I have a friend (no April Fool-- call him/her M) who is having this problem, and because he/she felt threatened while we completed our studies, he/she kept quiet until his/her internship was over. He/she suffered.
ANA discusses bullying in their Healthy Nurse section on Bullying and Workplace Violence:
Lateral violence refers to acts between colleagues and bullying is often
described as acts perpetrated by one in a higher level of authority.
This behavior may involve covert or overt acts of verbal and non-verbal
aggression. These types of behavior have been reported to result in
enough psychological distress to nurses to cause them to leave the
profession (Dellasega, 2009).
The person perpetrating this bullying is in a higher level of authority. Ever heard of C-suite? Well, he/she is up there. It's hard to believe that your former preceptor would, out of the blue, accuse you of theft of intellectual property and assault your character in company e-mail of a prominent hospital system, but the former preceptor did.
All the while, my friend was just happy to receive a national award recently. When he/she came home the other day, there was a family crisis. Off to the hospital, but not for work. One of the family had become ill and required emergent surgery.
After I calmed him/her down, we discussed what happened since school. Everything is documented. Since the degree is done, I suggested he/she contact an attorney. Life's too short to live in fear of this crazy person.
As the saying goes, tough times never last, but tough people do.
More to come...
Tuesday, April 1, 2014
Friday, March 28, 2014
Escape!
I didn't get my spring break while Bubba was off, because I escaped the Hotel to travel.
Happy weekend, all, wherever you may roam!
Cheers!
Happy weekend, all, wherever you may roam!
Cheers!
Tuesday, March 25, 2014
You never forget
The people who die because of medical errors. One patient of ours died last year of ignorance, when a provider just didn't know what to do, and help was too far away.
Consequently, I read this PDF from the National Patient Safety Foundation a little more closely.
It is terrible that they died, but to have them die in vain, is far worse.
Consequently, I read this PDF from the National Patient Safety Foundation a little more closely.
It is terrible that they died, but to have them die in vain, is far worse.
Monday, March 24, 2014
Share the love
I really like reading other blogs. Nursing blogs, doctor blogs, you name it.
So today, I'm going to share the love for one of my favorite all-time MD blogs, KevinMD.
While I was enjoying some quality time with Bubba (recuperating from running around on his spring break when I could), I perused blogs I haven't had the chance to really read in a while.
KevinMD had some posts that I really enjoyed. Hope you do, too.
So today, I'm going to share the love for one of my favorite all-time MD blogs, KevinMD.
While I was enjoying some quality time with Bubba (recuperating from running around on his spring break when I could), I perused blogs I haven't had the chance to really read in a while.
KevinMD had some posts that I really enjoyed. Hope you do, too.
- Have you ever felt that you've been profiled by your doctor? I have (I've been that "asks too many questions" relative). This article was illuminating and had plenty of examples.
- CYA medicine? Yes, it really does exist.
- People die without love. Sad and so very true.
Sunday, March 23, 2014
Spring break diversions
Yes, to keep the vacation atmosphere around here for one little boy: let's go out to eat more than usual. At least that part seemed like a vacation, even when you're staying home, and the parents are working.
I decided if I ever want to be a nursing instructor when I grow up, I ought to take some more education classes before I run out and get a terminal degree. I've been checking out MOOCs (Massive Open Online Courses) from all over the world here. It seems like a better option than handing over my checkbook for every class.
I actually found a nice course by Curtis Bonk (yes, it's his real name) about using technology in teaching on one of the sites. I knew of a few, but the MOOC list has many I had never even heard of at all.
Professor Bonk has some interesting viewpoints.
1. You need critical friends, web buddies, e-mail pals in online classes.
2. Your blog will be there 100 years later. What you post today might be usable tomorrow. Your digital history may be available for centuries. (Wow was my first thought). The professor mentioned a friend who published the Come and see Africa blog. The author's died in 2010 in a car accident. Her blog remains.
This tidbit of that course provided a lot of food for thought today.I can only imagine what rehab nursing will be like in 100 years, and what would they think of this blog?
Today, I read an article that people are still trying to keep rehab hospitals relevant, when the pointy haired policy wonks want to send everyone to a skilled (nursing home) care facility for rehab.
Only time will tell...enjoy your night wherever you are.
I decided if I ever want to be a nursing instructor when I grow up, I ought to take some more education classes before I run out and get a terminal degree. I've been checking out MOOCs (Massive Open Online Courses) from all over the world here. It seems like a better option than handing over my checkbook for every class.
I actually found a nice course by Curtis Bonk (yes, it's his real name) about using technology in teaching on one of the sites. I knew of a few, but the MOOC list has many I had never even heard of at all.
Professor Bonk has some interesting viewpoints.
1. You need critical friends, web buddies, e-mail pals in online classes.
2. Your blog will be there 100 years later. What you post today might be usable tomorrow. Your digital history may be available for centuries. (Wow was my first thought). The professor mentioned a friend who published the Come and see Africa blog. The author's died in 2010 in a car accident. Her blog remains.
This tidbit of that course provided a lot of food for thought today.I can only imagine what rehab nursing will be like in 100 years, and what would they think of this blog?
Today, I read an article that people are still trying to keep rehab hospitals relevant, when the pointy haired policy wonks want to send everyone to a skilled (nursing home) care facility for rehab.
Only time will tell...enjoy your night wherever you are.
Wednesday, March 19, 2014
If you're nice, they'll call you back
Ah, the fun times today discussing how nurses and pharmacists have fun talking to patients and customers.
Yes, it is really true.
And for all of you certified RNs out there, Happy Certified Nurses' Day. You go the extra mile and you rock.
From one certified nurse to another, I raise my glass...cheers!
Yes, it is really true.
And for all of you certified RNs out there, Happy Certified Nurses' Day. You go the extra mile and you rock.
From one certified nurse to another, I raise my glass...cheers!
Saturday, March 15, 2014
Bonding with Bubba
Oh, the fun and excitement of living with a tween boy who is spring break staycationing.
1. Bubba thinks he's immune to taking baths or showers (and he loves swimming). I'm reminding him that he really does need to clean the cracks and crevices more than he does.
2. Since Dahey had to work, I took him to soccer. His team lost. He was sad. Dahey got updates via text and phone, though. The team got lots of shots, but nothing would go into the goal.
3. We took my sister out to lunch. Both of them are never happier than in an eating establishment. No one is ever bored with food around.
4. Movies are on the agenda, but since it was later in the day when we got home, I decided to hold off on seeing Mr. Peabody and Sherman, but we had to get Thor.
I was so tired from my crazy week, I promptly feel asleep during most of the movie.
Ah, togetherness...
1. Bubba thinks he's immune to taking baths or showers (and he loves swimming). I'm reminding him that he really does need to clean the cracks and crevices more than he does.
2. Since Dahey had to work, I took him to soccer. His team lost. He was sad. Dahey got updates via text and phone, though. The team got lots of shots, but nothing would go into the goal.
3. We took my sister out to lunch. Both of them are never happier than in an eating establishment. No one is ever bored with food around.
4. Movies are on the agenda, but since it was later in the day when we got home, I decided to hold off on seeing Mr. Peabody and Sherman, but we had to get Thor.
I was so tired from my crazy week, I promptly feel asleep during most of the movie.
Ah, togetherness...
Friday, March 14, 2014
Spring break TGIF
Oh, how I wish I could run away on spring break with Bubba. Fun, fun, fun.
Since I didn't get the winning lottery ticket, being off this weekend will have to be enough for now.
Stay tuned...
Since I didn't get the winning lottery ticket, being off this weekend will have to be enough for now.
Stay tuned...
I was in charge of reading this stuff once...
There are no tea leaves at the Hotel unless one of the nurses brings them in or someone tears up one of our fine no-name teabags.
However, rehab nurses, especially on certain shifts, get really good at reading the signs in stool.
Yes, as they taught you in school, color and consistency do matter.
Back to the old grind...
However, rehab nurses, especially on certain shifts, get really good at reading the signs in stool.
Yes, as they taught you in school, color and consistency do matter.
Back to the old grind...
Thursday, March 13, 2014
If you're looking for a job at the Hotel
Dear Interviewee:
Thank you for coming to the interview. Here are a few tips:
1. Please be on time. If not, call as soon as possible. Don't turn off your cell phone or just don't answer.
2. When we ask a question, you may answer. There is a reason why we read the questions in advance and give you a copy.
3. If you are too tired from working night shift, please reschedule. Coming in and falling asleep (the silences give you away) during the interview is really not a good thing.
4. When the nurse manager asks what your schedule preference is, please tell him/her. Better to get it out now what kind of schedule you want than not to get it and quit before you are oriented.
If you can't do some (or really all) of these, please decline the interview. We could be spending our time with someone else who really likes to be a nurse and wants to show up every day.
Very sincerely yours ('cause if you don't want to be here, it doesn't hurt me),
RehabRN
Thank you for coming to the interview. Here are a few tips:
1. Please be on time. If not, call as soon as possible. Don't turn off your cell phone or just don't answer.
2. When we ask a question, you may answer. There is a reason why we read the questions in advance and give you a copy.
3. If you are too tired from working night shift, please reschedule. Coming in and falling asleep (the silences give you away) during the interview is really not a good thing.
4. When the nurse manager asks what your schedule preference is, please tell him/her. Better to get it out now what kind of schedule you want than not to get it and quit before you are oriented.
If you can't do some (or really all) of these, please decline the interview. We could be spending our time with someone else who really likes to be a nurse and wants to show up every day.
Very sincerely yours ('cause if you don't want to be here, it doesn't hurt me),
RehabRN
Tuesday, March 11, 2014
Monday, March 10, 2014
Sniff it out
A few studies have noted the ability of dogs to correctly diagnose cancer in some people.
It's just amazing now that scientists have figured out how to replicate this with devices.
Wonders never cease.
Happy Monday!
It's just amazing now that scientists have figured out how to replicate this with devices.
Wonders never cease.
Happy Monday!
Saturday, March 8, 2014
The randomness of life
I really enjoyed this story about a lady winning the lottery by playing her fortune cookie numbers. The odds may be slim, but at least, they were in her favor for one draw.
The randomness of life hit me when I watched the news today and saw a familiar face. My BLS instructor, a big burly fireman, who taught at the community college here in RehabLand, was killed in a drunk driving accident. A woman was charged today.
He wasn't wearing his seatbelt while off-duty. The same guy who stressed how "seconds count", was himself gone in an instant.
Just makes me want to live this randomness to the fullest.
Because you just never know when your lotto numbers will win, or when someone you love won't be around.
Stay tuned...
The randomness of life hit me when I watched the news today and saw a familiar face. My BLS instructor, a big burly fireman, who taught at the community college here in RehabLand, was killed in a drunk driving accident. A woman was charged today.
He wasn't wearing his seatbelt while off-duty. The same guy who stressed how "seconds count", was himself gone in an instant.
Just makes me want to live this randomness to the fullest.
Because you just never know when your lotto numbers will win, or when someone you love won't be around.
Stay tuned...
Friday, March 7, 2014
An unbelievable story
Rehab is so earth-shattering, that you just might change your name.
(face-plant)
I'm glad it's a slow news day...
(face-plant)
I'm glad it's a slow news day...
Thursday, March 6, 2014
I need a t-shirt that says
"I survived jury duty". I did. I did. I did.
What did I miss in the years I did not get called and picked to serve on a jury? Not much.
A few things I learned though, were very important.
1. Don't let your lawyer clown it up on the opening arguments. He/she should be reasonable and convincing, but bouncing binders in front of the jury to get their attention is not the way to do that. It gave me a headache.
2. Tell the truth. Or at least be expected to use the same story over and over. You know that oath "thingy"? Yes, it applies to you.
3. Related to #2, never swear that you never use the phone. There are records.
4. Don't hire one of your own employees to serve as your "expert witness". It is a little thing called conflict of interest for him/her to participate.
5. Don't repeatedly say your client knows nothing about business, because he/she has been at it for a few years...like 40. Despite everything, the business is solvent, so who's at the wheel?
6. Always be explicit. Some folks, for whom English is a second language, may not understand things that are implied, especially in e-mails.
7. Don't use easels to display e-mail quotes that you've circulated ad nauseum in the courtroom. I got tired of looking at your not-so-hot quotes on foam board.
And finally, one of the most important things I learned from jury duty:
Take every moment you can to enjoy a moment outside in the sunshine. You will never get enough of those. Criminals and crazy relatives tend to stick around, but sunshine doesn't, so enjoy it while you can.
More to come...
What did I miss in the years I did not get called and picked to serve on a jury? Not much.
A few things I learned though, were very important.
1. Don't let your lawyer clown it up on the opening arguments. He/she should be reasonable and convincing, but bouncing binders in front of the jury to get their attention is not the way to do that. It gave me a headache.
2. Tell the truth. Or at least be expected to use the same story over and over. You know that oath "thingy"? Yes, it applies to you.
3. Related to #2, never swear that you never use the phone. There are records.
4. Don't hire one of your own employees to serve as your "expert witness". It is a little thing called conflict of interest for him/her to participate.
5. Don't repeatedly say your client knows nothing about business, because he/she has been at it for a few years...like 40. Despite everything, the business is solvent, so who's at the wheel?
6. Always be explicit. Some folks, for whom English is a second language, may not understand things that are implied, especially in e-mails.
7. Don't use easels to display e-mail quotes that you've circulated ad nauseum in the courtroom. I got tired of looking at your not-so-hot quotes on foam board.
And finally, one of the most important things I learned from jury duty:
Take every moment you can to enjoy a moment outside in the sunshine. You will never get enough of those. Criminals and crazy relatives tend to stick around, but sunshine doesn't, so enjoy it while you can.
More to come...
Tuesday, March 4, 2014
The joys of jury duty
Jury duty can be a blessing, or a curse.
Some of the perks/hazards/interesting things:
1. It gets you out of the office. Plenty of interesting folks hang around courthouses. And even more pay traffic (or parking) tickets.
2. You could get sequestered.
2. You know it will get interesting if the folks can't follow directions at the metal detectors.
3. It's also sad seeing the little old people there (many because they need a conservator.)
4. At lunch time, you can eat, shop and roam around. (Lunches for court staff under an hour are rare in our neck of the woods).
5. Finally, you realize that your job's not so bad after all, your family's not totally silly and the food at the Hotel cafeteria really is pretty good.
And soon enough, it will be time to go home again, back to reality.
That is all...stay tuned.
Some of the perks/hazards/interesting things:
1. It gets you out of the office. Plenty of interesting folks hang around courthouses. And even more pay traffic (or parking) tickets.
2. You could get sequestered.
2. You know it will get interesting if the folks can't follow directions at the metal detectors.
3. It's also sad seeing the little old people there (many because they need a conservator.)
4. At lunch time, you can eat, shop and roam around. (Lunches for court staff under an hour are rare in our neck of the woods).
5. Finally, you realize that your job's not so bad after all, your family's not totally silly and the food at the Hotel cafeteria really is pretty good.
And soon enough, it will be time to go home again, back to reality.
That is all...stay tuned.
Sunday, March 2, 2014
You just gotta ask
Yes, we ask on our admission form if you have any guns, knives or other contraband items when you come to the Hotel.
Dr. Grumpy has an article about what happens when you don't.
Moral of the story: NEVER assume. (ever)
Dr. Grumpy has an article about what happens when you don't.
Moral of the story: NEVER assume. (ever)
Saturday, March 1, 2014
The darnedest things
I love gadgets and technology, in part, because my job uses a lot of various technology at the Hotel.
However, when I read this article about dangers of wearable computers, some things just stood out.
1. Lifeblogging? Really? The Truman Show is so not HIPAA, kids.
2.Google Glass. Same as #1. I'm just waiting for a policy at the Hotel.
3. The wearable/embedded device issue. Yes, I'm not really impressed with Dick Cheney and would not go hunting with him, but he does have a point.
4. Cop cam will show who is getting the free donuts and sodas...just sayin'.
5. Smartwatches. Duh! If you have a smartphone policy, just upgrade it appropriately.
6. I like the smart clothing idea, but I don't like the thought of someone making me wear it to work. The authors do have some valid points, and this type of clothing would be valuable for my Hotel patients.
7. Fitbit and insurance rates. I don't like it. Reminds me of that bad "nurses go to heaven" joke, only the HMO nurse doesn't have any repercussions.
Just my $0.02...feel free to chime in.
However, when I read this article about dangers of wearable computers, some things just stood out.
1. Lifeblogging? Really? The Truman Show is so not HIPAA, kids.
2.Google Glass. Same as #1. I'm just waiting for a policy at the Hotel.
3. The wearable/embedded device issue. Yes, I'm not really impressed with Dick Cheney and would not go hunting with him, but he does have a point.
4. Cop cam will show who is getting the free donuts and sodas...just sayin'.
5. Smartwatches. Duh! If you have a smartphone policy, just upgrade it appropriately.
6. I like the smart clothing idea, but I don't like the thought of someone making me wear it to work. The authors do have some valid points, and this type of clothing would be valuable for my Hotel patients.
7. Fitbit and insurance rates. I don't like it. Reminds me of that bad "nurses go to heaven" joke, only the HMO nurse doesn't have any repercussions.
Just my $0.02...feel free to chime in.
Hearing noises?
After reading this, you may realize that it's really nothing...or not.
I hate bugs, but bugs in body cavities...ugh! We've seen our share of maggots at the Hotel (some hospital grade, some homegrown).
I'll pass, thank you very much!
I hate bugs, but bugs in body cavities...ugh! We've seen our share of maggots at the Hotel (some hospital grade, some homegrown).
I'll pass, thank you very much!
Friday, February 28, 2014
TGIF
Or why I'm really glad it's Friday edition.
1. Some people will be on vacation next week, so it will get quiet...quiet enough to enjoy!
2. I'm going to go do my civic duty next week. I wiill be reading those books I had planned to read!
3. It's pay day. Hooray!
Hope you enjoy your weekend wherever you are...
1. Some people will be on vacation next week, so it will get quiet...quiet enough to enjoy!
2. I'm going to go do my civic duty next week. I wiill be reading those books I had planned to read!
3. It's pay day. Hooray!
Hope you enjoy your weekend wherever you are...
Wednesday, February 26, 2014
Boo Vortex
I'm tired of the cold. The groundhogs are still hibernating. The Hotel is the same. I'm hoping the witch that jinxed my pay raise is freezing everything off.
Meanwhile, I found a recipe I want to make to forget about this cold: rum punch cake.
Wish it could take me to the tropics, too. At least, it might make me happy enough to forget the cold.
Enjoy!
Meanwhile, I found a recipe I want to make to forget about this cold: rum punch cake.
Wish it could take me to the tropics, too. At least, it might make me happy enough to forget the cold.
Enjoy!
Monday, February 24, 2014
I'm on fire!
The engine fired on all (most) of the cylinders, literally and figuratively. Lots of stuff done today.
I didn't win the lottery, but darn it, I was on fire...like the song says "starburst into the sky".
For Monday, I'll take it!
I didn't win the lottery, but darn it, I was on fire...like the song says "starburst into the sky".
For Monday, I'll take it!
Sunday, February 23, 2014
Sunday fun
We had to get up early to watch the gold medal hockey game. No sporting event is complete without food in our house, so we got donuts (and Bubba got a breakfast sandwich, too, just to make sure he had enough energy).
And while I was reading, I found this article on trends from the Olympics.
Sorry, folks, I already wear PJs at work (aka scrubs). I ain't wearing a onesie, unless I end up on the bobsled team. I grew out of those LONG ago.
And if that's not enough fun for you, head on over to Sunday Stealing for this week's Fifteen meme. My answers are below.
Enjoy your day wherever you are!
What was your first job like?
Two words: Burger King.
It’s a typical Sunday, how are you spending it?
Church and getting ready for the week.
What was the happiest day of your life?
There are so many...
What was the best decision you ever made?
Going to nursing school.
Tell your go-to “pretend” game as a child (who was your alter-ego?)
I was a superhero.
What email service do you use?
A couple.
What fandoms would you consider yourself a part of?
None.
Do you use anything on your lips? (eg. Chapstick, gloss, balm, lipstick)
Love me the Burts' Bees with color (watermelon).
How many devices do you own which can access the internet?
About 10.
Last strong smell you can remember smelling?
Skunk.
If you had to move your birthday to another date, which one would you choose and why?
June 15. I want to have my birthday in summer, so I can have a pool party.
Inspiration behind your blog title?
My job.
If you could spend a rainy day with anyone in the world, who would you choose and why?
Hmm...so many. Living or dead, for living, not sure who...dead C.S. Lewis.
Is there a foreign culture that you love?
I lived in France. I'd like to experience more of Europe and Scandinavia, then pick one (or two..)
Do you have a favorite soft drink?
No.
And while I was reading, I found this article on trends from the Olympics.
Sorry, folks, I already wear PJs at work (aka scrubs). I ain't wearing a onesie, unless I end up on the bobsled team. I grew out of those LONG ago.
And if that's not enough fun for you, head on over to Sunday Stealing for this week's Fifteen meme. My answers are below.
Enjoy your day wherever you are!
What was your first job like?
Two words: Burger King.
It’s a typical Sunday, how are you spending it?
Church and getting ready for the week.
What was the happiest day of your life?
There are so many...
What was the best decision you ever made?
Going to nursing school.
Tell your go-to “pretend” game as a child (who was your alter-ego?)
I was a superhero.
What email service do you use?
A couple.
What fandoms would you consider yourself a part of?
None.
Do you use anything on your lips? (eg. Chapstick, gloss, balm, lipstick)
Love me the Burts' Bees with color (watermelon).
How many devices do you own which can access the internet?
About 10.
Last strong smell you can remember smelling?
Skunk.
If you had to move your birthday to another date, which one would you choose and why?
June 15. I want to have my birthday in summer, so I can have a pool party.
Inspiration behind your blog title?
My job.
If you could spend a rainy day with anyone in the world, who would you choose and why?
Hmm...so many. Living or dead, for living, not sure who...dead C.S. Lewis.
Is there a foreign culture that you love?
I lived in France. I'd like to experience more of Europe and Scandinavia, then pick one (or two..)
Do you have a favorite soft drink?
No.
Friday, February 21, 2014
I hope it's true...
I know it's a fleeting thought, but the first day of spring is March 20th this year.
For a brief moment, we had reprieve today. It was GLORIOUS! I escaped to the acute unit of the Hotel today, and warts and all, it's getting off to a nice start, despite the rough beginnings when it opened.
Happy Friday to all, wherever you are.
For a brief moment, we had reprieve today. It was GLORIOUS! I escaped to the acute unit of the Hotel today, and warts and all, it's getting off to a nice start, despite the rough beginnings when it opened.
Happy Friday to all, wherever you are.
Thursday, February 20, 2014
There but for...
Yes, I thought the anatomy book that got to fifth grade was a big deal, until I saw this article recently about liquor chocolates going to school.
I was that super tired parent when Bubba was a young'un, because whenever he got sick, he was up and down all night. Not much changes, either. (His last bout of illness was proof that nothing has changed).
As the saying goes, there but for the grace of God go I...
More later.
I was that super tired parent when Bubba was a young'un, because whenever he got sick, he was up and down all night. Not much changes, either. (His last bout of illness was proof that nothing has changed).
As the saying goes, there but for the grace of God go I...
More later.
Wednesday, February 19, 2014
I'd love Mary, too, at the Hotel
Or what I'd tell a particularly irritating paranoid person who came to my door.
I have wifi, too. Never thought about it as that scary, since the Hotel now has it everywhere.
But, yes, you never know.
Now, to go get my tinfoil hat just in case (at least they won't know who I am).
More to come...
I have wifi, too. Never thought about it as that scary, since the Hotel now has it everywhere.
But, yes, you never know.
Now, to go get my tinfoil hat just in case (at least they won't know who I am).
More to come...
Hair on fire?
Some days I really think the reactionary Manglement around here enjoy causing people to run around the Hotel as if their hair were really on fire.
Situation 1:
Really? You just figured out that clinics won't see enough people when 1) most of your patients are over 55 and 2) the weather is totally crappy (ice, snow and below zero)?
Captain Obvious, where are you? Obviously not in the Manglement offices.
Situation 2:
And since we've opened a specialty care unit at the Hotel, it's been even better. First, we had the unit all done. Then, there was an emergency in another area of the hospital, so that unit was reallocated to a clinic--for a year and a half. Next, there was a flood in another area (for outpatients, not rehabbers), so we got bounced again.
Hotel Specialty Care wing finally opened recently. They are still figuring out some of the staffing (luckily not nursing). WT..? Another Manglement fumble.
I'm bucking the trend. I'm staying calm for the heck of it.
It's the one thing I can control.
More to come...
Situation 1:
Really? You just figured out that clinics won't see enough people when 1) most of your patients are over 55 and 2) the weather is totally crappy (ice, snow and below zero)?
Captain Obvious, where are you? Obviously not in the Manglement offices.
Situation 2:
And since we've opened a specialty care unit at the Hotel, it's been even better. First, we had the unit all done. Then, there was an emergency in another area of the hospital, so that unit was reallocated to a clinic--for a year and a half. Next, there was a flood in another area (for outpatients, not rehabbers), so we got bounced again.
Hotel Specialty Care wing finally opened recently. They are still figuring out some of the staffing (luckily not nursing). WT..? Another Manglement fumble.
I'm bucking the trend. I'm staying calm for the heck of it.
It's the one thing I can control.
More to come...
Monday, February 17, 2014
This is going to be a bad Monday
How do you know?
1. Your kid is sick with this (when you were hoping it was just a migraine).
2. Your town is experiencing an ice storm. (even better reason to be trapped with all these germs inside). My Lysol fumigation continues...
3. You planned a busy day while kiddo was off school (doctors appointments, dentist appointments, meeting your friend for lunch). All get cancelled.
Maybe I just need to go back to bed and hide until Bubba calls me again...stay tuned.
1. Your kid is sick with this (when you were hoping it was just a migraine).
2. Your town is experiencing an ice storm. (even better reason to be trapped with all these germs inside). My Lysol fumigation continues...
3. You planned a busy day while kiddo was off school (doctors appointments, dentist appointments, meeting your friend for lunch). All get cancelled.
Maybe I just need to go back to bed and hide until Bubba calls me again...stay tuned.
Sunday, February 16, 2014
Weekend fun of sorts
On weekends, besides catching up on chores around the house, I often volunteer. This weekend, I volunteered at PrivateU interviewing students for scholarships. It was very interesting.
I was assigned to a team with a current scholarship student, another alum, and myself. Here are some things I noticed.
1. The kid who wanted to major in computer science, really was a computer nerd (nice, but totally freaked out by my interview question I asked all the candidates).
2. Of the applicants our group reviewed, only two of the candidates were boys. The rest (about 10 in all) were girls.
3. Everyone (except for 2) came because PrivateU has a special early admit program to medical school.
4. Not surprisingly, everyone could tell me how medicine was so important and why they wanted to be a physician. Not one of them demonstrated a real idea of what other professionals do in health care, including the kid who planned on majoring in biomedical engineering.
From the description one gave me, it would have been more appropriate to tell her she could spend more time with patients as a nurse, but blowing her mind right then and there seemed like a bad thing to do.
5. I had all of their applications on paper, but was not sent any other details. My co-interviewers obviously reviewed their homework, but I did not. They seemed a little irritated by this at first, but they got used to me, eventually.
One gave me her form, and I reviewed it. I opted out and asked a non-standard question, which they liked, and was not on the suggested questions handout.
Not surprisingly, many more alums will interview more kids next weekend. Frankly, I thought one weekend of that was enough.
A lot of good kids and only so many scholarships. Now I know what I have to do to get Bubba in shape for college. A whole lot of work.
More to come...
I was assigned to a team with a current scholarship student, another alum, and myself. Here are some things I noticed.
1. The kid who wanted to major in computer science, really was a computer nerd (nice, but totally freaked out by my interview question I asked all the candidates).
2. Of the applicants our group reviewed, only two of the candidates were boys. The rest (about 10 in all) were girls.
3. Everyone (except for 2) came because PrivateU has a special early admit program to medical school.
4. Not surprisingly, everyone could tell me how medicine was so important and why they wanted to be a physician. Not one of them demonstrated a real idea of what other professionals do in health care, including the kid who planned on majoring in biomedical engineering.
From the description one gave me, it would have been more appropriate to tell her she could spend more time with patients as a nurse, but blowing her mind right then and there seemed like a bad thing to do.
5. I had all of their applications on paper, but was not sent any other details. My co-interviewers obviously reviewed their homework, but I did not. They seemed a little irritated by this at first, but they got used to me, eventually.
One gave me her form, and I reviewed it. I opted out and asked a non-standard question, which they liked, and was not on the suggested questions handout.
Not surprisingly, many more alums will interview more kids next weekend. Frankly, I thought one weekend of that was enough.
A lot of good kids and only so many scholarships. Now I know what I have to do to get Bubba in shape for college. A whole lot of work.
More to come...
Wednesday, February 12, 2014
Things not to do, part 77
It really seems like it. It's so very easy to find things folks should not do.
1. Don't wear jewelry to CPR class.
Especially, if it is a long necklace and is going to get tangled up in the AED simulator. Shock anyone?
2. Diss the nurses.
Not my patient, but even my doctor relatives know this is not a good thing.
3. Stick a q-tip up your nose.
Because it really, really is a bad thing if you break off the long wooden stick, and the rest of it stays in your nose. We will have to send you for an extraction.
Stay tuned!
1. Don't wear jewelry to CPR class.
Especially, if it is a long necklace and is going to get tangled up in the AED simulator. Shock anyone?
2. Diss the nurses.
Not my patient, but even my doctor relatives know this is not a good thing.
3. Stick a q-tip up your nose.
Because it really, really is a bad thing if you break off the long wooden stick, and the rest of it stays in your nose. We will have to send you for an extraction.
Stay tuned!
Tuesday, February 11, 2014
Things not to do at work
Oh, my coworkers just come up with new fun things to do every single day. Today's installment revolves around computer issues.
Our boss, a lovely physician who is an expert in her field, has a love/hate relationship with her computer. As usual, as soon as our support person leaves for the other side of campus, she has an emergency.
Today's emergency: typing caused the lock screen to come up in the middle of entering the password. I watched as it happened, and noticed something. A large crumb. We repeated the error, so I told our lovely doc, to hold off the attempts to log in until I came back. I brought a can of air and our Saniwipes. To no one's surprise, enough crumbs to feed a small family came flying out of the keyboard.
Moral of the story: don't eat lunch over your desk. Those crumbs are out to get you (especially if they pile up under the keys on your keyboard). A few sprays of the air and cleaning...voila! No more weirdness.
The other problem: some things just shouldn't be used as mouse pads. Here's an explanation from one of the staff: Someone has decided to use Covaderm (yes the dressing) as a mouse pads on a few of the computers causing an abundance of adhesive madness when trying to maneuver the mouse.
Remember, friends don't let friends use adhesive dressings on computers. Stick to the duct tape.
More later...
Our boss, a lovely physician who is an expert in her field, has a love/hate relationship with her computer. As usual, as soon as our support person leaves for the other side of campus, she has an emergency.
Today's emergency: typing caused the lock screen to come up in the middle of entering the password. I watched as it happened, and noticed something. A large crumb. We repeated the error, so I told our lovely doc, to hold off the attempts to log in until I came back. I brought a can of air and our Saniwipes. To no one's surprise, enough crumbs to feed a small family came flying out of the keyboard.
Moral of the story: don't eat lunch over your desk. Those crumbs are out to get you (especially if they pile up under the keys on your keyboard). A few sprays of the air and cleaning...voila! No more weirdness.
The other problem: some things just shouldn't be used as mouse pads. Here's an explanation from one of the staff: Someone has decided to use Covaderm (yes the dressing) as a mouse pads on a few of the computers causing an abundance of adhesive madness when trying to maneuver the mouse.
Remember, friends don't let friends use adhesive dressings on computers. Stick to the duct tape.
More later...
Sunday, February 9, 2014
Lazy Sunday
Bubba and Dahey are already watching the Olympics and British football. If we had multiple TVs in the living room, it would look like a sports bar.
My DVD player is finally working, so I'm filling iTunes up again. For exercise, I'm jumping up every time the timer goes off on the dryer (what nurse DOESN'T multitask at home?).
Sunday Stealing is about Valentine's Day (coming up on Friday). Want to answer the meme? Head on over...
Pondering the week to come...will be a crazy busy one. Hope we don't get any more snow to mess things up.
Stay tuned...
My DVD player is finally working, so I'm filling iTunes up again. For exercise, I'm jumping up every time the timer goes off on the dryer (what nurse DOESN'T multitask at home?).
Sunday Stealing is about Valentine's Day (coming up on Friday). Want to answer the meme? Head on over...
Pondering the week to come...will be a crazy busy one. Hope we don't get any more snow to mess things up.
Stay tuned...
Saturday, February 8, 2014
Snow again
I'm really going to appreciate spring and summer this year.
I never thought I'd see the day when I thought freezing (32F) was warm.
Ugh!
I never thought I'd see the day when I thought freezing (32F) was warm.
Ugh!
Thursday, February 6, 2014
To teach...
Or not to teach.
When I see what they pay these online teachers, I'm not really interested.
Even if I went back to school, I wouldn't get much more with a PhD.
Nice. Will have to find something else that's a little more lucrative. I have a practice test to take for one organization that at least get me CEUs. (and an average of $20 per hour for taking a test)
Might as well do that instead. Stay tuned.
When I see what they pay these online teachers, I'm not really interested.
Even if I went back to school, I wouldn't get much more with a PhD.
Nice. Will have to find something else that's a little more lucrative. I have a practice test to take for one organization that at least get me CEUs. (and an average of $20 per hour for taking a test)
Might as well do that instead. Stay tuned.
Wednesday, February 5, 2014
One fun thing after another...
First, we had the annual inspection. It's nice that these folks care to visit, but suggesting things we don't really need is not going to fix anything. We have two perfectly smart BSNs who can act as case managers, thankyouverymuch, even if one (conveniently) forgets how many visits are done in the clinic yearly.
Get us what we ask for...not c$%p we don't want. Like enough nursing staff. You know...those 24/7 folks who make the place run. Yes, they are handy.
Next, it started snowing in the afternoon. And snowing, and snowing some more. Luckily, my driving skills in the newish family wagon are getting better as I'm getting used to traction control.
Finally, I capped off the night by going to the dentist. Thankfully, no cavities and no slipping or sliding on the icy roads.
Stay tuned...more to come.
Get us what we ask for...not c$%p we don't want. Like enough nursing staff. You know...those 24/7 folks who make the place run. Yes, they are handy.
Next, it started snowing in the afternoon. And snowing, and snowing some more. Luckily, my driving skills in the newish family wagon are getting better as I'm getting used to traction control.
Finally, I capped off the night by going to the dentist. Thankfully, no cavities and no slipping or sliding on the icy roads.
Stay tuned...more to come.
Sunday, February 2, 2014
If you thought you had a bad day...
Then you haven't seen this article (or the compelling pictures).
My day may seem crappy, but in retrospect, it's actually pretty darned good, thank you very much.
Hope your Super Bowl Sunday is going well, whether you're celebrating it on the unit or at a party.
Here's this weekend's Sunday Stealing below, since this is the All who wander are not lost (one of my favorite quotes) edition.
Enjoy!
My day may seem crappy, but in retrospect, it's actually pretty darned good, thank you very much.
Hope your Super Bowl Sunday is going well, whether you're celebrating it on the unit or at a party.
Here's this weekend's Sunday Stealing below, since this is the All who wander are not lost (one of my favorite quotes) edition.
Enjoy!
- Put your music player of choice on shuffle and list the first song
- Relax, by Frankie Goes to Hollywood.
- If you could spend a week anywhere in the world, where would it be and why? Would you take anyone with you?
- Right now, it would be somewhere warm. Otherwise, I'd take my husband and son to Paris, France.
- What is your preferred writing implement? (eg. Blue pen, pencil, green pen)
- Black pen. Always, and forever. It's legal!
- When did you go on your first trip alone (without your parents)?
- When I went to camp at 10.
- Do you have connections to any celebrities (even minor)? List them.
- Only drive by ones. I'm related (by marriage) to a pharmaceutical inventor. I went to high school with a girl whose sister is a nurse on a reality show.
- Name 3 items you could pick up from where you are.
- Phone, paper, pens
- How would you describe your sense of humor?
- Offbeat
- Do you ever play board games or other non-computer games? Got any favorites?
- I like Monopoly
- A musical artist you love that isn’t well known.
- Johnny Clegg and Savuka
- A musical artist you love that is well known.
- Paul Simon
- What is your desktop background currently?
- A graphic of leaves.
- Last person you talked to, and through what you talked to them
- My husband. The milk was sour.
- What do you carry your money in?
- Wallet
- What timekeeping devices are in the room you are currently in?
- My phone and my watch.
- What kind of headphones do you use?
- All kinds (mostly earbuds)
- What musical artists have you seen perform live?
- Midnight Oil, Stevie Ray Vaughn, TMBG, Air Supply, all sorts of bands, really.
- How often do you clear your browser history?
- All the time.
- What’s the best job you’ve ever had?
- I like the one I have, thanks.
- What’s the worst job you’ve ever had?
- Burger King at 16. Got burnt on the fry basket.
- What magazines do you read, if any?
- Lots. Fashion, computers, nursing, you name it.
Saturday, February 1, 2014
A sign of the times
The weather here in RehabLand is cold, cloudy and rainy. The birds are still singing.
Great day to roll over and go back to sleep.
Enjoy your weekend wherever you are.
Great day to roll over and go back to sleep.
Enjoy your weekend wherever you are.
Friday, January 31, 2014
It may seem like a no-brainer
But having patient input in developing a rehab hospital, really is a good thing. One large rehab hospital in Nebraska is actually using a design firm headed by a quadriplegic designer most of you know if you shop at a very large retailer.
Yes, it is really important. So when Madison opens its satellite unit at Washington, our chief NP, a rehab nurse from way back, was duly insulted when she heard this.
"Well, we will just ask a few people to pretend to be a para or a quad and check out stuff in the patient rooms." (I wish this paraphrase was a joke, but it's not).
No, not okay, says the NP. So she makes a few phone calls, and lo and behold, we have several former and current patients volunteering to do a dry run before the unit opens.
Maybe the Manglement will really get this patient engagement thing involves REAL patients, not pretend ones.
You never know...stay tuned!
Yes, it is really important. So when Madison opens its satellite unit at Washington, our chief NP, a rehab nurse from way back, was duly insulted when she heard this.
"Well, we will just ask a few people to pretend to be a para or a quad and check out stuff in the patient rooms." (I wish this paraphrase was a joke, but it's not).
No, not okay, says the NP. So she makes a few phone calls, and lo and behold, we have several former and current patients volunteering to do a dry run before the unit opens.
Maybe the Manglement will really get this patient engagement thing involves REAL patients, not pretend ones.
You never know...stay tuned!
Thursday, January 30, 2014
The fascinating human body
I have always loved anatomy. So many parts to a human and the things they can do! I saw this infographic recently on how cadavers are used to help people with reconstructive surgeries.
I heard about this story on the way to work the other day. Not sure who or what the radio folks were reading, but after a search, I found this blog post from the Mayo Clinic. Transplant patients in this article got better lung function playing the harmonica. There was also another article I found about a guy who created a therapeutic harmonica (that always sounds good) called the Pulmonica. Sounds like a novel way to get people to actually do some exercises (since few ever like that incentive spirometer anyway).
Hope you enjoy! Who knows...you could have a bluegrass musician on your unit before you know it.
I heard about this story on the way to work the other day. Not sure who or what the radio folks were reading, but after a search, I found this blog post from the Mayo Clinic. Transplant patients in this article got better lung function playing the harmonica. There was also another article I found about a guy who created a therapeutic harmonica (that always sounds good) called the Pulmonica. Sounds like a novel way to get people to actually do some exercises (since few ever like that incentive spirometer anyway).
Hope you enjoy! Who knows...you could have a bluegrass musician on your unit before you know it.
Wednesday, January 29, 2014
In the news: Byproducts edition
One of my friends posted recently, "I just got hit by C-diff and VRE all at once." Yes, the gross part of being a nurse sometimes stands out more than others.
Note to new nurses: always know where you can get an extra set of scrubs. If you have a good sized locker, this is something you may want to stash, along with an extra pair of underwear and socks. It's good for those gross days, as well as for those times when you have local emergencies, due to snowstorms (as we did recently.)
Blow up
Yes, if you have enough methane in the form of gas and belches, you can indeed cause an explosion, as these folks in Germany found out recently (thank you BBC).
Tales from the ER
I really enjoyed this post from Florencenightnday about gross stuff in nursing. Yes, the trick is really: don't breathe through your nose (sometimes you have to limit how much you breathe through your mouth, too.)
Take a picture
Someone did here. Yes, it's gross, but this is the holy grail of rehab nursing.
Not a nurse, but worried about caregiving?
The Visiting Nurses of New York have this article for you. Don't worry. They won't gross you out too much.
Last, but not least
Probably one of the mother of all poop posts you can find on the internet from jo at Head Nurse. Read the comments, too, they are valuable.
Note to new nurses: always know where you can get an extra set of scrubs. If you have a good sized locker, this is something you may want to stash, along with an extra pair of underwear and socks. It's good for those gross days, as well as for those times when you have local emergencies, due to snowstorms (as we did recently.)
Blow up
Yes, if you have enough methane in the form of gas and belches, you can indeed cause an explosion, as these folks in Germany found out recently (thank you BBC).
Tales from the ER
I really enjoyed this post from Florencenightnday about gross stuff in nursing. Yes, the trick is really: don't breathe through your nose (sometimes you have to limit how much you breathe through your mouth, too.)
Take a picture
Someone did here. Yes, it's gross, but this is the holy grail of rehab nursing.
Not a nurse, but worried about caregiving?
The Visiting Nurses of New York have this article for you. Don't worry. They won't gross you out too much.
Last, but not least
Probably one of the mother of all poop posts you can find on the internet from jo at Head Nurse. Read the comments, too, they are valuable.
Tuesday, January 28, 2014
A cautionary tale
I read this KevinMD article today just because I liked the title: The toxicity of Medicaid.
Some of you may say, "This is a doctor writing this. Boo hoo."
Boys and girls, we should be up in arms, too. The patients described here don't just need nursing care, they DESPERATELY need it. (yes, I'm shouting again.)
The system has engendered dangerously bad habits in people. As nurses on the front lines, I'm sure our friends in the ED could tell us about how many patients might easily be triaged to lower levels of care...if they existed in their area and took Medicaid.
In rehab, we coordinate care regularly between specialties and help people get things they need, even if they are indeed expensive. We need to do more of this for Medicaid patients to keep them out of the ED.
Unfortunately, the EDs of America sit there like the vaunted Motel 6...we'll leave the light on for you. The light is on, but it is unfortunate that many folks miss the most important thing about the ED.
This place is for emergencies only. It's not for a one stop shop to get all your doctors' appointments done right now, so you don't have to get up in the morning, and (gasp) go to more than one place. It's not so you can avoid your copay. It's for emergencies.
Because one day, if you have a heart attack, stroke, or car accident, you may want them to be ready and waiting with the light on, for you.
Some of you may say, "This is a doctor writing this. Boo hoo."
Boys and girls, we should be up in arms, too. The patients described here don't just need nursing care, they DESPERATELY need it. (yes, I'm shouting again.)
The system has engendered dangerously bad habits in people. As nurses on the front lines, I'm sure our friends in the ED could tell us about how many patients might easily be triaged to lower levels of care...if they existed in their area and took Medicaid.
In rehab, we coordinate care regularly between specialties and help people get things they need, even if they are indeed expensive. We need to do more of this for Medicaid patients to keep them out of the ED.
Unfortunately, the EDs of America sit there like the vaunted Motel 6...we'll leave the light on for you. The light is on, but it is unfortunate that many folks miss the most important thing about the ED.
This place is for emergencies only. It's not for a one stop shop to get all your doctors' appointments done right now, so you don't have to get up in the morning, and (gasp) go to more than one place. It's not so you can avoid your copay. It's for emergencies.
Because one day, if you have a heart attack, stroke, or car accident, you may want them to be ready and waiting with the light on, for you.
Monday, January 27, 2014
I think of arm wrestling
Or a juxtaposition of life where you wonder about things. For entertainment purposes, I checked out some interesting books at the library. The latest one: You are a badass: How to stop doubting your greatness and start living an awesome life.
Yes, this is indeed a book title. I didn't make it up.
When I read this opinion piece in the New York Times recently, it struck me for a few reasons. One, it's written by a doctor. Two, it's written by a young doctor with cancer. Three, it reminds me of a character at the Hotel struggling with his own diagnosis.
We can't give him time. We can only tell him that if he gets treated, he will most likely be cured. If he delays, he jeopardizes that chance of living until his grandchildren graduate from school.
He's cheated death a few times, so maybe he's jaded. Or maybe he'd just believe us if we could give him a number.
We can't.
So he's just going, as Becket says, to keep not going, and going along.
Yes, this is indeed a book title. I didn't make it up.
When I read this opinion piece in the New York Times recently, it struck me for a few reasons. One, it's written by a doctor. Two, it's written by a young doctor with cancer. Three, it reminds me of a character at the Hotel struggling with his own diagnosis.
We can't give him time. We can only tell him that if he gets treated, he will most likely be cured. If he delays, he jeopardizes that chance of living until his grandchildren graduate from school.
He's cheated death a few times, so maybe he's jaded. Or maybe he'd just believe us if we could give him a number.
We can't.
So he's just going, as Becket says, to keep not going, and going along.
Sunday, January 26, 2014
Sunday stealing...
Ask Me Meme from "Just keep swimming." -Dorthy, Finding Nemo
1:What was the last argument you had about?
Putting dishes away.
2:How long is your longest relationship?
Almost a lifetime: I've got a couple of friends I've known that long.
3:What is something not many people know about you?
I can crochet.
4:Two truths and a lie. Go.
Ice cream is cold.
Snow is cold.
Coffee must be served hot.
5:Do you believe in fate/destiny?
Yes. I do.
6:Where is somewhere you’ve always wanted to live?
New York or Washington DC for a short defined period.
7:Has there ever been a song that made you cry?
A couple.
8:Do you jump/scare easily?
No.
9:Which birthday has been your favorite?
21. Had lots of fun.
10:Have you ever been pulled over? Arrested?
Pulled over-yes. Arrested-never.
11:Have you ever been to a fortune teller?
No.
12:What’s your favorite series of books?
The Chronicles of Narnia are some of my favorites.
13:Who is someone that you think knows the most about you outside of family?
My best friend.
14:What is the weirdest thing you’ve eaten?
Octopus.
15:List one of your quirks.
I like coffee first thing in the AM.
16:State 1 bad habit of yours.
I snore.
17:Has a scary movie ever given you nightmares?
Yes.
18:When was the last time you got your hair done in a salon?
I go on a regular basis.
19:What was the last thing you did with your friends?
We went out for dinner.
20:What’s something that you like to do that others might see as weird?
I like to do laundry.
21:What was the last trip you took?
I went to Chicago for work.
1:What was the last argument you had about?
Putting dishes away.
2:How long is your longest relationship?
Almost a lifetime: I've got a couple of friends I've known that long.
3:What is something not many people know about you?
I can crochet.
4:Two truths and a lie. Go.
Ice cream is cold.
Snow is cold.
Coffee must be served hot.
5:Do you believe in fate/destiny?
Yes. I do.
6:Where is somewhere you’ve always wanted to live?
New York or Washington DC for a short defined period.
7:Has there ever been a song that made you cry?
A couple.
8:Do you jump/scare easily?
No.
9:Which birthday has been your favorite?
21. Had lots of fun.
10:Have you ever been pulled over? Arrested?
Pulled over-yes. Arrested-never.
11:Have you ever been to a fortune teller?
No.
12:What’s your favorite series of books?
The Chronicles of Narnia are some of my favorites.
13:Who is someone that you think knows the most about you outside of family?
My best friend.
14:What is the weirdest thing you’ve eaten?
Octopus.
15:List one of your quirks.
I like coffee first thing in the AM.
16:State 1 bad habit of yours.
I snore.
17:Has a scary movie ever given you nightmares?
Yes.
18:When was the last time you got your hair done in a salon?
I go on a regular basis.
19:What was the last thing you did with your friends?
We went out for dinner.
20:What’s something that you like to do that others might see as weird?
I like to do laundry.
21:What was the last trip you took?
I went to Chicago for work.
Thursday, January 23, 2014
Brrr!
Oh, the weather outside is sunny and beautiful and COLD. Yes, I'm shouting, because I felt like my face would fall off after walking the 60 feet from my car to the building I work in.
I was properly layered, but no match for the wicked, howling winds all day.
They can call the cold whatever they want: Alberta Clipper, Janus, you name it, but you know it's too cold when you ruin your lettuce if you forget it in the car.
That is really, REALLY cold!
Enjoy your temperature high or low weather wherever you are!
I was properly layered, but no match for the wicked, howling winds all day.
They can call the cold whatever they want: Alberta Clipper, Janus, you name it, but you know it's too cold when you ruin your lettuce if you forget it in the car.
That is really, REALLY cold!
Enjoy your temperature high or low weather wherever you are!
Tuesday, January 21, 2014
In the news this week
It's a new year, so lots of things going on. It must be fundraising season, because my alma maters all called me up to say hi...and ask for a big contribution.
The nightmare of rehab hospitals
As a new nurse in an urban rehab hospital, I had a few patients who were not on the hospital registry (aka being on blackout). One in particular stands out. When people called for him/her, they had to give a password to get any sort of information.
For this patient, the spouse who caused the fall that led to rehab called me at least twice asking about him/her without the password. I never gave out any information. The patient recuperated with us and left the state to live with other family members.
I thought of that and someone coming back when I read this article today @nursingpins had in his Twitter feed. Oh, the insanity and the sadness of domestic violence.
On the research front
Some of these folks are seeing promise with spinal cord injury patients regaining lost function. As Martha says, it really IS a good thing, indeed.
Other uses for fruit
My coworker, C., is our wound specialist at the Hotel. She found this gem on staging wounds which compares apples to the different NPUAP wound stages.
And last but not least, Dahey's cousin the psych nurse is cooking around the world. She recently asked about strange looking fruits, so I found the one she was cooking via Google.
Enjoy your week!
The nightmare of rehab hospitals
As a new nurse in an urban rehab hospital, I had a few patients who were not on the hospital registry (aka being on blackout). One in particular stands out. When people called for him/her, they had to give a password to get any sort of information.
For this patient, the spouse who caused the fall that led to rehab called me at least twice asking about him/her without the password. I never gave out any information. The patient recuperated with us and left the state to live with other family members.
I thought of that and someone coming back when I read this article today @nursingpins had in his Twitter feed. Oh, the insanity and the sadness of domestic violence.
On the research front
Some of these folks are seeing promise with spinal cord injury patients regaining lost function. As Martha says, it really IS a good thing, indeed.
Other uses for fruit
My coworker, C., is our wound specialist at the Hotel. She found this gem on staging wounds which compares apples to the different NPUAP wound stages.
And last but not least, Dahey's cousin the psych nurse is cooking around the world. She recently asked about strange looking fruits, so I found the one she was cooking via Google.
Enjoy your week!
Monday, January 20, 2014
Celebrating...
1. Life
2. Finishing my grocery shopping that I put off this weekend. I also did a few errands.
3. Martin Luther King Day.
4. Bubba's birthday (because, why not extend your celebration into a really long weekend from school?)
Hope you enjoy your day wherever you are.
2. Finishing my grocery shopping that I put off this weekend. I also did a few errands.
3. Martin Luther King Day.
4. Bubba's birthday (because, why not extend your celebration into a really long weekend from school?)
Hope you enjoy your day wherever you are.
Friday, January 17, 2014
TGIF Meeting hijack
I usually don't have a lot of meetings at the end of the week, but this week was unusual.
One meeting was short and sweet. The doc took notes, assigned the tasks, and away it went. Elapsed time: 20 minutes.
The next one, the token MD at our other hospital, Washington, decided to hijack a pressure ulcer prevention meeting by talking about getting all of our patients these items and getting "some good publicity finally." in the local media.
Ahem, the dander was standing on my neck. The dander was standing up on almost everyone else's neck. I told the doc (since I was only a meeting interloper anyway), "It may not be appropriate for everyone. Come on down to Madison. We can show you this exoskeleton in person (assuming one of our patients is in a trial)."
What I really wanted to say (and everyone else did, too, but didn't) was STFU. Hijacking the meeting for purposes other than what you're supposed to be there for is decidedly rude.
Happily, I did get to escape for a bit. Bubba had one of these ceremonies today at school. I just wish I could have stayed for the cookies afterward.
TGIF all! Enjoy your weekend (long for some of you) wherever you are.
One meeting was short and sweet. The doc took notes, assigned the tasks, and away it went. Elapsed time: 20 minutes.
The next one, the token MD at our other hospital, Washington, decided to hijack a pressure ulcer prevention meeting by talking about getting all of our patients these items and getting "some good publicity finally." in the local media.
Ahem, the dander was standing on my neck. The dander was standing up on almost everyone else's neck. I told the doc (since I was only a meeting interloper anyway), "It may not be appropriate for everyone. Come on down to Madison. We can show you this exoskeleton in person (assuming one of our patients is in a trial)."
What I really wanted to say (and everyone else did, too, but didn't) was STFU. Hijacking the meeting for purposes other than what you're supposed to be there for is decidedly rude.
Happily, I did get to escape for a bit. Bubba had one of these ceremonies today at school. I just wish I could have stayed for the cookies afterward.
TGIF all! Enjoy your weekend (long for some of you) wherever you are.
Thursday, January 16, 2014
Just remember nursing students...
No means no. No agreement equals no consent. No consent equals no enema.
I almost fell out of my chair when I read this article about forced enemas. Yes, you heard it right.
WT...?
I guess those "medical professionals" missed that day at school where they taught the differences between assault, battery and consent.
I almost fell out of my chair when I read this article about forced enemas. Yes, you heard it right.
WT...?
I guess those "medical professionals" missed that day at school where they taught the differences between assault, battery and consent.
Wednesday, January 15, 2014
Thank yous and sweet and silly things
First, thank you Katy Katz for featuring this blog in your list of 24 nursing blogs you need to read in 2014.
I also want to thank our recent group of visitors from all over the globe, especially a few brave souls from Iceland. I've never been there, but Iceland's definitely on my list of places to see. I'm reading a really cool book called The Athena Doctrine: How women (and the men who think like them) will rule the future, and it has a great story about Iceland in recent years in it.
Today was a very good day. I was busy running reports, analyzing them, and going to meetings. The nice thing was that work actually got done.
Next, I saw one of our patients today who was put on C-diff isolation. Felt like old times (and happily, it did not smell like c-diff at all). I did a little patient education for this sweet 80 something year old guy and complimented him on using his moisturizer on his hands (which is really a part of his rehab, too).
Finally, the sweet and the silly combined when I read an article about sugar free gummy bears. The best part of the article was reading the actual reviews from customers about them. Since we have some people at the Hotel who don't really believe this happens if you overindulge, I may just have to print them out and leave in our group room and our nurses' lounge.
Maybe someone will get the hint. If not, I'll just go buy a bag and leave them out.
Ah, so many sugar free candies, so little time...stay tuned!
I also want to thank our recent group of visitors from all over the globe, especially a few brave souls from Iceland. I've never been there, but Iceland's definitely on my list of places to see. I'm reading a really cool book called The Athena Doctrine: How women (and the men who think like them) will rule the future, and it has a great story about Iceland in recent years in it.
Today was a very good day. I was busy running reports, analyzing them, and going to meetings. The nice thing was that work actually got done.
Next, I saw one of our patients today who was put on C-diff isolation. Felt like old times (and happily, it did not smell like c-diff at all). I did a little patient education for this sweet 80 something year old guy and complimented him on using his moisturizer on his hands (which is really a part of his rehab, too).
Finally, the sweet and the silly combined when I read an article about sugar free gummy bears. The best part of the article was reading the actual reviews from customers about them. Since we have some people at the Hotel who don't really believe this happens if you overindulge, I may just have to print them out and leave in our group room and our nurses' lounge.
Maybe someone will get the hint. If not, I'll just go buy a bag and leave them out.
Ah, so many sugar free candies, so little time...stay tuned!
Tuesday, January 14, 2014
When you're the unforgettable one
I have heard a lot of stories about unforgettable patients. I've even told a few of my own. Today, I'm reminded of how I was one of those unforgettable people.
Dr. L. was my mother's doctor. For a time, he was the family doctor of many of the folks within 30 miles of our home. Doc L. was an old school doctor. He did everything--house calls, delivering babies, you name it. He was in World War II and told my husband about a condition called jeepitis, or Jeep disease. It had a real name, though, by the time Dahey got it in the military.
Dr. L. was also my grandparents doctor. They loved him.
How did I get to be unforgettable, you ask? My mother was his patient. We were at a family gathering after Dahey and I got married when we saw him again (Dr. L. eventually married into the family after he was widowed).
Dr. L. pulled us aside and said, "You know, I've never told you this, RehabRN, but I'll never forget your mother. I will never forget the day I had to tell her she had cancer. All the thoughts going through my head and thinking about your dad and you kids. I have to say that in all my years of practice, it was the hardest thing I ever had to do."
"But I'm here right now, and I look at all of you, and everything that has happened, and I see that you all turned out alright. That everything turned out for the best. And I am happy I am here to see it."
Today, we said goodbye to Dr. L. Family and friends gathered at the chapel of the local nursing home run by the good sisters. The sister who ran the nursing home told us Dr. L. was a lot of fun to work with. He also was the sisters' doctor for many years, coming to see them on his day off.
It was his wish to have the sisters send him off from their place, since he spent time there and enjoyed their chapel. He was then buried at the local cemetery with military honors, on a beautiful, windswept hill, near a wood.
The rain that was predicted never came, but the sunny skies made us all give thanks for the light he was in all of our lives.
Godspeed Dr. L. I certainly won't forget you, either.
Dr. L. was my mother's doctor. For a time, he was the family doctor of many of the folks within 30 miles of our home. Doc L. was an old school doctor. He did everything--house calls, delivering babies, you name it. He was in World War II and told my husband about a condition called jeepitis, or Jeep disease. It had a real name, though, by the time Dahey got it in the military.
Dr. L. was also my grandparents doctor. They loved him.
How did I get to be unforgettable, you ask? My mother was his patient. We were at a family gathering after Dahey and I got married when we saw him again (Dr. L. eventually married into the family after he was widowed).
Dr. L. pulled us aside and said, "You know, I've never told you this, RehabRN, but I'll never forget your mother. I will never forget the day I had to tell her she had cancer. All the thoughts going through my head and thinking about your dad and you kids. I have to say that in all my years of practice, it was the hardest thing I ever had to do."
"But I'm here right now, and I look at all of you, and everything that has happened, and I see that you all turned out alright. That everything turned out for the best. And I am happy I am here to see it."
Today, we said goodbye to Dr. L. Family and friends gathered at the chapel of the local nursing home run by the good sisters. The sister who ran the nursing home told us Dr. L. was a lot of fun to work with. He also was the sisters' doctor for many years, coming to see them on his day off.
It was his wish to have the sisters send him off from their place, since he spent time there and enjoyed their chapel. He was then buried at the local cemetery with military honors, on a beautiful, windswept hill, near a wood.
The rain that was predicted never came, but the sunny skies made us all give thanks for the light he was in all of our lives.
Godspeed Dr. L. I certainly won't forget you, either.
Thursday, January 9, 2014
Perfect storm
My morning:
Bubba wakes up way too early and runs to the bathroom. Vomits like crazy. Says, "I feel much better" and goes back to bed.
I wake up right after, and was amazed that I didn't have anything to clean up (I really hate vomit more than anything else). Got a good enough migraine that I thought I might also be heading to Vomit Land. Interrupted such thoughts with the good old sumatriptan, instead.
Hung out and laid low. Called into work sick. School calls and says Bubba has no school. Rejoice that I don't have to play Vomit Roulette and send him to school.
Bubba did perfectly fine the rest of the day. Once I rested for a bit, so did I. Made Bubba and I a little breakfast ('cause migraines make you hungry...at least when you realize how long it's been since you've eaten).
Finally started working on my slides for the next big gig. Bubba, meanwhile enjoyed himself and read books and watched movies.
I'm just hoping they have school tomorrow. This snow day business is getting old really fast.
Bubba wakes up way too early and runs to the bathroom. Vomits like crazy. Says, "I feel much better" and goes back to bed.
I wake up right after, and was amazed that I didn't have anything to clean up (I really hate vomit more than anything else). Got a good enough migraine that I thought I might also be heading to Vomit Land. Interrupted such thoughts with the good old sumatriptan, instead.
Hung out and laid low. Called into work sick. School calls and says Bubba has no school. Rejoice that I don't have to play Vomit Roulette and send him to school.
Bubba did perfectly fine the rest of the day. Once I rested for a bit, so did I. Made Bubba and I a little breakfast ('cause migraines make you hungry...at least when you realize how long it's been since you've eaten).
Finally started working on my slides for the next big gig. Bubba, meanwhile enjoyed himself and read books and watched movies.
I'm just hoping they have school tomorrow. This snow day business is getting old really fast.
Wednesday, January 8, 2014
Deja vu all over again
No school due to a snow day. Supposedly, they'll take them back tomorrow. Some parents kvetch on the school's Facebook page. Others, like me, rejoice.
Bubba needs to learn something. The school year is flying by so fast.
On top of all of it, another great relative has died. This one was special. Before he married into the family, he was the doctor for most of the folks in town. He even delivered some of Great Aunt Marion's kids (when she was married to dear departed old Uncle Gilbert, the guy who threw some great parties, known for their food). Dahey was their wedding photographer.
The day he died would have been their 12th wedding anniversary.
More later
Bubba needs to learn something. The school year is flying by so fast.
On top of all of it, another great relative has died. This one was special. Before he married into the family, he was the doctor for most of the folks in town. He even delivered some of Great Aunt Marion's kids (when she was married to dear departed old Uncle Gilbert, the guy who threw some great parties, known for their food). Dahey was their wedding photographer.
The day he died would have been their 12th wedding anniversary.
More later
Tuesday, January 7, 2014
In the news
It's a little early, but there were a few interesting things in the news lately.
Makes you wonder...
Can diabetic crises be related to running out of food at the end of the month for poor families? Some researchers say it just might be.
Brain death in the news
While we've been hearing about brain death in the news lately, I ran into this interesting article (from August 2013) recently about The Conundrum of Organ Donation.
It makes you consider more than just brain death, but how things happen on that road.
From the Genetic files
I ran into this interesting article on spinal muscular atrophy in the genetic diseases section at NIH.
Snow days
We have had our share of winter weather lately. Here's a list I'll have to use on Bubba for the next snow day.
Makes you wonder...
Can diabetic crises be related to running out of food at the end of the month for poor families? Some researchers say it just might be.
Brain death in the news
While we've been hearing about brain death in the news lately, I ran into this interesting article (from August 2013) recently about The Conundrum of Organ Donation.
It makes you consider more than just brain death, but how things happen on that road.
From the Genetic files
I ran into this interesting article on spinal muscular atrophy in the genetic diseases section at NIH.
Snow days
We have had our share of winter weather lately. Here's a list I'll have to use on Bubba for the next snow day.
Monday, January 6, 2014
If you plow it...
Dear Maintenance:
People will want to come to work, since they won't slip on ice in the parking lot.
Some of us can't wait until next week when it warms up, since we have patients to take care of now. And most of them don't need to be traipsing over all that snow and ice, either.
That is all.
Yours sincerely,
RehahRN
People will want to come to work, since they won't slip on ice in the parking lot.
Some of us can't wait until next week when it warms up, since we have patients to take care of now. And most of them don't need to be traipsing over all that snow and ice, either.
That is all.
Yours sincerely,
RehahRN
Sunday, January 5, 2014
Snowmaggedon
Dear Local News People:
Yes, the snow has arrived. Thank goodness all the utilities work here at the homestead.
I just wish you all would stop acting crazy, as if you've never seen snow. It does snow here on a regular basis. Snow really is part of winter, folks.
While it is snowing, I will wait for it to stop until I go out to shovel the driveway again. Because if I don't, I will have to flag down that nice cop who stopped by the house and ask for a ride to work at the Hotel.
Unless, of course, all the Manglement have stayed home.
Now I'm starting happy hour early, so I'm going to have some more of that wine I put in my boeuf bourguignon today.
Salut!
Yours truly,
RehabRN
Yes, the snow has arrived. Thank goodness all the utilities work here at the homestead.
I just wish you all would stop acting crazy, as if you've never seen snow. It does snow here on a regular basis. Snow really is part of winter, folks.
While it is snowing, I will wait for it to stop until I go out to shovel the driveway again. Because if I don't, I will have to flag down that nice cop who stopped by the house and ask for a ride to work at the Hotel.
Unless, of course, all the Manglement have stayed home.
Now I'm starting happy hour early, so I'm going to have some more of that wine I put in my boeuf bourguignon today.
Salut!
Yours truly,
RehabRN
Friday, January 3, 2014
Wild New Year
Oh, it's going to be an exciting year.
We have a new nurse manager, we have retirements, and we have lots and lots of unhappy employees.
I'm just going to tie a knot and hang on, just like the saying goes.
Stay tuned...
We have a new nurse manager, we have retirements, and we have lots and lots of unhappy employees.
I'm just going to tie a knot and hang on, just like the saying goes.
Stay tuned...
Wednesday, January 1, 2014
2014 is here
Life is either a daring adventure or nothing. —Helen Keller
Happy New Year!
Let's begin...
Happy New Year!
Let's begin...
Tuesday, December 31, 2013
New Year's Eve
Tomorrow is the first blank page of a 365-page book. Write a good one. —Brad Paisley
Happy New Year's Eve, all.
May your night be still ('cause I don't want to say that word that starts with q) and happy.
Adios 2013, hello 2014.
Happy New Year's Eve, all.
May your night be still ('cause I don't want to say that word that starts with q) and happy.
Adios 2013, hello 2014.
Monday, December 30, 2013
I love research
Especially when research journal authors, like these good folks at BMJ have a sense of humor about a wonderfully seasonal PICO question.
Enjoy!
Enjoy!
Sunday, December 29, 2013
Reflections on a year going past
The latest from Sunday Stealing...
Questions for a New Year’s Eve Reflection Meme:
From the archives!
What was the single best thing that happened this past year?
I travelled halfway across the country and met some really awesome people I never knew in real life.
What was the single most challenging thing that happened?
I have had to start programs without any management support (because they either quit or moved on).
What was an unexpected joy this past year?
Getting a financial windfall I didn't expect when my husband was unemployed.
What was an unexpected obstacle?
Not getting promoted. (The paperwork is still in the mail...)
Pick three words to describe 2013.
Fun, crazy, cool
What were the best books you read this year?
Biographies and stories about perseverance.
With whom were your most valuable relationships?
Certain coworkers who support me in spite of challenging environments.
What was the most enjoyable part of your work?
Making the impossible happen.
What was the most challenging part of your work?
Working with a "team" that refuses to accept reality.
What was your single biggest time waster in your life this past year?
Meetings (about 90% of them anyway).
What was the best way you used your time this past year?
I am creating programs to work with rehab patients in new ways.
What was the biggest thing you learned this past year?
Some people can see into the future, and some people are happy living in the past.
Create a phrase or statement that describes 2013 for you.
Hope for the best, plan for the worst, and savor every minute of joy you're given.
Questions for a New Year’s Eve Reflection Meme:
From the archives!
What was the single best thing that happened this past year?
I travelled halfway across the country and met some really awesome people I never knew in real life.
What was the single most challenging thing that happened?
I have had to start programs without any management support (because they either quit or moved on).
What was an unexpected joy this past year?
Getting a financial windfall I didn't expect when my husband was unemployed.
What was an unexpected obstacle?
Not getting promoted. (The paperwork is still in the mail...)
Pick three words to describe 2013.
Fun, crazy, cool
What were the best books you read this year?
Biographies and stories about perseverance.
With whom were your most valuable relationships?
Certain coworkers who support me in spite of challenging environments.
What was the most enjoyable part of your work?
Making the impossible happen.
What was the most challenging part of your work?
Working with a "team" that refuses to accept reality.
What was your single biggest time waster in your life this past year?
Meetings (about 90% of them anyway).
What was the best way you used your time this past year?
I am creating programs to work with rehab patients in new ways.
What was the biggest thing you learned this past year?
Some people can see into the future, and some people are happy living in the past.
Create a phrase or statement that describes 2013 for you.
Hope for the best, plan for the worst, and savor every minute of joy you're given.
Saturday, December 28, 2013
Lovin' every minute of it
Yes, there's a song about this title, but since the staycation is drawing to a close, I'm still enjoying myself.
Weather is cooperating, had my own film festival and watched lots of movies, and hung out with Bubba and Dahey whenever I could.
Back to the entertainment,or as they say back to the wheel.
More later...
Weather is cooperating, had my own film festival and watched lots of movies, and hung out with Bubba and Dahey whenever I could.
Back to the entertainment,or as they say back to the wheel.
More later...
Friday, December 27, 2013
In the news - TGIF edition
Happy Friday! Since I'm off, I'm still reading everything I can get my hands on (including stuff about drain cleaners).
The power of nursing, cultural influences, and changes ahead in 2014 were in the news this week.
How about an IV, Mrs. Park?
This NY Times article discusses the how IVs are used in the Asian community there and how infection rates related to them are having devastating results.
Changes in 2014
If you're like me and you can't keep up with everything changing due to the new healthcare laws, have a look here for more information.
The power of nursing
Sepsis may become a thing of the past in ICUs if this tool is implemented according to CMAJ (Canadian Medical Association Journal). And yes, the power of nursing's "hunches" are coming true, and they have the data (and a system) to back it up. Wish Flo could see it now!
You can see how public service announcements can make a difference in this Stop Sepsis video:
The power of nursing, cultural influences, and changes ahead in 2014 were in the news this week.
How about an IV, Mrs. Park?
This NY Times article discusses the how IVs are used in the Asian community there and how infection rates related to them are having devastating results.
Changes in 2014
If you're like me and you can't keep up with everything changing due to the new healthcare laws, have a look here for more information.
The power of nursing
Sepsis may become a thing of the past in ICUs if this tool is implemented according to CMAJ (Canadian Medical Association Journal). And yes, the power of nursing's "hunches" are coming true, and they have the data (and a system) to back it up. Wish Flo could see it now!
You can see how public service announcements can make a difference in this Stop Sepsis video:
Thursday, December 26, 2013
Two words, plus another two words
Bad words: tree roots + sewer line.
Staycation joy. At least, I didn't come home to this after work.
More to come...
Staycation joy. At least, I didn't come home to this after work.
More to come...
Tuesday, December 24, 2013
Twas the night before Christmas
An oldie but goodie I rediscovered here. Enjoy!
twas the night before christmas -a nursing version
twas the night before christmas, and all through the floor
lasix was given, filling foleys galore.
stockings were worn to prevent emboli,
they came in two sizes, knee and thigh high.
the patients were nestled half-@$$ed in their beds,
while visions of stool softeners danced in their heads.
we in our scrubs, and they in their gowns,
fashion created to hide extra pounds.
when down in the er it became such a zoo,
they called with admissions for me and you.
they're coming, they're going, and they're all looking the same.
my patience for patients is starting to wane.
now call lights are ringing, the patient 400 pounds,
says "didnt get my pericare, send my nurse now".
and now delegation seems the best plan,
we try to send others, for the needs of this man.
when what to my wondering eyes should appear,
but santa himself and 8 tiny reindeer.
hey says he comes from central supply.
to bring us lr, ns, & d5.
the doctors then scribbled what no one could read.
orders on patients, to measure their pee.
we try to decipher illegible words,
orders for patients, to guaiac their turds.
the new shift arriving, our day is now through,
how did stool & emesis get in my shoe?
we give them report and pass on the facts,
and tell them of duoderm lining the cracks.
and the nurses exclaim as they limp out of sight,
"ativan to all, and to all a good night".
twas the night before christmas -a nursing version
twas the night before christmas, and all through the floor
lasix was given, filling foleys galore.
stockings were worn to prevent emboli,
they came in two sizes, knee and thigh high.
the patients were nestled half-@$$ed in their beds,
while visions of stool softeners danced in their heads.
we in our scrubs, and they in their gowns,
fashion created to hide extra pounds.
when down in the er it became such a zoo,
they called with admissions for me and you.
they're coming, they're going, and they're all looking the same.
my patience for patients is starting to wane.
now call lights are ringing, the patient 400 pounds,
says "didnt get my pericare, send my nurse now".
and now delegation seems the best plan,
we try to send others, for the needs of this man.
when what to my wondering eyes should appear,
but santa himself and 8 tiny reindeer.
hey says he comes from central supply.
to bring us lr, ns, & d5.
the doctors then scribbled what no one could read.
orders on patients, to measure their pee.
we try to decipher illegible words,
orders for patients, to guaiac their turds.
the new shift arriving, our day is now through,
how did stool & emesis get in my shoe?
we give them report and pass on the facts,
and tell them of duoderm lining the cracks.
and the nurses exclaim as they limp out of sight,
"ativan to all, and to all a good night".
Monday, December 23, 2013
Starting with a bang
Oh, it's the first day of vacation, so it's got to be memorable.
I took Bubba out to pick up WildDog's ashes from the vet. He and Dahey plan to inter WildDog in our yard where he worked so hard to keep a yard full of oaks squirrel-free in his prime. As consolation, we picked up a half-dozen donuts Bubba was to share with Dahey, who was at work.
Bubba ate one donut in the car. He said, "I'll share with Dad."
We came home, and I did a lot of work around the house: cleaning, decluttering, and sorting out goods to donate to charity. While doing all this, I bruised my hand, burnt myself and got a blister.
When I finally had a moment to look in the Super Donut box, there was only one left. Bubba had eaten the other five.
His response, "I'm going through puberty, so I'm hungry."
I'm going to need to fill the pantry and buy a new refrigerator if this appetite is any indication of what might happen in high school.
Stay tuned.
I took Bubba out to pick up WildDog's ashes from the vet. He and Dahey plan to inter WildDog in our yard where he worked so hard to keep a yard full of oaks squirrel-free in his prime. As consolation, we picked up a half-dozen donuts Bubba was to share with Dahey, who was at work.
Bubba ate one donut in the car. He said, "I'll share with Dad."
We came home, and I did a lot of work around the house: cleaning, decluttering, and sorting out goods to donate to charity. While doing all this, I bruised my hand, burnt myself and got a blister.
When I finally had a moment to look in the Super Donut box, there was only one left. Bubba had eaten the other five.
His response, "I'm going through puberty, so I'm hungry."
I'm going to need to fill the pantry and buy a new refrigerator if this appetite is any indication of what might happen in high school.
Stay tuned.
Sunday, December 22, 2013
Seasons Greeterings
As Homer used to say, here's the latest and greatest.
The Christmas Meme from Sunday Stealing.
1.The Christmas song I can listen to even in June is...
Go tell it on the Mountain
2.Hot Chocolate, Egg Nog or Mulled wine?
Mostly hot chocolate.
3.When do you put your decorations up?
Usually by December 15 (it depends).
4. What are you having for Christmas dinner?
Ham. Always.
5.What is your favorite Christmas tradition?
I get up early, make a big breakfast after filming Bubba opening all his gifts.
6. Have you ever gone Carol singing?
Yes, a very LONG time ago.
7. When did you learn the truth about Santa?
I was about 8 or 9 years old.
8. How do you decorate your Christmas tree?
Very simply.
9. What's the best thing about Christmas?
After my birthday, the end of the year, seeing friends and family you haven't seen much during the year.
10. All I want for Christmas is... to be happy and healthy enough to celebrate with family and friends.
Nipple Michelangelo?
We talk a lot about the psychosocial aspects of rehabilitation. Making people feel real, and comfortable in their own skin after devastating accidents and diseases is one thing nurses are good at working with patients.
Another aspect of this is feeling good about your body afterwards.Vinnie Myers helps women during breast reconstruction by giving them tattoos.
It's an article you don't want to miss.
Another aspect of this is feeling good about your body afterwards.Vinnie Myers helps women during breast reconstruction by giving them tattoos.
It's an article you don't want to miss.
Saturday, December 21, 2013
Manglement misadventures
Mediocrity can talk, but it is for genius to observe.~ Benjamin Disraeli
I really like some of the medical staff I work with at the Hotel. We have some folks with a lot of experience and wonderful patient rapport.
But, as usual, the Manglement are clueless. The Hotel is part of a reactionary hospital system, that just doesn't seem happy unless there is chaos. Evidence based practice? What's that? Or this discourse when I asked for a flexible schedule, even though, we already have them.
"If I let you do x, I'll have to let others do y."
Keeping employees happy is not part of their business plan. They get more clueless by the day.
I'm counting down the days. I'm glad my Christmas vacation is coming.
I really like some of the medical staff I work with at the Hotel. We have some folks with a lot of experience and wonderful patient rapport.
But, as usual, the Manglement are clueless. The Hotel is part of a reactionary hospital system, that just doesn't seem happy unless there is chaos. Evidence based practice? What's that? Or this discourse when I asked for a flexible schedule, even though, we already have them.
"If I let you do x, I'll have to let others do y."
Keeping employees happy is not part of their business plan. They get more clueless by the day.
I'm counting down the days. I'm glad my Christmas vacation is coming.
Thursday, December 19, 2013
All I want for Christmas...
Is a new boss...again this year. So here's the letter I'd write if I could.
Dear Santa:
This request is getting really old, not just for me, but for everyone else. It's so bad that people are quitting or retiring in the interim.
If a new boss is too much, I'd be happy to take a new job or department reorganization for the new year.
Whatever fits in the bag easier for you.
Sincerely, your favorite nurse ('cause I'd fix Rudolph's shiny nose if you asked),
RehabRN
Dear Santa:
This request is getting really old, not just for me, but for everyone else. It's so bad that people are quitting or retiring in the interim.
If a new boss is too much, I'd be happy to take a new job or department reorganization for the new year.
Whatever fits in the bag easier for you.
Sincerely, your favorite nurse ('cause I'd fix Rudolph's shiny nose if you asked),
RehabRN
Tuesday, December 17, 2013
This week's In the news
I've got a personal connection to some of the items I've found this week. Hope you all enjoy
I knew it!
Ever have horrible migraines when it's ready to storm? You're not alone. Researchers have correlated migraines to all sorts of things, including lightning strikes, according to this CNN story.
Sad story
A teenager gets an elective surgery to stop sleep apnea and some other things, then ends up brain dead, according to this CNN story. It may be simple, but as a parent, so sad.
Throwing your money away?
You may be if you believe this Medscape article on multivitamins and cognition.
Were you hoodwinked?
Maybe once or twice? Mashable tallies up these social media hoaxes which got a lot of mileage this year.
Finally...
And last, but not least, just in case I win the Mega Millions prize (even a sliver of it) tonight, I may play hooky tomorrow from work, but I just want to let you know I won't stop blogging. It's too much fun.
That is all...more to come.
I knew it!
Ever have horrible migraines when it's ready to storm? You're not alone. Researchers have correlated migraines to all sorts of things, including lightning strikes, according to this CNN story.
Sad story
A teenager gets an elective surgery to stop sleep apnea and some other things, then ends up brain dead, according to this CNN story. It may be simple, but as a parent, so sad.
Throwing your money away?
You may be if you believe this Medscape article on multivitamins and cognition.
Were you hoodwinked?
Maybe once or twice? Mashable tallies up these social media hoaxes which got a lot of mileage this year.
Finally...
And last, but not least, just in case I win the Mega Millions prize (even a sliver of it) tonight, I may play hooky tomorrow from work, but I just want to let you know I won't stop blogging. It's too much fun.
That is all...more to come.
Sunday, December 15, 2013
It's BAAACK! Sunday stealing
This one was interesting. The Blerp Meme from Sunday Stealing. Hope you are enjoying the last of your weekend, wherever you are!
When you get a headache do you take painkillers right away or try to wait it out?
Depends.
Did you watch Sesame Street when you were little?
Yes.
What’s the last thing you touched, other than your computer?
Rubber bands.
When was the last time you talked to your best friend?
Yesterday.
How often do you listen to music?
Daily.
What color is your cell phone?
White.
What is the last non-alcoholic beverage you drank?
Coffee.
Do you like to wear sweatpants?
No.
What song are you currently listening to? Who sings it?
Anyone who had a heart by Dionne Warwick on the Very Best of Burt Bacharach (I got a lot of collections from Dahey).
Have you ever gotten a black eye?
No.
How many times have you checked up on your ex?
Not many. He's dead.
If you had to get a tattoo what would it be?
My college mascot.
How many tabs are open right now?
Three.
Are you scared of needles?
Only in the hands of inexperienced nurses or phlebotomists. No doctor is going to touch me unless he/she's an anesthesiologist.
Do you believe love can last forever?
If you work really hard.
Are good-byes easy or hard for you?
Depends on who it is. Those eternal good-byes are doozies.
Would you rather sing or dance?
Depends on the song. Some are for singing, others, dancing.
When you get a headache do you take painkillers right away or try to wait it out?
Depends.
Did you watch Sesame Street when you were little?
Yes.
What’s the last thing you touched, other than your computer?
Rubber bands.
When was the last time you talked to your best friend?
Yesterday.
How often do you listen to music?
Daily.
What color is your cell phone?
White.
What is the last non-alcoholic beverage you drank?
Coffee.
Do you like to wear sweatpants?
No.
What song are you currently listening to? Who sings it?
Anyone who had a heart by Dionne Warwick on the Very Best of Burt Bacharach (I got a lot of collections from Dahey).
Have you ever gotten a black eye?
No.
How many times have you checked up on your ex?
Not many. He's dead.
If you had to get a tattoo what would it be?
My college mascot.
How many tabs are open right now?
Three.
Are you scared of needles?
Only in the hands of inexperienced nurses or phlebotomists. No doctor is going to touch me unless he/she's an anesthesiologist.
Do you believe love can last forever?
If you work really hard.
Are good-byes easy or hard for you?
Depends on who it is. Those eternal good-byes are doozies.
Would you rather sing or dance?
Depends on the song. Some are for singing, others, dancing.
Saturday, December 14, 2013
When you pull out the crash cart...
You should think of this guy.
The drug he helped invent is included on most crash carts. I wish I could say we never use it in rehab, but because people are on pain meds, we do. Opiate titration can be difficult, especially in the types of patients we see at the Hotel.
Thank you Dr. Fishman. Rest in peace.
The drug he helped invent is included on most crash carts. I wish I could say we never use it in rehab, but because people are on pain meds, we do. Opiate titration can be difficult, especially in the types of patients we see at the Hotel.
Thank you Dr. Fishman. Rest in peace.
Friday, December 13, 2013
Enjoy a long weekend
No, it's not a holiday, but I decided to make it one. Visited a few friends, then the weather changed some of my plans, but here I am, relaxing and now surfing the internet for fun.
I was reading an article which discussed how if James Bond were real, he would be an alcoholic with impotence. I really enjoyed this article, because scientists had to read the Ian Fleming novels and count the quantity of alcohol that 007 drank. According to the books, he even had a DUI with injuries. (Good thing he wasn't looking for car insurance!)
So after that stunning study, there was this article about the real diseases named after literary characters. I had recognized a couple of them, so it was enlightening. I also did not know that the Robert Wood Johnson Foundation did a story in 2012 on favorite fictional nurses.
Finally, two articles stood out about characters. One interesting article was called "You are what you read." The last one is about fictional characters based on real people.
In light of the article "You are what you read", just remember there are some fictional characters you should not emulate.
That is all. TGIF and enjoy your weekend, wherever you are.
I was reading an article which discussed how if James Bond were real, he would be an alcoholic with impotence. I really enjoyed this article, because scientists had to read the Ian Fleming novels and count the quantity of alcohol that 007 drank. According to the books, he even had a DUI with injuries. (Good thing he wasn't looking for car insurance!)
So after that stunning study, there was this article about the real diseases named after literary characters. I had recognized a couple of them, so it was enlightening. I also did not know that the Robert Wood Johnson Foundation did a story in 2012 on favorite fictional nurses.
Finally, two articles stood out about characters. One interesting article was called "You are what you read." The last one is about fictional characters based on real people.
In light of the article "You are what you read", just remember there are some fictional characters you should not emulate.
That is all. TGIF and enjoy your weekend, wherever you are.
Wednesday, December 11, 2013
The latest in the news
This is the etiquette edition (aka don't do this). Enjoy!
They've got it right...and funny
Top 10 things not to say to someone in a wheelchair is a great article from the good folks at the Shepherd Center in Atlanta.
Not exactly a funeral in a stadium, but...
Don't take selfies at a funeral is the point of this Mashable post.
Don't emit noxious fumes
In the ongoing saga, Huy Fong Foods, manufacturers of the famous "Rooster" sriracha sauce have halted shipments.
Not necessarily a no-no anymore...
In the old days, no one in their right mind would bring their dog to the hospital. This AJN article talks about how your pet can help you just by visiting.
They've got it right...and funny
Top 10 things not to say to someone in a wheelchair is a great article from the good folks at the Shepherd Center in Atlanta.
Not exactly a funeral in a stadium, but...
Don't take selfies at a funeral is the point of this Mashable post.
Don't emit noxious fumes
In the ongoing saga, Huy Fong Foods, manufacturers of the famous "Rooster" sriracha sauce have halted shipments.
Not necessarily a no-no anymore...
In the old days, no one in their right mind would bring their dog to the hospital. This AJN article talks about how your pet can help you just by visiting.
Tuesday, December 10, 2013
Goodnight WildDog
I read this article recently about pet hospice and realized I was already doing it. WildDog, our elderly sheepdog was a funny, orderly, mischievous devil of a dog.
We got WildDog from a rescue, by accident. He was supposed to go to someone else, and they decided they didn't want him. We were looking at another dog when they told us he was ready for us. Dahey knew he was the dog for him as soon as he saw him, so we hurried down the highway on a cold, snowy day and picked him up.
The foster family told us he got queasy in cars. Dahey held him all the way home in his lap. He did just fine as long as he was petted while he was riding in a car. This always made going to the groomer and the vet an adventure. I told WildDog, "If you are good, you'll get a cookie," and he'd watch me put the cookie in my purse or pocket. He'd try to get at it, if he thought he could get it. However, he could be a perfect gentleman. It just varied.
WildDog was famous for flying through the air and snatching things off counter tops. Dahey was an eyewitness or I never would have believed that he really did eat all those blueberry muffins I wrapped up for my sister for breakfast from the MegaWarehouseStore. He also loved good loaves of bread. Not those artisanal ones Grumpy may talk about, but good, slightly soft, bread that is not cheap. I cannot count the number of loaves that he "opened" (i.e. chewed a hole in) to eat a couple of slices and leave the remaining loaf lying on the living room floor (since this is where he liked to eat his snacks.)
He was a great companion. He came from a breed known for herding, guarding and sticking close to humans. He was really my dog, because he picked me, but Dahey was his alpha dog. When Dahey travelled for work, he didn't always listen to me. It would take a couple of weeks. Sometimes, I had to put Dahey on speakerphone for the dog to listen. Occasionally, he relented.
When Bubba came along, he bonded with him over fistfuls of spaghetti. Bubba loved launching handfuls from his high chair and watching WildDog run. They had their spats (he even bit Bubba once), but the boys got along well.
Tonight, even after the gentle warnings, I had given Bubba about WildDog dying for months, Bubba cried and cried. WildDog was the only dog he'd ever had his entire life. He was his furry brother.
We will miss the pet, but character and spirit of WildDog, the charming little herding dog, will live on in our hearts.
Good night WildDog. See you at the Rainbow Bridge.
We got WildDog from a rescue, by accident. He was supposed to go to someone else, and they decided they didn't want him. We were looking at another dog when they told us he was ready for us. Dahey knew he was the dog for him as soon as he saw him, so we hurried down the highway on a cold, snowy day and picked him up.
The foster family told us he got queasy in cars. Dahey held him all the way home in his lap. He did just fine as long as he was petted while he was riding in a car. This always made going to the groomer and the vet an adventure. I told WildDog, "If you are good, you'll get a cookie," and he'd watch me put the cookie in my purse or pocket. He'd try to get at it, if he thought he could get it. However, he could be a perfect gentleman. It just varied.
WildDog was famous for flying through the air and snatching things off counter tops. Dahey was an eyewitness or I never would have believed that he really did eat all those blueberry muffins I wrapped up for my sister for breakfast from the MegaWarehouseStore. He also loved good loaves of bread. Not those artisanal ones Grumpy may talk about, but good, slightly soft, bread that is not cheap. I cannot count the number of loaves that he "opened" (i.e. chewed a hole in) to eat a couple of slices and leave the remaining loaf lying on the living room floor (since this is where he liked to eat his snacks.)
He was a great companion. He came from a breed known for herding, guarding and sticking close to humans. He was really my dog, because he picked me, but Dahey was his alpha dog. When Dahey travelled for work, he didn't always listen to me. It would take a couple of weeks. Sometimes, I had to put Dahey on speakerphone for the dog to listen. Occasionally, he relented.
When Bubba came along, he bonded with him over fistfuls of spaghetti. Bubba loved launching handfuls from his high chair and watching WildDog run. They had their spats (he even bit Bubba once), but the boys got along well.
Tonight, even after the gentle warnings, I had given Bubba about WildDog dying for months, Bubba cried and cried. WildDog was the only dog he'd ever had his entire life. He was his furry brother.
We will miss the pet, but character and spirit of WildDog, the charming little herding dog, will live on in our hearts.
Good night WildDog. See you at the Rainbow Bridge.
Sunday, December 8, 2013
Who knew they made a show out of a song?
Bubba was watching some cartoons,and this came on the TV. There is no way Disney or Hanna-Barbera would have done such a thing.
Sacrilege!
Sacrilege!
Saturday, December 7, 2013
Brrr!
It's freaking cold as one of my young hip patients says. This is the same guy who was rolling around in a very huge jacket and asked me if he had any wrinkles.
"No," I told him, "No wrinkles, but are you doing the gangsta look?" (He likes to look hip, even if he is in a wheelchair.
Hipster Dude of course said no. He did have a good chuckle, though.
The snow and sleet are sticking around since it won't get above freezing for a few days.
The joys of winter...
"No," I told him, "No wrinkles, but are you doing the gangsta look?" (He likes to look hip, even if he is in a wheelchair.
Hipster Dude of course said no. He did have a good chuckle, though.
The snow and sleet are sticking around since it won't get above freezing for a few days.
The joys of winter...
Thursday, December 5, 2013
RIP Nelson Mandela
There is no passion to be found playing small - in settling for a life that is less than the one you are capable of living.~ Nelson Mandela
So many decisions to make...
So many decisions to make...
Wednesday, December 4, 2013
In the news
Since I haven't done one of these in a while...why not?
Here are a few goodies I've encountered in my meanderings on the internet. Hope you enjoy!
Surprise, surprise
I guess we shouldn't really be surprised that a reality show producer would try to get some free publicity for a new story idea via Twitter, should we?
I know a couple of my friends were crowing that they figured him out right away. I just thought it was funny.
A hot ride
The good folks at the BBC gave an account of some stolen cobalt-60 in Mexico. The authorities are looking for the thieves, since they have been exposed to radiation.
My expert, Dahey, says there's no such thing as a little, harmless cobalt-60. Nice.
Finally, if that wasn't scary enough...
This may be. Millions of passwords compromised. All you need for Christmas is a new one. Change yours accordingly, so the bad guys can't masquerade as you on social media.
Cross this off your Christmas list
23andme, the genetic testing firm got in trouble with the FDA this week. So much for my brother and Aunt Martha's Christmas gifts.
Here are a few goodies I've encountered in my meanderings on the internet. Hope you enjoy!
Surprise, surprise
I guess we shouldn't really be surprised that a reality show producer would try to get some free publicity for a new story idea via Twitter, should we?
I know a couple of my friends were crowing that they figured him out right away. I just thought it was funny.
A hot ride
The good folks at the BBC gave an account of some stolen cobalt-60 in Mexico. The authorities are looking for the thieves, since they have been exposed to radiation.
My expert, Dahey, says there's no such thing as a little, harmless cobalt-60. Nice.
Finally, if that wasn't scary enough...
This may be. Millions of passwords compromised. All you need for Christmas is a new one. Change yours accordingly, so the bad guys can't masquerade as you on social media.
Cross this off your Christmas list
23andme, the genetic testing firm got in trouble with the FDA this week. So much for my brother and Aunt Martha's Christmas gifts.
Tuesday, December 3, 2013
Changes
It is not strange... to mistake change for progress.~ Millard Fillmore
I would embed the famous (or infamous) David Bowie video here, but I'm just not in the mood.
This quote pretty much sums up what Manglement is doing to our unit at the Hotel. Changing things. Breaking promises.
It's very, very upsetting.
I feel like a base jumper whose parachute may or may not deploy upon jumping. Scary.
I would embed the famous (or infamous) David Bowie video here, but I'm just not in the mood.
This quote pretty much sums up what Manglement is doing to our unit at the Hotel. Changing things. Breaking promises.
It's very, very upsetting.
I feel like a base jumper whose parachute may or may not deploy upon jumping. Scary.
Uncorked
It's not what you think. This mechanic (and father of five) invented a device being used during childbirth, after he won a bet with a friend to get a cork out of a bottle.
Necessity and mothers are really helpful for inventions, as Jorge points out.
More to come.
Necessity and mothers are really helpful for inventions, as Jorge points out.
More to come.
Monday, December 2, 2013
Dr. Grumpy's gift guide
Yes, Dr. G. is getting into the spirit of the season.
Deal with a lot of a^&sholes (and they're not in the GI lab) at work? You might need a gift from these folks.
I'm really tempted to tell my sister-in-law about these so she can take them in to the lab she works in.
Priceless!
Deal with a lot of a^&sholes (and they're not in the GI lab) at work? You might need a gift from these folks.
I'm really tempted to tell my sister-in-law about these so she can take them in to the lab she works in.
Priceless!
Surprise!
I won a trip today!
The good news: it's far away. It occurs over a weekend, and I won't miss any work.
The bad news: it's gonna be a little cold.
I hope I can find my long underwear.
Stay tuned.
The good news: it's far away. It occurs over a weekend, and I won't miss any work.
The bad news: it's gonna be a little cold.
I hope I can find my long underwear.
Stay tuned.
Sunday, December 1, 2013
Sunday Stealing
The latest from Sunday Stealing, but I'm not sure why they picked the name...
What would you totally eat right now?
A salad.
Do you always wear a certain piece of jewelry?
My wedding ring.
What kind of jeans do you like?
Depends on the situation.
What's something on your want list?
A lawn service, so I don't have to rake leaves or garden (won't happen anytime soon though).
Do you bite your nails?
No. Never have.
What kind of smells do you like?
Lemon, peppermint, cinnamon
Would you change your eye color if you could?
No.
And what are your goals for the remainder of this year?
Get everything done before I go on vacation (at the end of the month).
When is the last time you were at the hospital?
Wednesday.
What would you totally eat right now?
A salad.
Do you always wear a certain piece of jewelry?
My wedding ring.
What kind of jeans do you like?
Depends on the situation.
What's something on your want list?
A lawn service, so I don't have to rake leaves or garden (won't happen anytime soon though).
Do you bite your nails?
No. Never have.
What kind of smells do you like?
Lemon, peppermint, cinnamon
Would you change your eye color if you could?
No.
And what are your goals for the remainder of this year?
Get everything done before I go on vacation (at the end of the month).
When is the last time you were at the hospital?
Wednesday.
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