It all started around 3AM. The front bringing the crazy weather showed up then and the migraine started. Nausea was next, and then the dizziness started. I got some meds and it got better, but the dizziness continued. Snow started at 5AM.
Took the cure for the dizziness and waited. Was still dizzy. Called in sick to the happy nursing supervisor, who did not sound thrilled. Texted my manager and he/she was cool. Went back to bed.
Wind blowing woke me up. Branches broke off trees in our yard. Dearest brother called to tell me his electric was out at his apartment complex. The complex needed assistance and so I called some local agencies via 211, since the staff there were busy making people lunch and running heaters to keep them warm. Electric Company gave no ETA on restoring power.
Went over to give him my battery backup so he could call and text if needed. Somewhere on trip, my windshield cracked. Another headache. Thankfully, the electric came on right after I was over there.
Now, my moody teenager (who was off school) is crabby.
I'm ready for Calgon to take me away, folks. Off I go...stay tuned for more later.
May your day be wonderful wherever you are.
Wednesday, February 24, 2016
Monday, February 22, 2016
Kids these days
I feel like an old lady reading this article, or perhaps, rightly so, like a person from another century. This is a non-nursing publication, but I hate to say this could have been about some folks (and some spots) at the Hotel.
I know startup companies (from reading, and hearing from my friend's kids who have one, not experience) often allow booze at work. That's not too shocking, probably because I did once work in an environment where we talked of imbibing all day, and we actually did it after work ("product testing").
However, who'd a thunk that you'd have to tell people not to have sex in public parts of your office building.
Different strokes. Ugh!
Stay tuned.
I know startup companies (from reading, and hearing from my friend's kids who have one, not experience) often allow booze at work. That's not too shocking, probably because I did once work in an environment where we talked of imbibing all day, and we actually did it after work ("product testing").
However, who'd a thunk that you'd have to tell people not to have sex in public parts of your office building.
Different strokes. Ugh!
Stay tuned.
Sunday, February 21, 2016
He WAS a hard working man
We always liked having R. around our place at the Hotel. No matter the task, whether visiting M., his wife (and our RN coworker) on the unit or fixing something broken, he was happy and smiling.
He was a good old boy who had a whole bushel basket of gifts. He was courteous, kind, and a whiz in the machine shop. Our volunteers were stunned when he fixed one of their pieces of equipment and got his staff to bring it back to life. It wasn't just better. It was amazing. In fact, they thought they got a new one.
Today I heard R. left us. He passed away too soon. Being retired for almost two years, he was doing fun stuff until he got sick.
I thought of him when I heard this song. And we at the Hotel mourn with his wife and family today. Yes, indeed, he was a hard working man.
RIP R., because you earned it.
He was a good old boy who had a whole bushel basket of gifts. He was courteous, kind, and a whiz in the machine shop. Our volunteers were stunned when he fixed one of their pieces of equipment and got his staff to bring it back to life. It wasn't just better. It was amazing. In fact, they thought they got a new one.
Today I heard R. left us. He passed away too soon. Being retired for almost two years, he was doing fun stuff until he got sick.
I thought of him when I heard this song. And we at the Hotel mourn with his wife and family today. Yes, indeed, he was a hard working man.
RIP R., because you earned it.
Friday, February 19, 2016
Why executives should proofread e-mails to staff
Dear Chief Executive:
Thanks again for taking time out of your busy day to send us a weekly update. I like that your updates aren't just boring old hospital numbers on admissions and outpatient visits, but include real stories.
I have to say, though, that your recent missive was one that will go down on the books as probably the most entertaining one we've had around here in years.
No, there were no inappropriate funny photos or jokes that could offend someone. There was just an inappropriate acronym (yes, I know we love them at the Hotel as much as anyone). Please remember: if we have an Iraq War veteran patient, most likely he has suffered as a result of an IED attack, not an AED attack.
We use those occasionally when our smokers fall out in the middle of the cafeteria (as you mentioned last week.)
Consider this your education session for this week. We just want you (and everyone else here at Madison) to feel safe when they see an AED in the hallway by the water fountain or near the ATM.
Sincerely (really!) yours,
RehabRN
Thanks again for taking time out of your busy day to send us a weekly update. I like that your updates aren't just boring old hospital numbers on admissions and outpatient visits, but include real stories.
I have to say, though, that your recent missive was one that will go down on the books as probably the most entertaining one we've had around here in years.
No, there were no inappropriate funny photos or jokes that could offend someone. There was just an inappropriate acronym (yes, I know we love them at the Hotel as much as anyone). Please remember: if we have an Iraq War veteran patient, most likely he has suffered as a result of an IED attack, not an AED attack.
We use those occasionally when our smokers fall out in the middle of the cafeteria (as you mentioned last week.)
Consider this your education session for this week. We just want you (and everyone else here at Madison) to feel safe when they see an AED in the hallway by the water fountain or near the ATM.
Sincerely (really!) yours,
RehabRN
Wednesday, February 17, 2016
Say amen, somebody!
It's Wednesday.
I made it through the RehabLand license office (to renew my license plates) in less than 15 minutes.
I survived the craziest day I've had in a while (thankfully, no one got sick, fell, or pulled a fire alarm).
I completed my first webinar for my advisor. It was a success.
Yippee! Now it's time for bed.
Stay tuned!
I made it through the RehabLand license office (to renew my license plates) in less than 15 minutes.
I survived the craziest day I've had in a while (thankfully, no one got sick, fell, or pulled a fire alarm).
I completed my first webinar for my advisor. It was a success.
Yippee! Now it's time for bed.
Stay tuned!
Friday, February 12, 2016
TGIF (for so many reasons)
Yes, I'm thankful it's Friday because I don't have to work on Monday. Happy long weekend to all of you fortunate enough to be able to celebrate our country's presidents Monday.
I have been doing research for another conference abstract (the story of my life lately) so I've managed to find some interesting articles, including this one on writing a good one. Some of these are even appropriate for the abstracts. Here are a few of the ones I found below.
While I'm not looking for a job right now, I try to keep my reference list up to date. This article talks about how to ask references the right questions to get good information on candidates. While I don't actually check the references, I have interviewed people. One of the folks I interviewed provided us a list of references to check. Surprisingly, the candidate's name and phone number was on his/her list. It gave me a chuckle, as the other interviewers didn't immediately pick up on this. This got said applicant in my "Interesting Interviews Hall of Fame".
The end of this week was sad, though. One of the national folks for our program died suddenly this past weekend just as he was getting ready to watch the Super Bowl. His team won, so despite everything, there were a few smiles knowing that. He was not old and it was not expected.
We found out that one of our coworkers has a family member with cancer. What makes it worse is that it's a child. Being new at the Hotel is crazy enough, then to have your family member have cancer is just awful.
These moments remind us all to be grateful for health. It's never guaranteed.
Until next time...
I have been doing research for another conference abstract (the story of my life lately) so I've managed to find some interesting articles, including this one on writing a good one. Some of these are even appropriate for the abstracts. Here are a few of the ones I found below.
While I'm not looking for a job right now, I try to keep my reference list up to date. This article talks about how to ask references the right questions to get good information on candidates. While I don't actually check the references, I have interviewed people. One of the folks I interviewed provided us a list of references to check. Surprisingly, the candidate's name and phone number was on his/her list. It gave me a chuckle, as the other interviewers didn't immediately pick up on this. This got said applicant in my "Interesting Interviews Hall of Fame".
The end of this week was sad, though. One of the national folks for our program died suddenly this past weekend just as he was getting ready to watch the Super Bowl. His team won, so despite everything, there were a few smiles knowing that. He was not old and it was not expected.
We found out that one of our coworkers has a family member with cancer. What makes it worse is that it's a child. Being new at the Hotel is crazy enough, then to have your family member have cancer is just awful.
These moments remind us all to be grateful for health. It's never guaranteed.
Until next time...
Wednesday, February 10, 2016
What not to do: February edition
Yes, the mail came...and the stories abound in RehabLand's Board of Nursing newsletter. Students, take note. These things noted below can cause you to lose your license.
1. Make up stuff
Making up visits, vital signs, or even, whether a dialysis machine works is not good. Can you say "fraud"? Fraud means fabricating the truth, whether it's in documentation or conversation.. The truth really is a good thing, and should be obvious in your work, so don't bother making up a bunch of tales that you have to remember.
2. Commit another felony
Yes, it is hard to get and keep a nursing job if you're convicted of a felony. This edition has some new ones: video voyeurism, tampering, and deviant sexual assault. Friends, do your self a favor: forget about felonies.
3. Forgetting to call
If you do have a drug problem, and you're required to call in, call. Don't forget 79 times. Call.
4. Appearance is everything
If your eyes are glassy and red, if you smell like you've been drinking, you may lose you license.
Stay tuned for our next edition. Never a dull moment!
1. Make up stuff
Making up visits, vital signs, or even, whether a dialysis machine works is not good. Can you say "fraud"? Fraud means fabricating the truth, whether it's in documentation or conversation.. The truth really is a good thing, and should be obvious in your work, so don't bother making up a bunch of tales that you have to remember.
2. Commit another felony
Yes, it is hard to get and keep a nursing job if you're convicted of a felony. This edition has some new ones: video voyeurism, tampering, and deviant sexual assault. Friends, do your self a favor: forget about felonies.
3. Forgetting to call
If you do have a drug problem, and you're required to call in, call. Don't forget 79 times. Call.
4. Appearance is everything
If your eyes are glassy and red, if you smell like you've been drinking, you may lose you license.
Stay tuned for our next edition. Never a dull moment!
Monday, February 8, 2016
One headache almost over...
Manglement sometimes gives me headaches. Like recently, when I asked nicely for my presentation to be approved.
Nope. The CNO says wait, so we all wait. No one knows why. I think CNO just did it because.
Thankfully, my presentation passed muster except for a very minor omission. I fixed it, now I just have to fly it by legal.
If all of the world were so easy to navigate, we'd all be sitting on the world's largest iceberg.
Here's wishing we have some global warming soon!
Stay tuned for our next exciting installment...
Nope. The CNO says wait, so we all wait. No one knows why. I think CNO just did it because.
Thankfully, my presentation passed muster except for a very minor omission. I fixed it, now I just have to fly it by legal.
If all of the world were so easy to navigate, we'd all be sitting on the world's largest iceberg.
Here's wishing we have some global warming soon!
Stay tuned for our next exciting installment...
Sunday, January 31, 2016
About me: an update
It's a new year, why not an updated about me? Would have been nice if Blogger would cooperate, so I did what nurses do and created my own workaround. Here goes:
A certain age registered nurse who works at the Hotel Rehab, caring for patients in a certified rehab facility in an undisclosed location. When I'm not busy being a nurse, I'm the wife of Dahey, and momma to Bubba, who's rapidly growing up and eating me out of house and home. We follow HIPAA, not HIPPO rules here, so it's really not about you, your mother, your friend's neighbor's cousin's friend, either. All portrayals, mashups, etc., are products of a very active mind. Thank you for visiting. Hope you enjoy your visit to my blog home.
A certain age registered nurse who works at the Hotel Rehab, caring for patients in a certified rehab facility in an undisclosed location. When I'm not busy being a nurse, I'm the wife of Dahey, and momma to Bubba, who's rapidly growing up and eating me out of house and home. We follow HIPAA, not HIPPO rules here, so it's really not about you, your mother, your friend's neighbor's cousin's friend, either. All portrayals, mashups, etc., are products of a very active mind. Thank you for visiting. Hope you enjoy your visit to my blog home.
Just because...
As I mentioned in the previous post, reading Atul Gawande's Being Mortal should be a must, wherever you are in health care. A doctor from a family of doctors with a hospice experience of his own was just another example from which we can learn. I stayed up late last night just to finish it.
Want to know how to get your medical records? It might be a perilous journey! Check out this post from HIStalk. You don't have to be a health care informatics genius to see how crazy this can be. You have rights. If you local hospital HIM department tramples them, be sure to contact the nice people responsible for enforcing HIPAA compliance.
Finally, I saw this link on a blog I read. I could not believe it; however, having been in an ER within the last few months, I do now wonder.
It's almost February, so you can guarantee, I will GoRedforWomen. This bad attitude has to stop.
More to come...enjoy the remaining moments of this weekend, wherever you are!
Want to know how to get your medical records? It might be a perilous journey! Check out this post from HIStalk. You don't have to be a health care informatics genius to see how crazy this can be. You have rights. If you local hospital HIM department tramples them, be sure to contact the nice people responsible for enforcing HIPAA compliance.
Finally, I saw this link on a blog I read. I could not believe it; however, having been in an ER within the last few months, I do now wonder.
It's almost February, so you can guarantee, I will GoRedforWomen. This bad attitude has to stop.
More to come...enjoy the remaining moments of this weekend, wherever you are!
Thursday, January 28, 2016
So eloquently said
While I haven't posted a RehabRN reading list lately, I'm still reading. Right now, I'm really getting into Atul Gawande's Being Mortal. It's a story about living, moving on, assisted living, aging and dying.
The stories are really vivid and I can just about picture the folks they are discussing in front of me.
There are so many things we need to learn about aging, death, and dying.
Stay tuned.
The stories are really vivid and I can just about picture the folks they are discussing in front of me.
There are so many things we need to learn about aging, death, and dying.
Stay tuned.
Wednesday, January 27, 2016
Sometimes I wonder
Why do specialists forget the basics? Wouldn't you expect your doctor to know the basics about flu, even if he/she were not an internist or primary care provider?
I really did want to bang my head into the large conference table as I explained to a patient (who was being evaluated for a specialty rehab program) the basics of caring for someone (grandchild) with the flu.
Said MD walked in and acted as if he/she was clueless to any of the guidelines. It's very handy that the Nursing department makes us do an in-service on flu EVERY year here at the Hotel.
I thought it was a little overkill, but having enough knowledge to explain to patients seems like something an MD might be able to do, too.
I'm just adding this to the crazy day list at the Hotel.
More later...
I really did want to bang my head into the large conference table as I explained to a patient (who was being evaluated for a specialty rehab program) the basics of caring for someone (grandchild) with the flu.
Said MD walked in and acted as if he/she was clueless to any of the guidelines. It's very handy that the Nursing department makes us do an in-service on flu EVERY year here at the Hotel.
I thought it was a little overkill, but having enough knowledge to explain to patients seems like something an MD might be able to do, too.
I'm just adding this to the crazy day list at the Hotel.
More later...
Tuesday, January 26, 2016
Tired
I haven't been shoveling snow like some of my friends on the East Coast, but the exercise routine is certainly guaranteeing that I sleep soundly at night.
In addition to that, I'm working on a few other projects at work. I have to see if the tests work. If they do, we will certainly have a great way to get things done and get our patients the care they need at home.
Looking forward to every day, even if I feel craggy and tired.
Stay tuned...
In addition to that, I'm working on a few other projects at work. I have to see if the tests work. If they do, we will certainly have a great way to get things done and get our patients the care they need at home.
Looking forward to every day, even if I feel craggy and tired.
Stay tuned...
Thursday, January 21, 2016
Snow day
Bubba was out of school. On the same day he became a teenager. Alone in a house with cupcakes, which made for some interesting text message conversations, complete with photos.
Alas, since nurses don't get snow days or much downtime (most of us, anyway), I went to work. It was quiet. By 0800, when the clinics are busiest, we barely had two people show up. Thank you RehabLand Snow Removal folks. You cleaned, but people forget how to drive when temperatures are low and the pavement refreezes. Slip and slide accidents were everywhere.
I kept busy. I had a few folks who couldn't come in call me, so I helped them with what I could over the phone. I stocked my rooms, I visited patients in their rooms. I did training, since it's that time of year for competency renewal.
After lunch, we started seeing more people in the Hotel. It never got to the usual levels, but a little variation in our routine was nice.
Hope you have time to breathe (and maybe even think) in your day today, wherever you are.
More later.
Alas, since nurses don't get snow days or much downtime (most of us, anyway), I went to work. It was quiet. By 0800, when the clinics are busiest, we barely had two people show up. Thank you RehabLand Snow Removal folks. You cleaned, but people forget how to drive when temperatures are low and the pavement refreezes. Slip and slide accidents were everywhere.
I kept busy. I had a few folks who couldn't come in call me, so I helped them with what I could over the phone. I stocked my rooms, I visited patients in their rooms. I did training, since it's that time of year for competency renewal.
After lunch, we started seeing more people in the Hotel. It never got to the usual levels, but a little variation in our routine was nice.
Hope you have time to breathe (and maybe even think) in your day today, wherever you are.
More later.
Tuesday, January 19, 2016
What happens when...
A patient comes up missing in your hospital? Do you call security? Do you knock on the door of the bathrooms or your rehab training room? Even at the Hotel, you're not supposed to lose patients.
No, you just complain about said patient because he/she never came out of the room. My office mate told me this story recently.
"Hmm." I told him/her. "I heard a story on the radio and I figured Patient R was discharged."
"What?" he/she says.
"Patient R was interviewed by a reporter at his/her house. Apparently, some nice neighbors did some stuff for him/her and they ended up on the 'Feel good news' segment on RehabLand's WXYZ's news."
Too bad no one had that channel turned on at the Hotel. It got lots of airplay recently. Must have been a slow news day.
Yesterday, I saw Patient R come back with the key to the training room. He/she apologized.
I just smiled.
Never a dull moment. Stay tuned for more interesting returns.
No, you just complain about said patient because he/she never came out of the room. My office mate told me this story recently.
"Hmm." I told him/her. "I heard a story on the radio and I figured Patient R was discharged."
"What?" he/she says.
"Patient R was interviewed by a reporter at his/her house. Apparently, some nice neighbors did some stuff for him/her and they ended up on the 'Feel good news' segment on RehabLand's WXYZ's news."
Too bad no one had that channel turned on at the Hotel. It got lots of airplay recently. Must have been a slow news day.
Yesterday, I saw Patient R come back with the key to the training room. He/she apologized.
I just smiled.
Never a dull moment. Stay tuned for more interesting returns.
Back to the grind
The polar vortex arrived in force yesterday. Bubba was out of school so we packed a lunch and visited our doctor (since he sometimes runs late). All went well and we actually got out earlier than expected.
I sat at my computer so long working on my PublicU presentation that I hurt last night. Oh, the back and other muscles should balk when I'm awake and have plenty of time to walk around.
Tuesdays after a holiday always seem like Mondays.
Oh, the excitement the day will bring.
Stay tuned...
I sat at my computer so long working on my PublicU presentation that I hurt last night. Oh, the back and other muscles should balk when I'm awake and have plenty of time to walk around.
Tuesdays after a holiday always seem like Mondays.
Oh, the excitement the day will bring.
Stay tuned...
Sunday, January 10, 2016
Monday's coming
I had a weekend that flew past too quickly. We had a brief snowstorm, then bone chilling cold.
No chance of a do-over. Monday's coming.
Ugh!
No chance of a do-over. Monday's coming.
Ugh!
Saturday, January 9, 2016
Changes
Yes, it's January, and everything changes, if you're on a calendar year cycle.
Health insurance changes for many people. I saw the first few people in my office looking for the department that handles that this week. How they get that deviated (we're not even close to the office they need to go to) is crazy.
One of my friends from my master's program received a pink slip right before Christmas. His/Her health care organization needed to stop spending money, so they just laid off everyone in his/her unit. The equation seems to be: if the company loses millions, the employees have to suffer.
I have thought about changing jobs at the Hotel for the last year or so, but I think, I've finally decided to give up on most anything posted on our jobs site. Our HR department may or may not be run by actual humans, because every job post I've responded to and gone to interviews (two so far) have not been anything like the job posted online. This job mentioned working from home and flexible hours. The first things they mentioned was that neither of those were true. Big red flags flew up and continued flapping in the breeze as my other favorite thing was uttered, "Oh, well, this isn't just a 40 hour a week job." To me, it sounds like a whole bunch of mandated overtime. Funny, that's what I thought it was, so thanks for clarifying that little detail.
As a result, I think if I want a new job, it will be outside the Hotel, and with a company that actually posts accurate job listings as not to waste my time and theirs (in this last interview, I spoke to the chief executive of that area, who had to make time for me) in my interview. When I think of the waste this was, I'm mad. Not just for me, but for him/her.
Happy weekend all! I'm going to enjoy it. Hope you do too, wherever you are.
Health insurance changes for many people. I saw the first few people in my office looking for the department that handles that this week. How they get that deviated (we're not even close to the office they need to go to) is crazy.
One of my friends from my master's program received a pink slip right before Christmas. His/Her health care organization needed to stop spending money, so they just laid off everyone in his/her unit. The equation seems to be: if the company loses millions, the employees have to suffer.
I have thought about changing jobs at the Hotel for the last year or so, but I think, I've finally decided to give up on most anything posted on our jobs site. Our HR department may or may not be run by actual humans, because every job post I've responded to and gone to interviews (two so far) have not been anything like the job posted online. This job mentioned working from home and flexible hours. The first things they mentioned was that neither of those were true. Big red flags flew up and continued flapping in the breeze as my other favorite thing was uttered, "Oh, well, this isn't just a 40 hour a week job." To me, it sounds like a whole bunch of mandated overtime. Funny, that's what I thought it was, so thanks for clarifying that little detail.
As a result, I think if I want a new job, it will be outside the Hotel, and with a company that actually posts accurate job listings as not to waste my time and theirs (in this last interview, I spoke to the chief executive of that area, who had to make time for me) in my interview. When I think of the waste this was, I'm mad. Not just for me, but for him/her.
Happy weekend all! I'm going to enjoy it. Hope you do too, wherever you are.
Wednesday, January 6, 2016
Paint a picture
Some things aren't really believable until someone actually sees them. I heard this story recently and had to share because it is both hysterically funny and horrible on a professional level.
Our wound RN Dee rounds on patients at the Hotel in our hospital system, wherever they are. Her counterpart at Washington got a consult from a resident for a "new pressure ulcer", and said "You have to take it." Since she's conscientious, and likes the patient, she drives up to Washington from the Hotel that day (since pressure ulcers require immediate intervention assessments: mattress, etc.) Mr. I is sick and no one knows if he'll make it.
She gets to the ICU Mr. I is in and the nurses tell her, "I can't believe he came from there (meaning Hotel) with a new pressure ulcer." Dee is stunned, because Mr. I looked fine just before she left for a couple days off.
Dee visits with Mr. I. He knows she's there and shakes his head. She rolls him over to look at the "pressure ulcer". Mr. I. really needed a washcloth. Once she got one, she realized that he did not have a pressure ulcer, he had a rectal discharge from his colostomy.
Apparently, the resident and none of the nurses realized this was what happened. This consult, time, money, and energy could have been spared by a single washcloth.
Somehow, I really don't think that kind of picture is what's going to get us on the Magnet journey at the Hotel.
More later.
Our wound RN Dee rounds on patients at the Hotel in our hospital system, wherever they are. Her counterpart at Washington got a consult from a resident for a "new pressure ulcer", and said "You have to take it." Since she's conscientious, and likes the patient, she drives up to Washington from the Hotel that day (since pressure ulcers require immediate intervention assessments: mattress, etc.) Mr. I is sick and no one knows if he'll make it.
She gets to the ICU Mr. I is in and the nurses tell her, "I can't believe he came from there (meaning Hotel) with a new pressure ulcer." Dee is stunned, because Mr. I looked fine just before she left for a couple days off.
Dee visits with Mr. I. He knows she's there and shakes his head. She rolls him over to look at the "pressure ulcer". Mr. I. really needed a washcloth. Once she got one, she realized that he did not have a pressure ulcer, he had a rectal discharge from his colostomy.
Apparently, the resident and none of the nurses realized this was what happened. This consult, time, money, and energy could have been spared by a single washcloth.
Somehow, I really don't think that kind of picture is what's going to get us on the Magnet journey at the Hotel.
More later.
Monday, January 4, 2016
A Wayne and Garth moment
"We're not worthy", I wanted to shout, complete with bows, but I took it all in stride.
My advisor from PublicU contacted me today about talking to her students in a conference about what I do in the SU.
Priceless.
I love you two, but I AM worthy. Three words: Bring it on!
Stay tuned!
My advisor from PublicU contacted me today about talking to her students in a conference about what I do in the SU.
Priceless.
I love you two, but I AM worthy. Three words: Bring it on!
Stay tuned!
Sunday, January 3, 2016
Still...
Silent waters run deep, and since the flood waters are still about in RehabLand, we're paying attention.
No unnecessary water use and water conservation is the status almost a week into all this neighboring excitement. We are doing our part, which Bubba loves, since he thinks he'll melt if he takes too many baths. I've cut down laundry to one load as needed (when someone panicked because he thought he was out of underwear and socks) and I only do dishes when I fill up the dishwasher, then on eco or one hour mode.
We'll live reusing most of the towels and sheets. We are lucky. We are dry. Many of our neighbors a few miles away are not.
It is so much to be grateful for today.
More later.
No unnecessary water use and water conservation is the status almost a week into all this neighboring excitement. We are doing our part, which Bubba loves, since he thinks he'll melt if he takes too many baths. I've cut down laundry to one load as needed (when someone panicked because he thought he was out of underwear and socks) and I only do dishes when I fill up the dishwasher, then on eco or one hour mode.
We'll live reusing most of the towels and sheets. We are lucky. We are dry. Many of our neighbors a few miles away are not.
It is so much to be grateful for today.
More later.
Saturday, January 2, 2016
New Year's resolutions
Raise your hand if you hate them. (raising hand)
If we can't get them to stick in January, will they ever? Probably not. Experts claim habits form in about three weeks.
Anyway, here goes. I'm going to try to hit the ones on this BuzzFeed list and my own.
1. Exercise more. Yes, I do need to get up and move around more, even when I don't feel like it.
2. Eat less sugar. Those candies and cupcakes really messed me up on the scale.
3. Drink more water.
4. Keep a gratitude log. I even found one for my phone: Gratitude365.
5. Develop a career resolution list for 2016. I have to work on goals for my review at work, so I might just start early.
Hope you enjoy your year wherever you are.
Stay tuned...
If we can't get them to stick in January, will they ever? Probably not. Experts claim habits form in about three weeks.
Anyway, here goes. I'm going to try to hit the ones on this BuzzFeed list and my own.
1. Exercise more. Yes, I do need to get up and move around more, even when I don't feel like it.
2. Eat less sugar. Those candies and cupcakes really messed me up on the scale.
3. Drink more water.
4. Keep a gratitude log. I even found one for my phone: Gratitude365.
5. Develop a career resolution list for 2016. I have to work on goals for my review at work, so I might just start early.
Hope you enjoy your year wherever you are.
Stay tuned...
Friday, January 1, 2016
Happy New Year
A new day, a new year. Thankful for a warm, dry, home and healthy family and friends.
Let it begin!
Let it begin!
Wednesday, December 30, 2015
Timeless truth
You can observe a lot by just watching. ~ Yogi Berra
We got an e-mail recently saying the Hotel (and Washington and Madison) was becoming a "smoke free campus".
Supposedly, there was a campaign (not run by our crack public affairs officials) about this big news. I found out about it in a meeting earlier this month, and the nurse executive said, "This shouldn't be the first time you are hearing about this."
Sadly, it was. While I don't smoke myself, it does make things challenging for our patients that do.
Miraculously, someone got Ye Old (stress on old and clueless) Public Affairs person(s) to post this information for patients on our website and social media. It starts January 1.
The grumblings are loud and rowdy at the Hotel because our patients did not get a designated smoking area, nor did our employees. The nearest one is in the building next door, which is a long walk.
The best quote on social media, however, was truth.
"The last time I checked, no one could smoke inside Washington or Madison, so how is it that you weren't a 'smoke free campus' already?'
I'll just keep watching...stay tuned.
We got an e-mail recently saying the Hotel (and Washington and Madison) was becoming a "smoke free campus".
Supposedly, there was a campaign (not run by our crack public affairs officials) about this big news. I found out about it in a meeting earlier this month, and the nurse executive said, "This shouldn't be the first time you are hearing about this."
Sadly, it was. While I don't smoke myself, it does make things challenging for our patients that do.
Miraculously, someone got Ye Old (stress on old and clueless) Public Affairs person(s) to post this information for patients on our website and social media. It starts January 1.
The grumblings are loud and rowdy at the Hotel because our patients did not get a designated smoking area, nor did our employees. The nearest one is in the building next door, which is a long walk.
The best quote on social media, however, was truth.
"The last time I checked, no one could smoke inside Washington or Madison, so how is it that you weren't a 'smoke free campus' already?'
I'll just keep watching...stay tuned.
Tuesday, December 29, 2015
So glad
Monday finally flew by at the Hotel. I went in early to check mail and messages, and my phone rang. One of our patients passed away over the weekend. It wasn't entirely unexpected, but that call really changed the tone of my day.
Mr. C. had a wonderful Christmas according to this relative. He even got to celebrate a major wedding anniversary. He saw family and friends and experienced the fun of the holidays with his immediate family around him. His grand kids all opened gifts at his house.
Ms. Relative thought he was getting a cold and was possibly getting sick. Mr. C. said, "No, I just need some sleep." Mr. C. went to sleep smiling, she said, because he had so much fun seeing his family. When she went to check on him later, he was gone.
Considering the wild, crazy last few years Mr. C. had, this was the best way for him to go: at home in his sleep.
I worked a lot with Mr. C. and his family in the last year, I'll miss him, too.
More later.
Mr. C. had a wonderful Christmas according to this relative. He even got to celebrate a major wedding anniversary. He saw family and friends and experienced the fun of the holidays with his immediate family around him. His grand kids all opened gifts at his house.
Ms. Relative thought he was getting a cold and was possibly getting sick. Mr. C. said, "No, I just need some sleep." Mr. C. went to sleep smiling, she said, because he had so much fun seeing his family. When she went to check on him later, he was gone.
Considering the wild, crazy last few years Mr. C. had, this was the best way for him to go: at home in his sleep.
I worked a lot with Mr. C. and his family in the last year, I'll miss him, too.
More later.
Monday, December 28, 2015
RehabRN book club: Holiday edition
Just to follow up on our last edition: Shrinks is so worth your time if you'd like to know how psychiatric treatment has evolved over time. While I'll never work psych (although we ALL have psych patients, no matter what area we are), it was a very meaningful book for me.
In my humble opinion, it should be required reading for all nurses before or during your psychiatric nursing class.
Here are a few other books I enjoyed recently:
1. The Laws of Medicine by Siddartha Mukerjee
This is a very short little book that's worth your time. I'm going to check out the Emperor of All Maladies soon.
And on the nightstand right now:
2. American Smoke by Iain Sinclair
Just started this one about the author who follows the trail of American literary stars such as Jack Kerouac and William S. Burroughs.
3. Lights & Sirens by Kevin Grange
I've called for lights and sirens a few times at the Hotel, so I was intrigued by this description of the life of a paramedic.
More to come on these books. Have a great week!
In my humble opinion, it should be required reading for all nurses before or during your psychiatric nursing class.
Here are a few other books I enjoyed recently:
1. The Laws of Medicine by Siddartha Mukerjee
This is a very short little book that's worth your time. I'm going to check out the Emperor of All Maladies soon.
And on the nightstand right now:
2. American Smoke by Iain Sinclair
Just started this one about the author who follows the trail of American literary stars such as Jack Kerouac and William S. Burroughs.
3. Lights & Sirens by Kevin Grange
I've called for lights and sirens a few times at the Hotel, so I was intrigued by this description of the life of a paramedic.
More to come on these books. Have a great week!
Sunday, December 27, 2015
Back to reality
It was fun, but too short. Yes, vacation is nearly over. It was fun though, spending time with Bubba and Dahey and some of the other assorted relatives who were roaming around Rehab Land.
I saw some movies. Between Redbox, our local library, the movie theatre and cable TV, I saw lots of stuff: things I haven't seen in years (Elf, Scrooged), things I see every year (It's a Wonderful Life, A Christmas Story) and movies I wanted to see this summer (Trainwreck, Inside Out).
My trip to the movie theatre was not for Star Wars (I was busy being an elf while that was going on) but with Bubba to see Daddy's Home. While it's not for everyone, it is a good one for kids, and per usual Will Ferrell movies, there is a big dance scene.
I wanted to see more holiday lights, but the weather of late has not cooperated. Tornado watches and rain ruined any chances of that.
Being away, however, when you are with people you want to be with, is priceless. While it was a lot of work, it was worth it.
I hope you enjoy your holiday season and the new year to come.
Stay tuned.
I saw some movies. Between Redbox, our local library, the movie theatre and cable TV, I saw lots of stuff: things I haven't seen in years (Elf, Scrooged), things I see every year (It's a Wonderful Life, A Christmas Story) and movies I wanted to see this summer (Trainwreck, Inside Out).
My trip to the movie theatre was not for Star Wars (I was busy being an elf while that was going on) but with Bubba to see Daddy's Home. While it's not for everyone, it is a good one for kids, and per usual Will Ferrell movies, there is a big dance scene.
I wanted to see more holiday lights, but the weather of late has not cooperated. Tornado watches and rain ruined any chances of that.
Being away, however, when you are with people you want to be with, is priceless. While it was a lot of work, it was worth it.
I hope you enjoy your holiday season and the new year to come.
Stay tuned.
Saturday, December 19, 2015
The law of averages
TGIV! (Thank Goodness I'm on Vacation)
The law of averages still keeps cropping up at the Hotel.
What is the chance the maintenance guys will install your blinds in your office and treatment room and only one won't fit? Consequently, it will have to wait until next week. Hopefully, they'll find another.
What is the chance that a patient who's minding his/her own business as a patient would be fine one day, then slightly confused the next, then completely out of it the day after that? It was our patient and they have a slight clue what it may be (medication) but even tapering it, he/she's not getting better.
What is the chance that your boss will call a meeting, get caught up in the trappings of the holiday gifts he/she is given, and forget to do what he/she set out for the meeting?
Just another reason why each team meeting should have a written agenda and last no more than 30 minutes. If it were up to me, I'd take away the chairs to guarantee it's a short one, but the Slug would complain.
Again, TGIV! I can escape for a while and enjoy. Hope you and yours do this holiday season wherever you are!
The law of averages still keeps cropping up at the Hotel.
What is the chance the maintenance guys will install your blinds in your office and treatment room and only one won't fit? Consequently, it will have to wait until next week. Hopefully, they'll find another.
What is the chance that a patient who's minding his/her own business as a patient would be fine one day, then slightly confused the next, then completely out of it the day after that? It was our patient and they have a slight clue what it may be (medication) but even tapering it, he/she's not getting better.
What is the chance that your boss will call a meeting, get caught up in the trappings of the holiday gifts he/she is given, and forget to do what he/she set out for the meeting?
Just another reason why each team meeting should have a written agenda and last no more than 30 minutes. If it were up to me, I'd take away the chairs to guarantee it's a short one, but the Slug would complain.
Again, TGIV! I can escape for a while and enjoy. Hope you and yours do this holiday season wherever you are!
Thursday, December 17, 2015
All I want for Christmas
Yes, it's a song, but it's chorus resounds in the Hotel.
On the floor, all most of our folks want is to go home for Christmas. As nice as it is in the Hotel with all the volunteers and goodies and Santa (we even offer some shopping), most people want to go home for Christmas.
The folks who have no one, or no real home that looks like Currier and Ives, however, want to stay with us. Someone to take care of you is a happy holiday for them.
Some folks want a diagnosis for an illness that just cropped up. One minute, you're healing up. The next, you're sick, sick, sick and no one seems to know why even after multiple consults.
My office mate and I are still awaiting things to do our job, namely window blinds. That HIPAA assuring privacy thing really is a big deal, Mr./Ms. Hospital Interior Design person. We cannot do all of our jobs without it. So we rearrange, we encroach, and we crash in other areas. This makes for some other unhappy coworkers, but we manage. 'Tis the price of improvement and remodeling the Hotel, we say.
However, my relative is asking for something big: an accessible neighborhood. One in which you can ambulate by walking, your walker or your electric wheelchair, without fear of being hit by cars on a busy street. And since it's not far from the Hotel, it matters to us, too.
The social media campaign began yesterday. The news story airs tonight.
It's a big Christmas wish, but one that really should come true. Somebody's life may depend on it.
Stay tuned...
On the floor, all most of our folks want is to go home for Christmas. As nice as it is in the Hotel with all the volunteers and goodies and Santa (we even offer some shopping), most people want to go home for Christmas.
The folks who have no one, or no real home that looks like Currier and Ives, however, want to stay with us. Someone to take care of you is a happy holiday for them.
Some folks want a diagnosis for an illness that just cropped up. One minute, you're healing up. The next, you're sick, sick, sick and no one seems to know why even after multiple consults.
My office mate and I are still awaiting things to do our job, namely window blinds. That HIPAA assuring privacy thing really is a big deal, Mr./Ms. Hospital Interior Design person. We cannot do all of our jobs without it. So we rearrange, we encroach, and we crash in other areas. This makes for some other unhappy coworkers, but we manage. 'Tis the price of improvement and remodeling the Hotel, we say.
However, my relative is asking for something big: an accessible neighborhood. One in which you can ambulate by walking, your walker or your electric wheelchair, without fear of being hit by cars on a busy street. And since it's not far from the Hotel, it matters to us, too.
The social media campaign began yesterday. The news story airs tonight.
It's a big Christmas wish, but one that really should come true. Somebody's life may depend on it.
Stay tuned...
Friday, December 11, 2015
Dear Medicaid
You suck.
Why? Let me count the myriad ways...
One, you are the payor of last resort, but alas, when you have a loved one who goes to the emergency room because someone else caused their injury as they were going down the street, you are checked first.
It's especially nice when the injury occurs on the same day as the spend down deduction and you freak out said relative by saying, "Your Medicaid rejected you".
Two, you assume so much.
Three, when in doubt, you cut people off. It's way simpler than finding out what the actual problem is (i.e. a little timely communications re: the changing of spend down payments by $4 also helps) I guess.
That's okay. In the spirit of Christmas, besides assisting said relative in hiring an attorney, I'm just going to hang on the phone lines at your place and remind you of what the state laws really are when you've collected your $150 spend down.
And I'll make sure the nice people in Saint Elsewhere ER and the attorney do, too.
Sincerely not,
RehabRN
Why? Let me count the myriad ways...
One, you are the payor of last resort, but alas, when you have a loved one who goes to the emergency room because someone else caused their injury as they were going down the street, you are checked first.
It's especially nice when the injury occurs on the same day as the spend down deduction and you freak out said relative by saying, "Your Medicaid rejected you".
Two, you assume so much.
Three, when in doubt, you cut people off. It's way simpler than finding out what the actual problem is (i.e. a little timely communications re: the changing of spend down payments by $4 also helps) I guess.
That's okay. In the spirit of Christmas, besides assisting said relative in hiring an attorney, I'm just going to hang on the phone lines at your place and remind you of what the state laws really are when you've collected your $150 spend down.
And I'll make sure the nice people in Saint Elsewhere ER and the attorney do, too.
Sincerely not,
RehabRN
Wednesday, December 9, 2015
RehabRN reading continues...
It's so nice that Bubba's been feeling like reading, so Dahey and I take him regularly to RehabLand's public library (which is pretty darned good).
Here's a couple of things on the burner right now.
1. Child, please by Ylanda Gault Caveness. This author works the parenting sites and has lots of interesting perspectives as the mother of three kids.
While my childhood deviated on many planes from hers, due to ethnicity, etc., there were more than a few common sayings mentioned in the book that I heard in our house among my parents.
I chuckled to myself more than a few times reading this book, and frankly, there are some hilarious moments that will make you laugh out loud. (and even disturb your neighbors sitting nearby).
Little book with a whole lot of parenting wisdom. I highly recommend it.
2. Shrinks: The untold story of psychiatry by Jeffery Lieberman I just started this one, and the intro is just right. It sets you up in a patient story, and draws you in. The stress, anxiety and the ambivalence of the general public to consider the benefits of a medical psychiatric workup.
I can't wait to continue down the road of this story penned by the former president of the American Psychiatric Association.
Stay tuned!
Here's a couple of things on the burner right now.
1. Child, please by Ylanda Gault Caveness. This author works the parenting sites and has lots of interesting perspectives as the mother of three kids.
While my childhood deviated on many planes from hers, due to ethnicity, etc., there were more than a few common sayings mentioned in the book that I heard in our house among my parents.
I chuckled to myself more than a few times reading this book, and frankly, there are some hilarious moments that will make you laugh out loud. (and even disturb your neighbors sitting nearby).
Little book with a whole lot of parenting wisdom. I highly recommend it.
2. Shrinks: The untold story of psychiatry by Jeffery Lieberman I just started this one, and the intro is just right. It sets you up in a patient story, and draws you in. The stress, anxiety and the ambivalence of the general public to consider the benefits of a medical psychiatric workup.
I can't wait to continue down the road of this story penned by the former president of the American Psychiatric Association.
Stay tuned!
Saturday, December 5, 2015
'Tis the season
Oh, the holiday parties, lunches, etc. begin. We recently got our decorating requirements from the safety staff at the Hotel: no lights near patient beds, no blocking egress with trees or decorations, or covering up fire alarms (yes, they have to tell people that).
The weird requirement, though, was the "No decoration can cover more than 10% of a door". Guess I have to tell the elves that the fancy bow on our door is actually over the limit.
If that's not exciting enough, it's always fun when I'm off work and see some of our fine floor unlicensed nursing staff out shopping at 9AM. The local mall is located two miles from the Hotel. It's not lunch time, either.
Oh, I so want to call the house supervisor, to ask if he/she knows where all his/her employees are, but I know nothing will be done.
Stay tuned...
The weird requirement, though, was the "No decoration can cover more than 10% of a door". Guess I have to tell the elves that the fancy bow on our door is actually over the limit.
If that's not exciting enough, it's always fun when I'm off work and see some of our fine floor unlicensed nursing staff out shopping at 9AM. The local mall is located two miles from the Hotel. It's not lunch time, either.
Oh, I so want to call the house supervisor, to ask if he/she knows where all his/her employees are, but I know nothing will be done.
Stay tuned...
Friday, December 4, 2015
Almost home
The office mate is at a conference. His/her previous office mates dropped off the rest of his/her stuff yesterday. Why people don't move EVERYTHING when they move is beyond me. I'm just surprised they haven't asked to change the locks yet.
We are still in a fishbowl with no window coverings (blinds, etc.) which means no patients in our treatment area. One of these days our interior design staff will get a clue.
I'm hoping that clue comes special delivery today.
The patients that pass do like coming in to look around. Most folks in wheelchairs can do a 360 in the space in front of our desks, which is nice.
It's nice to be almost home.
We are still in a fishbowl with no window coverings (blinds, etc.) which means no patients in our treatment area. One of these days our interior design staff will get a clue.
I'm hoping that clue comes special delivery today.
The patients that pass do like coming in to look around. Most folks in wheelchairs can do a 360 in the space in front of our desks, which is nice.
It's nice to be almost home.
Sunday, November 29, 2015
I just hope...
I don't kill my new office mate. Since I forgot to take some stuff into my office before the holidays, I dropped what I needed off. I noticed my helpful coworker moved stuff on my desk. Not because he/she needed to do something near my desk. I think it was "just because".
I admit I have OCD, but when someone moves around stuff on your desk, when essential equipment (i.e. your computer) hasn't even been moved by the IT staff (since most of them took off Friday, too), I get frustrated.
Needless to say, I moved it all back. I'll call my IT guy myself, since I saw my trouble ticket, i.e. the ticket to officially move, was not touched. My neighbor had no PC, either, and we have no connected phones.
This may take some getting used to at first. Thankfully, this person roams to our other clinics.
I'll be counting the days...
Stay tuned.
I admit I have OCD, but when someone moves around stuff on your desk, when essential equipment (i.e. your computer) hasn't even been moved by the IT staff (since most of them took off Friday, too), I get frustrated.
Needless to say, I moved it all back. I'll call my IT guy myself, since I saw my trouble ticket, i.e. the ticket to officially move, was not touched. My neighbor had no PC, either, and we have no connected phones.
This may take some getting used to at first. Thankfully, this person roams to our other clinics.
I'll be counting the days...
Stay tuned.
Thursday, November 26, 2015
Happy Thanksgiving
What I'm thankful for this year:
1. Furniture at the Hotel. I have been shuttling around taking care of patients, and now I'm back home...at a desk.
2. Health. It's something so many people don't have. Health really IS wealth.
3. Family and friends. Some of them passed away this year. I am so glad to celebrate with the ones here today.
4. A family photo. We finally got one outside this year. It's going on the Christmas cards.
Wishing you much health, happiness, and good food today wherever you are.
More to come...
1. Furniture at the Hotel. I have been shuttling around taking care of patients, and now I'm back home...at a desk.
2. Health. It's something so many people don't have. Health really IS wealth.
3. Family and friends. Some of them passed away this year. I am so glad to celebrate with the ones here today.
4. A family photo. We finally got one outside this year. It's going on the Christmas cards.
Wishing you much health, happiness, and good food today wherever you are.
More to come...
Tuesday, November 24, 2015
Quality or not
We had the long (not awaited) meeting with our nurse manager. I like the manager, I just detest being stuck with some of my ne'er-do-well coworkers.
Our manager had the not enviable position of beginning the discussion about changes coming to our Hotel clinic and home care group. Some folks just rolled their eyes. One person was on vacation. My cohort had a migraine. I thought I would have one, too.
The Slug made a comment I'll never forget when the nurse manager talked about liking Madison since he/she "can make a difference here."
The Slug replied, "I don't want to make a difference, I just want to be."
Be lazy? He/she's got that down.
Be greedy? Absolutely, when all you're worried about when your job title is going to change in the computer to care manager (because that title usually--but not always--gets you a pay raise).
Be an idiot? Completely. But when you have YEARS of nursing experience, especially doing stupid things, it's not surprising.
Quality, caring employees might be just the Christmas gift for the Hotel this year.
Stay tuned...
Our manager had the not enviable position of beginning the discussion about changes coming to our Hotel clinic and home care group. Some folks just rolled their eyes. One person was on vacation. My cohort had a migraine. I thought I would have one, too.
The Slug made a comment I'll never forget when the nurse manager talked about liking Madison since he/she "can make a difference here."
The Slug replied, "I don't want to make a difference, I just want to be."
Be lazy? He/she's got that down.
Be greedy? Absolutely, when all you're worried about when your job title is going to change in the computer to care manager (because that title usually--but not always--gets you a pay raise).
Be an idiot? Completely. But when you have YEARS of nursing experience, especially doing stupid things, it's not surprising.
Quality, caring employees might be just the Christmas gift for the Hotel this year.
Stay tuned...
Wednesday, November 18, 2015
We get attached
It's very easy to get attached to some of our patients. When I think about this topic, I hear all sorts of scenarios from my psychiatric nursing class, where we talked about why we like some patients more than others.
Some of them remind us of someone we liked, didn't like, was our neighbor, relative, or friend.
It's not confined to patients, either. Sometimes, we nurses, meet some incredible physicians and other staff in the hospital.
Our docs in the Hotel, while often quirky, are our doctors. So when one wins a major prize, we celebrate. She has been with the Hotel for almost her entire career. Other doctors just visit us, and while we're nice to them, we're not nearly as fond of them as we are of our own.
However, since I have been roaming around on behalf of the Hotel at our sister unit, I've met a lot of doctors I first learned about while reading notes. One of those docs was Dr. M.
Dr. M. was a surgeon at the Washington. We waited for him for a long time. The first specialist retired, they hired someone, then the other never showed up (got a better offer while awaiting information from our HR--the specialty is in demand). We had one doctor (on loan) but PrivateU called him back to work in their hospital (when he wasn't sitting outside the US awaiting his Green Card.)
After years of waiting (literally), Dr. M. came on board from oceans away. He was a jovial fellow for a surgeon. The patients really liked him. He was kind and down-to-earth. Many of our doctors liked him, because he had a phone number and answered the phone whenever possible when he was at his desk. He was also happy to answer any questions they had when they saw him (the infamous hallway consults). I got to help Dr. M. occasionally when he was on the sister unit, visiting folks after surgery. Dr. M. always seemed to be smiling. Eventually, Dr. M. had a real department with another surgeon and a nurse practitioner.
However, our happiness was short-lived. We got the news that Dr. M. died at home over the weekend. Arthur Schopenhauer said “Mostly it is loss which teaches us about the worth of things.”
The happy, smiling surgeon left us physically, but we'll never forget him or the good work he did for our rehab folks.
More later...
Some of them remind us of someone we liked, didn't like, was our neighbor, relative, or friend.
It's not confined to patients, either. Sometimes, we nurses, meet some incredible physicians and other staff in the hospital.
Our docs in the Hotel, while often quirky, are our doctors. So when one wins a major prize, we celebrate. She has been with the Hotel for almost her entire career. Other doctors just visit us, and while we're nice to them, we're not nearly as fond of them as we are of our own.
However, since I have been roaming around on behalf of the Hotel at our sister unit, I've met a lot of doctors I first learned about while reading notes. One of those docs was Dr. M.
Dr. M. was a surgeon at the Washington. We waited for him for a long time. The first specialist retired, they hired someone, then the other never showed up (got a better offer while awaiting information from our HR--the specialty is in demand). We had one doctor (on loan) but PrivateU called him back to work in their hospital (when he wasn't sitting outside the US awaiting his Green Card.)
After years of waiting (literally), Dr. M. came on board from oceans away. He was a jovial fellow for a surgeon. The patients really liked him. He was kind and down-to-earth. Many of our doctors liked him, because he had a phone number and answered the phone whenever possible when he was at his desk. He was also happy to answer any questions they had when they saw him (the infamous hallway consults). I got to help Dr. M. occasionally when he was on the sister unit, visiting folks after surgery. Dr. M. always seemed to be smiling. Eventually, Dr. M. had a real department with another surgeon and a nurse practitioner.
However, our happiness was short-lived. We got the news that Dr. M. died at home over the weekend. Arthur Schopenhauer said “Mostly it is loss which teaches us about the worth of things.”
The happy, smiling surgeon left us physically, but we'll never forget him or the good work he did for our rehab folks.
More later...
Tuesday, November 17, 2015
Critical thinking
Is critical thinking in nursing really dead?
Sometimes, I wonder if it died recently, because many of the nurses who work at the Hotel tell strange stories.
What would you think of a rehab unit where...
1. Nursing staff don't want to get patients up to therapy after lunch? They went all morning, they say.
2. Nurses want scheduled pain medications because (I'm quoting because they actually said this) "He has to ask for prn meds and he never does, so we can't give it to him."
Pain is a part of rehab, but not taking care of it, especially in folks with addiction history, is criminal. Nursing is about alleviating suffering and promoting wellness.
Hmmm...wonder what part of the pain assessment they missed? How about the first part where the nurse actually talks to the patient. If Mr. Z. tells me is pain in his legs is a 10 after his first rehab session, even though he's got his long-acting on board, guess what I'm doing?
That's right...looking for PRNs. If those aren't appropriate, how about ordered adjuvants like cremes, gels or patches? Or my personal favorite: doing the interdisciplinary thing and calling your PTs (or whoever has them) and getting some warm packs if this might help (since we don't have a towel warmer like Saintarama).
If his pain isn't resolved, then we should consult the pain specialist group that is right down the way. They do take consults.
My $0.02 on this rainy night.
Sometimes, I wonder if it died recently, because many of the nurses who work at the Hotel tell strange stories.
What would you think of a rehab unit where...
1. Nursing staff don't want to get patients up to therapy after lunch? They went all morning, they say.
2. Nurses want scheduled pain medications because (I'm quoting because they actually said this) "He has to ask for prn meds and he never does, so we can't give it to him."
Pain is a part of rehab, but not taking care of it, especially in folks with addiction history, is criminal. Nursing is about alleviating suffering and promoting wellness.
Hmmm...wonder what part of the pain assessment they missed? How about the first part where the nurse actually talks to the patient. If Mr. Z. tells me is pain in his legs is a 10 after his first rehab session, even though he's got his long-acting on board, guess what I'm doing?
That's right...looking for PRNs. If those aren't appropriate, how about ordered adjuvants like cremes, gels or patches? Or my personal favorite: doing the interdisciplinary thing and calling your PTs (or whoever has them) and getting some warm packs if this might help (since we don't have a towel warmer like Saintarama).
If his pain isn't resolved, then we should consult the pain specialist group that is right down the way. They do take consults.
My $0.02 on this rainy night.
Monday, November 16, 2015
Consumer reports
That was my day today. Providing patient information for Dahey to share with folks at work who recently found out their boss has cancer. Despite everything, he feels good, but is not cleared to return to full duty. He's bored and they found some paperwork for him to do. He'll have to car pool, so it should be interesting.
I also got some information I made in a complaint against a business from the state office that handles those. Nothing significant, but it was nice to know that the process highlighted that the vendor was, at the very least, very "liberal" with the truth. If I could only rent a billboard and not be sued, or borrow this guy, because his sentiment is mine, too.
So glad Monday is over. I'm waiting for all this precipitation to end!
Stay tuned...
I also got some information I made in a complaint against a business from the state office that handles those. Nothing significant, but it was nice to know that the process highlighted that the vendor was, at the very least, very "liberal" with the truth. If I could only rent a billboard and not be sued, or borrow this guy, because his sentiment is mine, too.
So glad Monday is over. I'm waiting for all this precipitation to end!
Stay tuned...
Friday, November 13, 2015
I look on
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.
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.
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
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