It's snowy in RehabLand and now Dahey's decided to get a new car (used really). The old Swedish monster has too many problems to solve, so we may as well look for something else. Most of the searching has been given to me. He just likes to veto what I find.
We thought we found an old VW in good shape. On his test drive, one of the indicator sticks broke. The salesman was pressuring us to buy it. It was snowing like mad. My husband wanted more maintenance information from their repair staff. The salesmen wouldn't call them or look it up online.I finally told the salesman the only way we'd buy right that second was if it would be if it would fit on the credit card limit in my purse. ( I had one with a 5k limit).
He and (the ever present) manager were offended and refused (since it was a lowball, but in the ballpark offer). I felt relieved because all I wanted to do was get dinner.
The restaurant was one we've always wanted to try. So did nearly half of the nearby town, too. It was packed. You wouldn't have guessed there was a snow storm raging outside. We finally got in after 45 minutes waiting near the door where the cold air kept blowing in and stupid coeds kept opening it. Lots of food, so plenty of leftovers and good prices.
After our lovely dinner, we got on the road to drive 20 miles home. The roads were snow covered and in some parts, pretty icy. It took nearly an hour to get home and the most harrowing part was within five miles of our house.
Just when you think you've gotten away from the crazy drivers, another would appear. I was thrilled to get home. The local snow plow brigade started on our street just as I was going to bed.
Alas, the scrape of the plow was my lullaby, but that sure beats icy roads any day!
Now for Monday and the crazy specialist I get to deal with. Time for a prophylactic Tums.
Stay tuned...
Sunday, March 1, 2015
Friday, February 27, 2015
TGIF to all
After my week, I needed a Friday!
So glad I'm not an NP at the Hotel, because there was all sort of debates this week about them and other midlevels. The doctors are restless, and they are starting to irritate our midlevel staff.
Happily, I got all my work done and I escaped. Dahey, Bubba and I went to our local fish fry with friends. It was fun.
Hope you enjoy your weekend wherever you are!
So glad I'm not an NP at the Hotel, because there was all sort of debates this week about them and other midlevels. The doctors are restless, and they are starting to irritate our midlevel staff.
Happily, I got all my work done and I escaped. Dahey, Bubba and I went to our local fish fry with friends. It was fun.
Hope you enjoy your weekend wherever you are!
Thursday, February 26, 2015
The light bulb moment
While I was reading some articles on being productive, I ran into this one and it summed up the Hotel to a T. We have had nothing but management changes for the last four years.
I don't consider myself an older employee, but the Hotel has a wide variety (and more older) people in our area.
This part was very familiar.
When I noticed the age difference between my colleagues and me, I immediately thought, “There’s no way they’re going to respect a young girl who’s fresh out of college.” And what’s worse: I let these thoughts infiltrate my management style—I avoided confrontation with the older employees, figuring that they wouldn’t be receptive to my coaching or feedback because I was so young.
And that was my biggest—and most costly—mistake. I didn’t hold my employees accountable, and let their poor performance slide. Since I wasn’t actually managing my employees, I wasn’t doing my job as a boss: helping them succeed.
I don't consider myself an older employee, but the Hotel has a wide variety (and more older) people in our area.
This part was very familiar.
When I noticed the age difference between my colleagues and me, I immediately thought, “There’s no way they’re going to respect a young girl who’s fresh out of college.” And what’s worse: I let these thoughts infiltrate my management style—I avoided confrontation with the older employees, figuring that they wouldn’t be receptive to my coaching or feedback because I was so young.
And that was my biggest—and most costly—mistake. I didn’t hold my employees accountable, and let their poor performance slide. Since I wasn’t actually managing my employees, I wasn’t doing my job as a boss: helping them succeed.
Wednesday, February 25, 2015
The range of topics is endless
No, folks, but it surely seems that way.
How my day went today:
1. Took Bubba to school again today since it's still below freezing. Guess he's just spoiled, even if his walk to school is short.
I don't want Children/Family Services getting my license for frostbite, if you know what I mean!
2. Went to work and Dahey actually called in the AM
It is a miracle. He's forgotten his phone every day but today. Somehow, he never forgets his lunch.
3. Sat down at my desk to do "paperwork" (aka trees we kill in the name of a "paperless work environment".) Realized it was time to get up almost three hours later.
Wow! I do get a ton of work done when I shut my door. Unfortunately, some paperwork is not as redemptive as others.
4. Heard this argument multiple times from very unhappy people (aka my travelling NP buddy) who had to create a discharge summary on a patient who was at the Hotel with a long, complex course. The curses at copy/paste in the medical record went on and on.
5. Found out that one of my favorite internet sites scooped a big story in health care. Whoa!
Makes me wonder if the Hotel operations will be a take over target.
Stay tuned...
How my day went today:
1. Took Bubba to school again today since it's still below freezing. Guess he's just spoiled, even if his walk to school is short.
I don't want Children/Family Services getting my license for frostbite, if you know what I mean!
2. Went to work and Dahey actually called in the AM
It is a miracle. He's forgotten his phone every day but today. Somehow, he never forgets his lunch.
3. Sat down at my desk to do "paperwork" (aka trees we kill in the name of a "paperless work environment".) Realized it was time to get up almost three hours later.
Wow! I do get a ton of work done when I shut my door. Unfortunately, some paperwork is not as redemptive as others.
4. Heard this argument multiple times from very unhappy people (aka my travelling NP buddy) who had to create a discharge summary on a patient who was at the Hotel with a long, complex course. The curses at copy/paste in the medical record went on and on.
5. Found out that one of my favorite internet sites scooped a big story in health care. Whoa!
Makes me wonder if the Hotel operations will be a take over target.
Stay tuned...
Tuesday, February 24, 2015
My turn: UTI rodeo
First, my sister had it. Now it's my turn for a UTI.
Thankfully, I'm good at diagnosing myself, and my wonderful ob/gyn doc is willing to take me pronto on a slow day to do a culture and write a script.
Now it's hurry up and wait with some Macrobid. Ugh!
Thankfully, I'm good at diagnosing myself, and my wonderful ob/gyn doc is willing to take me pronto on a slow day to do a culture and write a script.
Now it's hurry up and wait with some Macrobid. Ugh!
Saturday, February 21, 2015
She'll end up like Martha
Martha Stewart that is.
Bubba recently went to a fundraiser at his school, Esteemed Educator Junior High. We sat in a group with a seventh grade girl from the Honor Society and her mother, who was very nice. Blondie was one of those highly strung types who was in love with Harry Potter and wants to be a business executive when she grows up.
I expected Blondie (not her real name) to not know Bubba because she is in a different grade. She kind of looked at him with disdain. Bubba, thankfully, tends to ignore/not notice girls who act silly.
We played a version of Family Feud and Bubba and Blondie guessed most of the answers, since they came from a poll of the seventh grade. Blondie is also a member of the Honor Society who totaled up the poll results and scored them.
Blondie kept telling her mother, "I'm not cheating, I'm using my resources." I really had to bite my tongue. Let's just hope Blondie doesn't get it into her head to join any of the more trusted professions, like nursing.
Because she may have to learn first that what she is doing really IS cheating. As the old adage goes, cheaters never win.
More later...
Bubba recently went to a fundraiser at his school, Esteemed Educator Junior High. We sat in a group with a seventh grade girl from the Honor Society and her mother, who was very nice. Blondie was one of those highly strung types who was in love with Harry Potter and wants to be a business executive when she grows up.
I expected Blondie (not her real name) to not know Bubba because she is in a different grade. She kind of looked at him with disdain. Bubba, thankfully, tends to ignore/not notice girls who act silly.
We played a version of Family Feud and Bubba and Blondie guessed most of the answers, since they came from a poll of the seventh grade. Blondie is also a member of the Honor Society who totaled up the poll results and scored them.
Blondie kept telling her mother, "I'm not cheating, I'm using my resources." I really had to bite my tongue. Let's just hope Blondie doesn't get it into her head to join any of the more trusted professions, like nursing.
Because she may have to learn first that what she is doing really IS cheating. As the old adage goes, cheaters never win.
More later...
Friday, February 20, 2015
One step forward, two steps back...
This seems to be the story of the unit I work with. Our upper Manglement wants to beat the Hotel into submission, then not be responsible for the consequences.
Here are a few shining examples:
1. Demanding staff be rushed through orientation because "they are not new nurses."
Hello folks! Rehab nurses with a clue are not born, they are made by training and learning on the job. Notice: TRAINING comes first.
If we don't train our people properly while they are in orientation, we suffer the consequences.
One of my coworkers told me of a situation that nearly had me in tears. One of our patients with a newer trach went home without supplies for it, without any apparent instruction AND without an obturator!
This was just one complaint regarding this patient's stay. There were others. If I worked there, I'd fear for my license.
2. Don't do care coordination
Somebody should be doing it, everybody knows about it and nobody seems to be doing it in our neck of the woods.
My personal favorite: we now have "RN case managers" who say it's not their job.
3. Have a fit because our patients stay a long time at the Hotel.
Case in point: Guy gets discharged after lengthy hospital stay through no fault of his own (got sick with not one but several nasty bugs). Lived to tell about it, then our department gets yelled at because the patient didn't leave fast enough.
He/she was there so long that he/she was discharged earlier than should have been expected (needed to do transfers independently).
Lo and behold, we get a call less than two weeks later. Guess what Patient X wants to do? Come back for rehab.
There went that readmission rate. Oh well!
Can you tell I'm glad it's Friday? I knew you could. Happy weekend to all!
Here are a few shining examples:
1. Demanding staff be rushed through orientation because "they are not new nurses."
Hello folks! Rehab nurses with a clue are not born, they are made by training and learning on the job. Notice: TRAINING comes first.
If we don't train our people properly while they are in orientation, we suffer the consequences.
One of my coworkers told me of a situation that nearly had me in tears. One of our patients with a newer trach went home without supplies for it, without any apparent instruction AND without an obturator!
This was just one complaint regarding this patient's stay. There were others. If I worked there, I'd fear for my license.
2. Don't do care coordination
Somebody should be doing it, everybody knows about it and nobody seems to be doing it in our neck of the woods.
My personal favorite: we now have "RN case managers" who say it's not their job.
3. Have a fit because our patients stay a long time at the Hotel.
Case in point: Guy gets discharged after lengthy hospital stay through no fault of his own (got sick with not one but several nasty bugs). Lived to tell about it, then our department gets yelled at because the patient didn't leave fast enough.
He/she was there so long that he/she was discharged earlier than should have been expected (needed to do transfers independently).
Lo and behold, we get a call less than two weeks later. Guess what Patient X wants to do? Come back for rehab.
There went that readmission rate. Oh well!
Can you tell I'm glad it's Friday? I knew you could. Happy weekend to all!
Tuesday, February 17, 2015
What we will do for the ones we love
My Bubba has a cold. I went and got him a treat.
My sister needed a ride home from the hospital recently. I took her home, and even offered her favorite thing, Starbucks.
Dahey likes sweets, so I made some banana cake for him to take with him to work today.
My widowed aunt asked me to "go along to a presentation" by a company here in RehabLand that sells nutraceuticals. They work with a soy product that will "save your world." where every member of the audience (she and I were the crowd) who used the product (6 different people) had a testimonial about how it cured everything from rheumatoid arthritis to depression and some forms of cancer.
Since it was snowing, not many folks showed up, even though Warren Buffett owns a network marketing company.
Some things are easier to do than others.
Good night!
My sister needed a ride home from the hospital recently. I took her home, and even offered her favorite thing, Starbucks.
Dahey likes sweets, so I made some banana cake for him to take with him to work today.
My widowed aunt asked me to "go along to a presentation" by a company here in RehabLand that sells nutraceuticals. They work with a soy product that will "save your world." where every member of the audience (she and I were the crowd) who used the product (6 different people) had a testimonial about how it cured everything from rheumatoid arthritis to depression and some forms of cancer.
Since it was snowing, not many folks showed up, even though Warren Buffett owns a network marketing company.
Some things are easier to do than others.
Good night!
Saturday, February 14, 2015
Things not to do as a nurse, February edition
Yes, the fun never stops in RehabLand. Days ago, the State Board sends out renewal notices and today, they send out their regular newsletter.
Guess it's a reminder to answer those questions correctly.
We have plenty of our regulars: lapsed licenses and drug testing abuses. Here's the ones from this edition that you really need to put on your "DO NOT" list, students (and any other RNs for that matter...).
1. Do not attempt to substitute blue mouthwash.
Yes, we all know that certain forms of morphine smell just like some of the mouthwashes on the market, but stealing pain meds from terminally ill patients, is, was, and ever shall be unforgivable.
It will also cost you your license (there were actually two mouthwash switchers in this edition from RehabLand State Board of Nursing).
2. Don't go to a party, get wasted, then trespass.
This is also a problem, especially when you are convicted.
3. Do not share your Pyxis/Omnicell/drug dispenser password.
One person lost his/her license for this (and diverting narcs), but my question is, what happened to the idiot who shared the password?
Here at the Hotel, you would be fired for violating the information security policy.
Speaking of policies...follow them.
4. Don't assess the patient after a violent incident involving security.
This nurse was reprimanded for leaving that lil' old task to someone else. If your facility states you will assess following any altercations you must.
Besides, it's a lawsuit waiting to happen. Remember: you're considered in a position of power.
5. Don't just "borrow" a retiring physician's prescription pad.
When you are from a little town, people talk. And those pharmacists are smart. Hence the reason why they didn't fill any of your prescriptions.
And finally, my personal favorite:
6. Don't go offroading in the company car.
This applies to anyone really, not just nurses, unless of course your company car is an off-road vehicle and/or your job demands it.
Home health RN was out on his/her regular route seeing patients when he/she ran off road and damaged the axel of the car, requiring towing. Luckily, no one was hurt, but since this is a recordable incident while on duty, HHRN was required to submit to a drug screen.
As you may have guessed, he/she flunked (positive for marijuana). Remember kids, buzzed driving, driving while high (or getting high during working hours) is really NOT a good thing.
Guess it's a reminder to answer those questions correctly.
We have plenty of our regulars: lapsed licenses and drug testing abuses. Here's the ones from this edition that you really need to put on your "DO NOT" list, students (and any other RNs for that matter...).
1. Do not attempt to substitute blue mouthwash.
Yes, we all know that certain forms of morphine smell just like some of the mouthwashes on the market, but stealing pain meds from terminally ill patients, is, was, and ever shall be unforgivable.
It will also cost you your license (there were actually two mouthwash switchers in this edition from RehabLand State Board of Nursing).
2. Don't go to a party, get wasted, then trespass.
This is also a problem, especially when you are convicted.
3. Do not share your Pyxis/Omnicell/drug dispenser password.
One person lost his/her license for this (and diverting narcs), but my question is, what happened to the idiot who shared the password?
Here at the Hotel, you would be fired for violating the information security policy.
Speaking of policies...follow them.
4. Don't assess the patient after a violent incident involving security.
This nurse was reprimanded for leaving that lil' old task to someone else. If your facility states you will assess following any altercations you must.
Besides, it's a lawsuit waiting to happen. Remember: you're considered in a position of power.
5. Don't just "borrow" a retiring physician's prescription pad.
When you are from a little town, people talk. And those pharmacists are smart. Hence the reason why they didn't fill any of your prescriptions.
And finally, my personal favorite:
6. Don't go offroading in the company car.
This applies to anyone really, not just nurses, unless of course your company car is an off-road vehicle and/or your job demands it.
Home health RN was out on his/her regular route seeing patients when he/she ran off road and damaged the axel of the car, requiring towing. Luckily, no one was hurt, but since this is a recordable incident while on duty, HHRN was required to submit to a drug screen.
As you may have guessed, he/she flunked (positive for marijuana). Remember kids, buzzed driving, driving while high (or getting high during working hours) is really NOT a good thing.
Friday, February 13, 2015
How to tell
If your nurse manager reads the Wall Street Journal. I decided to pay attention to my manager's communications and noticed:
1. He/she follows his/her name with his/her MBA or MPH credential. Master's degrees in other areas besides nursing have a cachet today.
2. Your boss's e-mail signature includes the subtitle of this article.
3. Finally, your boss is becoming a walking buzzword machine, and once you read a few articles, you'll see all of them.
That is all...TGIF!
1. He/she follows his/her name with his/her MBA or MPH credential. Master's degrees in other areas besides nursing have a cachet today.
2. Your boss's e-mail signature includes the subtitle of this article.
3. Finally, your boss is becoming a walking buzzword machine, and once you read a few articles, you'll see all of them.
That is all...TGIF!
Thursday, February 12, 2015
Biennial joy
Yes, I've been looking for this for a while: the infamous renewal mail from the RehabLand State Board of Nursing.
The last renewal period, the Manglement at the Hotel thought it would be nice to terrorize anyone who did not renew in advance (meaning the second it was mailed out). One of my coworkers got a nastygram from the CNO stating, "Your employment can be terminated if this is not renewed one month early per the Hotel police."
Oh, really? You want to terminate hardworking nurses because they did not renew their license FAR ahead of time? Thankfully, said CNO has retired and hopefully, is enjoying the sunsets somewhere else, far, far away (and gets sand kicked in his/her face from time to time).
Even with online renewal (which is LOVELY), please folks, take your time filling these out. They have some serious questions (including some new ones below). If the answer to any is YES, you cannot fill them out online. (So glad I'm a no!)
Since you last renewed, have you ever been convicted, adjudged guilty by a court, pled guilty, pled nolo contendere or entered an alford plea to any traffic offense resulting from or related to the use of drugs or alcohol, whether or not sentence was imposed? (this includes a disposition of a suspended imposition of sentence (SIS), suspended execution of sentence (SES), or placement in a post plea alternative or diversion court and includes municipal charges of driving while intoxicated, driving under the influence and/or driving with excessive blood alcohol content.)
Yes No
Moral of the story: Drinking then driving can cause issues with your license for years.
Since you last renewed, have you had a judgment rendered against you based upon fraud, misrepresentation, deception, or malpractice related to your practice as a nurse?
Yes No
Moral of the story: Don't steal, lie, cheat or commit any other fraud. Leave the pyramid schemes to someone else. You don't have time for that.
NEW! Are you listed on any state or federal sexual offender list? (they thought this up after a few issues)
Yes No
Moral of the story: Yes, we have to ask, and yes, it can be a problem. Just another thing not to do as a nurse
By checking the following box, I declare that all statements or representations submitted with this application are made under oath or affirmation and are true and correct to my best knowledge under penalty of section XXX which specifies that anyone who makes a false statement in writing with intent to mislead a public official in the performance of his official duties is guilty of a class B misdemeanor.
Select this box if you agree to ALL the above statements and have answered all questions that were presented.
Moral of the story: If you don't, you have some explaining to do...on paper via mail.
I'm so glad I'm done. Happy renewing!
The last renewal period, the Manglement at the Hotel thought it would be nice to terrorize anyone who did not renew in advance (meaning the second it was mailed out). One of my coworkers got a nastygram from the CNO stating, "Your employment can be terminated if this is not renewed one month early per the Hotel police."
Oh, really? You want to terminate hardworking nurses because they did not renew their license FAR ahead of time? Thankfully, said CNO has retired and hopefully, is enjoying the sunsets somewhere else, far, far away (and gets sand kicked in his/her face from time to time).
Even with online renewal (which is LOVELY), please folks, take your time filling these out. They have some serious questions (including some new ones below). If the answer to any is YES, you cannot fill them out online. (So glad I'm a no!)
Since you last renewed, have you ever been convicted, adjudged guilty by a court, pled guilty, pled nolo contendere or entered an alford plea to any traffic offense resulting from or related to the use of drugs or alcohol, whether or not sentence was imposed? (this includes a disposition of a suspended imposition of sentence (SIS), suspended execution of sentence (SES), or placement in a post plea alternative or diversion court and includes municipal charges of driving while intoxicated, driving under the influence and/or driving with excessive blood alcohol content.)
Yes No
Moral of the story: Drinking then driving can cause issues with your license for years.
Since you last renewed, have you had a judgment rendered against you based upon fraud, misrepresentation, deception, or malpractice related to your practice as a nurse?
Yes No
Moral of the story: Don't steal, lie, cheat or commit any other fraud. Leave the pyramid schemes to someone else. You don't have time for that.
NEW! Are you listed on any state or federal sexual offender list? (they thought this up after a few issues)
Yes No
Moral of the story: Yes, we have to ask, and yes, it can be a problem. Just another thing not to do as a nurse
By checking the following box, I declare that all statements or representations submitted with this application are made under oath or affirmation and are true and correct to my best knowledge under penalty of section XXX which specifies that anyone who makes a false statement in writing with intent to mislead a public official in the performance of his official duties is guilty of a class B misdemeanor.
Select this box if you agree to ALL the above statements and have answered all questions that were presented.
Moral of the story: If you don't, you have some explaining to do...on paper via mail.
I'm so glad I'm done. Happy renewing!
Wednesday, February 11, 2015
Cold again
Yes, the temperature is dropping and I have a virus form holding my sinuses hostage.
After consulting some of my favorite people (the neighborhood pharmacists, since BFF Rx is out of town) I've found a cocktail that is making life manageable.(Dayquil + Zyrtec)
I just hope I can talk today. Yesterday, despite tea and cough drops, was not so good.
Since Bubba and Dahey will be indulging in a long weekend starting Friday, so will I. I just hope to spend it getting well, not being sick.
Stay tuned...
After consulting some of my favorite people (the neighborhood pharmacists, since BFF Rx is out of town) I've found a cocktail that is making life manageable.(Dayquil + Zyrtec)
I just hope I can talk today. Yesterday, despite tea and cough drops, was not so good.
Since Bubba and Dahey will be indulging in a long weekend starting Friday, so will I. I just hope to spend it getting well, not being sick.
Stay tuned...
Monday, February 9, 2015
More on interviewing
Yes, I know I talked about this last year, but since I'm now on my 10th interview panel (I did a bunch last year), I've found a few more things to add:
Things that may cause us not to hire you:
1. If you are a travel nurse and tell me you just want this job until a gig comes up in Florida, you may not get hired.
Yes, spring will be in RehabLand soon. Why should we bother our HR folks to do a whole bunch of work if you won't stay anyway?
2. If you have issues, we may not hire you. As part of a credentialing process, we have to do a background check.
The state of RehabLand will not renew your RN license if you have tax issues.
3. If you may be part of an investigation due to criminal wrongdoing and/or a sentinel event, thanks for letting us know, but we may not select you for hire.
Things that may cause us not to hire you:
1. If you are a travel nurse and tell me you just want this job until a gig comes up in Florida, you may not get hired.
Yes, spring will be in RehabLand soon. Why should we bother our HR folks to do a whole bunch of work if you won't stay anyway?
2. If you have issues, we may not hire you. As part of a credentialing process, we have to do a background check.
The state of RehabLand will not renew your RN license if you have tax issues.
3. If you may be part of an investigation due to criminal wrongdoing and/or a sentinel event, thanks for letting us know, but we may not select you for hire.
Sunday, February 8, 2015
A really unusual job
Yes, in the life of a rehab nurse, it's all about bowel, bladder and skin.
So I was intrigued when I read an article recently about how one company needs stool donors to fight C. difficile.
Sure, some shifts it seems like you have people who want to compete in a "how many times can I stool" competition.
Just be warned, as the article I read mentioned, "It's harder to get into this program than it is to get into M.I.T." You must be local, and you will be paid for your efforts: about $13,000 per year.
Feel free to share with those friends who are in their neighborhood. I'm sure they won't mind at all.
So I was intrigued when I read an article recently about how one company needs stool donors to fight C. difficile.
Sure, some shifts it seems like you have people who want to compete in a "how many times can I stool" competition.
Just be warned, as the article I read mentioned, "It's harder to get into this program than it is to get into M.I.T." You must be local, and you will be paid for your efforts: about $13,000 per year.
Feel free to share with those friends who are in their neighborhood. I'm sure they won't mind at all.
Saturday, February 7, 2015
Happy weekend to all!
Bright, shiny, and WARM here in RehabLand. Hope you enjoy your weekend wherever you may be.
Thursday, February 5, 2015
Let it go
I'm singing that song in my head a lot lately. Since we've had a full moon this week, I think some of our more melodramatic, er, crazy folks have been living up to the hype.
One of my favorite moments: the idiot who said, "We really shouldn't help you. You're not in our department and you're too much work."
"Really?" I said? "We work for the same company and have the same patients." It's a good thing this was a virtual meeting (i.e. he was nowhere near me). It made things really interesting for the new MD who just joined our group. I will remember this when said idiot needs paperwork help soon.
I love it when 1) someone neglects to tell you when they have a problem, 2) when you find out, you go to all the proper people to resolve it and get a root cause, then finally 3) said melodramatist decides, in her best Scarlett O'Hara routine to tell everyone, "I just can't do it because nothing works right."
I have one potential job on the horizon, I turned down one, and another in the wings.
So very ready to let all of this BS go.
Stay tuned...
One of my favorite moments: the idiot who said, "We really shouldn't help you. You're not in our department and you're too much work."
"Really?" I said? "We work for the same company and have the same patients." It's a good thing this was a virtual meeting (i.e. he was nowhere near me). It made things really interesting for the new MD who just joined our group. I will remember this when said idiot needs paperwork help soon.
I love it when 1) someone neglects to tell you when they have a problem, 2) when you find out, you go to all the proper people to resolve it and get a root cause, then finally 3) said melodramatist decides, in her best Scarlett O'Hara routine to tell everyone, "I just can't do it because nothing works right."
I have one potential job on the horizon, I turned down one, and another in the wings.
So very ready to let all of this BS go.
Stay tuned...
Sunday, February 1, 2015
For Phil tomorrow...
Yes, folks, it's one of the ONLY days of the year that we watch rodents with pomp and circumstance. It's Groundhog Day eve.
It is Super Bowl Sunday, but you have to admit, Groundhog Day is pretty fun, too, even without multimillion dollar commercials. So lots of sites, like Cake Wrecks, are celebrating Phil and all the other furry characters around the country who will be busy prognosticating early tomorrow morning.
And if it's not on in your area, check out the classic movie Groundhog Day.
I will be thinking of all of you, because I'll be hoping my day (and yours) doesn't keep replaying and that someone predicts an early spring.
Happy Groundhog Day to all...
It is Super Bowl Sunday, but you have to admit, Groundhog Day is pretty fun, too, even without multimillion dollar commercials. So lots of sites, like Cake Wrecks, are celebrating Phil and all the other furry characters around the country who will be busy prognosticating early tomorrow morning.
And if it's not on in your area, check out the classic movie Groundhog Day.
I will be thinking of all of you, because I'll be hoping my day (and yours) doesn't keep replaying and that someone predicts an early spring.
Happy Groundhog Day to all...
Saturday, January 31, 2015
Blowin' in the wind
Yes, it does seem like answers lately ARE doing that. It's been extremely windy here in RehabLand lately. From the "dirty fronts" to the Alberta Clipper, the winds are blowing.
The winds of change are also coming soon to RehabLand. We know it because it's leaking out of the management suite slowly, but surely. Our manglement finally GETS what I do in the SU, and they know realize how woefully executed my programs are (due to lack of cooperation from manglement, staff, etc.)
Some folks are even seeing cryptic messages in the media. They are slow on some things, but may be smart on others.
I'm having flashbacks to my other life before nursing. And some of them ain't pretty.
How to tell when change is in the wind (my $0.02)
1. Headquarters hires a new boss from outside who has a reputation for "cleaning house" in a Fortune 500 company.
Some of our armchair pundits at the Hotel may have missed the hint when he/she said, "Some folks won't be with us on the journey." in that welcome e-mail.
Translation: If we can fire you, we will. If we can downsize/rightsize or RIF (reduction in force) you, we will.
2. Said head honcho gets permission to bring in a bunch of high-powered consultants with whom you can sit in a meeting (where you're supposed to be asked about your job) and they will grill you like your at Nuremberg.
The grilling will have very little relevance in relation to you or your job or the reason why they (Manglement) asked you to come in the first place.
My favorite part: watching one of the old doctors (not a consultant, but an "expert") nod off during your session. The runner up was the grilling they gave the education chief. Best description: deer in the headlights. This was scary.
Translation: We're already paid for our time, so this is just a foregone conclusion, but we're trying to figure out how we can get more work "analyzing" your organization.
3. Head honcho publishes a "manifesto for change".
Believe it or not, the Hotel is in it. People like that at work because it makes them feel "safe".
Translation: You'd better believe the Hotel is going to change. Don't feel too comfortable just yet.
Should be interesting to see what happens...
The winds of change are also coming soon to RehabLand. We know it because it's leaking out of the management suite slowly, but surely. Our manglement finally GETS what I do in the SU, and they know realize how woefully executed my programs are (due to lack of cooperation from manglement, staff, etc.)
Some folks are even seeing cryptic messages in the media. They are slow on some things, but may be smart on others.
I'm having flashbacks to my other life before nursing. And some of them ain't pretty.
How to tell when change is in the wind (my $0.02)
1. Headquarters hires a new boss from outside who has a reputation for "cleaning house" in a Fortune 500 company.
Some of our armchair pundits at the Hotel may have missed the hint when he/she said, "Some folks won't be with us on the journey." in that welcome e-mail.
Translation: If we can fire you, we will. If we can downsize/rightsize or RIF (reduction in force) you, we will.
2. Said head honcho gets permission to bring in a bunch of high-powered consultants with whom you can sit in a meeting (where you're supposed to be asked about your job) and they will grill you like your at Nuremberg.
The grilling will have very little relevance in relation to you or your job or the reason why they (Manglement) asked you to come in the first place.
My favorite part: watching one of the old doctors (not a consultant, but an "expert") nod off during your session. The runner up was the grilling they gave the education chief. Best description: deer in the headlights. This was scary.
Translation: We're already paid for our time, so this is just a foregone conclusion, but we're trying to figure out how we can get more work "analyzing" your organization.
3. Head honcho publishes a "manifesto for change".
Believe it or not, the Hotel is in it. People like that at work because it makes them feel "safe".
Translation: You'd better believe the Hotel is going to change. Don't feel too comfortable just yet.
Should be interesting to see what happens...
Wednesday, January 28, 2015
Interesting rehab conference in June
If you rehab cancer patients on your rehab unit, you may want to check it out. This is going to be free and located at the NIH in Bethesda, MD.
I may have to see if I can escape to go!
That is all...super busy week. Lots more stories on tap, but will have to sit down long enough to process, then tell them.
I may have to see if I can escape to go!
That is all...super busy week. Lots more stories on tap, but will have to sit down long enough to process, then tell them.
Sunday, January 25, 2015
The doctor IS right
I've been following Dr. Val for a while, and I have to say, part of the reason is that I get her. I get what's she's talking about because I work in rehab.
Physiatrists get rehab, since they train in a specialty known as Physical Medicine and Rehabilitation. I happen to work with wonderful physiatrists who have years of experience.
And I have thought the same thing when I have read and seen certain specialists, like Eric Topol in the media. It would be nice to sum up everything we do into a little smartphone app, but it will never happen in this lifetime. Disclaimer: My work actually includes a whole lot of technological interventions.
If we ever get to smartphone-only health care, I fear for everyone who does get a diagnosis, like spinal cord injury, that can benefit from a rehab program by specially trained staff, just like ours at the Hotel.
Cheap is one thing, and quality is another. You can have both to a certain degree; however, we do have to be careful what we wish for. It may not be good enough after all, cheap or no.
Stay tuned....
Physiatrists get rehab, since they train in a specialty known as Physical Medicine and Rehabilitation. I happen to work with wonderful physiatrists who have years of experience.
And I have thought the same thing when I have read and seen certain specialists, like Eric Topol in the media. It would be nice to sum up everything we do into a little smartphone app, but it will never happen in this lifetime. Disclaimer: My work actually includes a whole lot of technological interventions.
If we ever get to smartphone-only health care, I fear for everyone who does get a diagnosis, like spinal cord injury, that can benefit from a rehab program by specially trained staff, just like ours at the Hotel.
Cheap is one thing, and quality is another. You can have both to a certain degree; however, we do have to be careful what we wish for. It may not be good enough after all, cheap or no.
Stay tuned....
Wednesday, January 21, 2015
State of the union
I missed the actual address because I've been busy with Bubba, the birthday boy, the last couple of days. No wonder I fell asleep early!
Stay tuned...
Stay tuned...
Sunday, January 18, 2015
It's beautiful outside, but it's sad
This past week's been a doozy. I'm hoping I never repeat some of it again.
Work was work. We had our yearly inspection and I survived. The inspection team had some new and some old folks, so it was interesting to watch them.
Outside of that, one of my mother's in-laws died. I hadn't seen her (or any of her kids) in ages. I like this family, so it was pleasant. The crazy relative didn't show up for the wake. Still don't know if he/she is alive or dead.
I was just getting ready to go to bed when another relative called me. Her son didn't answer calls as usual that day, so she went to the apartment complex where he lived near her. No one answered when she knocked and one of the neighbor's let her know she could see inside the apartment from outside, since Max left the curtains open when he worked from home. (He had a job that could be done remotely, and hadn't worked in an office in years.)
When they looked in, Max appeared hunched over his desk. My relative watched, but Max didn't move. She knew Max was probably dead. While it wasn't a surprise (Max had problems), it was sudden.
So, since Max's family (girlfriend and teen child) was out of town and she didn't have a key, she had to call the police to break down the door. She found Max dead. He was in his early 50s. It was sort of a circus arranging the apartment, having the police roaming around, lots of questions, and waiting. Happily, things calmed down before I could get dressed and leave.
Now, we're just waiting for Max's family to get back to complete the arrangements, and for the medical examiner to do his/her part.
Stay tuned...
Work was work. We had our yearly inspection and I survived. The inspection team had some new and some old folks, so it was interesting to watch them.
Outside of that, one of my mother's in-laws died. I hadn't seen her (or any of her kids) in ages. I like this family, so it was pleasant. The crazy relative didn't show up for the wake. Still don't know if he/she is alive or dead.
I was just getting ready to go to bed when another relative called me. Her son didn't answer calls as usual that day, so she went to the apartment complex where he lived near her. No one answered when she knocked and one of the neighbor's let her know she could see inside the apartment from outside, since Max left the curtains open when he worked from home. (He had a job that could be done remotely, and hadn't worked in an office in years.)
When they looked in, Max appeared hunched over his desk. My relative watched, but Max didn't move. She knew Max was probably dead. While it wasn't a surprise (Max had problems), it was sudden.
So, since Max's family (girlfriend and teen child) was out of town and she didn't have a key, she had to call the police to break down the door. She found Max dead. He was in his early 50s. It was sort of a circus arranging the apartment, having the police roaming around, lots of questions, and waiting. Happily, things calmed down before I could get dressed and leave.
Now, we're just waiting for Max's family to get back to complete the arrangements, and for the medical examiner to do his/her part.
Stay tuned...
Wednesday, January 14, 2015
Read this
Several years ago, I was sleeping when I was suddenly awakened around 3AM. I went to work and found out one of my patients coded around the same time I woke up.
I thought of him when I read this post on the American Journal of Nursing's blog, Off the Charts today.
And I, too, thought of those family members who aren't around anymore. The pain subsides, but some of it never goes away.
Love, however, goes on.
I thought of him when I read this post on the American Journal of Nursing's blog, Off the Charts today.
And I, too, thought of those family members who aren't around anymore. The pain subsides, but some of it never goes away.
Love, however, goes on.
Sunday, January 11, 2015
Winter in RehabLand
If deep cold wasn't enough, we got a reprieve. The last two days have been above freezing (32F). Now the weather people are predicting freezing rain.I don't care. I have everything stocked up and gassed up the car. From the looks of the stores, it was mild panic.
Just let the light and heat stay on and I'm good.
Do your thing, Mother Nature. I hope I'm ready. If not, I'll just keep reading all this interesting stuff while I wait.
Stay tuned...
Just let the light and heat stay on and I'm good.
Do your thing, Mother Nature. I hope I'm ready. If not, I'll just keep reading all this interesting stuff while I wait.
Stay tuned...
Saturday, January 10, 2015
My patient gig is up...for now
Recently, I got to go on the other side of the fence. I had a sleep study in a sleep lab, after my two home studies looked funny.
I got basic prep over the phone, but I still had to call to make sure it was okay to take my meds in advance, etc. Preparing Dahey and Bubba was fun, too. They are always wanting instant communication when I am gone, so I had to let them know I was going to spend most of my time there sleeping. Translation: Don't call and send me a bunch of text messages.
To keep the environment quiet, I had to turn off my cell phone and all my electronic devices since I was going to be wired up in bed. They budget 45 minutes to do this. My tech was great. I got wires on my head, which seemed to involve sandpaper, to make sure the electrodes and the goop got a good seal. I also got belts around my chest and waist. For good measure, I even had some leg electrodes with weights (kind of like those used when fishing). All the leg ones were attached with a good amount of goop and sealed with Medipore tape.
My room looked just like a hotel: heavenly bed type setup with a million pillows, flat screen TV and there was even a very nice leather recliner. Since I hadn't had any caffeine all day, I was ready to go to sleep when I got there.
Lights out were at 9PM for me. It took me about another hour to fall asleep. Then the fun started. My cannulas came off, not once, but twice. My room got hot, so the tech had to come in and cool it down. She warned me of this earlier, because if you sweat, the electrodes can come loose. (No way I was going to do this one twice!) Finally, the room got cooler (I think the duvet and the pillow top on the bed made me hot, but not sure.) I slept, but it was not quality sleep. I could hear trucks going down the road outside.
Miraculously, I woke up and it was nearly the wake up time we discussed when I started. I had to take all the wires in the bathroom with me, but when I got back, she took them all off. Relief!
The PhD who interprets the labs was in before I left, so I got a report. Yes, I have periods of apnea, but since none was severe enough for CPAP during the night, I probably won't get one. (My best sleep is on my side, so he recommended that). I just missed the score for a CPAP (barely). What does this mean? I will have to discuss with my doctor and see what he can wrangle with the insurance company.
As Dr. X, the pulmonologist told me, the PhD said he'd just put me on one, too. A borderline score shouldn't be an eliminator, but since insurance companies look at the almighty dollar, it is. CMS even has guidelines on this for Medicare. There are alternatives which I will have to check.
Now, I just have to wait until my next appointment to see what the verdict is.
I got basic prep over the phone, but I still had to call to make sure it was okay to take my meds in advance, etc. Preparing Dahey and Bubba was fun, too. They are always wanting instant communication when I am gone, so I had to let them know I was going to spend most of my time there sleeping. Translation: Don't call and send me a bunch of text messages.
To keep the environment quiet, I had to turn off my cell phone and all my electronic devices since I was going to be wired up in bed. They budget 45 minutes to do this. My tech was great. I got wires on my head, which seemed to involve sandpaper, to make sure the electrodes and the goop got a good seal. I also got belts around my chest and waist. For good measure, I even had some leg electrodes with weights (kind of like those used when fishing). All the leg ones were attached with a good amount of goop and sealed with Medipore tape.
My room looked just like a hotel: heavenly bed type setup with a million pillows, flat screen TV and there was even a very nice leather recliner. Since I hadn't had any caffeine all day, I was ready to go to sleep when I got there.
Lights out were at 9PM for me. It took me about another hour to fall asleep. Then the fun started. My cannulas came off, not once, but twice. My room got hot, so the tech had to come in and cool it down. She warned me of this earlier, because if you sweat, the electrodes can come loose. (No way I was going to do this one twice!) Finally, the room got cooler (I think the duvet and the pillow top on the bed made me hot, but not sure.) I slept, but it was not quality sleep. I could hear trucks going down the road outside.
Miraculously, I woke up and it was nearly the wake up time we discussed when I started. I had to take all the wires in the bathroom with me, but when I got back, she took them all off. Relief!
The PhD who interprets the labs was in before I left, so I got a report. Yes, I have periods of apnea, but since none was severe enough for CPAP during the night, I probably won't get one. (My best sleep is on my side, so he recommended that). I just missed the score for a CPAP (barely). What does this mean? I will have to discuss with my doctor and see what he can wrangle with the insurance company.
As Dr. X, the pulmonologist told me, the PhD said he'd just put me on one, too. A borderline score shouldn't be an eliminator, but since insurance companies look at the almighty dollar, it is. CMS even has guidelines on this for Medicare. There are alternatives which I will have to check.
Now, I just have to wait until my next appointment to see what the verdict is.
Wednesday, January 7, 2015
And if cold weren't enough...
Now we have snow too. Thankfully, it's light, fluffy, and can be swept away easily with a broom.
I can't wait to go to work on a day like today. This is when I really wish I could telework. Somehow, I don't think we'll have too many people go AMA today.
Off to warm up the car and remove my own personal icicles.
More to come.
I can't wait to go to work on a day like today. This is when I really wish I could telework. Somehow, I don't think we'll have too many people go AMA today.
Off to warm up the car and remove my own personal icicles.
More to come.
Tuesday, January 6, 2015
Brrr!
Curses! The Arctic Blast is back. In a crazy week with a full moon, quirky coworkers and several threatened AMAs, you just need something else to keep you busy.
I think I'll just close my door all day tomorrow and hibernate in place.
That is all...
I think I'll just close my door all day tomorrow and hibernate in place.
That is all...
Friday, January 2, 2015
Bad luck? Perhaps
As we sent one rehab patient to hospice recently, I read this article from the BBC with much chagrin.
Could our patient Mr. Z really have just had bad luck? Could that mutation have been stopped before it metastasized all over and sent him to rehab?
One commenter said, "Mutations get all the bad press."
Fine time they should! Lifestyle changes are important, but as the saying goes, sometimes you do everything right, and something goes wrong. I have a litany of relatives who've been burdened with these cancers by fluke, food and lifestyle. Horrible disfigurement and shortened lives make for a story, but try telling that to kids growing up without parents, families suffering from impenetrable sadness and loss.
Knowing we got him on his way, no matter how long our little bit lasted, with a little more dignity, is a very good thing.
Stay tuned...
Could our patient Mr. Z really have just had bad luck? Could that mutation have been stopped before it metastasized all over and sent him to rehab?
One commenter said, "Mutations get all the bad press."
Fine time they should! Lifestyle changes are important, but as the saying goes, sometimes you do everything right, and something goes wrong. I have a litany of relatives who've been burdened with these cancers by fluke, food and lifestyle. Horrible disfigurement and shortened lives make for a story, but try telling that to kids growing up without parents, families suffering from impenetrable sadness and loss.
Knowing we got him on his way, no matter how long our little bit lasted, with a little more dignity, is a very good thing.
Stay tuned...
Thursday, January 1, 2015
The merriest of all
Dahey brought home some caramels his coworker's wife made for us. They melt in your mouth and are simply smooth and scrumptious.
Since I didn't get my sparkling wine last night (due to a spill), I'm having it now with these caramels.
It is a wonderful dessert. I hope the rest of 2015 is this smooth and sweet.
More later...
Since I didn't get my sparkling wine last night (due to a spill), I'm having it now with these caramels.
It is a wonderful dessert. I hope the rest of 2015 is this smooth and sweet.
More later...
Wednesday, December 31, 2014
Happy New Year's Eve!
Celebrate what you want to see more of.~ Tom Peters
I agree! Will be enjoying some fun with my family tonight. May you have a wonderful evening wherever you are.
May 2015 bring you health and happiness, two things of which that you never can have enough.
See you next year!
I agree! Will be enjoying some fun with my family tonight. May you have a wonderful evening wherever you are.
May 2015 bring you health and happiness, two things of which that you never can have enough.
See you next year!
Saturday, December 27, 2014
I was tempted
To do what this person did. Bubba was driving me nuts.
Pre-teens can be a handful in more ways than you think. Going to the mall and not being able to sell back your old game system really IS upsetting, but it just reflects the concepts of economics: supply and demand.
No demand for your game console (actually oversupply) means they won't buy yours back.
Whine, cry all you want, you need to think of something else.
That is all.
Pre-teens can be a handful in more ways than you think. Going to the mall and not being able to sell back your old game system really IS upsetting, but it just reflects the concepts of economics: supply and demand.
No demand for your game console (actually oversupply) means they won't buy yours back.
Whine, cry all you want, you need to think of something else.
That is all.
Friday, December 26, 2014
The things you find
Since I've been on vacation this week, I've been trying to get my end of the year stuff done. Dahey has some financial stuff to take care of that he finally got around to today.
It was a lovely day in RehabLand, so we took Bubba outside and taught him about how you can quickly clean up piles of leaves from the old oak, which, of course, never sheds them all until you have a lot of wind (or snow) in winter. We put leaves in cans, we put leaves in bags, so we will be ready the next time they come by to pick them all up. Bubba was tired by the time we were done.
I filed some paperwork. I thought I was only filing this year's stuff. Well, 2013 must have been really crazy, because most of the paperwork was still unfiled for that year. Luckily, this was easily fixed (by sorting it out and filing it).
Besides filing, and giving away old stuff, I found some new stuff. I put a DVD player a relative didn't want in the closet.
I figured I might as well get it out and start using it to get my exercise program back on track. Each year, I write down my top 10 goals for the year. I only accomplished 3 of the ten this past year.
The appointments that needed to be made were made with all the folks who were still in their offices this week. The rest will wait until next year. A couple of resolutions written down, and hopefully the start of many more successful ones.
More to come...
It was a lovely day in RehabLand, so we took Bubba outside and taught him about how you can quickly clean up piles of leaves from the old oak, which, of course, never sheds them all until you have a lot of wind (or snow) in winter. We put leaves in cans, we put leaves in bags, so we will be ready the next time they come by to pick them all up. Bubba was tired by the time we were done.
I filed some paperwork. I thought I was only filing this year's stuff. Well, 2013 must have been really crazy, because most of the paperwork was still unfiled for that year. Luckily, this was easily fixed (by sorting it out and filing it).
Besides filing, and giving away old stuff, I found some new stuff. I put a DVD player a relative didn't want in the closet.
I figured I might as well get it out and start using it to get my exercise program back on track. Each year, I write down my top 10 goals for the year. I only accomplished 3 of the ten this past year.
The appointments that needed to be made were made with all the folks who were still in their offices this week. The rest will wait until next year. A couple of resolutions written down, and hopefully the start of many more successful ones.
More to come...
Wednesday, December 24, 2014
An oldie but goodie the night before Christmas - nurse style
I am fortunate to be home with my family for the holidays. I love this take because it was very much like my very first Christmas as a nurse. I got all nestled, then I floated.
Merry Christmas to all and to all (celebrating or not), good night!
A Nurse Christmas
Twas the night before Christmas.., and all thru the floor
Lasix was given, filling the foleys galore.
Stockings were worn to prevent emboli,
they came in two sizes, knee and thigh high.
The patients were nestled half-assed in their beds,
while visions of stool softeners danced in their heads.
We in our scrubs, and they in their gowns,
Fashions created to hide extra pounds.
When down in the ER it became such a zoo,
they called with admissions for me and for 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-"
Didn't get my pericare, now send my nurse down."
And now delegation seems the best plan,
We try to send others, to the needs of this man.
When what to my wondering eyes should appear,
But Santa himself and 8 tiny reindeer.
He 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 them all, and to all good night.!!!"
Lasix was given, filling the foleys galore.
Stockings were worn to prevent emboli,
they came in two sizes, knee and thigh high.
The patients were nestled half-assed in their beds,
while visions of stool softeners danced in their heads.
We in our scrubs, and they in their gowns,
Fashions created to hide extra pounds.
When down in the ER it became such a zoo,
they called with admissions for me and for 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-"
Didn't get my pericare, now send my nurse down."
And now delegation seems the best plan,
We try to send others, to the needs of this man.
When what to my wondering eyes should appear,
But Santa himself and 8 tiny reindeer.
He 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 them all, and to all good night.!!!"
Sunday, December 21, 2014
Great blog post on nursing
I don't regularly follow NPR, but I came upon this blog post because of a therapist I work with at the Hotel. It speaks volumes.
Don't miss it! BTW see the movie if you get the chance. Kids or no kids, it's a good one.
Happy weekend wherever you are. You deserve it.
Don't miss it! BTW see the movie if you get the chance. Kids or no kids, it's a good one.
Happy weekend wherever you are. You deserve it.
Saturday, December 20, 2014
Just in time for the holidays...
Ah, it is always an interesting time reading the RehabLand Board of Nursing newsletter. So here's today's edition of what not to do as a nurse.
Don't say those licensing people forget the holidays...be careful out there!
Things not to do as a nurse: the holiday edition.
1. Don't sleep on the job.
Yes, that nicely made bed looks comfy, but if you forget to wake up, you have a problem. NOTE: some facilities do let you take power naps, but remember, you are PAID to come to WORK (notice the items in caps).
There are some expectations that come with that.
2. Forget to pay your income taxes.
Here in RehabLand, the Department ofTake it all Revenue can report you if you don't and you can lose your license. According to the numbers, almost 25% of nurses lost their license last year due to tax issues.
3. Don't force someone to do something they refuse to consent to do, like take a bath.
Do the words assault and battery mean anything to you? I knew they did. Patient says no, you document to CYA.
4. Drive while intoxicated.
They shouldn't have to tell you "when to say when" if you are a health care provider. But if you tend to be indulgent, get someone else to drive.
5. Fail to monitor a patient and act accordingly.
The example used in RehabLand's newsletter was disgusting. An RN (old one at that--we can tell by their license numbers) flat out did NOTHING for a patient who became sick in the morning. Let him/her throw up, wait until nights when said patient drops the phone, while satting at 82% (normally 100% person on room air) and passes out.
The night nurse had to call EMS to take this person to the ER.
And finally the topper of this edition:
6. Don't let residents who are supposed to be on the unit (per orders) out.
Another old RN decided to go on a smoke break and six (not one two or three...) residents who were confined indoors got out of the facility. One, Z., was gone for so long that he/she did not get scheduled insulin, had glucose issues, passed out and fell out of his/her wheelchair.
Old RN left Z on the ground, got the other 5 back into the building, hoisted Z back into a chair and told a CNA to take Z to his/her room. No assessment, no documentation, no nothing.
Z sustained a head injury, which was later diagnosed when Z started having other issues.
Don't say those licensing people forget the holidays...be careful out there!
Things not to do as a nurse: the holiday edition.
1. Don't sleep on the job.
Yes, that nicely made bed looks comfy, but if you forget to wake up, you have a problem. NOTE: some facilities do let you take power naps, but remember, you are PAID to come to WORK (notice the items in caps).
There are some expectations that come with that.
2. Forget to pay your income taxes.
Here in RehabLand, the Department of
3. Don't force someone to do something they refuse to consent to do, like take a bath.
Do the words assault and battery mean anything to you? I knew they did. Patient says no, you document to CYA.
4. Drive while intoxicated.
They shouldn't have to tell you "when to say when" if you are a health care provider. But if you tend to be indulgent, get someone else to drive.
5. Fail to monitor a patient and act accordingly.
The example used in RehabLand's newsletter was disgusting. An RN (old one at that--we can tell by their license numbers) flat out did NOTHING for a patient who became sick in the morning. Let him/her throw up, wait until nights when said patient drops the phone, while satting at 82% (normally 100% person on room air) and passes out.
The night nurse had to call EMS to take this person to the ER.
And finally the topper of this edition:
6. Don't let residents who are supposed to be on the unit (per orders) out.
Another old RN decided to go on a smoke break and six (not one two or three...) residents who were confined indoors got out of the facility. One, Z., was gone for so long that he/she did not get scheduled insulin, had glucose issues, passed out and fell out of his/her wheelchair.
Old RN left Z on the ground, got the other 5 back into the building, hoisted Z back into a chair and told a CNA to take Z to his/her room. No assessment, no documentation, no nothing.
Z sustained a head injury, which was later diagnosed when Z started having other issues.
Wednesday, December 17, 2014
Viruses, virii and a mouse in my kitchen
Oh, it's been one heck of a week. I just finished my Z-pack and Dahey feels crappy. A mouse got into my cabinet and trashed a bag of barley and one box of Inca Red quinoa.
The Christmas pageant starts soon. Bubba gets to do a solo instrumental song. We'll cross our fingers that he doesn't get stage fright. Looks like I'll have some fun tonight.
At the Hotel, the patients are getting loaded up with all sorts of goodies: blankets, books, snacks, cookies, you name it. The Manglement are getting ready for our next inspection in January (what a Christmas present!).
I'm praying it snows like mad.
Hope you're enjoying your night wherever you are. Stay tuned.
The Christmas pageant starts soon. Bubba gets to do a solo instrumental song. We'll cross our fingers that he doesn't get stage fright. Looks like I'll have some fun tonight.
At the Hotel, the patients are getting loaded up with all sorts of goodies: blankets, books, snacks, cookies, you name it. The Manglement are getting ready for our next inspection in January (what a Christmas present!).
I'm praying it snows like mad.
Hope you're enjoying your night wherever you are. Stay tuned.
Friday, December 12, 2014
Happiest of Fridays to you
I didn't run away. I've been busy cramming everything in, so I could have a day off. One project plan, three appointments, a consult, a specialty service visit, four phone calls, one patient portal enrollment, one transferred patient and a grand rounds presentation.
So today, I escaped.The sun came out after what seemed like weeks of clouds and rain. I found my sunglasses and wore them.What a day it was!
I visited friends I had not seen in a long time. I shopped and went out for breakfast, lunch and dinner, which meant no dishes for me to wash ALL DAY. It was like being on vacation at a hotel without leaving.
I also celebrated another birthday this week. It was fun. Health IS wealth, and I feel like a millionaire now that I am almost done with my antibiotics (from whatever URI I got around Thanksgiving.)
Hope you enjoy your weekend wherever you are!
More to come...
So today, I escaped.The sun came out after what seemed like weeks of clouds and rain. I found my sunglasses and wore them.What a day it was!
I visited friends I had not seen in a long time. I shopped and went out for breakfast, lunch and dinner, which meant no dishes for me to wash ALL DAY. It was like being on vacation at a hotel without leaving.
I also celebrated another birthday this week. It was fun. Health IS wealth, and I feel like a millionaire now that I am almost done with my antibiotics (from whatever URI I got around Thanksgiving.)
Hope you enjoy your weekend wherever you are!
More to come...
Thursday, December 4, 2014
In an instant
A police officer puts a person resisting arrest in a choke hold. He ignores the pleas that the person can't breathe. The person dies.
A guy driving through a protest march hits a pedestrian. He's arrested for assault.
Another guy goes to work. Someone asks him to come out to the parking lot. It's his son. He proceeds to club his father to death with a baseball bat in the middle of the day in the parking lot.
It doesn't take long for a life to disappear. Robbing someone of one breath, one moment, one defensive move can have consequences that last forever.
Life happens in an instant. Be aware. Some things you can't get back after that instant is gone.
A guy driving through a protest march hits a pedestrian. He's arrested for assault.
Another guy goes to work. Someone asks him to come out to the parking lot. It's his son. He proceeds to club his father to death with a baseball bat in the middle of the day in the parking lot.
It doesn't take long for a life to disappear. Robbing someone of one breath, one moment, one defensive move can have consequences that last forever.
Life happens in an instant. Be aware. Some things you can't get back after that instant is gone.
Wednesday, December 3, 2014
Joining in on the fun...
On my next eye doc visit, I get to take Bubba.
I just didn't want to be alone. At least he is off school and I am off work.
A fun mother-son outing (once we escape.) I'm not sure if he'll like the eye drops.
Stay tuned.
I just didn't want to be alone. At least he is off school and I am off work.
A fun mother-son outing (once we escape.) I'm not sure if he'll like the eye drops.
Stay tuned.
Tuesday, December 2, 2014
Giving Tuesday
Yes, after Black Friday and Cyber Monday, Giving Tuesday sounds like another crazy day.
However, it is what you make of it.
I challenge you, readers, to go out and give your time, talent or treasure to your favorite local, regional, national or international group. Start today and make it a habit. Dahey and I are in our 15th year supporting many groups from religious organizations to housing corporations to food security and holiday giving groups. One of our favorites is this one for war veterans (amputees, spinal cord injury, or TBI) which we found when a local guy was raising money for his house. See, rehab related!
Not sure who to pick? Check sites such as Charity Navigator or Charity Watch. Ask questions, too, like how much of my donation actually goes to research, your target audience, etc. Who cares about pretty stationery if they spend too much on what they mail you!
Pick charities that work with your own beliefs, philosophies, and who give a large portion of their donations directly to folks in need. Check with your tax adviser re:deductions.
All in all, give whatever you can today whether it is your time, talent or treasure, and don't forget to share your #unselfie.
It is greatly appreciated.
Stay tuned...
However, it is what you make of it.
I challenge you, readers, to go out and give your time, talent or treasure to your favorite local, regional, national or international group. Start today and make it a habit. Dahey and I are in our 15th year supporting many groups from religious organizations to housing corporations to food security and holiday giving groups. One of our favorites is this one for war veterans (amputees, spinal cord injury, or TBI) which we found when a local guy was raising money for his house. See, rehab related!
Not sure who to pick? Check sites such as Charity Navigator or Charity Watch. Ask questions, too, like how much of my donation actually goes to research, your target audience, etc. Who cares about pretty stationery if they spend too much on what they mail you!
Pick charities that work with your own beliefs, philosophies, and who give a large portion of their donations directly to folks in need. Check with your tax adviser re:deductions.
All in all, give whatever you can today whether it is your time, talent or treasure, and don't forget to share your #unselfie.
It is greatly appreciated.
Stay tuned...
Sunday, November 30, 2014
Serendipity
It can't exactly be summed up in one word. When I read this article, I thought of my own experiences on subway trains all over the place.
Consequently, I find the same thing happening as I do my job. Sometimes, when I was on the floor, I'd have those moments with those super-needy patients where I felt as if every ounce of caring was sucked out of me. I was spent.
Before I knew it, someone would come and change everything, in that very moment. One particular moment I remember was working on Mother's Day. My coworkers swore our weekend always encompassed the holidays, like Mother's Day. I finally got everything done for my patients and headed for the nurses' station to chart (since we don't do bedside, nosirree!). One of our chaplains came to the desk and gave all the mothers a rose. It was sweet. He has moved to a different area, so I smile when I see him and think of that day.
That same article made me think of one of those super needy patients. Partly because he lived in New York City for a while. I think of some of our folks, like him, even more this time of year, because he died not long before Christmas. His sister, an old nurse, liked to bring donuts.
We may not be in a subway car, but in our little unit at the Hotel, we find fortunate happenstance in places we never expected. I hope you do, too, wherever you are tonight.
Consequently, I find the same thing happening as I do my job. Sometimes, when I was on the floor, I'd have those moments with those super-needy patients where I felt as if every ounce of caring was sucked out of me. I was spent.
Before I knew it, someone would come and change everything, in that very moment. One particular moment I remember was working on Mother's Day. My coworkers swore our weekend always encompassed the holidays, like Mother's Day. I finally got everything done for my patients and headed for the nurses' station to chart (since we don't do bedside, nosirree!). One of our chaplains came to the desk and gave all the mothers a rose. It was sweet. He has moved to a different area, so I smile when I see him and think of that day.
That same article made me think of one of those super needy patients. Partly because he lived in New York City for a while. I think of some of our folks, like him, even more this time of year, because he died not long before Christmas. His sister, an old nurse, liked to bring donuts.
We may not be in a subway car, but in our little unit at the Hotel, we find fortunate happenstance in places we never expected. I hope you do, too, wherever you are tonight.
Thursday, November 27, 2014
Happy Thanksgiving!
Yes, it's been a crazy week. I am however so thankful for so many things.
I have so many things: I have a nice home, a car for each driver, and a good job to pay for it all.
I was able to take a couple of vacations with my family this summer. I also got to travel for work and for a group I belong to. I was able to afford it (or my employer paid my way).
I got a raise. It seemed like it took forever (almost three years), but when I read an article recently about a man who worked in a fast food restaurant (and two other jobs) who had not gotten ANY raise in three years, I count myself fortunate to have been given a substantial raise.
I have my health (even if I have a pesky cold right now). I have good health insurance (that came with my job) so I could afford preventative care.
I followed preventative care guidelines and hopefully (will know soon) will avoid losing one very important sense. I can't say I'm thankful enough for that. I hope to be a voice to advocate to others, to not skip on this important means of detecting life-changing conditions.
When I watch the news, we see so many terrible things. Riots, looting, destruction of small businesses, and death. I am thankful that as a caring member of my community in RehabLand (and as a citizen of the world), I can make a difference. I can donate to the food pantries, homeless shelters, and even to the small business owners of Ferguson, MO.
I am immensely thankful. Thank you for reading this and sharing my blog with others. I appreciate it.
Happy Thanksgiving to all wherever you are. Real nurses celebrate Thanksgiving every day, because they work every day. Thank you police, fire and EMS folks, who are also there with us. We couldn't do it without you.
More to come..
I have so many things: I have a nice home, a car for each driver, and a good job to pay for it all.
I was able to take a couple of vacations with my family this summer. I also got to travel for work and for a group I belong to. I was able to afford it (or my employer paid my way).
I got a raise. It seemed like it took forever (almost three years), but when I read an article recently about a man who worked in a fast food restaurant (and two other jobs) who had not gotten ANY raise in three years, I count myself fortunate to have been given a substantial raise.
I have my health (even if I have a pesky cold right now). I have good health insurance (that came with my job) so I could afford preventative care.
I followed preventative care guidelines and hopefully (will know soon) will avoid losing one very important sense. I can't say I'm thankful enough for that. I hope to be a voice to advocate to others, to not skip on this important means of detecting life-changing conditions.
When I watch the news, we see so many terrible things. Riots, looting, destruction of small businesses, and death. I am thankful that as a caring member of my community in RehabLand (and as a citizen of the world), I can make a difference. I can donate to the food pantries, homeless shelters, and even to the small business owners of Ferguson, MO.
I am immensely thankful. Thank you for reading this and sharing my blog with others. I appreciate it.
Happy Thanksgiving to all wherever you are. Real nurses celebrate Thanksgiving every day, because they work every day. Thank you police, fire and EMS folks, who are also there with us. We couldn't do it without you.
More to come..
Thursday, November 20, 2014
Add a little on top
So, since we've had the eye saga of late, I now get to add a little more fun to the mix: sleep apnea.
Yes, sleep apnea can indeed affect your eyes. Dr. X, our CPAP prophet, would be patting me on the head for getting my doc to get me a home sleep study. Unfortunately, I get to go spend the night with the sleep specialists. The prep sheet doesn't sound too bad, but I am sure I will not sleep well.
And yes, it had to happen. Someone may be infected with ebola here in RehabLand.
Can you tell I'm glad tomorrow is Friday and I'd like to do this (see below)?
More later...
Yes, sleep apnea can indeed affect your eyes. Dr. X, our CPAP prophet, would be patting me on the head for getting my doc to get me a home sleep study. Unfortunately, I get to go spend the night with the sleep specialists. The prep sheet doesn't sound too bad, but I am sure I will not sleep well.
And yes, it had to happen. Someone may be infected with ebola here in RehabLand.
Can you tell I'm glad tomorrow is Friday and I'd like to do this (see below)?
More later...
Monday, November 17, 2014
Preaching to the choir
Most people don't think about death happening in rehab, but it does. Probably more often than you know. Right now, we're rehabbing a patient who has been seeing palliative care.
It may not happen immediately on a unit, but we prepare as if it might.
I read this recent article on death from author Suzanne Gordon with more than a passing interest. It hits home to me. Sometimes I wonder why we let people get set up for false hope. Is it so we have a rehab goal for therapy? Is it so we might record a FIM gain?
Or is it because, we're just like everyone else. We don't want to be the "bad guy". If we tell the truth, we could be the bad guy and make the patient and/or his her family upset.
But if we perpetuate the illusion of hope, aren't we stealing the shred of truth the patient relies on us to give him or her?
It makes me wonder...more later.
It may not happen immediately on a unit, but we prepare as if it might.
I read this recent article on death from author Suzanne Gordon with more than a passing interest. It hits home to me. Sometimes I wonder why we let people get set up for false hope. Is it so we have a rehab goal for therapy? Is it so we might record a FIM gain?
Or is it because, we're just like everyone else. We don't want to be the "bad guy". If we tell the truth, we could be the bad guy and make the patient and/or his her family upset.
But if we perpetuate the illusion of hope, aren't we stealing the shred of truth the patient relies on us to give him or her?
It makes me wonder...more later.
Sunday, November 16, 2014
Snow has arrived
Yes, it's powdery and pretty here in RehabLand. Bubba was busy looking for his sled, which he soon discovered is not working anymore. After seven years, it's time to get another one.
It does keep him busy though. He likes to move snow around. Move the snow off the cars, onto the ground, then into the grass with the broom. We will see how successful he really was.
With the polar vortex in the neighborhood, we are awaiting record cold for this part of the year this week. I'm so glad I bought Bubba new snow boots when I saw them. He hasn't needed them this early in a very long time.
Now to get ready for the week...stay tuned.
It does keep him busy though. He likes to move snow around. Move the snow off the cars, onto the ground, then into the grass with the broom. We will see how successful he really was.
With the polar vortex in the neighborhood, we are awaiting record cold for this part of the year this week. I'm so glad I bought Bubba new snow boots when I saw them. He hasn't needed them this early in a very long time.
Now to get ready for the week...stay tuned.
Saturday, November 15, 2014
Oh Polar Vortex!
Yes, it's not quite winter, but you'd never know it from the chill that's descended on RehabLand. Bubba played in a tournament for school and Dahey got some new glasses ordered after much cajoling.
Now, today it's snow.
I'm so glad I'm off tomorrow. I'd really like to just hide under the covers.
That is all. More later...
Now, today it's snow.
I'm so glad I'm off tomorrow. I'd really like to just hide under the covers.
That is all. More later...
Wednesday, November 12, 2014
Maybe...
I was just SUPPOSED to lose my watch when I went through the Las Vegas airport earlier this year. It was a Mother's Day gift, not terribly expensive, but it worked. It had a second hand, was dressy enough, and I could read it in the dark. The present part made the loss upsetting to me.
A month or so later, I bought a similar replacement. It looks pretty close to the other one, but I realized that the date window was really little compared to my old reliable. Some of my friends joked that since I'm getting old, I probably just need glasses.
Being the good nurse that I am, I knew I needed to make an ophthalmology appointment, but I do not have eye problems. Dahey does. Dahey has worn glasses forever and has always had the distinction in our house of having the most expensive glasses. I talked to my traveling partner and she recommended a doc from her old hospital, Dr. K.
Dahey saw him, had a good appointment and passed all the tests. That was in April. I said I'd have to do the same.
Of course, time got away from me and finally I decided to call their office and schedule an appointment on Veterans' Day, since I happened to have the day off. I thought, this won't last too long. Dr. K is very nice and is a veteran himself.
But it did. Dr. K.'s tech did a lot of tests, but a couple of them, Dr. K. redid himself. So we had another long discussion. I hope my eyes did not bulge out of my head, because what I really wanted to do was shriek.
The words, "you have a condition that will cause glaucoma", weren't really what I was really planning on hearing. Dahey, my veteran, and I were planning a nice lunch somewhere, since he was off work, too.
After the almost three hour appointment, I left. However, I count myself lucky. I never served on a frozen battlefield in Korea, like the man I talked to today while waiting for some labs. I felt like I was there when he talked about prisoners in "cotton uniforms and tennis shoes." I understood when he said, "I still won't eat rice." because of the memories it brought back. He is in his 80s and still working, even if he needs a rolling walker to get there.
I may have been bombarded myself yesterday, but I want to let all the veterans out there know I thank you every day for your service. This year it's even more special, because one old Navy doc made sure I'll have a chance to see more in the future. I am so very lucky because it is treatable (which starts today) and I have no vision loss.
Losing that watch was probably the best thing that happened to me this year.
More to come...
A month or so later, I bought a similar replacement. It looks pretty close to the other one, but I realized that the date window was really little compared to my old reliable. Some of my friends joked that since I'm getting old, I probably just need glasses.
Being the good nurse that I am, I knew I needed to make an ophthalmology appointment, but I do not have eye problems. Dahey does. Dahey has worn glasses forever and has always had the distinction in our house of having the most expensive glasses. I talked to my traveling partner and she recommended a doc from her old hospital, Dr. K.
Dahey saw him, had a good appointment and passed all the tests. That was in April. I said I'd have to do the same.
Of course, time got away from me and finally I decided to call their office and schedule an appointment on Veterans' Day, since I happened to have the day off. I thought, this won't last too long. Dr. K is very nice and is a veteran himself.
But it did. Dr. K.'s tech did a lot of tests, but a couple of them, Dr. K. redid himself. So we had another long discussion. I hope my eyes did not bulge out of my head, because what I really wanted to do was shriek.
The words, "you have a condition that will cause glaucoma", weren't really what I was really planning on hearing. Dahey, my veteran, and I were planning a nice lunch somewhere, since he was off work, too.
After the almost three hour appointment, I left. However, I count myself lucky. I never served on a frozen battlefield in Korea, like the man I talked to today while waiting for some labs. I felt like I was there when he talked about prisoners in "cotton uniforms and tennis shoes." I understood when he said, "I still won't eat rice." because of the memories it brought back. He is in his 80s and still working, even if he needs a rolling walker to get there.
I may have been bombarded myself yesterday, but I want to let all the veterans out there know I thank you every day for your service. This year it's even more special, because one old Navy doc made sure I'll have a chance to see more in the future. I am so very lucky because it is treatable (which starts today) and I have no vision loss.
Losing that watch was probably the best thing that happened to me this year.
More to come...
Sunday, November 9, 2014
Rehab nursing in a nutshell: the series
Oh, since I'm still thinking about what I learned at a recent rehab nurses conference, I figure I'll share what I've learned along the way.
If you haven't already read some of the old stuff in this blog, feel free to go back in time. I've tried to keep most of the stuff that captures how I felt as a new nurse.
Frankly, being a new nurse wherever you are is scary. There are nice people out there, and there are the trolls and Nurse Ratcheds who will make your life hell (or at least attempt).
First rule: DO NOT LET THEM. Sometimes the best thing you can do is to find a mentor (if you are in a residency program, thank your lucky stars...) and learn how to be a good nurse.
You can learn on your own some of the additional stuff you need to know in rehab.
Just remember Rule number 2: you will never stop learning. Don't even try, don't get sedentary, don't get sedate.
I can't tell you how many over 60+ year old nurses I saw at the recent rehab conference. Three of the original 12 nurses who started one group showed up. One had a cane, but let me tell you, she used that cane with confidence, and she went from session to session, several which I attended.
Our closing speaker (a nurse) helped his/her mom complete her CEUs for her license. She's 84.
Not sure if she's a rehab nurse, but she would have fit in fine with all of us (and would have ended up with lots of CEUs).
That's enough of an assignment for today. Enjoy the rest of your weekend, wherever you are.
More to come...stay tuned.
If you haven't already read some of the old stuff in this blog, feel free to go back in time. I've tried to keep most of the stuff that captures how I felt as a new nurse.
Frankly, being a new nurse wherever you are is scary. There are nice people out there, and there are the trolls and Nurse Ratcheds who will make your life hell (or at least attempt).
First rule: DO NOT LET THEM. Sometimes the best thing you can do is to find a mentor (if you are in a residency program, thank your lucky stars...) and learn how to be a good nurse.
You can learn on your own some of the additional stuff you need to know in rehab.
Just remember Rule number 2: you will never stop learning. Don't even try, don't get sedentary, don't get sedate.
I can't tell you how many over 60+ year old nurses I saw at the recent rehab conference. Three of the original 12 nurses who started one group showed up. One had a cane, but let me tell you, she used that cane with confidence, and she went from session to session, several which I attended.
Our closing speaker (a nurse) helped his/her mom complete her CEUs for her license. She's 84.
Not sure if she's a rehab nurse, but she would have fit in fine with all of us (and would have ended up with lots of CEUs).
That's enough of an assignment for today. Enjoy the rest of your weekend, wherever you are.
More to come...stay tuned.
Saturday, November 8, 2014
Follow your arrow
We talk a lot about how we work together as a team, but sometimes, it seems like we miss the point.
I have had to work with Manglement to bring nurses into the Hotel. One manager has retooled all the interview questions (yes, we use them for a number of reasons) to ask questions about the team.
One nurse wanted to transfer from one unit to another. No dice because this nurse has had an issue with the hiring manager in the past. We also had other unsuitable candidates. Why? Because some of them just don't come prepared. They don't sell themselves. You give them time and they don't know how to do it!
So, if you're on a journey, and want to go somewhere new, follow your arrow. Learn along the way. Just because something fails once or twice, or even three to thirteen times, you will eventually get to success. Listen. Find mentors and read the signs along the way.
Enjoy your weekend wherever you may roam.
I have had to work with Manglement to bring nurses into the Hotel. One manager has retooled all the interview questions (yes, we use them for a number of reasons) to ask questions about the team.
One nurse wanted to transfer from one unit to another. No dice because this nurse has had an issue with the hiring manager in the past. We also had other unsuitable candidates. Why? Because some of them just don't come prepared. They don't sell themselves. You give them time and they don't know how to do it!
So, if you're on a journey, and want to go somewhere new, follow your arrow. Learn along the way. Just because something fails once or twice, or even three to thirteen times, you will eventually get to success. Listen. Find mentors and read the signs along the way.
Enjoy your weekend wherever you may roam.
Thursday, November 6, 2014
Getting older...
Not better if you feel like c#$p from headaches. Not to mention, these symptoms stink. At least, all the tests came back negative.
The week has flown by in a blur, which always seems to happen the week after vacation.
Friday won't get here soon enough.
Stay tuned...
The week has flown by in a blur, which always seems to happen the week after vacation.
Friday won't get here soon enough.
Stay tuned...
Monday, November 3, 2014
Still recovering...
But darn it, it was FUN!
Beautiful days no need for a coat. Pretty nights and safe surroundings. Fireworks I could watch from my room and music. Lots of rehab nurses from all over the place.
I learned a lot. I had fun meeting everyone. It was pretty cool.
Yes, it really was the happiest place on Earth for one brief moment now it's back to work.
Stay tuned...
Beautiful days no need for a coat. Pretty nights and safe surroundings. Fireworks I could watch from my room and music. Lots of rehab nurses from all over the place.
I learned a lot. I had fun meeting everyone. It was pretty cool.
Yes, it really was the happiest place on Earth for one brief moment now it's back to work.
Stay tuned...
Monday, October 27, 2014
Amen, sister!
From CNN: Quarantined woman to be discharged, Christie's office announces
"It is not a sound public health decision and well-thought out," Hickox said. "Many of the experts in the field have come out to agree with me. So I think that we need to stress the fact that we don't need politicians to make these kinds of decisions. We need public health experts to make these decisions."
Two things:
One: How come Kaci Hickox, RN, a Real Nurse, isn't even noted as one? Sure might have been a different headline if she were an MD.
Two: It's about freaking time: we need more public health people working on this problem than the public health spin doctors, who know absolutely nothing about medical diagnoses.
Too bad, Mr. Christie is not here. Impersonating a medical professional (RN or MD) is a crime in RehabLand.
I'd have been hot, too, with all this c#$p!
"It is not a sound public health decision and well-thought out," Hickox said. "Many of the experts in the field have come out to agree with me. So I think that we need to stress the fact that we don't need politicians to make these kinds of decisions. We need public health experts to make these decisions."
Two things:
One: How come Kaci Hickox, RN, a Real Nurse, isn't even noted as one? Sure might have been a different headline if she were an MD.
Two: It's about freaking time: we need more public health people working on this problem than the public health spin doctors, who know absolutely nothing about medical diagnoses.
Too bad, Mr. Christie is not here. Impersonating a medical professional (RN or MD) is a crime in RehabLand.
I'd have been hot, too, with all this c#$p!
Sunday, October 26, 2014
Weekend diversions
What kinds of movies will a rehab nurse watch before hanging out with hundreds of other rehab nurses? Well, if you're into history and sports,like I am, you'll watch The Best of Men. My favorite part was watching it on Bubba's computer (which has a big screen). Somehow I got it on closed captioning by mistake.
Maybe because I have a lot of parental controls turned on (maybe note), but I noticed that all the swear words were not included.
Another interesting article I found today was this article about the big cheese at one hospital taking a pay cut. What a novel idea. Hope this one spreads.
Now I just get to make dinner and get ready for Monday.
More to come, so stay tuned!
Maybe because I have a lot of parental controls turned on (maybe note), but I noticed that all the swear words were not included.
Another interesting article I found today was this article about the big cheese at one hospital taking a pay cut. What a novel idea. Hope this one spreads.
Now I just get to make dinner and get ready for Monday.
More to come, so stay tuned!
Saturday, October 25, 2014
Big Brother? Maybe...
Just minding my own business meandering around ye old Internet while I'm taking a break from chores, and look what I find.
Sounds innocuous enough: harness energy from the body.
Once you look at the photos, though, it doesn't look very comfortable or sanitary to me.
More to come...
Sounds innocuous enough: harness energy from the body.
Once you look at the photos, though, it doesn't look very comfortable or sanitary to me.
More to come...
Thursday, October 23, 2014
Sometimes
It does not pay to air out your home storage area.
Especially when Dahey inadventenly lets in wildlife that dies there and stinks up the storage, and the whole house. It makes bowel programs at the Hotel smell good.
I am so glad I'm leaving for a week soon.
That is all. More to come...
Especially when Dahey inadventenly lets in wildlife that dies there and stinks up the storage, and the whole house. It makes bowel programs at the Hotel smell good.
I am so glad I'm leaving for a week soon.
That is all. More to come...
Tuesday, October 21, 2014
Do it again? Well, maybe
I went to see my internist yesterday. I got my labs back pronto, so tonight I get a note that says "Take Vitamin D."
Yes, that lab was low. I thought the research that said calcium supplementation was hogwash so I started eating more cheese and Greek yogurt.
Too bad that's not fortified with Vitamin D. Yes, Dr. H., I'll be picking up the supplement tomorrow.
For fun, I decided to take an online course through work. Tonight I found out that the superduper steroid version on that subject that is limited to 35 people per session is still open. The best part: I may have to go visit my favorite pharmacist next year, since one of the class requirements is presenting your project at next year's conference.
Joy of joys. Now to just get management approval and apply by the end of the week.
Never ever a dull moment around here.
Stay tuned.
Yes, that lab was low. I thought the research that said calcium supplementation was hogwash so I started eating more cheese and Greek yogurt.
Too bad that's not fortified with Vitamin D. Yes, Dr. H., I'll be picking up the supplement tomorrow.
For fun, I decided to take an online course through work. Tonight I found out that the superduper steroid version on that subject that is limited to 35 people per session is still open. The best part: I may have to go visit my favorite pharmacist next year, since one of the class requirements is presenting your project at next year's conference.
Joy of joys. Now to just get management approval and apply by the end of the week.
Never ever a dull moment around here.
Stay tuned.
Monday, October 20, 2014
Mixed messages
We have a fledgling nurse manager on one of the rehab units. He/she's getting his/her feet wet. It's been nearly a year.
He/she has gone on record saying he/she'd really like to develop the people on his/her unit.
We work in a CARF certified rehab facility and someone today actually told me, "I want to get certified." Hooray! (There is an ulterior motive: our facility pays you a bonus to get certified.)
However, the next thing out of this person's mouth was that the "nurse manager says I shouldn't do it, because I don't want to be here forever."
I wanted to plant my head firmly into the desk, but I did not.
Looks like someone may need to attend a seminar on developing your staff soon at the Hotel.
Stay tuned...
He/she has gone on record saying he/she'd really like to develop the people on his/her unit.
We work in a CARF certified rehab facility and someone today actually told me, "I want to get certified." Hooray! (There is an ulterior motive: our facility pays you a bonus to get certified.)
However, the next thing out of this person's mouth was that the "nurse manager says I shouldn't do it, because I don't want to be here forever."
I wanted to plant my head firmly into the desk, but I did not.
Looks like someone may need to attend a seminar on developing your staff soon at the Hotel.
Stay tuned...
Saturday, October 18, 2014
We salute you
All of the front line health care personnel putting it on the line every day in today's environment.
This quote from a recent article about hazardous waste generated by Ebola patients was telling:
“It’s totally shocking,” Ms. Sharpe said. “It would take me anywhere from four to six weeks to train an employee to work in a high containment lab in a safe manner. It’s ludicrous to expect doctors and nurses to figure that out with a day’s worth of training.
Thank you, Ms. Sharpe. Hopefully, someone will listen and take care of the folks on the front lines, including all the staff who help take away all the remainders.
More to come.
This quote from a recent article about hazardous waste generated by Ebola patients was telling:
“It’s totally shocking,” Ms. Sharpe said. “It would take me anywhere from four to six weeks to train an employee to work in a high containment lab in a safe manner. It’s ludicrous to expect doctors and nurses to figure that out with a day’s worth of training.
Thank you, Ms. Sharpe. Hopefully, someone will listen and take care of the folks on the front lines, including all the staff who help take away all the remainders.
More to come.
Friday, October 17, 2014
We are getting there
Slowly, but surely our HAPU rate is going down. Why would we worry about it, anyway?
In rehab, HAPU is something that will derail the most eager patient. It can even kill you.
As I tell the patients, your skin is a force field.If you damage it, your bones and everything else can suffer when dirt and microbes from the environment decide to invade and make you sick.
Simple but effective...for most people. All we can do is repeat and maybe by the hundredth time, it will stick.
So, we'll keep on going. TGIF to all wherever you are.
In rehab, HAPU is something that will derail the most eager patient. It can even kill you.
As I tell the patients, your skin is a force field.If you damage it, your bones and everything else can suffer when dirt and microbes from the environment decide to invade and make you sick.
Simple but effective...for most people. All we can do is repeat and maybe by the hundredth time, it will stick.
So, we'll keep on going. TGIF to all wherever you are.
Thursday, October 16, 2014
Jumpin' Jack Flash
It really is a gas eating all these vegetables on my current diet (clean eating with lots of vegetables and lean protein).
So far, so good.
More later...
So far, so good.
More later...
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