbard
The mice will play. I am so glad I am not responsible about telling the big boss about all the havoc the sister hospitals have perpetrated by NOT doing what they're supposed to do. Had to report it, but nothing will ever happen at the rate Madison moves.
Oh, so much fun. At least, it won't harm patients or the innocent, but I wish the guilty parties would just get over it and do their work for once.
Ah, love flashbacks to the old life...it's just the same as the floor without as many bodily fluids. So much fun....stay tuned.
The mice will play. I am so glad I am not responsible about telling the big boss about all the havoc the sister hospitals have perpetrated by NOT doing what they're supposed to do. Had to report it, but nothing will ever happen at the rate Madison moves.
Oh, so much fun. At least, it won't harm patients or the innocent, but I wish the guilty parties would just get over it and do their work for once.
Ah, love flashbacks to the old life...it's just the same as the floor without as many bodily fluids. So much fun....stay tuned.
Wednesday, August 31, 2011
Cranking away
I just may get my own office after all the construction and craziness. It ain't new and fancy like the princess psychologist got, but it will work! I never would have thought a hard hat would be part of my uniform, but it seems it was for a while.
And I got the locks changed so there's no way the previous occupants can come back pilfering snacks.
Fun!
Stay tuned. I may even get to retire my hard hat.
And I got the locks changed so there's no way the previous occupants can come back pilfering snacks.
Fun!
Stay tuned. I may even get to retire my hard hat.
Tuesday, August 30, 2011
Still alive...
And kicking, but busier than I ever thought. Training for a new gig at the Hotel is interesting, especially with construction going on. One day, I'll get a space that's mine for a while.
Whatcha gonna do...I'm just gonna stay, alive and kicking. More to come, so enjoy!
Whatcha gonna do...I'm just gonna stay, alive and kicking. More to come, so enjoy!
Sunday, August 28, 2011
Devilish delights
I have always enjoyed the stolen memes on Sunday Stealing, and since it's Sunday, here's one of my recent favorites, in memory of a blogger's recently deceased husband.
Bless me Father, 'cause here's Sunday Stealing...
Sunday Stealing: The 31 Meme, Part Two: In Memory of Clyde
Cheers to all of us thieves!
16. What's the longest shift that you worked at a job?
15 hours, although, I do have nightmares that I will be trapped at work due to a natural disaster, just like my coworker, J., who got caught at work for days just after Hurricane Ike.
17. What was the last concert that you attended?
An international one...local African group. Very cool
18. What the last DVD (or Blu Ray, of course) movie that you watched?
Haven't watched TV in ages...
19. How did you like the film?
n/a
20. What comedian do you love?
It really depends. I don't have a favorite.
21. Do you ever sleep in the nude?
I have been known to do so on occasion...when the really good sheets are on my bed!
22. Have you ever had a long distance relationship?
Tried for 6 short weeks as a college freshman and he dumped me, only to come back about a year later. No dice, pal!
23. What do you think of astrology?
I enjoy it, but I don't base my life on it. I think I really fit my astrological sign perfectly.
24. What's you're favorite lyric quote from a song?
Gee, there are so many..."Life is a cabaret, old chum." sometimes really sums up my life though (lots of acting, dancing and singing).
25. Tell us something random about yourself.
I love spinach, even though my stomach does not.
26. Have ever attended a theme party? If yes, do tell.
80s parties, 60s parties, dress as your favorite teacher parties, you name it. My friends liked themes to see who would get dressed outrageously so we could take photos for blackmail purposes. Now, everyone's old and rarely goes all out anymore.
27. What is your favorite thing about winter?
I love snow, particularly when I have to stay home. I love to watch it snow at night by streetlight.
28. What was the name of your first pet?
Louis, a lizard.
29. What have you done so far this weekend?
Worked, got homework ready, went out to eat three times.
30. Has your humor ever been called “sick”?
Yes, I've gotten more skilled since I became a nurse.
31. If you could have one thing, what would it be?
Right now: an antacid; forever: peace with a side of contentment.
Bless me Father, 'cause here's Sunday Stealing...
Sunday Stealing: The 31 Meme, Part Two: In Memory of Clyde
Cheers to all of us thieves!
16. What's the longest shift that you worked at a job?
15 hours, although, I do have nightmares that I will be trapped at work due to a natural disaster, just like my coworker, J., who got caught at work for days just after Hurricane Ike.
17. What was the last concert that you attended?
An international one...local African group. Very cool
18. What the last DVD (or Blu Ray, of course) movie that you watched?
Haven't watched TV in ages...
19. How did you like the film?
n/a
20. What comedian do you love?
It really depends. I don't have a favorite.
21. Do you ever sleep in the nude?
I have been known to do so on occasion...when the really good sheets are on my bed!
22. Have you ever had a long distance relationship?
Tried for 6 short weeks as a college freshman and he dumped me, only to come back about a year later. No dice, pal!
23. What do you think of astrology?
I enjoy it, but I don't base my life on it. I think I really fit my astrological sign perfectly.
24. What's you're favorite lyric quote from a song?
Gee, there are so many..."Life is a cabaret, old chum." sometimes really sums up my life though (lots of acting, dancing and singing).
25. Tell us something random about yourself.
I love spinach, even though my stomach does not.
26. Have ever attended a theme party? If yes, do tell.
80s parties, 60s parties, dress as your favorite teacher parties, you name it. My friends liked themes to see who would get dressed outrageously so we could take photos for blackmail purposes. Now, everyone's old and rarely goes all out anymore.
27. What is your favorite thing about winter?
I love snow, particularly when I have to stay home. I love to watch it snow at night by streetlight.
28. What was the name of your first pet?
Louis, a lizard.
29. What have you done so far this weekend?
Worked, got homework ready, went out to eat three times.
30. Has your humor ever been called “sick”?
Yes, I've gotten more skilled since I became a nurse.
31. If you could have one thing, what would it be?
Right now: an antacid; forever: peace with a side of contentment.
Saturday, August 27, 2011
Some things are better left unsaid
Some days I ponder the meaning of life and who the he-double hockey sticks left some of the people in Manglement at the Hotel in the management track. The bang head on desk scenario and the infamous dope slap happen far too often (or in the latter case, NEED to happen)...
Here's some recent snippets.
1. "I really don't know what you're supposed to be doing." --Boss
WTF? Hello? Did you not read the job description HR sent, nor the information I forwarded you from those Clinic Trainers about my new job, the one you're supposed to be managing and mentoring me on?
Thank heavens, after surviving the Hades of nursing school and other businesses, I am pretty good at assembling memos documenting my skills and what I'm expected to do, with Hotel corporate procedures (since I actually read the established ones) and winging it when there are none.
Just 'cause I'm nice, I'll document it for you so you can put it into my personnel file when YOUR boss comes looking for it.
2. "Do you really need an accessible office?" --Hotel Real-estate agent (aka office manager)
Well, yes, honey, I do, when you expect people with walkers, canes and wheelchairs to actually come into my office (which also needs a door BTW). A hallway with a computer in the corner, with no walls and doors, just won't cut it, especially for the folks who enforce HIPAA.
You can start by evicting that supposed secretary who does not answer the phone half the time and loses appointments when the docs give them to her. Her office (she actually has not one, but two desks in two places in the clinic) would be a great place for me.
3. "I'd never work the floor again if I were you." Nurse assistant who was talking about me moving to my new job.
Thanks dude. Should I take that as a compliment or a slap? Hmmm....So glad I'm good at that selective nurse hearing.
Here's some recent snippets.
1. "I really don't know what you're supposed to be doing." --Boss
WTF? Hello? Did you not read the job description HR sent, nor the information I forwarded you from those Clinic Trainers about my new job, the one you're supposed to be managing and mentoring me on?
Thank heavens, after surviving the Hades of nursing school and other businesses, I am pretty good at assembling memos documenting my skills and what I'm expected to do, with Hotel corporate procedures (since I actually read the established ones) and winging it when there are none.
Just 'cause I'm nice, I'll document it for you so you can put it into my personnel file when YOUR boss comes looking for it.
2. "Do you really need an accessible office?" --Hotel Real-estate agent (aka office manager)
Well, yes, honey, I do, when you expect people with walkers, canes and wheelchairs to actually come into my office (which also needs a door BTW). A hallway with a computer in the corner, with no walls and doors, just won't cut it, especially for the folks who enforce HIPAA.
You can start by evicting that supposed secretary who does not answer the phone half the time and loses appointments when the docs give them to her. Her office (she actually has not one, but two desks in two places in the clinic) would be a great place for me.
3. "I'd never work the floor again if I were you." Nurse assistant who was talking about me moving to my new job.
Thanks dude. Should I take that as a compliment or a slap? Hmmm....So glad I'm good at that selective nurse hearing.
Friday, August 26, 2011
Mulling
Waiting to see how things go in the new semester, in the clinic, and with the soon-to-be new boss.
The Hotel is hopping since there is less staff right now and they're expected to do more.
We shall see what happens...
The Hotel is hopping since there is less staff right now and they're expected to do more.
We shall see what happens...
Thursday, August 25, 2011
Nuggets for August 25
Oh, it's been a long time, but I went meandering about the web and found these goodies. Hope you enjoy!
Chug, chug, chug
Think Gatorade is great after a marathon? What about near beer? A recent German study says non-alcoholic beer may be the best drink after you run. (from www.nytimes.com)
Sad, but true
The cancer bogeyman is back visiting Steve Jobs of Apple and he's decided to call it quits. (from www.nytimes.com)
ER is the real deal
Emergency nursing was recently recognized by the ANA. Kudos to all those ER nurses out there, especially Maha, Kim and Nurse K. (from www.nurse.com)
Pot calling the kettle...
Yes, I'm guilty. I do exercise to look better, but I feel better, too. (from www.latimes.com)
Chug, chug, chug
Think Gatorade is great after a marathon? What about near beer? A recent German study says non-alcoholic beer may be the best drink after you run. (from www.nytimes.com)
Sad, but true
The cancer bogeyman is back visiting Steve Jobs of Apple and he's decided to call it quits. (from www.nytimes.com)
ER is the real deal
Emergency nursing was recently recognized by the ANA. Kudos to all those ER nurses out there, especially Maha, Kim and Nurse K. (from www.nurse.com)
Pot calling the kettle...
Yes, I'm guilty. I do exercise to look better, but I feel better, too. (from www.latimes.com)
Wednesday, August 24, 2011
Whole lotta shakin' goin' on again!
No, it's not another Virginia earthquake today, but the sounds of construction at the Hotel Rehab.
Turns out, though, the construction crews may just get a little more work. While they've been busy on one wing of the Hotel, the other started showing some serious cracks recently.
What does this mean? The engineers to the rescue. Apparently, the other crew has fixed one thing that caused problems on another.
What does it mean for us? A pleasantly lower census while they fix the bathrooms and everything else. Mr. Crabby left today, so I'm sure there was much rejoicing.
Stay tuned...
Turns out, though, the construction crews may just get a little more work. While they've been busy on one wing of the Hotel, the other started showing some serious cracks recently.
What does this mean? The engineers to the rescue. Apparently, the other crew has fixed one thing that caused problems on another.
What does it mean for us? A pleasantly lower census while they fix the bathrooms and everything else. Mr. Crabby left today, so I'm sure there was much rejoicing.
Stay tuned...
Monday, August 22, 2011
There but for...
The grace of God go I...the old saying goes.
I absolutely loved the following line in one of KevinMD's posts entitled, What this doctor learned when he was a patient.
Dr. D’s orthopedist has about the communication skills of a mentally-retarded clam.
Sometimes we nurses say the same thing...about everything I just mentioned. Thanks KevinMD having such a great guest post. It's a great story.
I absolutely loved the following line in one of KevinMD's posts entitled, What this doctor learned when he was a patient.
Dr. D’s orthopedist has about the communication skills of a mentally-retarded clam.
Sometimes we nurses say the same thing...about everything I just mentioned. Thanks KevinMD having such a great guest post. It's a great story.
Sunday, August 21, 2011
Misspent youth, part 2
1. Aerodynamics tests off the roof at school.
2. Planes, trains and automobiles in college. My first plane ride, riding the trains of Europe, and a series of old clunkers before I was able to get a real job (read one that allows you to afford a car that is all one color!)
3. Partying it up dancing the night away in clubs, discos, and bars long gone by here, there and everywhere. And who can forget the electric slide..?
2. Planes, trains and automobiles in college. My first plane ride, riding the trains of Europe, and a series of old clunkers before I was able to get a real job (read one that allows you to afford a car that is all one color!)
3. Partying it up dancing the night away in clubs, discos, and bars long gone by here, there and everywhere. And who can forget the electric slide..?
Saturday, August 20, 2011
Don't stand so close to me...
What I wanted really wanted to tell a few people at work the other day...
Friday, August 19, 2011
Shave and a haircut...
Not 15 cents, but sometimes priceless.
I took care of a cranky, old man who changed significantly once one of our staff gave him a haircut. He went from looking like the Unabomber's uncle, to looking more like himself: a seventysomething year old man.
Another patient got a haircut and feels wonderful because he can wash his hair himself with a wash cloth...just like his days in the Marines.
I took care of a cranky, old man who changed significantly once one of our staff gave him a haircut. He went from looking like the Unabomber's uncle, to looking more like himself: a seventysomething year old man.
Another patient got a haircut and feels wonderful because he can wash his hair himself with a wash cloth...just like his days in the Marines.
Thursday, August 18, 2011
Families
We see a lot of families crossing the threshold of Hotel Rehab. You name it...we get it. We get regular Joe and Jill nuclear families with 1.5 kids, and the whole enchilada of all those plus grandma, grandpa, all the aunts, uncles and cousins.
In addition, we see families in various forms dysfunction often caused by divorce or disagreement. Since I've been at the Hotel, I've seen examples of the cute family with that 1.5 kids break down because, lo and behold, Wifey finds out (while Hubby is with us) that Hubby has another woman, and she's pregnant with his kid and wants to know who's going to support her now Hubby's been injured. Hmm...calling Social Work and Psychology right now for this one!
But lately, lots of people are coming in who don't really have a family nearby. They've estranged them for one reason or another, have family members with their own significant health, financial or employment issues, or have simply outlived everyone in their families. We become their families, and they get really upset when they realize that they can't stay with us forever. One character mentioned suicide just to buy more time.
Some others, however, end up going over to another unit, down the way, with the great view of nature and what awaits us all. Yes, we keep getting more and more people with terminal illnesses, and we are becoming a feeder unit for hospice. One of the non-nursing staff did ask a good question recently: if they stay so long that we're like their families, why do we throw them out when they're dying?
If only I had the time to tell him/her that we do it because we love them. We care about them, but sometimes it's a terrible duty for a rehab nurse to have to admit defeat. This patient will never regain function beyond what they have, and most likely, they'll lose it all before they die. We aren't set up to do hospice, and don't have all the comfort things they have readily available.
Admitting our job is over doesn't mean we don't care. We do. Sometimes, though, we have to know when to say when and let someone else take over. Some of them will always be in our hearts and minds, especially on days when we remember them, as our unit did recently.
To live in hearts we leave behind
Is not to die.
~Thomas Campbell, "Hallowed Ground"
In addition, we see families in various forms dysfunction often caused by divorce or disagreement. Since I've been at the Hotel, I've seen examples of the cute family with that 1.5 kids break down because, lo and behold, Wifey finds out (while Hubby is with us) that Hubby has another woman, and she's pregnant with his kid and wants to know who's going to support her now Hubby's been injured. Hmm...calling Social Work and Psychology right now for this one!
But lately, lots of people are coming in who don't really have a family nearby. They've estranged them for one reason or another, have family members with their own significant health, financial or employment issues, or have simply outlived everyone in their families. We become their families, and they get really upset when they realize that they can't stay with us forever. One character mentioned suicide just to buy more time.
Some others, however, end up going over to another unit, down the way, with the great view of nature and what awaits us all. Yes, we keep getting more and more people with terminal illnesses, and we are becoming a feeder unit for hospice. One of the non-nursing staff did ask a good question recently: if they stay so long that we're like their families, why do we throw them out when they're dying?
If only I had the time to tell him/her that we do it because we love them. We care about them, but sometimes it's a terrible duty for a rehab nurse to have to admit defeat. This patient will never regain function beyond what they have, and most likely, they'll lose it all before they die. We aren't set up to do hospice, and don't have all the comfort things they have readily available.
Admitting our job is over doesn't mean we don't care. We do. Sometimes, though, we have to know when to say when and let someone else take over. Some of them will always be in our hearts and minds, especially on days when we remember them, as our unit did recently.
To live in hearts we leave behind
Is not to die.
~Thomas Campbell, "Hallowed Ground"
Tuesday, August 16, 2011
Swan song
Well, not quite, but my last evening shift in charge recently was definitely interesting.
First problem: Since it was the boss's first day of vacation, I knew someone would call in sick. Mike, one of our nurse assistants (who will not miss me as a charge nurse) decided to be the one. No surprise, really. Mike likes those extended three-day weekends just like the rest of the slacker patrol and he's made it a habit of taking off the day before and the day after his weekend off, or when I'm in charge.
Second problem: one of our RNs, who has a chronic medical condition gets sick at the beginning of the shift. Docs are called (ours, not hers) and lots of fuss is made over her, because she could have gotten all wigged out on us. I let some of the crew keep her safe while I got the rest of the folks to hold down the fort until the super could determine whether I needed an ambulance or not.
Happily, she was fine within a couple of hours, but was pissed at me once she felt better. I was a witch and changed her assignment, so she had very little chance of potentially hurting any patients. Sure, she was bored, but what choice did I have? Not much. Oh, the joys of lots of CYA documentation!
Finally, I redistributed the load to the rest of the crew and we did well. My patients did well. I was so happy they were cooperating with everything, especially when I took a little longer on my regular rounds.. Even with all that, I still managed to get one in the shower, so he could get ready for an appointment tomorrow, and wash his hair, which he said was driving him crazy. Head and Shoulders to the rescue!
It was crazy, but we survived, even if no one stuck around to leave with me once I'd finished giving report to the next crew.
I won't miss the BS at all....come on clinic!
More to come...
First problem: Since it was the boss's first day of vacation, I knew someone would call in sick. Mike, one of our nurse assistants (who will not miss me as a charge nurse) decided to be the one. No surprise, really. Mike likes those extended three-day weekends just like the rest of the slacker patrol and he's made it a habit of taking off the day before and the day after his weekend off, or when I'm in charge.
Second problem: one of our RNs, who has a chronic medical condition gets sick at the beginning of the shift. Docs are called (ours, not hers) and lots of fuss is made over her, because she could have gotten all wigged out on us. I let some of the crew keep her safe while I got the rest of the folks to hold down the fort until the super could determine whether I needed an ambulance or not.
Happily, she was fine within a couple of hours, but was pissed at me once she felt better. I was a witch and changed her assignment, so she had very little chance of potentially hurting any patients. Sure, she was bored, but what choice did I have? Not much. Oh, the joys of lots of CYA documentation!
Finally, I redistributed the load to the rest of the crew and we did well. My patients did well. I was so happy they were cooperating with everything, especially when I took a little longer on my regular rounds.. Even with all that, I still managed to get one in the shower, so he could get ready for an appointment tomorrow, and wash his hair, which he said was driving him crazy. Head and Shoulders to the rescue!
It was crazy, but we survived, even if no one stuck around to leave with me once I'd finished giving report to the next crew.
I won't miss the BS at all....come on clinic!
More to come...
Monday, August 15, 2011
What is old school anyway?
We had a lively discussion about this on a recent evening shift.
What really is "old school nursing"? Does it mean you do your job, then do some more, and walk with the fear of the Almighty in you, that you would never think of whipping out your smartphone and talking for an hour?
Do you really think we need the big woman in whites and the "hat" to come back and tell you if you're not moving that you should be cleaning?
Every shift, I'm beginning to think that. I get so tired of trying to figure out if I have everything I need, that I just bring my "emergency pack" into a room, because I can never expect someone to think ahead, or be nice enough to leave anything in there.
Maybe a little less "There, there" and a little more "Get your arse out of the chair!" would be appropriate.
We can only hope....stay tuned!
What really is "old school nursing"? Does it mean you do your job, then do some more, and walk with the fear of the Almighty in you, that you would never think of whipping out your smartphone and talking for an hour?
Do you really think we need the big woman in whites and the "hat" to come back and tell you if you're not moving that you should be cleaning?
Every shift, I'm beginning to think that. I get so tired of trying to figure out if I have everything I need, that I just bring my "emergency pack" into a room, because I can never expect someone to think ahead, or be nice enough to leave anything in there.
Maybe a little less "There, there" and a little more "Get your arse out of the chair!" would be appropriate.
We can only hope....stay tuned!
Sunday, August 14, 2011
No matter what...
"There's a time and place for everything/For everyone,
We push with all our might,
But nothin's gonna come...
(and then things change...)
...No matter what I say or do/
You know my heart is true/
I can't stop lovin' you."
--Van Halen, "I can't stop lovin' you" 1995
Word to the wise: Rehab nurses are ALWAYS rehab nurses, no matter where they put us!
We push with all our might,
But nothin's gonna come...
(and then things change...)
...No matter what I say or do/
You know my heart is true/
I can't stop lovin' you."
--Van Halen, "I can't stop lovin' you" 1995
Word to the wise: Rehab nurses are ALWAYS rehab nurses, no matter where they put us!
Friday, August 12, 2011
Whiz bang technology
In the form of a temporary tattoo. We could have a lot of fun with these at the Hotel with rehab patients of all sorts.
Maybe I'll send the inventor the boss's name...
Maybe I'll send the inventor the boss's name...
Ready, set...
Go! I flew out of the gate on my latest shift, and it, happily, went smoothly. Everyone cooperated, I got stuff done and for the most part, the warts on the night didn't show.
The genie came out of the bottle. Today I received a letter from HR that I am to report to the clinic for my first day very soon. In fact, it's much sooner than I could have imagined. My boss said, "The big guy did it (pointing to the ceiling)" but it was not a miracle. No, it was the big cheese, the CNO, who made it all happen. When it comes down to brass tacks, as Momma used to say, let the brass do it (or their designees).
I'm in for a wild final run here in the Hotel. Cross your fingers!
The genie came out of the bottle. Today I received a letter from HR that I am to report to the clinic for my first day very soon. In fact, it's much sooner than I could have imagined. My boss said, "The big guy did it (pointing to the ceiling)" but it was not a miracle. No, it was the big cheese, the CNO, who made it all happen. When it comes down to brass tacks, as Momma used to say, let the brass do it (or their designees).
I'm in for a wild final run here in the Hotel. Cross your fingers!
Wednesday, August 10, 2011
Captain Obvious strikes again
Or he put someone up to this particular article about nurse retention.
Every day, I am more certain that the Captain (and his followers) work in Manglement at the Hotel.
That is all...resume your fun, all. I'm back to homework. Stay tuned!
Every day, I am more certain that the Captain (and his followers) work in Manglement at the Hotel.
That is all...resume your fun, all. I'm back to homework. Stay tuned!
Tuesday, August 9, 2011
Thank you Susie
Who ever you are. One of our patients owns a bakery and liked the care he got on our unit so much that to repay the nurses, he brings in pastries of all sorts regularly.
The latest one: one of his bakers made a mistake on a huge, chocolate-covered strawberry birthday cake. He put "Happy 50th Birthday Susie" on the cake. Lo and behold, Susie was only turning 40 at her birthday party...oops! It would have made CakeWrecks proud.
So one of our nurses, who's getting ready to retire, volunteered to be Susie (and pulled out the plates), so we could cut the cake. We even sang to her. If only they didn't ban video at the Hotel, or we'd have had a fine one for YouTube.
It was absolutely divine, and as a result, I'll still need to work on doing more 30 minute workouts this week. The agony!
More to come...when Sam brings another cake...stay tuned!
The latest one: one of his bakers made a mistake on a huge, chocolate-covered strawberry birthday cake. He put "Happy 50th Birthday Susie" on the cake. Lo and behold, Susie was only turning 40 at her birthday party...oops! It would have made CakeWrecks proud.
So one of our nurses, who's getting ready to retire, volunteered to be Susie (and pulled out the plates), so we could cut the cake. We even sang to her. If only they didn't ban video at the Hotel, or we'd have had a fine one for YouTube.
It was absolutely divine, and as a result, I'll still need to work on doing more 30 minute workouts this week. The agony!
More to come...when Sam brings another cake...stay tuned!
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