This Friday the 13th is definitely memorable. I got home, plopped down on the couch for a few moments and then I saw it. Another group of terrorists attacked a large city and mercilessly murdered people just enjoying the beginning of their weekend. People having a drink, enjoying a soccer game, eating some food.
Later, I found out a nurse who worked with one of my classmates overseas, a father, an all around good guy, was also killed by terrorists recently, in another large city.
It just makes me wonder why people say, "They were killed because..." I think of my own "becauses": woman, white, wrong neighborhood, wrong car, wrong hair color, too much money (or sometimes not enough). I feel vulnerable.
The rationale doesn't make sense anymore. Evil and defense are uncomfortably overlapping with lives of people not bothering anyone, just trying to live, make a living and exist.
I pray for peace, because that's the most basic thing we are sorely lacking. A little extra insight for everyone wouldn't hurt, either.
Peace to you all, and may you live (safely) wherever you dare go.
God bless us everyone.
A mes amis en France: je t'aime tous.
Friday, November 13, 2015
Wednesday, November 11, 2015
Happy Veterans' Day
Our day started pretty much like any other. Dahey went to work and Bubba went to school. I had the day off.
I got a lot of things done around the house, made phone calls I've put off, and even went to the doctor for my well woman exam.
And as I was making a coffee this afternoon, I realized that I am so very lucky. I have a house with running water (that's potable, too) and plumbing. Many women and girls can't do laundry, take care of themselves, their families or even chores because they lack those very things.
I also realized that many women today are not allowed out of the house alone, or they're too afraid to go out, because of rules, or worse, living in a bad neighborhood where crime is commonplace or war is at your doorstep, or you're just a woman.
I thank my lucky stars every day that I live in a country so advanced to have basic necessities, because I know it's not the same everywhere. I can get into my car and complete all these errands on my own in relative safety, because there is no war going on in my neck of the woods.
So today I thank our military veterans, men and women, like Dahey, who answered the call to serve Uncle Sam here and abroad, on submarines, PT boats, tanks, destroyers, or Strykers.
I raise my glass to you. May you have much health and happiness, and safe passage in times of trouble. You pay the ultimate sacrifice and I reap benefits I can never repay.
Peace and godspeed.
I got a lot of things done around the house, made phone calls I've put off, and even went to the doctor for my well woman exam.
And as I was making a coffee this afternoon, I realized that I am so very lucky. I have a house with running water (that's potable, too) and plumbing. Many women and girls can't do laundry, take care of themselves, their families or even chores because they lack those very things.
I also realized that many women today are not allowed out of the house alone, or they're too afraid to go out, because of rules, or worse, living in a bad neighborhood where crime is commonplace or war is at your doorstep, or you're just a woman.
I thank my lucky stars every day that I live in a country so advanced to have basic necessities, because I know it's not the same everywhere. I can get into my car and complete all these errands on my own in relative safety, because there is no war going on in my neck of the woods.
So today I thank our military veterans, men and women, like Dahey, who answered the call to serve Uncle Sam here and abroad, on submarines, PT boats, tanks, destroyers, or Strykers.
I raise my glass to you. May you have much health and happiness, and safe passage in times of trouble. You pay the ultimate sacrifice and I reap benefits I can never repay.
Peace and godspeed.
Tuesday, November 10, 2015
What not to do as a nurse: Fall edition 2015
Yes, the quarterly Board of Nursing newsletter just showed up in my mailbox, and as usual, it contains some pretty interesting stuff.
For all you newbies (or even not so newbies), make sure you don't do any of these at work.
1. Practice without a license.
I was quite surprised at the number of folks listed in this section this time. Remember: you have to pay up at whatever interval your state requires to be legal.
2. Create documentation discrepancies
Time and time again, there were multiple examples in this issue. My personal favorite was the nurse who charted a skin assessment (multiple times) even when she didn't work.
In particular, if you are in home health, and this happens, they may call into question that you ever visited your client. In fact, if they pay you and you lied about your charting, they may ask for the money back (this happened.)
Moral of the story: as the old nursing saying goes: If it wasn't charted, it wasn't done, really does apply. Other folks really do read your notes: risk managers, quality managers, and even some patients.
3. Inappropriately use your medical record access
No, it didn't involve any celebrities, but please follow your organization's policy on medical record access. This nurse, who had been counseled before re: this issue, decided to look up about 20+ other folks just for the heck of it, and got dinged.
Rule of thumb: if you're not taking care of this person (or you are not evaluating them for a program, etc., as part of your job), do not read their medical record.
4. Forget to be careful in the OR
This was one I haven't seen in a long time, but if you are sending patients to the OR, make sure you send the right patient to the right OR suite. Screwing that up can cause lots of time to be wasted and trouble (in the form of lapsed safety). Identifying your patients really is a big deal.
Also, if your job includes sending specimens to pathology, please do it.
5. Forget to double check those safety devices
One nurse was dinged because he/she did not verify that a fall risk patient really had his bed alarm turned on. Said patient then escaped to the floor.
Yes, some people may fall no matter what you do, but you, as a professional, need to document and be responsible for these folks.
6. Take off without giving report
The stories I could tell about the Slug and this issue...said nurse did not inform appropriate staff that he/she was leaving for the day after lunch, and consequently, left people in a lurch. Thankfully, no one was hurt.
And finally...
7. Don't self-medicate and go to work impaired
Unfortunately, there were several incidents of this in this newsletter. One person actually used his/her own prescribed medication inappropriately and was sent home due to impairment.
Also, treating yourself with propofol for pain relief is also contraindicated. If you are in a lot of pain, it may be time to see a pain specialist.
Stay tuned for our next edition.
For all you newbies (or even not so newbies), make sure you don't do any of these at work.
1. Practice without a license.
I was quite surprised at the number of folks listed in this section this time. Remember: you have to pay up at whatever interval your state requires to be legal.
2. Create documentation discrepancies
Time and time again, there were multiple examples in this issue. My personal favorite was the nurse who charted a skin assessment (multiple times) even when she didn't work.
In particular, if you are in home health, and this happens, they may call into question that you ever visited your client. In fact, if they pay you and you lied about your charting, they may ask for the money back (this happened.)
Moral of the story: as the old nursing saying goes: If it wasn't charted, it wasn't done, really does apply. Other folks really do read your notes: risk managers, quality managers, and even some patients.
3. Inappropriately use your medical record access
No, it didn't involve any celebrities, but please follow your organization's policy on medical record access. This nurse, who had been counseled before re: this issue, decided to look up about 20+ other folks just for the heck of it, and got dinged.
Rule of thumb: if you're not taking care of this person (or you are not evaluating them for a program, etc., as part of your job), do not read their medical record.
4. Forget to be careful in the OR
This was one I haven't seen in a long time, but if you are sending patients to the OR, make sure you send the right patient to the right OR suite. Screwing that up can cause lots of time to be wasted and trouble (in the form of lapsed safety). Identifying your patients really is a big deal.
Also, if your job includes sending specimens to pathology, please do it.
5. Forget to double check those safety devices
One nurse was dinged because he/she did not verify that a fall risk patient really had his bed alarm turned on. Said patient then escaped to the floor.
Yes, some people may fall no matter what you do, but you, as a professional, need to document and be responsible for these folks.
6. Take off without giving report
The stories I could tell about the Slug and this issue...said nurse did not inform appropriate staff that he/she was leaving for the day after lunch, and consequently, left people in a lurch. Thankfully, no one was hurt.
And finally...
7. Don't self-medicate and go to work impaired
Unfortunately, there were several incidents of this in this newsletter. One person actually used his/her own prescribed medication inappropriately and was sent home due to impairment.
Also, treating yourself with propofol for pain relief is also contraindicated. If you are in a lot of pain, it may be time to see a pain specialist.
Stay tuned for our next edition.
Saturday, November 7, 2015
Drought
I feel like I should be posting more here, but I'm having a bit of a drought. Here in RehabLand, we actually had too much rain earlier in the year, and now, despite the little we've had recently, the weather powers that be tell us, it's back to drought.
I'd like to say "WT..." but of course, propriety gets the better of me.
Work sometimes seems like a drought with the occasional downpour, too. One minute: it's all hands on deck, and by the way, we may not be able to support that new process we told you to start in June. "Really?" I say. "And are you schizophrenic?" is what I really, in my heart of hearts want to ask these myopic individuals, but I don't.
However, I have learned to open my mouth when someone cares to hear. Fortunately, in the last version of the Seinfeld meeting (aka about nothing, but should be) it shined a light on what's really happening: they don't want to support this, because they are spending money somewhere else. Call it a cost center, call it whatever you like, but it's a shell game I've seen before in my other life.
It's total BS. Pure and simple.
Nevertheless, I'm still pondering where RehabRN 2.1 might show up. I met one of my mentors for drinks to do a little networking (and just a tad of soul searching) with someone safe. I'm investigating an area that touches on rehab, occupational health and legal nursing. I just have to prep myself to get into those shoes.
Where I go, is up to me. I keep moving forward, even if I'm in the same place. Time marches on.
Hope you enjoy your weekend of working, or even, soul searching. Life's too short not to savor every moment.
Until next time...
I'd like to say "WT..." but of course, propriety gets the better of me.
Work sometimes seems like a drought with the occasional downpour, too. One minute: it's all hands on deck, and by the way, we may not be able to support that new process we told you to start in June. "Really?" I say. "And are you schizophrenic?" is what I really, in my heart of hearts want to ask these myopic individuals, but I don't.
However, I have learned to open my mouth when someone cares to hear. Fortunately, in the last version of the Seinfeld meeting (aka about nothing, but should be) it shined a light on what's really happening: they don't want to support this, because they are spending money somewhere else. Call it a cost center, call it whatever you like, but it's a shell game I've seen before in my other life.
It's total BS. Pure and simple.
Nevertheless, I'm still pondering where RehabRN 2.1 might show up. I met one of my mentors for drinks to do a little networking (and just a tad of soul searching) with someone safe. I'm investigating an area that touches on rehab, occupational health and legal nursing. I just have to prep myself to get into those shoes.
Where I go, is up to me. I keep moving forward, even if I'm in the same place. Time marches on.
Hope you enjoy your weekend of working, or even, soul searching. Life's too short not to savor every moment.
Until next time...
Monday, November 2, 2015
Halloween post-script
Q. What's scarier than ghosts, goblins, and candy hangover?
A. A major inspection on a Monday.
I wish it were a Halloween joke, but alas...
Cross your fingers!
A. A major inspection on a Monday.
I wish it were a Halloween joke, but alas...
Cross your fingers!
Thursday, October 29, 2015
RehabRN book club: post script
I'm still working on my list (somewhat) but I went out and actually met an author. Oncology nurse Theresa Brown was discussing her latest book, The Shift.
I started reading the book while I was awaiting the program to begin. The crowd was not rock star huge, as it often is for kids' authors or politicians, but the room was pretty full. There was not a lot of current nurses, but plenty of retired ones, and a few doctors sprinkled in.
It's not a huge book, so it won't take a ton of your time to read. When you think that it almost was never published, you realize the gravity of the attitudes about health care and the work of nurses. The author mentioned that it really was a sales job to the book folks to prove that, yes, there would be enough things happening in twelve hours to put in a book.
Surprisingly, once the editors saw the preliminary stuff, they realized she was on to something: providing a glimpse into the life of a nurse on the medical oncology floor.
Suzanne Gordon was right when she said this about what nurses do.
What do nurses do? They save lives, prevent complications, prevent suffering, and save money.
This book proves her right on all those points. Amen, sister!
I started reading the book while I was awaiting the program to begin. The crowd was not rock star huge, as it often is for kids' authors or politicians, but the room was pretty full. There was not a lot of current nurses, but plenty of retired ones, and a few doctors sprinkled in.
It's not a huge book, so it won't take a ton of your time to read. When you think that it almost was never published, you realize the gravity of the attitudes about health care and the work of nurses. The author mentioned that it really was a sales job to the book folks to prove that, yes, there would be enough things happening in twelve hours to put in a book.
Surprisingly, once the editors saw the preliminary stuff, they realized she was on to something: providing a glimpse into the life of a nurse on the medical oncology floor.
Suzanne Gordon was right when she said this about what nurses do.
What do nurses do? They save lives, prevent complications, prevent suffering, and save money.
This book proves her right on all those points. Amen, sister!
Tuesday, October 27, 2015
RehabRN book club: Fall edition
Yes, the days are getting shorter, and since I'm burning the lights anyway, I might as well read. RehabLand has wonderful library folks, so check out your local library. You'll enjoy it and it's cheap.
Here are a few items on my current reading list:
1. The Great Escape by Angus Deaton. The newest Nobel laureate's book is on economics, but unlike it's common description (the dismal science), this book is very readable, even if you haven't sat through one, two, three (or like me, even more) economics classes. Professor Deaton writes a readable book that even a rehab nurse who's thinking of going to the dark side (insurance or anywhere outside the Hotel) could love.
Highly recommend this, especially if you want to learn something new, without trying too hard. Thank goodness he has a sense of humor.
2. The Joy of Work by Scott Adams. Dilbert at his 1990s finest. Reminds me of the good old days before I was a nurse. Gives me street cred with the technical folks, even though many of the tricks mentioned are dated.
My favorite escape book: I keep a copy of this in my bathroom.
3. My secret fetish lately: cookbooks. I read any and all for ideas on how to snazz up meals and bake new cakes, cookies, etc. Bubba is becoming an eating machine (and a picky one at that) so this helps keep him fed and out of my cabinets (for a while). Yes, you can get these recipes on the internet, but since my kitchen is too small for a computer and dangerous for an iPad, etc., I'm erring on the side of caution with a real book.
My current favorite: the old, reliable, Better Homes and Gardens Cookbook. I got a healthy one from work, but haven't tried it out yet.
Hope you enjoy these. Will keep you updated on the next exciting book. I will be attending a meet and greet at a bookstore this week, so I hope to have a new review soon.
Happy reading!
Here are a few items on my current reading list:
1. The Great Escape by Angus Deaton. The newest Nobel laureate's book is on economics, but unlike it's common description (the dismal science), this book is very readable, even if you haven't sat through one, two, three (or like me, even more) economics classes. Professor Deaton writes a readable book that even a rehab nurse who's thinking of going to the dark side (insurance or anywhere outside the Hotel) could love.
Highly recommend this, especially if you want to learn something new, without trying too hard. Thank goodness he has a sense of humor.
2. The Joy of Work by Scott Adams. Dilbert at his 1990s finest. Reminds me of the good old days before I was a nurse. Gives me street cred with the technical folks, even though many of the tricks mentioned are dated.
My favorite escape book: I keep a copy of this in my bathroom.
3. My secret fetish lately: cookbooks. I read any and all for ideas on how to snazz up meals and bake new cakes, cookies, etc. Bubba is becoming an eating machine (and a picky one at that) so this helps keep him fed and out of my cabinets (for a while). Yes, you can get these recipes on the internet, but since my kitchen is too small for a computer and dangerous for an iPad, etc., I'm erring on the side of caution with a real book.
My current favorite: the old, reliable, Better Homes and Gardens Cookbook. I got a healthy one from work, but haven't tried it out yet.
Hope you enjoy these. Will keep you updated on the next exciting book. I will be attending a meet and greet at a bookstore this week, so I hope to have a new review soon.
Happy reading!
Monday, October 26, 2015
What a wonderful Monday
If you call getting prepped for the upcoming full moon wonderful. Sure!
My day in a nutshell:
1. Go to do your first rounds and they're looking for Dr. X. I go to the clinic Dr. X is usually in, and they say, no, Dr. X is off today.
2. Get on the elevator to go to your next part of rounds (your unit) and Dr. X. sends me a text saying "I'm here, where's the patient."
3. Call the cavalry, explain Dr. X. really is here now, so go find the patient. Cavalry is successful.
4. Run down several flights of stairs, find Dr. X and then see the patient coming in. Whew!
5. Return back to the ranch to figure out what is going on with a pending problem. No one is around. Finally get answers after two text messages and three phone calls. Problem not resolved until tomorrow.
6. Find out person you have worked with for five years is leaving her current job.
7. Find out people are retiring in droves due to pressure, illness and just plain ready. Sad on some, not on others.
8. Try to fix a patient's problem, but the help for that is not working today.
There were some good things, though.
1. The day was beautiful.
2. I went home for lunch and made a BLT. It was good, even though I set off the smoke detector.
3. I saw an incredible Buckeye butterfly today. It stopped long enough for me to snap a photo and send to my dear husband Dahey who collected butterflies as a child.
4. My friend's husband is getting stronger. He will also be getting a longer course of treatment. Neuro wanted five more doses, nephro wanted no more. They decided to meet (almost) in the middle: two.
Sure beats watching a neurologist and a nephrologist duke it out in his room.
I'm resting up hoping tomorrow is even better. Stay tuned.
My day in a nutshell:
1. Go to do your first rounds and they're looking for Dr. X. I go to the clinic Dr. X is usually in, and they say, no, Dr. X is off today.
2. Get on the elevator to go to your next part of rounds (your unit) and Dr. X. sends me a text saying "I'm here, where's the patient."
3. Call the cavalry, explain Dr. X. really is here now, so go find the patient. Cavalry is successful.
4. Run down several flights of stairs, find Dr. X and then see the patient coming in. Whew!
5. Return back to the ranch to figure out what is going on with a pending problem. No one is around. Finally get answers after two text messages and three phone calls. Problem not resolved until tomorrow.
6. Find out person you have worked with for five years is leaving her current job.
7. Find out people are retiring in droves due to pressure, illness and just plain ready. Sad on some, not on others.
8. Try to fix a patient's problem, but the help for that is not working today.
There were some good things, though.
1. The day was beautiful.
2. I went home for lunch and made a BLT. It was good, even though I set off the smoke detector.
3. I saw an incredible Buckeye butterfly today. It stopped long enough for me to snap a photo and send to my dear husband Dahey who collected butterflies as a child.
4. My friend's husband is getting stronger. He will also be getting a longer course of treatment. Neuro wanted five more doses, nephro wanted no more. They decided to meet (almost) in the middle: two.
Sure beats watching a neurologist and a nephrologist duke it out in his room.
I'm resting up hoping tomorrow is even better. Stay tuned.
Saturday, October 24, 2015
I have to admit
It's really getting better all the time. My friend and her husband are coping, and it seems that the treatment he's on is helping him. Pain is still an issue. Dahey went out and stayed with him for a while in the afternoon and they had a nice chat.
The other reason it's better: it's the weekend. Hooray!
Hope you enjoy your weekend wherever you are.
Stay tuned.
The other reason it's better: it's the weekend. Hooray!
Hope you enjoy your weekend wherever you are.
Stay tuned.
Friday, October 23, 2015
Whirlwind
The bad news just keeps coming. Dahey's cousin got diagnosed with a brain tumor. Flying by the seat of my pants. This month has flown by, too.
Stay tuned. More to come.
Stay tuned. More to come.
Monday, October 19, 2015
Halloween season scary
It's really scary when your best friend calls you up on the weekend and tells you her hubby can't get out of bed. He told her he could barely open a can of soda in the afternoon the day before.
The neuros found out what was wrong with him--late last night that he has GBS. One day you're reasonably healthy, just feel tired, and the next day, you're stinking sick.
Count your blessings folks. They're in for a scary ride, and unfortunately, it will last longer than Halloween.
The neuros found out what was wrong with him--late last night that he has GBS. One day you're reasonably healthy, just feel tired, and the next day, you're stinking sick.
Count your blessings folks. They're in for a scary ride, and unfortunately, it will last longer than Halloween.
Sunday, October 18, 2015
If it's time to celebrate an anniversary...
It's time for bedlam and mayhem here in the RehabRN household. Why, you ask? Let me count the ways...
On anniversary #1, Dahey and I had a wonderful hotel stay planned. On our way to the restaurant, we got locked in the parking garage. While we were at Chez Fancy, we got a call that WildDog was throwing up. (Crazy aunt left chocolates unattended while at church)
On anniversary #2, we got someone else's hotel room during that hotel stay. We got a new room on the side of the hotel where all the ambulances would speed by on their way to World Renown medical center.
On anniversary #3, while Bubba was a baby, and Dahey was returning from a TDY job out west, our sewer backed up in our basement. (Cause: random rug in storm sewer main.)
Frankly, I stopped counting after the first three. However, this year, since our celebration was delayed, obviously the mayhem was on hold until we celebrated at Old Restored Building's swanky restaurant. Before we went in, my best friend called to tell me her 40 something year old husband was weak Friday, but now could not walk, so what should she do. This nurse told her (and hubby) to get to the hospital pronto. She couldn't get him in her car, so she called an ambulance to take him and his interesting medical history to the nearest Saintarama hospital (where he normally goes). He's still there, awaiting a diagnosis as to why he cannot move his arms and legs. He passed all the usual guesses yesterday. Neuro hopefully will solve the mystery today.
And while I was savoring a delightful pot de creme, my brother Jethro, decided to call to tell me he was locked out of his apartment. He has a keypad to get in, but no key, and the batteries for the keypad were dead. Since there is no maintenance on site, I had to go over and provide my credit card so the locksmith could unlock his door.
Time to unlock: about 7 seconds. Cost $75. It took him longer to walk to the apartment than to unlock the door and run my credit card.
Alas, no matter when we celebrate, it's always something. Thankfully, Dahey puts up with it. Happy Anniversary.
On anniversary #1, Dahey and I had a wonderful hotel stay planned. On our way to the restaurant, we got locked in the parking garage. While we were at Chez Fancy, we got a call that WildDog was throwing up. (Crazy aunt left chocolates unattended while at church)
On anniversary #2, we got someone else's hotel room during that hotel stay. We got a new room on the side of the hotel where all the ambulances would speed by on their way to World Renown medical center.
On anniversary #3, while Bubba was a baby, and Dahey was returning from a TDY job out west, our sewer backed up in our basement. (Cause: random rug in storm sewer main.)
Frankly, I stopped counting after the first three. However, this year, since our celebration was delayed, obviously the mayhem was on hold until we celebrated at Old Restored Building's swanky restaurant. Before we went in, my best friend called to tell me her 40 something year old husband was weak Friday, but now could not walk, so what should she do. This nurse told her (and hubby) to get to the hospital pronto. She couldn't get him in her car, so she called an ambulance to take him and his interesting medical history to the nearest Saintarama hospital (where he normally goes). He's still there, awaiting a diagnosis as to why he cannot move his arms and legs. He passed all the usual guesses yesterday. Neuro hopefully will solve the mystery today.
And while I was savoring a delightful pot de creme, my brother Jethro, decided to call to tell me he was locked out of his apartment. He has a keypad to get in, but no key, and the batteries for the keypad were dead. Since there is no maintenance on site, I had to go over and provide my credit card so the locksmith could unlock his door.
Time to unlock: about 7 seconds. Cost $75. It took him longer to walk to the apartment than to unlock the door and run my credit card.
Alas, no matter when we celebrate, it's always something. Thankfully, Dahey puts up with it. Happy Anniversary.
Thursday, October 15, 2015
Technical difficulties, please stand by
This is the story of my life. Had I not lived one already in tech, I'd be crying every night. One step forward, two steps back. This place isn't the 'market leader' it used to be...at least not at the Hotel.
Contemplating a different sort of rehab spot for the future if this doesn't get any better. I tell myself everyday I'll give our new boss one year in the job before I move, but at the rate it's going, I may just move early (like him/her, hate the BS).
To be continued...
Contemplating a different sort of rehab spot for the future if this doesn't get any better. I tell myself everyday I'll give our new boss one year in the job before I move, but at the rate it's going, I may just move early (like him/her, hate the BS).
To be continued...
Tuesday, October 13, 2015
Fun things to argue about at work
1. What exactly happens when someone coughs up a nasty trach plug? Is it sputum or gastric contents?
2. If you can't tell the difference in #1, should they let you graduate as a nurse practitioner? I probably p*$s% off our NP student, but last time I checked, lungs should not (regularly) contain gastric contents.
3. What does no really mean in any language (pick several, but we're all speaking English--American, anyway--here)? When you refuse to see my patients (or in our local speak: decline) and say no, I take it to mean, NO you will not see them. Yes, there is a communication gap here.
Sorry if you don't like what your boss says to you after that when I tell him/her. Not exactly my problem. If I could write orders for what the patient wanted, I'd be practicing medicine, not being a nurse.
The color of the sky, football teams, and crabby patients are all up next. We'll see how the week progresses.
Stay tuned.
2. If you can't tell the difference in #1, should they let you graduate as a nurse practitioner? I probably p*$s% off our NP student, but last time I checked, lungs should not (regularly) contain gastric contents.
3. What does no really mean in any language (pick several, but we're all speaking English--American, anyway--here)? When you refuse to see my patients (or in our local speak: decline) and say no, I take it to mean, NO you will not see them. Yes, there is a communication gap here.
Sorry if you don't like what your boss says to you after that when I tell him/her. Not exactly my problem. If I could write orders for what the patient wanted, I'd be practicing medicine, not being a nurse.
The color of the sky, football teams, and crabby patients are all up next. We'll see how the week progresses.
Stay tuned.
Friday, October 9, 2015
So glad
TGIF! A long weekend awaits with Dahey and Bubba. I can't wait. It's been far too long.
It was an exciting week. Dahey returned from TDY. Hallelujah! I have a backup for the soon-to-be teenager who needs a parent pal sometimes. I love Bubba, but Momma needs a break! The boys are already planning their next adventure to the movies for The Martian.
We survived the inspection, but maybe, after a few of these, I'm becoming jaded. Some of the things they asked us has very little bearing on nursing. I like to consider myself informed, but I had no idea about some of the stuff they asked. Happily, most of my other colleagues in the department felt the same.
Happily, we saw a few patients and got some work done. Since we've had a few exciting things happen lately, I've gotten to put on my research hat. One of our patients seemed sick but really had a anteroapical MI on our acute unit. Diagnosing an MI in a spinal cord injury patient, or one with diminshed sensation due to stroke, brain injury, etc., can be challenging.
I learn something new every day. Another one of our patients had issues being intubated so the doctors elected to do awake airway intubation for his/her surgery. It was very interesting to me to watch the staff who participated in this video below.
Hope you enjoy your weekend, long or short, wherever you may be!
It was an exciting week. Dahey returned from TDY. Hallelujah! I have a backup for the soon-to-be teenager who needs a parent pal sometimes. I love Bubba, but Momma needs a break! The boys are already planning their next adventure to the movies for The Martian.
We survived the inspection, but maybe, after a few of these, I'm becoming jaded. Some of the things they asked us has very little bearing on nursing. I like to consider myself informed, but I had no idea about some of the stuff they asked. Happily, most of my other colleagues in the department felt the same.
Happily, we saw a few patients and got some work done. Since we've had a few exciting things happen lately, I've gotten to put on my research hat. One of our patients seemed sick but really had a anteroapical MI on our acute unit. Diagnosing an MI in a spinal cord injury patient, or one with diminshed sensation due to stroke, brain injury, etc., can be challenging.
I learn something new every day. Another one of our patients had issues being intubated so the doctors elected to do awake airway intubation for his/her surgery. It was very interesting to me to watch the staff who participated in this video below.
Hope you enjoy your weekend, long or short, wherever you may be!
Wednesday, October 7, 2015
Rooting for the underdog
I was perusing a bunch of online articles after another exciting day stirring the pot (and seeing patients) at the Hotel, when I saw this article that struck me. It's title: Fat Guy Across America.
He started over 500 lbs and is heading out to see America. And there's an interesting back story along the way.
I hate smoking and the horrible things that come with it (not the smoker). I've had to work with people who were far too sick because of those "coffin nails" as one of my relatives calls them.
Here's hoping he stops by the Great American Smokeout and makes it all the way across the country.
If you're going to set goals, sometimes you gotta go big.
Stay tuned...
He started over 500 lbs and is heading out to see America. And there's an interesting back story along the way.
I hate smoking and the horrible things that come with it (not the smoker). I've had to work with people who were far too sick because of those "coffin nails" as one of my relatives calls them.
Here's hoping he stops by the Great American Smokeout and makes it all the way across the country.
If you're going to set goals, sometimes you gotta go big.
Stay tuned...
Tuesday, October 6, 2015
I'm glad they're not my bosses
When you come out of a meeting and want to scream, it's not always good.
When people come to a meeting with an agenda on their yearly visit, it's always interesting. Either, I'm getting better at it, or the inspectors are becoming more transparent.
Needless to say, when they complain about things that are absolutely crazy, my lack of poker face showed.
So glad MY boss wasn't there at that meeting.
More to come.
When people come to a meeting with an agenda on their yearly visit, it's always interesting. Either, I'm getting better at it, or the inspectors are becoming more transparent.
Needless to say, when they complain about things that are absolutely crazy, my lack of poker face showed.
So glad MY boss wasn't there at that meeting.
More to come.
Inspection day
Yet again, it's that time of year. Why they decided to come back early: didn't like coming in the snow (truth). Ugh!
I really need to take two weeks of vacation at a time next year. Glad I got to rest up for this one.
Stay tuned...
I really need to take two weeks of vacation at a time next year. Glad I got to rest up for this one.
Stay tuned...
Sunday, October 4, 2015
Fun, fun, fun
So much fun on my last day of vacation. Visited my sister, went to lunch with Bubba, got his favorite treats, saw a new art exhibit and went to a local history museum, which had a new exhibit on one of my favorite things: coffee, and included samples.
Life is good. Here's hoping next week is good as that cold brew they served (freaking amazing).
More to come...
Life is good. Here's hoping next week is good as that cold brew they served (freaking amazing).
More to come...
It's almost over...
But we won't stop enjoying what we have left of the weekend and of my vacation, darn it!
Bubba and I had a great time out and about in our aunt's neighborhood. It was a food truck fest and a charity concert, headed up by my favorite police captain (and the power point/satire master) Cap'n Ned. Cap'n Ned and I worked together nearly two decades ago (kind of scary) in MegaBurg, way before any of the niceties were added all around town, such as the cool amphitheatre.
Cap'n Ned's own band headed up the concert, and they had a U2 tribute band as the headliner. It was fun watching folks from many generations up there dancing in front of us. It was also homecoming in the neighboring towns, and since the MegaBurg park is scenic, we saw dozens of kids (and parents) walking by dressed up and taking pictures. A couple of times, they timed their parades to song lyrics that talked about young'uns being places they shouldn't...which made for some hysterical video clips.
Bubba even got ME up there and dancing to the U2 tribute band, but with all the smoke from the stage, cold air, and other assorted pollutants (this was outside), I thought I would have an asthma attack and require paramedic attention (because, of course, I never figured I'd need to bring my inhaler along). I sat out. Consequently, Bubba danced his heart out and had a blast, while I watched from the second row.
We spent money, Bubba got his pic taken with some famous football cheerleaders and bought a calendar they had, since proceeds went to their charity for fallen first responders. He had a grand old time, and so did I, spending some time in my old workplace of MegaBurg, marveling at all the good that's come there, and talking to old friends I don't see nearly enough.
So, we'll be off on our day soon, to make some more memories today. Stay tuned.
Bubba and I had a great time out and about in our aunt's neighborhood. It was a food truck fest and a charity concert, headed up by my favorite police captain (and the power point/satire master) Cap'n Ned. Cap'n Ned and I worked together nearly two decades ago (kind of scary) in MegaBurg, way before any of the niceties were added all around town, such as the cool amphitheatre.
Cap'n Ned's own band headed up the concert, and they had a U2 tribute band as the headliner. It was fun watching folks from many generations up there dancing in front of us. It was also homecoming in the neighboring towns, and since the MegaBurg park is scenic, we saw dozens of kids (and parents) walking by dressed up and taking pictures. A couple of times, they timed their parades to song lyrics that talked about young'uns being places they shouldn't...which made for some hysterical video clips.
Bubba even got ME up there and dancing to the U2 tribute band, but with all the smoke from the stage, cold air, and other assorted pollutants (this was outside), I thought I would have an asthma attack and require paramedic attention (because, of course, I never figured I'd need to bring my inhaler along). I sat out. Consequently, Bubba danced his heart out and had a blast, while I watched from the second row.
We spent money, Bubba got his pic taken with some famous football cheerleaders and bought a calendar they had, since proceeds went to their charity for fallen first responders. He had a grand old time, and so did I, spending some time in my old workplace of MegaBurg, marveling at all the good that's come there, and talking to old friends I don't see nearly enough.
So, we'll be off on our day soon, to make some more memories today. Stay tuned.
Thursday, October 1, 2015
Planes, trains and automobiles, NOLA version
It was the best of times, it was the worst of times. It was only 24 hours, but darned, it was so good. I felt the pangs of frustration of Steve Martin, the screaming kids, the shuttle that was crammed with folks, but it was really amazing.
Our shuttle driver gave tips on some of the best things to do (and most importantly, eat) in New Orleans. I promptly made my way to Central Grocery to try out their muffaletta, and I made it, just before they closed. On the way back, I ate dessert first: beignets with cafe au lait at Cafe du Monde. My other culinary adventure was to Acme Oyster House, while I was roaming around Bourbon Street before I left. You can't beat an oyster poboy! (NOTE: I don't eat raw oysters, so try it if you are not a fan of these runny bivalve mollusks. They are delicious fried!)
While I was in the neighborhood, I fulfilled a mission: I went back to the French Market and got the silver pendant I figured I didn't need two years ago to go with the earrings I bought to remember the Crescent City.
Coming home I met a nice lady from another conference at our hotel. She worked for a very famous beauty company, and picked up my tab for the cab ride. Thank you Angela! Will definitely buy your products at the store!
The rest of my trip included a layover, but since the massage shop was too busy, I opted for a salty summer brew, then I talked to some fun folks at the airport's Starbucks. And listened to live music in the terminal.
I attended the meeting and longed to stay for the awesome conference I went to last year, but family comes first. I went home to get Bubba and he was happy. He got an awesome trumpet T-shirt souvenir to replace the one he grew out of, and a good one to wear for Mardi Gras this year.
I can't wait to go back and hang out among the many rehab nurses again. It's always a blast. See you all in Philly next year.
Stay tuned...vacation is never dull.
Our shuttle driver gave tips on some of the best things to do (and most importantly, eat) in New Orleans. I promptly made my way to Central Grocery to try out their muffaletta, and I made it, just before they closed. On the way back, I ate dessert first: beignets with cafe au lait at Cafe du Monde. My other culinary adventure was to Acme Oyster House, while I was roaming around Bourbon Street before I left. You can't beat an oyster poboy! (NOTE: I don't eat raw oysters, so try it if you are not a fan of these runny bivalve mollusks. They are delicious fried!)
While I was in the neighborhood, I fulfilled a mission: I went back to the French Market and got the silver pendant I figured I didn't need two years ago to go with the earrings I bought to remember the Crescent City.
Coming home I met a nice lady from another conference at our hotel. She worked for a very famous beauty company, and picked up my tab for the cab ride. Thank you Angela! Will definitely buy your products at the store!
The rest of my trip included a layover, but since the massage shop was too busy, I opted for a salty summer brew, then I talked to some fun folks at the airport's Starbucks. And listened to live music in the terminal.
I attended the meeting and longed to stay for the awesome conference I went to last year, but family comes first. I went home to get Bubba and he was happy. He got an awesome trumpet T-shirt souvenir to replace the one he grew out of, and a good one to wear for Mardi Gras this year.
I can't wait to go back and hang out among the many rehab nurses again. It's always a blast. See you all in Philly next year.
Stay tuned...vacation is never dull.
Sunday, September 27, 2015
On ICD-10
It's so nice to know, if I ever have a patient playing a trumpet during his/her appointment, I can use this ICD-10 code:
Y93J4 Activity, winds and brass instrument playing
Or my other favorite, if you go to Hawaii and get attacked by a macaw, there are plenty of ways to describe it:
W6111XA Bitten by macaw, initial encounter
W6111XD Bitten by macaw, subsequent encounter
W6111XS Bitten by macaw, sequela
W6112XA Struck by macaw, initial encounter
W6112XD Struck by macaw, subsequent encounter
W6112XS Struck by macaw, sequela
W6119XA Other contact with macaw, initial encounter
W6119XD Other contact with macaw, subsequent encounter
W6119XS Other contact with macaw, sequela
Hope your ICD-10 transition goes smoothly.
Y93J4 Activity, winds and brass instrument playing
Or my other favorite, if you go to Hawaii and get attacked by a macaw, there are plenty of ways to describe it:
W6111XA Bitten by macaw, initial encounter
W6111XD Bitten by macaw, subsequent encounter
W6111XS Bitten by macaw, sequela
W6112XA Struck by macaw, initial encounter
W6112XD Struck by macaw, subsequent encounter
W6112XS Struck by macaw, sequela
W6119XA Other contact with macaw, initial encounter
W6119XD Other contact with macaw, subsequent encounter
W6119XS Other contact with macaw, sequela
Hope your ICD-10 transition goes smoothly.
Saturday, September 26, 2015
Everything IS great
It's vacation. And it IS approved. All I ever wanted, especially after the crazy week I've had.
Here's hoping for nothing crazy or any weird snacks. See you next month!
Here's hoping for nothing crazy or any weird snacks. See you next month!
Thursday, September 24, 2015
An obituary for Yogi
There is much sadness these days for all the baseball fans here in RehabLand. While we are far away from New York City, many mourn one the passing of the last great characters in baseball, Lawrence Peter "Yogi" Berra, the pride of the Yankees.
Here in the wilds of the middle of America, it ain't proper to like anything coastal. "Them people are strange" is a comment that is not uncommon. In the villages, towns and small cities, baseball is the life of summer. People come out, see neighbors, and have a good time.
Yogi, however, was someone people could identify with in RehabLand. He was a son of immigrants who grew up in St. Louis, MO and never forgot where he came from. He was tough and never let people's impression of him become his destiny. Beneath that smiling, crinkly face was a sharp guy with an eye for baseball, and how to navigate it successfully.
In later years, Ron Guidry wrote a book about going to spring training with him. I highly recommend it. It's a fun book to read.
It really wasn't over, 'til it was over, and what a life it was. Thank you Yogi for giving us a lot of smiles and excitement watching our national past time. You will be missed.
Here in the wilds of the middle of America, it ain't proper to like anything coastal. "Them people are strange" is a comment that is not uncommon. In the villages, towns and small cities, baseball is the life of summer. People come out, see neighbors, and have a good time.
Yogi, however, was someone people could identify with in RehabLand. He was a son of immigrants who grew up in St. Louis, MO and never forgot where he came from. He was tough and never let people's impression of him become his destiny. Beneath that smiling, crinkly face was a sharp guy with an eye for baseball, and how to navigate it successfully.
In later years, Ron Guidry wrote a book about going to spring training with him. I highly recommend it. It's a fun book to read.
It really wasn't over, 'til it was over, and what a life it was. Thank you Yogi for giving us a lot of smiles and excitement watching our national past time. You will be missed.
Tuesday, September 22, 2015
The answer: send someone a letter
I had a day yesterday that (again) questioned my faith in the leadership of the Hotel at the very tip top. The root cause: BS plain and simple.
How in Hades do we have people (with credit to do so) purchase equipment, tell everyone "go out and get some patients to use it" then suddenly drop it? This happens (of course) once you get the ninnies at your location to buy in. When asked late last week, when I went to order and couldn't find a gadget available, I got an e-mail that said "Well, we don't know if we'll have money next year to continue this" as some very valuable pieces of equipment sit unused on people's desks throughout the system as a totem of "Look what I have..this cool gadget!" As such, these "gadgets" which are really FDA approved health care tools, do nothing for patients.
I know they work. Some of my patients have them. I got them through a loophole, which I willingly followed policy and procedure TO THE LETTER to get. They are making a difference in the lives of these people. I see it on a regular basis. Some of our people were back and forth to the Hotel several times in a year. Guess what? One character hasn't been back in six months (and counting). Another is over four months and we haven't readmitted him/her.
When I asked our technical gurus (who have way more experience with this sort of shenanigans) what I should do, the answer was "write a letter to someone who can do something about it". The consequences of doing that, could very well cost me my job.
But after years of waiting, working, busting butt for things that turn to vapor, I'm just about there.
Will be writing, editing, and thinking very carefully this week about that very thing...
Stay tuned.
How in Hades do we have people (with credit to do so) purchase equipment, tell everyone "go out and get some patients to use it" then suddenly drop it? This happens (of course) once you get the ninnies at your location to buy in. When asked late last week, when I went to order and couldn't find a gadget available, I got an e-mail that said "Well, we don't know if we'll have money next year to continue this" as some very valuable pieces of equipment sit unused on people's desks throughout the system as a totem of "Look what I have..this cool gadget!" As such, these "gadgets" which are really FDA approved health care tools, do nothing for patients.
I know they work. Some of my patients have them. I got them through a loophole, which I willingly followed policy and procedure TO THE LETTER to get. They are making a difference in the lives of these people. I see it on a regular basis. Some of our people were back and forth to the Hotel several times in a year. Guess what? One character hasn't been back in six months (and counting). Another is over four months and we haven't readmitted him/her.
When I asked our technical gurus (who have way more experience with this sort of shenanigans) what I should do, the answer was "write a letter to someone who can do something about it". The consequences of doing that, could very well cost me my job.
But after years of waiting, working, busting butt for things that turn to vapor, I'm just about there.
Will be writing, editing, and thinking very carefully this week about that very thing...
Stay tuned.
Sunday, September 20, 2015
Wheels of change
The construction still continues. Our administrative leader is optimistic it will be done early. It helps when our folks get early finish bonuses.
I run back and forth, round and round in the interim. I found out last week, when I went to get something ordered for a patient, that the item I was looking for wasn't available to order. It makes me wonder if I'll even be able to do the things my management wants, if I don't have equipment.
Dahey hopes his TDY duty will be done before Halloween. The fun aspect has worn off. He wants to come home. Bubba and I had a pretty good weekend. We roamed around town and even saw a hot air balloon land in one of the local parks. It was unscheduled, so all the kids in the neighborhood came out. (We were driving by, and went to look). We even fixed a fancy meal he planned and that went well, even though he could have done more work.
More motivation and fun this week. Stay tuned!
I run back and forth, round and round in the interim. I found out last week, when I went to get something ordered for a patient, that the item I was looking for wasn't available to order. It makes me wonder if I'll even be able to do the things my management wants, if I don't have equipment.
Dahey hopes his TDY duty will be done before Halloween. The fun aspect has worn off. He wants to come home. Bubba and I had a pretty good weekend. We roamed around town and even saw a hot air balloon land in one of the local parks. It was unscheduled, so all the kids in the neighborhood came out. (We were driving by, and went to look). We even fixed a fancy meal he planned and that went well, even though he could have done more work.
More motivation and fun this week. Stay tuned!
Thursday, September 17, 2015
Nurses unite
It's kind of funny when you think about it. About three million of the nation's most trusted profession labor in relative obscurity day in and day out.
All of a sudden a bunch of ladies on morning talk show get catty about the Miss America pageant. They diss a nurse AND boom! Social media mayhem!
It probably wasn't a good idea. You know, pissing off the people who wipe your backside when you're ill and can't, who make sure you don't lie in that excrement and get contact dermatitis, or worse, a pressure ulcer (since if you can't clean yourself up, you may not move either) is not a good thing.
So in light of some of the nurses who proclaimed nursing as their talents, here's mine (minus the video).
You know, I've been you. I've been on the outside. I've wondered, "How in the heck can someone say nursing is a talent?" Nursing requires a lot of skill. You have to know what you are doing to keep people alive, perform procedures and to document a lot of stuff, so your hospital gets paid.
But alas, after more than a decade living in the "real world" a couple of nurses said, "You know, you ought to think about being a nurse." And after having a kid, going to business school and working in the business world, I thought, "Why not?" So I went to nursing school and learned skills and went out, got a license and started on my way. And by the way, nursing school was a LOT harder than business school!
However, on the floors and in the rehab centers, you find out skills will only take you so far. Anyone can get skills. You have to put it all together and hustle and some days, when all the planets align, the supplies are there, everyone is on time to therapy, you high five and patients are happy. And other days, no one wants to get up, important stuff is missing, patients crash, you are exhausted and you cry.
Handling it all with grace, compassion and all those skills really is a talent. Because we're not taking care of a balance sheet, we're taking care of people.
So yes, after almost a decade as a nurse, I'm ready to say, nursing really is my talent, too.
Kelley Johnson: I'm with you--stethoscope, scrubs and all. No matter what our costume may be, providing excellent, clinically competent care as a caring nurse is a part of the ensemble that's never out of style.
All of a sudden a bunch of ladies on morning talk show get catty about the Miss America pageant. They diss a nurse AND boom! Social media mayhem!
It probably wasn't a good idea. You know, pissing off the people who wipe your backside when you're ill and can't, who make sure you don't lie in that excrement and get contact dermatitis, or worse, a pressure ulcer (since if you can't clean yourself up, you may not move either) is not a good thing.
So in light of some of the nurses who proclaimed nursing as their talents, here's mine (minus the video).
You know, I've been you. I've been on the outside. I've wondered, "How in the heck can someone say nursing is a talent?" Nursing requires a lot of skill. You have to know what you are doing to keep people alive, perform procedures and to document a lot of stuff, so your hospital gets paid.
But alas, after more than a decade living in the "real world" a couple of nurses said, "You know, you ought to think about being a nurse." And after having a kid, going to business school and working in the business world, I thought, "Why not?" So I went to nursing school and learned skills and went out, got a license and started on my way. And by the way, nursing school was a LOT harder than business school!
However, on the floors and in the rehab centers, you find out skills will only take you so far. Anyone can get skills. You have to put it all together and hustle and some days, when all the planets align, the supplies are there, everyone is on time to therapy, you high five and patients are happy. And other days, no one wants to get up, important stuff is missing, patients crash, you are exhausted and you cry.
Handling it all with grace, compassion and all those skills really is a talent. Because we're not taking care of a balance sheet, we're taking care of people.
So yes, after almost a decade as a nurse, I'm ready to say, nursing really is my talent, too.
Kelley Johnson: I'm with you--stethoscope, scrubs and all. No matter what our costume may be, providing excellent, clinically competent care as a caring nurse is a part of the ensemble that's never out of style.
Monday, September 14, 2015
The missing piece
Dear Social Studies Teacher:
I'm so glad I spent a lot of time dealing with this country in my other life. I've been there several times and visited just about every provincial capital. I can tell you all sorts of things and can answer 90% of the questions on this assignment with my eyes closed and one hand behind my back.
However there is no way I can help Bubba identify weather patterns on Map B and C if said maps are not included with the rest of the worksheets.
I may have a pretty good memory for trivia, but no idea on weather maps.
Please send them home and Bubba will complete them tomorrow.
Sincerely yours,
RehabRN
Bubba's personal secretary (aka Mom)
I'm so glad I spent a lot of time dealing with this country in my other life. I've been there several times and visited just about every provincial capital. I can tell you all sorts of things and can answer 90% of the questions on this assignment with my eyes closed and one hand behind my back.
However there is no way I can help Bubba identify weather patterns on Map B and C if said maps are not included with the rest of the worksheets.
I may have a pretty good memory for trivia, but no idea on weather maps.
Please send them home and Bubba will complete them tomorrow.
Sincerely yours,
RehabRN
Bubba's personal secretary (aka Mom)
Sunday, September 13, 2015
Homework
Bubba's been getting homework after I decided to go online and find some reading materials appropriate for his situation.
Here are a couple of the ones I picked:
They are entertaining, and only time will tell if they really stick. Gotta start somewhere.
Here are a couple of the ones I picked:
- Dude, That's Rude (Get some manners) by Pamela Espeland & Elizabeth Verdick
- Speak and Get Along! Learn the Mighty Might, Thought Chop and More tools to make friends, stop teasing and feel good about yourself by Scott Cooper
They are entertaining, and only time will tell if they really stick. Gotta start somewhere.
Friday, September 11, 2015
TGIF (aka counting the days)
This has been a busy, crazy post-holiday week. I'm so happy it's over. I'm adjusting to my new home at work by floating. I have equipment that allows me to work all over the Hotel, so I'm taking advantage of it.
The volunteers are nice, but the real dust-stirrers this week are the construction guys, but thankfully, the dust is contained. They are drilling stuff in our building (which is also being repaired for settling). If you didn't have a headache when you got to work, you might have one when you leave.
Bubba decided to give me a headache. He got in trouble. I got a call from the principal and now he'll be on in-school suspension for two days. He opens his mouth and inserts foot a lot. He is very filterless sometimes, and the think it-close the mouth-let it go mode doesn't always work with him. He is also not yet the master of the double entendre. I am baffled why my child has to be punny at school when the education system has zero tolerance for anything.
It's not as easy as when I was a kid. If you said the wrong thing, the nun (or other teacher) gave you the dope slap.
You never did it again.
So happy it's the weekend! Hope you enjoy wherever you may be!
The volunteers are nice, but the real dust-stirrers this week are the construction guys, but thankfully, the dust is contained. They are drilling stuff in our building (which is also being repaired for settling). If you didn't have a headache when you got to work, you might have one when you leave.
Bubba decided to give me a headache. He got in trouble. I got a call from the principal and now he'll be on in-school suspension for two days. He opens his mouth and inserts foot a lot. He is very filterless sometimes, and the think it-close the mouth-let it go mode doesn't always work with him. He is also not yet the master of the double entendre. I am baffled why my child has to be punny at school when the education system has zero tolerance for anything.
It's not as easy as when I was a kid. If you said the wrong thing, the nun (or other teacher) gave you the dope slap.
You never did it again.
So happy it's the weekend! Hope you enjoy wherever you may be!
Wednesday, September 9, 2015
Best laid plans
Oh, it wasn't Monday, it was the day after a holiday and I could tell. People who were gone all week this week are buried on their return to the Hotel. (Yes, vacation is nice, and so is having that extra day until you return).
I hoped to get one of our patients set up for a clinic visit. I was greeted by the gentleman who waters the plants in my temporary home. "Don't get him upset" was what one of my coworkers said.
It's nice to know the volunteers rate higher than the actual employees here. Did I want to be in "his space"? No. Do I work here? Yes. Do I rate higher as an employee trying to do my job in a temporary location? I should! I take care of ALL my assigned patients, not just the plant guy.
Unfortunately, I'm not the only refugee in the building. Our boss has decided to move one of my cohorts, too. He/she is not happy.
To top off my day, I was working with a patient and found out he got his new stuff from the Hotel to work with us. He just needed to download one little thing. We also found out (in doing our test) that the one little thing was discontinued...on Labor Day. Ugh! Glad he can use his adaptive equipment in other ways, just not for what we intended.
Time to go to Plan B....stay tuned.
I hoped to get one of our patients set up for a clinic visit. I was greeted by the gentleman who waters the plants in my temporary home. "Don't get him upset" was what one of my coworkers said.
It's nice to know the volunteers rate higher than the actual employees here. Did I want to be in "his space"? No. Do I work here? Yes. Do I rate higher as an employee trying to do my job in a temporary location? I should! I take care of ALL my assigned patients, not just the plant guy.
Unfortunately, I'm not the only refugee in the building. Our boss has decided to move one of my cohorts, too. He/she is not happy.
To top off my day, I was working with a patient and found out he got his new stuff from the Hotel to work with us. He just needed to download one little thing. We also found out (in doing our test) that the one little thing was discontinued...on Labor Day. Ugh! Glad he can use his adaptive equipment in other ways, just not for what we intended.
Time to go to Plan B....stay tuned.
Monday, September 7, 2015
Forever grateful
I am happy to be off work today, especially since I thought I was going to be wearing a cast on my dominant arm. Let's just say walking up hills and wearing certain footwear is hazardous. (I wasn't going far, so I thought I was immune). Nevertheless, after a quick trip for an x-ray and eval, I found out, I was scraped, sore and suffering from a really bad bone bruise between the bones of my arm.
I raise my glass today in honor of those who have come before us, who died and were disabled on the job to give honor to a hard day's work.
The honorable today includes all of you: nurses in the EDs, in the ORs, in the rehab units, in the clinics, in the every inpatient, outpatient, consultant and administrative role.
Your work is honorable and I salute you! Happy Labor Day wherever you are.
I raise my glass today in honor of those who have come before us, who died and were disabled on the job to give honor to a hard day's work.
The honorable today includes all of you: nurses in the EDs, in the ORs, in the rehab units, in the clinics, in the every inpatient, outpatient, consultant and administrative role.
Your work is honorable and I salute you! Happy Labor Day wherever you are.
Thursday, September 3, 2015
One minute slow...
Another one fast. My days are numbered in my current lair. The construction guys are coming to tear up my part of the SU.
I'll be a refugee for the next month, roaming around to see patients at bedside.
Which is not always a bad thing...stay tuned.
I'll be a refugee for the next month, roaming around to see patients at bedside.
Which is not always a bad thing...stay tuned.
Clueless
Dear Therapist:
I understand your job is to do therapeutic crafts with patients in your clinic.
I don't appreciate it when you leave said patients unsupervised in the area I'm supposed to work and they make such a mess that it will take another two days of housekeeping to clear the air enough so I can breathe again.
Yes, it is a pain that I'm in this space you claim as your own but it's temporary. You only have 4000 square feet elsewhere plus another 3000 of storage. There's only about 400 square feet here free that I can use due to thejunk, er, craft supplies.
Remember nurses take care of the health part of health and wellness in rehab, and if the air's contaminated where I'm supposed to work, I won't be healthy enough to take care of patients.
I'm going to take the high road on this one, but if it gets ugly, I assure you, I'll make sure you don't forget it.
Wishing you many clues,
Sincerely,
RehabRN
I understand your job is to do therapeutic crafts with patients in your clinic.
I don't appreciate it when you leave said patients unsupervised in the area I'm supposed to work and they make such a mess that it will take another two days of housekeeping to clear the air enough so I can breathe again.
Yes, it is a pain that I'm in this space you claim as your own but it's temporary. You only have 4000 square feet elsewhere plus another 3000 of storage. There's only about 400 square feet here free that I can use due to the
Remember nurses take care of the health part of health and wellness in rehab, and if the air's contaminated where I'm supposed to work, I won't be healthy enough to take care of patients.
I'm going to take the high road on this one, but if it gets ugly, I assure you, I'll make sure you don't forget it.
Wishing you many clues,
Sincerely,
RehabRN
Sunday, August 30, 2015
Off into indigo
RIP Oliver Sacks. You made us see the beauty in life, death, transition, and quirkiness.
Anniversary, it is...
But a happy one? Not exactly.
This weekend is the anniversary of Hurricane Katrina wreaking havoc in New Orleans and along the Gulf Coast. It has gone on record as one of the deadliest natural disasters in US history.
We should learn a few things though.
1. No matter where you are, you should have an emergency plan. Yes, my plan's not the best, but I am fortunate, that most of the time, I work close enough to walk home if anything happened here in RehabLand. Bubba is close to home at school and we have some basic supplies on hand.
Don't forget your desk/locker/car trunk. You can store some basics in there too, just in case.
2. Figure it will take three days to get help. We are fortunate that a lot of important public services are less than a mile from us, but we still stay ready. When it's time to evacuate, you need to evacuate.
However, there are happy things. Very soon, in September, many rehab professionals will descend on the Crescent City (or the Big Easy) for their annual conferences. If you are there, and are free, I'd highly recommend one or both (ASCIP for all you SCI nurses or professionals and/or the Annual ARN conference, for any rehab nurse). New Orleans is a pretty city with lots of history and delicious treats. Don't miss it.
Who knows...maybe I'll even see you there. Stay tuned!
This weekend is the anniversary of Hurricane Katrina wreaking havoc in New Orleans and along the Gulf Coast. It has gone on record as one of the deadliest natural disasters in US history.
We should learn a few things though.
1. No matter where you are, you should have an emergency plan. Yes, my plan's not the best, but I am fortunate, that most of the time, I work close enough to walk home if anything happened here in RehabLand. Bubba is close to home at school and we have some basic supplies on hand.
Don't forget your desk/locker/car trunk. You can store some basics in there too, just in case.
2. Figure it will take three days to get help. We are fortunate that a lot of important public services are less than a mile from us, but we still stay ready. When it's time to evacuate, you need to evacuate.
However, there are happy things. Very soon, in September, many rehab professionals will descend on the Crescent City (or the Big Easy) for their annual conferences. If you are there, and are free, I'd highly recommend one or both (ASCIP for all you SCI nurses or professionals and/or the Annual ARN conference, for any rehab nurse). New Orleans is a pretty city with lots of history and delicious treats. Don't miss it.
Who knows...maybe I'll even see you there. Stay tuned!
Thursday, August 27, 2015
Dear Manglement
Yes, it is rough when no one wants to do your job. With guaranteed bonuses taken away because your performance sucked last year, yes, I really do feel for you.
It's terrible to come into work and be coddled with free snacks, coffee, etc., and your own reserved parking space at our multiple locations. I'm not really surprised with your recent actions of not notifying the campus here at Madison regarding security events, since you have a stellar track record to uphold.
Even though, RPIA, our former chief nurse, (and the rest of you who are still left) knew we were under a bomb threat at our Washington location one beautiful March day, you didn't "bother" anyone to pass that info along, because, "You know, the police will handle it." It was nice of you all to evacuate the building, just in case with RPIA.
Yesterday, we figured something was up when our retired veteran air traffic controller patient noticed an odd helicopter pattern down the street near a strip mall after therapy. He and Mr. Z., another patient who is a retired police officer made a few phone calls. As usual, no one bothered to notify us peons at the Hotel that a strong armed robbery occurred just a few blocks away and the helicopter pattern was due to the police tracking the suspect.
Just remember...we take care of those who take care of us. You might not like the next patient satisfaction (or employee) survey.
Sincerely not,
RehabRN
It's terrible to come into work and be coddled with free snacks, coffee, etc., and your own reserved parking space at our multiple locations. I'm not really surprised with your recent actions of not notifying the campus here at Madison regarding security events, since you have a stellar track record to uphold.
Even though, RPIA, our former chief nurse, (and the rest of you who are still left) knew we were under a bomb threat at our Washington location one beautiful March day, you didn't "bother" anyone to pass that info along, because, "You know, the police will handle it." It was nice of you all to evacuate the building, just in case with RPIA.
Yesterday, we figured something was up when our retired veteran air traffic controller patient noticed an odd helicopter pattern down the street near a strip mall after therapy. He and Mr. Z., another patient who is a retired police officer made a few phone calls. As usual, no one bothered to notify us peons at the Hotel that a strong armed robbery occurred just a few blocks away and the helicopter pattern was due to the police tracking the suspect.
Just remember...we take care of those who take care of us. You might not like the next patient satisfaction (or employee) survey.
Sincerely not,
RehabRN
Wednesday, August 26, 2015
Dear Social Media Darling
Dear SMD:
It's nice of you to come back to the Hotel after your last momentous visit when you yelled, threw punches and screamed at a large contingent of staff. It really is hard to expect a Hotel, because after all, we are really a hospital.
Posting your latest set of grievances on social media won't help.
We will be professional and do our jobs, but if you're looking for warm and fuzzy, there are plenty of pets available down the street at the local animal shelter.
Here's hoping this visit is more pleasant than everyone is expecting.
Yours professionally,
RehabRN
It's nice of you to come back to the Hotel after your last momentous visit when you yelled, threw punches and screamed at a large contingent of staff. It really is hard to expect a Hotel, because after all, we are really a hospital.
Posting your latest set of grievances on social media won't help.
We will be professional and do our jobs, but if you're looking for warm and fuzzy, there are plenty of pets available down the street at the local animal shelter.
Here's hoping this visit is more pleasant than everyone is expecting.
Yours professionally,
RehabRN
Sunday, August 23, 2015
Chicken, little, and Chicken Little
It seems like chicken (or various fowl) are a big part of the menu for Bubba. He's working on getting stronger and has been reading nutrition sites about eating properly and the importance of proteins, such as chicken.
And when I was minding my own business watching a retro TV show, the Streets of San Francisco, I saw a Chicken Little-esque commercial.
Life really was so much simpler then.
And when I was minding my own business watching a retro TV show, the Streets of San Francisco, I saw a Chicken Little-esque commercial.
Life really was so much simpler then.
Wednesday, August 19, 2015
Sadness
Back to school is full of newness and possibilities. Lots of kids with new clothes, school supplies, and meeting new friends.The school year shouldn't have kids getting shot. Kids trying to do better than their best while doing their homework.
It's just not right. We must stop killing each other.
More later...
It's just not right. We must stop killing each other.
More later...
Saturday, August 15, 2015
The best things in life
Some are free, some not so much.
It's been a fun week. Bubba started seventh grade. He's happy enough, but wishes more of his friends were in his classes (only half of the classes contain at least one friend, which according to Bubba will make them "very boring.").
The school district here in RehabLand is having budget cuts this year. I always know which teachers talk about them (the ones most affected). It's very interesting. There won't be any intramural sports this year, so we have to find Bubba a boys' volleyball league he can play in. He is set on trying out for v-ball in high school, so we must prepare. This will be interesting. He may have to get on a girls team.
So today, we hung out, did homework and we had fun. We went to a local hamburger joint that's been around for ages. It's a tiny place (counter serves 10 people on each side) that makes their own root beer. We got a burger, fries and root beer. It was fun. One item crossed off the bucket list.
Since that wasn't enough calories, we decided to go to a local creamery known for it's oddball flavors. Bubba got one called Cookie Monster. It had both Oreos and chocolate chip cookie dough in it. I got old reliable double chocolate, which was amazing. Bubba was a little scared of the teenage girl population, so we sat on the same side as the ice cream scoopers.
All in all, it was fun hanging out with Bubba. These moments are priceless. I would not trade them for anything.
More to come...
It's been a fun week. Bubba started seventh grade. He's happy enough, but wishes more of his friends were in his classes (only half of the classes contain at least one friend, which according to Bubba will make them "very boring.").
The school district here in RehabLand is having budget cuts this year. I always know which teachers talk about them (the ones most affected). It's very interesting. There won't be any intramural sports this year, so we have to find Bubba a boys' volleyball league he can play in. He is set on trying out for v-ball in high school, so we must prepare. This will be interesting. He may have to get on a girls team.
So today, we hung out, did homework and we had fun. We went to a local hamburger joint that's been around for ages. It's a tiny place (counter serves 10 people on each side) that makes their own root beer. We got a burger, fries and root beer. It was fun. One item crossed off the bucket list.
Since that wasn't enough calories, we decided to go to a local creamery known for it's oddball flavors. Bubba got one called Cookie Monster. It had both Oreos and chocolate chip cookie dough in it. I got old reliable double chocolate, which was amazing. Bubba was a little scared of the teenage girl population, so we sat on the same side as the ice cream scoopers.
All in all, it was fun hanging out with Bubba. These moments are priceless. I would not trade them for anything.
More to come...
Wednesday, August 12, 2015
What not to do as a nurse, anniversary edition
Yes, I got the latest State Board of Nursing (BON) newsletter here in RehabLand, and it's never a dull moment. It's the anniversary edition because I found this sad anniversary from the NFL today. I'm not a big football fan, but I've worked with many patients like him.
Here are a few things to remember NOT to do as a nurse. Happy Graduation to the all the August grads!
1. Make sure your documentation is complete.
An advanced practice nurse was reported anonymously for regular and consistent documentation issues. He/she should have known better.
2. Don't come to work stoned/high on meth/drunk/sleepy.
It should be obvious, but too many people were listed in this issue for the above reasons. And as one person told the investigator, it really isn't "joyfully ironic" that you tested positive for two substances, either.
3. Know your basics about diabetes.
A school nurse was pulled out of a meeting to attend to a student with a blood sugar of 590 who was acting goofy. Student gets progressively worse. Does our school nurse dial 911? Of course not. He/she just called the parent, hung out, asked someone else to give the kid insulin.
Thankfully, a school administrator, without a license, but with a clue called 911. The nurse said he/she waited to call 911 because he/she was "confident" that the student would be okay. The kid was, eventually.
I'm so happy he/she doesn't work at Bubba's school.
4. Know the protocols in your state for IV push medications.
Here in RehabLand, it's defined by a state statute, which clearly says no to graduate nurses and LPNs except in life-threatening emergencies.
Guess what this wasn't? An emergency. And it wasn't the first time, either. (Your drug dispensing units keep really good records for narcs, kids).
5. Don't threaten your coworkers or other staff at your facility.
If you run out of leave, then threaten HR, your nurse manager and a couple of other staff nurses, they may not take you back. Said RN wanted to "find a cure for HIV" and "didn't want innocent people to get hurt."
Thankfully, the court issued restraining orders to keep said RN off medical center property AND the BON revoked his/her license.
That's all for now, folks. Enjoy your day wherever you are until our next installment.
Here are a few things to remember NOT to do as a nurse. Happy Graduation to the all the August grads!
1. Make sure your documentation is complete.
An advanced practice nurse was reported anonymously for regular and consistent documentation issues. He/she should have known better.
2. Don't come to work stoned/high on meth/drunk/sleepy.
It should be obvious, but too many people were listed in this issue for the above reasons. And as one person told the investigator, it really isn't "joyfully ironic" that you tested positive for two substances, either.
3. Know your basics about diabetes.
A school nurse was pulled out of a meeting to attend to a student with a blood sugar of 590 who was acting goofy. Student gets progressively worse. Does our school nurse dial 911? Of course not. He/she just called the parent, hung out, asked someone else to give the kid insulin.
Thankfully, a school administrator, without a license, but with a clue called 911. The nurse said he/she waited to call 911 because he/she was "confident" that the student would be okay. The kid was, eventually.
I'm so happy he/she doesn't work at Bubba's school.
4. Know the protocols in your state for IV push medications.
Here in RehabLand, it's defined by a state statute, which clearly says no to graduate nurses and LPNs except in life-threatening emergencies.
Guess what this wasn't? An emergency. And it wasn't the first time, either. (Your drug dispensing units keep really good records for narcs, kids).
5. Don't threaten your coworkers or other staff at your facility.
If you run out of leave, then threaten HR, your nurse manager and a couple of other staff nurses, they may not take you back. Said RN wanted to "find a cure for HIV" and "didn't want innocent people to get hurt."
Thankfully, the court issued restraining orders to keep said RN off medical center property AND the BON revoked his/her license.
That's all for now, folks. Enjoy your day wherever you are until our next installment.
Saturday, August 8, 2015
Ah, memories!
I was reading online and found a link to these NCLEX questions. The scenarios are the "what would you do" management ones. I love those.
For fun I decided to read them, and see how they'd be answered at the Hotel. The selected questions are located at this link: http://www.rnpedia.com/practice-exams/nclex-exam/nclex-practice-exam-management-care
Here's what would happen (or has happened) at the Hotel for the ones I selected. See if your place of employment is the same.
Remember nursing students: you have to answer as if you work at NCLEX Hospital, not at the Hotel or your current hospital. Your mileage may vary, but you'll get the answer right.
1. RE: substance abuse/unfit to work We've had our share of people who shouldn't come to work for a number of reasons. Frankly, I'm all about sending them home if they don't need to be there. Unfortunately, some of my coworkers, do not feel the same way, and contribute to everyone else doing double work so someone else isn't "found out".
Can you say "dysfunctional family"? I knew you could.
7. RE: abuse complaints. Please, please, please don't call the police FIRST, young'uns. I've seen this one in person and the manager ended up leaving and one of our students was basically run off the unit, because he/she did not use common sense.
Assess, mitigate, and notify your chain of command first.
8. RE: dates and patients. Yes, I do tell them it's inappropriate to ask me, a married woman, out on a date, psych or not. I'm here doing a job, which does not include interviewing the next Bachelor/Bachelorette candidates.
9. RE: client calling out asking for help all the time. This is great information, but good luck implementing it, if you don't have a cooperative crew. I remember many a night when some of my evening characters constantly badgered me (and often the rest of the staff) no matter what I told them.
Just remember: dementia and sundowner folks will keep you hopping on evening shift, kids. Don't forget: evenings do get quiet and dark, and that's when things like to fall apart.
11. RE: the surgeon and the chart. Remember: just say no. If he's on your facility medical provider list, he can look for himself. If he chooses to do so (which violates hospital policy in a great many places), it will be logged and he'll have some 'splainin' to do as Ricky Ricardo used to say.
15. RE: visiting hours. Here again, is another example of using common sense. If your family is quiet, calm and respectful, it makes this easier. Model it and they'll do it, too.
Don't be a Nurse Ratched. Taking care of the patient and his/her family (and well-being) really IS your job, no matter when visiting hours are.
For fun I decided to read them, and see how they'd be answered at the Hotel. The selected questions are located at this link: http://www.rnpedia.com/practice-exams/nclex-exam/nclex-practice-exam-management-care
Here's what would happen (or has happened) at the Hotel for the ones I selected. See if your place of employment is the same.
Remember nursing students: you have to answer as if you work at NCLEX Hospital, not at the Hotel or your current hospital. Your mileage may vary, but you'll get the answer right.
1. RE: substance abuse/unfit to work We've had our share of people who shouldn't come to work for a number of reasons. Frankly, I'm all about sending them home if they don't need to be there. Unfortunately, some of my coworkers, do not feel the same way, and contribute to everyone else doing double work so someone else isn't "found out".
Can you say "dysfunctional family"? I knew you could.
7. RE: abuse complaints. Please, please, please don't call the police FIRST, young'uns. I've seen this one in person and the manager ended up leaving and one of our students was basically run off the unit, because he/she did not use common sense.
Assess, mitigate, and notify your chain of command first.
8. RE: dates and patients. Yes, I do tell them it's inappropriate to ask me, a married woman, out on a date, psych or not. I'm here doing a job, which does not include interviewing the next Bachelor/Bachelorette candidates.
9. RE: client calling out asking for help all the time. This is great information, but good luck implementing it, if you don't have a cooperative crew. I remember many a night when some of my evening characters constantly badgered me (and often the rest of the staff) no matter what I told them.
Just remember: dementia and sundowner folks will keep you hopping on evening shift, kids. Don't forget: evenings do get quiet and dark, and that's when things like to fall apart.
11. RE: the surgeon and the chart. Remember: just say no. If he's on your facility medical provider list, he can look for himself. If he chooses to do so (which violates hospital policy in a great many places), it will be logged and he'll have some 'splainin' to do as Ricky Ricardo used to say.
15. RE: visiting hours. Here again, is another example of using common sense. If your family is quiet, calm and respectful, it makes this easier. Model it and they'll do it, too.
Don't be a Nurse Ratched. Taking care of the patient and his/her family (and well-being) really IS your job, no matter when visiting hours are.
Wednesday, August 5, 2015
You can survive
I tell myself this every day. I can survive.
Why? Because, yes, I can survive sitting in a conference for 2-4 hours per day this week, because this conference is talking about where we are going. I'm hoping with a little nudge, we can get people to make the push to see it happen.
I stop what I'm doing because people need me. I'm not turning someone away because I'm in the middle of this. If they bothered to knock, they needed something. I can survive five minutes of missing presentation time.
One of our old timers came by to tell me his wife is getting frail and he needs help. Finding the people who can get that help to him is important. The help will assure that he survives.
I just wish my arm would stop hurting. I pulled something in it doing my exercises tonight. I will survive and hopefully, it will feel better tomorrow.
Kickboxing awaits.
Stay tuned.
Why? Because, yes, I can survive sitting in a conference for 2-4 hours per day this week, because this conference is talking about where we are going. I'm hoping with a little nudge, we can get people to make the push to see it happen.
I stop what I'm doing because people need me. I'm not turning someone away because I'm in the middle of this. If they bothered to knock, they needed something. I can survive five minutes of missing presentation time.
One of our old timers came by to tell me his wife is getting frail and he needs help. Finding the people who can get that help to him is important. The help will assure that he survives.
I just wish my arm would stop hurting. I pulled something in it doing my exercises tonight. I will survive and hopefully, it will feel better tomorrow.
Kickboxing awaits.
Stay tuned.
Monday, August 3, 2015
Back from vacation
Yes, it's always an experience returning to work from vacation. Thankfully, I missed all the excitement of the surprise Joint Commission visit, and the visit from some local VIPs.
Monday was meeting day. I started in one, did my regular rounds, then got trapped in another one, and found out this meeting fun won't end until Thursday. I am so happy that I don't have too many patients scheduled, since I'd have to work them around all these meetings.
At one of these meetings, a doctor presenting talked about how we have to make modern medicine fit the requirements of the Hippocratic Oath. Lots of changes are coming, so reviewing this classic does make things interesting.
I have a feeling this week will fly by, so stay tuned!
Monday was meeting day. I started in one, did my regular rounds, then got trapped in another one, and found out this meeting fun won't end until Thursday. I am so happy that I don't have too many patients scheduled, since I'd have to work them around all these meetings.
At one of these meetings, a doctor presenting talked about how we have to make modern medicine fit the requirements of the Hippocratic Oath. Lots of changes are coming, so reviewing this classic does make things interesting.
I have a feeling this week will fly by, so stay tuned!
Friday, July 31, 2015
Dear Parent Scheduler
It's really nice to see that you can send and read e-mail. I've noticed something lately,though, of which you should be aware. If you notify the guy who MAKES the schedule two weeks beforehand, he won't schedule your kids to participate in the service on the weeks you are busy.
I know it works because I've told him each time we go on vacation, and Bubba isn't scheduled that weekend. Problem solved.
I know that means all of us on the mailing list won't know EXACTLY where C and J and your family are going on vacation, or dance competitions, or band recitals, but we will just have to live with seeing you every so often on the weekends, so we can ask about you in person.
Hope you enjoy trying it out.
Pleasant journeys (and you don't need to tell me about them, if you don't want).
Sincerely,
RehabRN
I know it works because I've told him each time we go on vacation, and Bubba isn't scheduled that weekend. Problem solved.
I know that means all of us on the mailing list won't know EXACTLY where C and J and your family are going on vacation, or dance competitions, or band recitals, but we will just have to live with seeing you every so often on the weekends, so we can ask about you in person.
Hope you enjoy trying it out.
Pleasant journeys (and you don't need to tell me about them, if you don't want).
Sincerely,
RehabRN
Thursday, July 30, 2015
Vacation: the inevitable
It's not close, but vacation will end. I know it. I still have a ton of things to do. Even if I were off for a month, I'm sure I'd harbor some regret for what didn't get done around the house, but I'm doing my best.
I continue to work on getting the outdoor work done: packing up yard waste for pickup, cutting down and mowing stuff. I haven't mowed in years, and yes, I have the mosquito bites to prove it (despite everything, they love me).
Bubba decided he really didn't want to go to the CityPark pool again with camp, so since he crashed into another kid yesterday and got a huge bump on his head, I decided to keep him home. The camp forced me: they called in panic mode yesterday and made me pick him up. It worked out well that I told Dahey where I was going, because they called him at work when I didn't answer and he had to find me at the movie theatre where I was trying to be a grown up and watching a grown up movie (Amy, the documentary on Amy Winehouse). Luckily, there weren't too many other folks around (and I was able to get a voucher to come again).
Since Bubba was on sick leave, and I'm on vacation, we went on a placid stroll in town at the gardens, then we went to lunch and had cupcakes. He even went to a local house featured on Ghost Adventures. Thankfully, he was sufficiently scared by some of the stuff he saw for sale in the gift shop, that we won't be going back.
Now, I just have to take him to a boy movie (Ant Man) instead of Dahey. We're going to an interesting old theatre, and this time, I'll make sure to leave the phone on vibrate, just in case.
Stay tuned.
I continue to work on getting the outdoor work done: packing up yard waste for pickup, cutting down and mowing stuff. I haven't mowed in years, and yes, I have the mosquito bites to prove it (despite everything, they love me).
Bubba decided he really didn't want to go to the CityPark pool again with camp, so since he crashed into another kid yesterday and got a huge bump on his head, I decided to keep him home. The camp forced me: they called in panic mode yesterday and made me pick him up. It worked out well that I told Dahey where I was going, because they called him at work when I didn't answer and he had to find me at the movie theatre where I was trying to be a grown up and watching a grown up movie (Amy, the documentary on Amy Winehouse). Luckily, there weren't too many other folks around (and I was able to get a voucher to come again).
Since Bubba was on sick leave, and I'm on vacation, we went on a placid stroll in town at the gardens, then we went to lunch and had cupcakes. He even went to a local house featured on Ghost Adventures. Thankfully, he was sufficiently scared by some of the stuff he saw for sale in the gift shop, that we won't be going back.
Now, I just have to take him to a boy movie (Ant Man) instead of Dahey. We're going to an interesting old theatre, and this time, I'll make sure to leave the phone on vibrate, just in case.
Stay tuned.
Wednesday, July 29, 2015
RehabRN's Book Club: Summer vacation edition
No, I did not just pick up any old trashy romance novel at the airport newsstand. I actually went to the library (my favorite place to pick up books). Here's what's made it to the reading list this vacation week.
1. The Power of Less by Leo Baubauta. What's my favorite part of any book? Brevity and clarity. If it's short, I'll read it from cover to cover pretty quickly.
I wasn't quite able to sit down and just read it until it was done (as Dahey often does), but I did finish it today, and finishing any book in three days for me is a sprint.
Next on my list,
2. The Book of Joan by Melissa Rivers. Okay, it's as close to a trashy novel that I'll get. It's always interesting to hear what kids have to say about their celebrity parents, especially ones who were as famous as Joan Rivers.
Finally, for number 3, I always have Lewis Grizzard's Last Bus to Albuquerque on my night stand as my go to book. When I need some comic relief, I just pick a page, open it and start reading. I also start laughing and thinking that this interesting character has been gone for far too long. What would he think of the Kardashians and all the internet/Facebook/Twitter/Pinterest/Instagram world we live in?
More books are on order at the library, so stay tuned.
1. The Power of Less by Leo Baubauta. What's my favorite part of any book? Brevity and clarity. If it's short, I'll read it from cover to cover pretty quickly.
I wasn't quite able to sit down and just read it until it was done (as Dahey often does), but I did finish it today, and finishing any book in three days for me is a sprint.
Next on my list,
2. The Book of Joan by Melissa Rivers. Okay, it's as close to a trashy novel that I'll get. It's always interesting to hear what kids have to say about their celebrity parents, especially ones who were as famous as Joan Rivers.
Finally, for number 3, I always have Lewis Grizzard's Last Bus to Albuquerque on my night stand as my go to book. When I need some comic relief, I just pick a page, open it and start reading. I also start laughing and thinking that this interesting character has been gone for far too long. What would he think of the Kardashians and all the internet/Facebook/Twitter/Pinterest/Instagram world we live in?
More books are on order at the library, so stay tuned.
Tuesday, July 28, 2015
Vacation weekday 2: Cram session
How much maintenance can I cram into one day? Almost as much as I crammed into this weekend.
So far, I'm clutterbusting while the HVAC tech checked my air conditioning (it's hot as blazes here in RehabLand, so that's good), the bricklayer is here to work on the chimney and the other estimator will be here soon.
To be continued,,,
So far, I'm clutterbusting while the HVAC tech checked my air conditioning (it's hot as blazes here in RehabLand, so that's good), the bricklayer is here to work on the chimney and the other estimator will be here soon.
To be continued,,,
Monday, July 27, 2015
Vacation
All I ever wanted. Free and escaped from the Hotel for more than seven days. That alone is enjoyment!
To start off this week of merriment, Bubba and I hopped in the Family Truckster (not an actual truck, we call it the big fat Silver Bullet) for a whirlwind trip to Memphis. Thanks to the fine Friendly Neighborhood Tire Store, the Truckster was cleared for takeoff, tires rotated and balanced and away we went.
Dahey got some important correspondence (aka the check the boss said was in the mail since the fourth of July) late Friday, so we left at 0800, since we had to visit our friends at the local bank. After that business was transacted, with our special mix of candy in hand (Swedish fish, saltwater taffy and Jolly Ranchers included), we took our time driving down the highway.
Some people used to count Slug Bugs when I was a kid, but not anymore. Bubba decided to bring the iPad along when he got tired of counting dead armadillos (still not too common in RehabLand) and use up all of my high speed data for the month (luckily, that message didn't come until we were nearly home). Sadly, we noticed 10 armadillos who died on their way to meet Elvis.
Our trip was uneventful and we made decent time, so we decided to head straight for the night's lodging. I decided to try something different, as the captain and chief hotel steward: we went for glamour and fun. As a result, since Bubba wanted to go to see Memphis's favorite pandas, Ya Ya and Le Le, we figured we'd better see some other famous critters while we are there. The Zoo has packages where you can stay at the famous Peabody Hotel downtown and see the ducks, in addition to tickets to see their zoo.
We took them up on it, and had a blast. Bubba was roaming around in the terry cloth robe looking like a Rockefeller wannabe. Thankfully, he didn't drink any of the expensive water in the room ($7) or take the rubber duck toy package home (a mere $9.95 plus tax). He wanted to keep the robe, but at $50, he didn't want to part with his allowance he had saved. He was happy he had internet and the Travel Channel so he could watch Ghost Adventures.
However, we did leave the room. We are baseball fans, so who doesn't want to go out into a heat index of 106 and see Santa Claus? We did since it was Christmas in July at the ballpark. The players had an ugly sweater uniform (thankfully not wool), they played Christmas songs, and Kris Kringle himself was available for photos. Bubba looked funny and Santa had a good time holding his BBQ nachos (a park specialty). For a moment, I thought Santa might eat them.
The other bonus to the hotel proximity: no driving to and from the ballpark. This was especially appreciated, since I chose to indulge in a couple of cold frosties while I was there. Also, since it was so beastly hot, I made sure to have some iced water at the top of each inning. Bubba ate a huge snow cone, so that helped him, and neither of us got dehydrated. Thankfully, the home team won, and after the game was over, we had fireworks. It was a fun time, even though Bubba missed Dahey a lot.
On Sunday, we finally got to make one of Bubba's longtime dreams come true: he got to meet a panda. It wasn't like we expected (only one of two showed up in view), but he was happy he got his selfie with Ya Ya while she was behind the glass. Ya Ya must have had one heck of a Saturday night, because she slept right through our visit. As the keepers who do some education outside the exhibit mentioned, pandas like to eat, sleep and poop. We got a great view of the sleeping part. Maybe next time we'll see the rest.
Bubba was happy to hit the road, but he was hungry and nothing looked good at the zoo. Never fear, our kid loves barbecue and the sides that go with it. He has yet to find a place that doesn't have mac and cheese as a side, so we ordered that as a side for the trip. We got a slab of ribs plate for two to take home for our dinner. They were excellent!
All in all, we had a fun time on the road. Just wish Dahey could have been along for the ride. He was busy this weekend keeping an eye on a coworker wandering over the border in Tijuana.
Stay tuned. Vacation continues...
To start off this week of merriment, Bubba and I hopped in the Family Truckster (not an actual truck, we call it the big fat Silver Bullet) for a whirlwind trip to Memphis. Thanks to the fine Friendly Neighborhood Tire Store, the Truckster was cleared for takeoff, tires rotated and balanced and away we went.
Dahey got some important correspondence (aka the check the boss said was in the mail since the fourth of July) late Friday, so we left at 0800, since we had to visit our friends at the local bank. After that business was transacted, with our special mix of candy in hand (Swedish fish, saltwater taffy and Jolly Ranchers included), we took our time driving down the highway.
Some people used to count Slug Bugs when I was a kid, but not anymore. Bubba decided to bring the iPad along when he got tired of counting dead armadillos (still not too common in RehabLand) and use up all of my high speed data for the month (luckily, that message didn't come until we were nearly home). Sadly, we noticed 10 armadillos who died on their way to meet Elvis.
Our trip was uneventful and we made decent time, so we decided to head straight for the night's lodging. I decided to try something different, as the captain and chief hotel steward: we went for glamour and fun. As a result, since Bubba wanted to go to see Memphis's favorite pandas, Ya Ya and Le Le, we figured we'd better see some other famous critters while we are there. The Zoo has packages where you can stay at the famous Peabody Hotel downtown and see the ducks, in addition to tickets to see their zoo.
We took them up on it, and had a blast. Bubba was roaming around in the terry cloth robe looking like a Rockefeller wannabe. Thankfully, he didn't drink any of the expensive water in the room ($7) or take the rubber duck toy package home (a mere $9.95 plus tax). He wanted to keep the robe, but at $50, he didn't want to part with his allowance he had saved. He was happy he had internet and the Travel Channel so he could watch Ghost Adventures.
However, we did leave the room. We are baseball fans, so who doesn't want to go out into a heat index of 106 and see Santa Claus? We did since it was Christmas in July at the ballpark. The players had an ugly sweater uniform (thankfully not wool), they played Christmas songs, and Kris Kringle himself was available for photos. Bubba looked funny and Santa had a good time holding his BBQ nachos (a park specialty). For a moment, I thought Santa might eat them.
The other bonus to the hotel proximity: no driving to and from the ballpark. This was especially appreciated, since I chose to indulge in a couple of cold frosties while I was there. Also, since it was so beastly hot, I made sure to have some iced water at the top of each inning. Bubba ate a huge snow cone, so that helped him, and neither of us got dehydrated. Thankfully, the home team won, and after the game was over, we had fireworks. It was a fun time, even though Bubba missed Dahey a lot.
On Sunday, we finally got to make one of Bubba's longtime dreams come true: he got to meet a panda. It wasn't like we expected (only one of two showed up in view), but he was happy he got his selfie with Ya Ya while she was behind the glass. Ya Ya must have had one heck of a Saturday night, because she slept right through our visit. As the keepers who do some education outside the exhibit mentioned, pandas like to eat, sleep and poop. We got a great view of the sleeping part. Maybe next time we'll see the rest.
Bubba was happy to hit the road, but he was hungry and nothing looked good at the zoo. Never fear, our kid loves barbecue and the sides that go with it. He has yet to find a place that doesn't have mac and cheese as a side, so we ordered that as a side for the trip. We got a slab of ribs plate for two to take home for our dinner. They were excellent!
All in all, we had a fun time on the road. Just wish Dahey could have been along for the ride. He was busy this weekend keeping an eye on a coworker wandering over the border in Tijuana.
Stay tuned. Vacation continues...
Thursday, July 23, 2015
Stress relief
As many articles mention, stress can kill you. It can also have some nasty side effects, like weight gain, and depression.
What I've found lately are two things that help me deal with stress. One is quiet time. I have to have time to be quiet and reflect. It doesn't have to be a lot of time, I just need time. Most often, it's right before I go to sleep at night or if things get crazy at work, I just take five minutes to myself. Sometimes I have to hide to get those five minutes, but I know that if I have them, I will be able to keep myself on track.
I've also been exercising. The scale's not moving (probably because I've indulged) but I'm finally getting some definition back in my arms, legs and even abdominal area. I'm not lifting heavy weights, but I'm consistently exercising and doing strength training with cardiovascular exercise.
My favorite exercise class right now is cardio kickboxing. I believe it's a double duty exercise because it's a great way to relieve stress. All those stupid things people might say to me--BAM! The dirty looks--BAM! I box and kick it away.
So as my favorite t-shirt says, "Don't let the turkeys get you down." Reduce stress in your favorite, most constructive way, and take care of you.
You deserve it, and so does your family, friends, and even your irascible coworkers.
More later...
What I've found lately are two things that help me deal with stress. One is quiet time. I have to have time to be quiet and reflect. It doesn't have to be a lot of time, I just need time. Most often, it's right before I go to sleep at night or if things get crazy at work, I just take five minutes to myself. Sometimes I have to hide to get those five minutes, but I know that if I have them, I will be able to keep myself on track.
I've also been exercising. The scale's not moving (probably because I've indulged) but I'm finally getting some definition back in my arms, legs and even abdominal area. I'm not lifting heavy weights, but I'm consistently exercising and doing strength training with cardiovascular exercise.
My favorite exercise class right now is cardio kickboxing. I believe it's a double duty exercise because it's a great way to relieve stress. All those stupid things people might say to me--BAM! The dirty looks--BAM! I box and kick it away.
So as my favorite t-shirt says, "Don't let the turkeys get you down." Reduce stress in your favorite, most constructive way, and take care of you.
You deserve it, and so does your family, friends, and even your irascible coworkers.
More later...
Tuesday, July 21, 2015
Rain, rain, go away!
The weather magicians, er, meteorologists, haven't had much luck lately in the predictions department.
It's rained so much here in RehabLand, that the grass can't handle it any more. Neither can the trees.
I have to rethink my vacation plans and just get some wood and start building an ark.
More to come...
It's rained so much here in RehabLand, that the grass can't handle it any more. Neither can the trees.
I have to rethink my vacation plans and just get some wood and start building an ark.
More to come...
Sunday, July 19, 2015
So many things
I've had a lot of really diverse things going on. Is it busyness? Not really, just a lot of disruption to my regular routine.
Am I happy? I'm just rolling with the changes.
I'm working to get things done in my little world in the Hotel. Some things are incredible (technology IS nice) and some will be game changers for how we care for our patients. Many of these things have been done elsewhere, but no one's sharing a lot of info about how they did it. I'm trying to keep up with everything I can and make sure I avoid the potholes others have already run into on this road to modern health care.
My work has taken me out on the road--literally. That part has been fun. I've been out and about with staff I don't get to work with during my normal day.
I hope to write more in the next couple of weeks. I have some time to think. I can't wait.
I hope to see you again soon. Thanks for visiting. You are always welcome.
Stay tuned...
Am I happy? I'm just rolling with the changes.
I'm working to get things done in my little world in the Hotel. Some things are incredible (technology IS nice) and some will be game changers for how we care for our patients. Many of these things have been done elsewhere, but no one's sharing a lot of info about how they did it. I'm trying to keep up with everything I can and make sure I avoid the potholes others have already run into on this road to modern health care.
My work has taken me out on the road--literally. That part has been fun. I've been out and about with staff I don't get to work with during my normal day.
I hope to write more in the next couple of weeks. I have some time to think. I can't wait.
I hope to see you again soon. Thanks for visiting. You are always welcome.
Stay tuned...
Friday, July 10, 2015
The end of the week
This is almost the middle of July. I hear the siren song of summer, since here in RehabLand, Bubba and the other kids will be in school before Labor Day early in the morning (clutching pearls).
I have many warm memories of starting school in September (when it was still blasted hot) and one year, I dreaded going to school since my classroom was on the second floor. I was in fifth grade. I had horrendous headaches that year. I figured it was the ragweed (since all the windows were open way back when).
The Hotel was hopping this week, and so was I. I actually got to go out on a field trip. That part was fun. When I wasn't busy doing that, I was getting some groundbreaking work done. Since I volunteer for pilot projects (because our boss volunteers our department), I got to work with some new stuff. It was so cool to make care work anywhere! It also helps that the patients like it, too!
I'm going to stop here. It's time to relax and enjoy what I have of the weekend: housework and a little fun. Vacation is in sight. I can't wait.
Stay tuned!
I have many warm memories of starting school in September (when it was still blasted hot) and one year, I dreaded going to school since my classroom was on the second floor. I was in fifth grade. I had horrendous headaches that year. I figured it was the ragweed (since all the windows were open way back when).
The Hotel was hopping this week, and so was I. I actually got to go out on a field trip. That part was fun. When I wasn't busy doing that, I was getting some groundbreaking work done. Since I volunteer for pilot projects (because our boss volunteers our department), I got to work with some new stuff. It was so cool to make care work anywhere! It also helps that the patients like it, too!
I'm going to stop here. It's time to relax and enjoy what I have of the weekend: housework and a little fun. Vacation is in sight. I can't wait.
Stay tuned!
Saturday, July 4, 2015
Happy 4th!
For all of you celebrating US Independence Day, enjoy! For all of you working today, I wish you a boring night and a good view of the fireworks (if there are any in your neighborhood).
More later...
More later...
Monday, June 29, 2015
How you know it's Monday
Signs in the Hotel that it's Monday.
1. Patients are moving around. Can you say bed bingo? No one is where you expect them. I really wish Santa would have brought us private rooms instead of so many doubles (thank goodness triples fell out of vogue).
2. Coworkers get flat tires. Not one, but two of them. Craziness.
3. It rains yet again. I don't care if it's knee high by Saturday, it will get mowed when I don't have to go to work the next day.
4. You find things you don't need to see (or hear about) in the office photo copier, especially things that are not yours.
On we go with the rest of the week. Stay tuned.
1. Patients are moving around. Can you say bed bingo? No one is where you expect them. I really wish Santa would have brought us private rooms instead of so many doubles (thank goodness triples fell out of vogue).
2. Coworkers get flat tires. Not one, but two of them. Craziness.
3. It rains yet again. I don't care if it's knee high by Saturday, it will get mowed when I don't have to go to work the next day.
4. You find things you don't need to see (or hear about) in the office photo copier, especially things that are not yours.
On we go with the rest of the week. Stay tuned.
Friday, June 26, 2015
The weekend is here again
Next week is a short one. Dahey returns from his travels. We have a holiday.
Can you say stress? RehabRN hits the road to visit patients in their homes (I occasionally see patients with our super home care team) all by myself. Yes, I'm going in a company car and I'm a nervous wreck. I have to get to the farthest patient first, see the next one (who can be a curmudgeon) and see if I can get the last one in before that day is over, so I don't have to go through the "request a company car" thing all over again.
I admire all of you in home care who do 5-6 visits per day. I don't know how you do it.
However, it's now Friday night. I am off this weekend, which makes me incredibly happy. I'm not going to be stressed about getting ready. I'm just going to do what I can with what I have.
Hope you have a happy weekend too, wherever you are.
Can you say stress? RehabRN hits the road to visit patients in their homes (I occasionally see patients with our super home care team) all by myself. Yes, I'm going in a company car and I'm a nervous wreck. I have to get to the farthest patient first, see the next one (who can be a curmudgeon) and see if I can get the last one in before that day is over, so I don't have to go through the "request a company car" thing all over again.
I admire all of you in home care who do 5-6 visits per day. I don't know how you do it.
However, it's now Friday night. I am off this weekend, which makes me incredibly happy. I'm not going to be stressed about getting ready. I'm just going to do what I can with what I have.
Hope you have a happy weekend too, wherever you are.
Wednesday, June 24, 2015
2.7 billion ways
There are that many ways to say "oops!" I find it hard to believe that they just "discovered" this. Decimal points in the numbers do make a difference.
It would be nice to get what you need to do your job (i.e. supplies, etc.), but with an outfit like this, I wouldn't hold my breath.
Stay tuned. Another oops method can't be far away!
It would be nice to get what you need to do your job (i.e. supplies, etc.), but with an outfit like this, I wouldn't hold my breath.
Stay tuned. Another oops method can't be far away!
Tuesday, June 23, 2015
Little things
Lately, little things mean a lot, or little things can get on my nerves. I'm working hard to let the latter ones go.
Bubba waits for making decisions and it drives me crazy. I almost had a heart attack over him changing his mind about a field trip. I forgot important stuff and had to come back home before I could go to work. A little stop and check would have solved everything.
Some people get on my nerves at work. It might be their attitudes or habits or anything. I just think sometimes, it gets magnified. I am singing that song "Let it go" in my head a lot lately. I can't fix them, so I have to let it go. I'll let them fall on their faces first, because no matter what, they are right. Once they get scraped up, they'll get it.
It's time to live for the good little things, not the bad. Savor the good and let the bad ones go.
Bubba waits for making decisions and it drives me crazy. I almost had a heart attack over him changing his mind about a field trip. I forgot important stuff and had to come back home before I could go to work. A little stop and check would have solved everything.
Some people get on my nerves at work. It might be their attitudes or habits or anything. I just think sometimes, it gets magnified. I am singing that song "Let it go" in my head a lot lately. I can't fix them, so I have to let it go. I'll let them fall on their faces first, because no matter what, they are right. Once they get scraped up, they'll get it.
It's time to live for the good little things, not the bad. Savor the good and let the bad ones go.
Sunday, June 21, 2015
Saturday, June 20, 2015
Heartbroken
I just cannot believe it. One of my childhood friends asked me a while ago about getting another heart surgery. She had had several strokes in the past and wanted to get her problem fixed. I mentioned to her that ANY surgery is risky and to consider that in her plan. She agreed.
She went in for that surgery, and never came out. Her husband and four children, the youngest is Bubba's age (a preteen) are left behind.
She was almost 46 and a half years old. One year and months older than my own mother when she died.
The last time we saw each other was at a funeral for a relative of one of our classmates. We said we'd get together after she had some time to process her own loss. That time will never come.
I hugged Bubba tighter today. And tonight, I pray for all of them.
Hug your kids (and friends) today. You just never know...
She went in for that surgery, and never came out. Her husband and four children, the youngest is Bubba's age (a preteen) are left behind.
She was almost 46 and a half years old. One year and months older than my own mother when she died.
The last time we saw each other was at a funeral for a relative of one of our classmates. We said we'd get together after she had some time to process her own loss. That time will never come.
I hugged Bubba tighter today. And tonight, I pray for all of them.
Hug your kids (and friends) today. You just never know...
An unwanted visitor
Dear Brown Recluse Spider:
Hanging out in my shower is not good. Especially after I just spent an hour fighting with a lawn mower in heat and humidity, with grass stuck all over my lower extremities.
There is a reason why I wear heavy soled shoes. The only good spider (in my house) is a dead one.
Sorry (but not really, because I'm sure one of your relatives will come and take your place soon enough no matter how much I clean).
Sincerely not,
RehabRN
Hanging out in my shower is not good. Especially after I just spent an hour fighting with a lawn mower in heat and humidity, with grass stuck all over my lower extremities.
There is a reason why I wear heavy soled shoes. The only good spider (in my house) is a dead one.
Sorry (but not really, because I'm sure one of your relatives will come and take your place soon enough no matter how much I clean).
Sincerely not,
RehabRN
Thursday, June 18, 2015
On retirement of a dear friend
Dear Bette:
I'm so happy you're retiring. I know you are, too, even though you say it's bittersweet. Much of life often is, to remind us to be thankful. You've been through a lot the last few years, but you always smiled, even though, being sick often sucks. You were a trouper. It was my pleasure to work with you.
I'll miss you coming up to get coffee in the mornings and discussing all the interesting patients we'd see at the Hotel. You have the uncanny ability for people to trust you and tell you EVERYTHING, even things we didn't really want to know.
You made us realize that our folks are multidimensional people, and to only look at them from one side, was doing them a terrible disservice. Thank you. I know my practice changed from the time I spent working with you.
I will never forget your pioneering spirit, embracing new projects and treatment methods, and I'm sure the rest of the Hotel won't, either. (I promise I won't give your phone number out when some of those providers ask what you really think of those treatment methods, since you are an expert).
You hopefully, will be healthy and stress-free very soon, too, as you leave the hallowed Hotel halls soon for retirement.
I will miss you terribly, but I will never forget you. You are braver than any other person I know, and have given so much to me, our staff, and our patients with your presence.
Godspeed on the rest of your journey.
With warmest regards,
RehabRN
I'm so happy you're retiring. I know you are, too, even though you say it's bittersweet. Much of life often is, to remind us to be thankful. You've been through a lot the last few years, but you always smiled, even though, being sick often sucks. You were a trouper. It was my pleasure to work with you.
I'll miss you coming up to get coffee in the mornings and discussing all the interesting patients we'd see at the Hotel. You have the uncanny ability for people to trust you and tell you EVERYTHING, even things we didn't really want to know.
You made us realize that our folks are multidimensional people, and to only look at them from one side, was doing them a terrible disservice. Thank you. I know my practice changed from the time I spent working with you.
I will never forget your pioneering spirit, embracing new projects and treatment methods, and I'm sure the rest of the Hotel won't, either. (I promise I won't give your phone number out when some of those providers ask what you really think of those treatment methods, since you are an expert).
You hopefully, will be healthy and stress-free very soon, too, as you leave the hallowed Hotel halls soon for retirement.
I will miss you terribly, but I will never forget you. You are braver than any other person I know, and have given so much to me, our staff, and our patients with your presence.
Godspeed on the rest of your journey.
With warmest regards,
RehabRN
Wednesday, June 17, 2015
Learning every day
I tell my patients and other nurses that I learn something new every day. Lately, it's been very true. So many things in my life, at home and at work are precipitating the changes. I'm hoping they are all for the better.
While I'll never become a maternal/child nurse, I learned about STABLE the other day from one of my e-mail groups I belong to related to technology. This course is provided virtually for those nurses who are in rural areas who cannot attend in person, due to time or expense.
I'm learning more than I ever wanted to know about some new technologies. Just because it's expensive, doesn't always mean it will work. A long, arduous task was made harder. However, I shouldn't complain. I have a technical guy with a lot of history, who can figure out just about anything. I am extremely lucky.
I have to remind myself of that very fact, too. I am lucky to be able to learn so much.
More later...
While I'll never become a maternal/child nurse, I learned about STABLE the other day from one of my e-mail groups I belong to related to technology. This course is provided virtually for those nurses who are in rural areas who cannot attend in person, due to time or expense.
I'm learning more than I ever wanted to know about some new technologies. Just because it's expensive, doesn't always mean it will work. A long, arduous task was made harder. However, I shouldn't complain. I have a technical guy with a lot of history, who can figure out just about anything. I am extremely lucky.
I have to remind myself of that very fact, too. I am lucky to be able to learn so much.
More later...
Monday, June 15, 2015
Not just nice
Sometimes, it's necessary. Introducing yourself to the specialist who may be visiting your unit is not just a common (really uncommon) courtesy, it's important. Especially to your patient who needs him/her and his/her expertise.
Thank you Suzanne Gordon for reminding us of this very important fact.
Remember, look up and introduce yourself. Your patient is worth it (and so are you)!
Stay tuned.
Thank you Suzanne Gordon for reminding us of this very important fact.
Remember, look up and introduce yourself. Your patient is worth it (and so are you)!
Stay tuned.
If only...
A man loses 2/3 of his weight and needs necessary surgery to remove excess skin. This is the story of one of our Hotel patients.
Dressing this patient is a challenge. Even with a loss of half of his/her previous body weight, it's a challenge. Said patient needed a custom one of these to get up in a wheelchair (not to mention a bariatric chair). It was a challenge for staff to get it on him/her, but they figured it out.
Caring for bariatric patients is a necessary evil. Please be careful out there and use every piece of equipment and tool you have that is appropriate.
Your patient and the rest of the staff (and your back) will appreciate it.
More later...
Dressing this patient is a challenge. Even with a loss of half of his/her previous body weight, it's a challenge. Said patient needed a custom one of these to get up in a wheelchair (not to mention a bariatric chair). It was a challenge for staff to get it on him/her, but they figured it out.
Caring for bariatric patients is a necessary evil. Please be careful out there and use every piece of equipment and tool you have that is appropriate.
Your patient and the rest of the staff (and your back) will appreciate it.
More later...
Saturday, June 13, 2015
The agony and the ecstasy, part 31
These are themes I've seen over and over in my life and practice this week.
Agony:
Agony:
- Breaking very expensive equipment. Fibre optic cables that get stuck, then shatter in your hand and cut you as you're trying to gently extricate them. Ugh! I just hope the boss doesn't have a cow. Reported it already. Still terribly sad.
- Rousing the troops to no avail. Really? Not ONE of you could come to check this out? Yes, I know it was last-minute, but heaven forbid we do anything on a Friday. No one will show (unless it involves free food or money). Disclaimer: I did manage to grab two RNs from the floor wandering by, though. My remote site loved it.
- Get one thing fixed, break another. Thankfully, I'll be able to resolve this, but it will take a while.
- Dahey will be going on a TDY odyssey soon without Bubba and me. If we're lucky, we may be able to visit him before he leaves.
Ecstasy:
- Dr. EI will get his Christmas present (hopefully) by July. All the planets have aligned.
- I finally got into a pilot program which will get our site new, fancy equipment to take rehab and health care out to patients. YIPPEE! (Have waited a LONG time for this, too.)
- Things in this house are starting to come together. New paint adorns a few of the walls and will continue as Bubba and I get ready to tackle some of the easier rooms Dahey left for us.
- Planning a little vacation. Bubba will have another item on his "dreams come true" list complete this summer.
Stay tuned. It's never dull at the Hotel Rehab!
Wednesday, June 10, 2015
Dear paranoid relative
Thank you for travelling across the country, stopping in three different airports. It must have been not just physically, but mentally taxing.
Coming to our house was probably better than roaming around the airport. Yes, I did actually clean your room just before you arrived. I washed the linens that very day, so you'd have the fresh ones. (I also did this because I couldn't find the other ones I normally use, and decided these were good enough for your once a decade visits).
However, when you panic when we are out and about, on every choice of public restroom, I want to throttle you. Throttling a 50-something year old person in public is still not common here in RehabLand, unless you threw a punch at Dahey or said something obnoxious to me or the other ladies in the crowd.
That is all. The secret to life in a public restroom is wash your hands and use a paper towel to open the door. Pure and simple.
Hope you remember this the next time you visit and we take you out on the town.
Sincerely ('cause I'd hate to throttle you in public),
RehabRN
Coming to our house was probably better than roaming around the airport. Yes, I did actually clean your room just before you arrived. I washed the linens that very day, so you'd have the fresh ones. (I also did this because I couldn't find the other ones I normally use, and decided these were good enough for your once a decade visits).
However, when you panic when we are out and about, on every choice of public restroom, I want to throttle you. Throttling a 50-something year old person in public is still not common here in RehabLand, unless you threw a punch at Dahey or said something obnoxious to me or the other ladies in the crowd.
That is all. The secret to life in a public restroom is wash your hands and use a paper towel to open the door. Pure and simple.
Hope you remember this the next time you visit and we take you out on the town.
Sincerely ('cause I'd hate to throttle you in public),
RehabRN
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