I had lunch with a coworker today whom I normally don't see. He/she works in another part of the same building.
We were talking about the working environment because he/she is newer in our area. It was not a surprise that we noticed many of the same things.
1. Many folks on our team are territorial to the point of being hostile to others. Our boss thinks things don't need to be addressed by leadership, but they do.
It's nice to know that I wasn't the only one with that thought.
2. While the team says "Yeah team" and acts friendly, they are often not very friendly, especially if you encroach on the item in #1. I found this out when I asked a coworker about something the boss brought to me.
3. The team, besides being so territorial and in some cases, mercurial, is always competitive.
While reading this week, I found an article on befriending competition. It's not exactly my situation, but I feel like many things ring true in my dealings with my coworkers.
We both agreed, that while our jobs have their minuses, they definitely have their advantages. It would not make sense to let the mean girls (and boys) win.
Stay tuned...
Friday, June 24, 2016
Tuesday, June 21, 2016
Perils of modern living in the office
If you have e-mail, it just might get hacked if you open attachments you shouldn't. I'm so glad one of my technical people actually confirmed my suspicions recently. Our mail has been terrible. The issues we have with technology are scary, but not surprising.
My latest issue: some of my coworkers want to be exempt from policies and procedures that can cause issues with billing some services they provide. This is another example of following the chain of command. They do it (or suggest it) so I have to make their boss aware of the situation. It sucks, frankly, when these same folks could have been doing this job (they've been dodging) for a few years now, had they let me put the resources in place.
More construction starts at the Hotel. We got some equipment (they forgot until I asked and money was found) for our exam room, so once we get our security devices (probably next month) we can officially say construction is over in our office.
Bye, bye convenient parking when the monsoon comes through later this week. Guess I may actually start wearing my backup scrubs. Our parking lot shuttle is a joke. I often see them at the local Wal-mart. Last time I checked, Wal-mart was not our parking lot.
Patients will be patients. They are now asking pointed questions and so it makes our lives very interesting everyday.
Off I go to another exciting day. Stay tuned.
My latest issue: some of my coworkers want to be exempt from policies and procedures that can cause issues with billing some services they provide. This is another example of following the chain of command. They do it (or suggest it) so I have to make their boss aware of the situation. It sucks, frankly, when these same folks could have been doing this job (they've been dodging) for a few years now, had they let me put the resources in place.
More construction starts at the Hotel. We got some equipment (they forgot until I asked and money was found) for our exam room, so once we get our security devices (probably next month) we can officially say construction is over in our office.
Bye, bye convenient parking when the monsoon comes through later this week. Guess I may actually start wearing my backup scrubs. Our parking lot shuttle is a joke. I often see them at the local Wal-mart. Last time I checked, Wal-mart was not our parking lot.
Patients will be patients. They are now asking pointed questions and so it makes our lives very interesting everyday.
Off I go to another exciting day. Stay tuned.
Sunday, June 19, 2016
Happy Fathers' Day
"My father gave me the greatest gift anyone could give another person, he believed in me." - - Jim Valvano
It comes the same weekend every year, but never gets as much interest. That holiday is Fathers' Day.
Since I volunteered to take a father's place at church this weekend, my own celebration was broken up. (My husband agreed to it). I got up early and made Dahey and Bubba a breakfast casserole. The route to a man's heart may be through his stomach, but for these two, there had better be meat and cheese on the way, too. (Sorry vegetarians! I try all the time and sometimes I'm successful!)
I took care of my church volunteer obligation, then came home. We ate leftovers for lunch, and we went out for dinner at a swanky steakhouse nearby. Bubba wasn't thrilled that there were few kids there but he got used to it, and enjoyed the food.
We left and got dessert at home since the two wanted to watch the NBA finals. Dahey's father would have enjoyed that--he loved basketball. My father would have just taken the pie and gone on his merry way. Bubba was happy to see Cleveland win.
For all of you nurses out there, who are dads and are working, I hope your organization treats you right. Some do make things better when working these holidays. If you are working and can't see your father, I hope you can soon.
For the rest of us, who wish our fathers were here today, I wish you peace. I feel your pain everyday. I am so glad I have lots of happy memories with my dad, who loved us, pies (and just about any sweets) and being a dad. I'll never forget him.
More later.
It comes the same weekend every year, but never gets as much interest. That holiday is Fathers' Day.
Since I volunteered to take a father's place at church this weekend, my own celebration was broken up. (My husband agreed to it). I got up early and made Dahey and Bubba a breakfast casserole. The route to a man's heart may be through his stomach, but for these two, there had better be meat and cheese on the way, too. (Sorry vegetarians! I try all the time and sometimes I'm successful!)
I took care of my church volunteer obligation, then came home. We ate leftovers for lunch, and we went out for dinner at a swanky steakhouse nearby. Bubba wasn't thrilled that there were few kids there but he got used to it, and enjoyed the food.
We left and got dessert at home since the two wanted to watch the NBA finals. Dahey's father would have enjoyed that--he loved basketball. My father would have just taken the pie and gone on his merry way. Bubba was happy to see Cleveland win.
For all of you nurses out there, who are dads and are working, I hope your organization treats you right. Some do make things better when working these holidays. If you are working and can't see your father, I hope you can soon.
For the rest of us, who wish our fathers were here today, I wish you peace. I feel your pain everyday. I am so glad I have lots of happy memories with my dad, who loved us, pies (and just about any sweets) and being a dad. I'll never forget him.
More later.
Saturday, June 18, 2016
The incredible lightness
The weather since Friday has been lovely. The oppressive heat of the week before has left RehabLand for a couple of days.
I certainly enjoyed sitting outside drinking coffee with Bubba and my sister (Bubba drinks lemonade). Last week when we were outside, we were desperately trying to keep iced drinks going down because the heat and humidity was stifling.
I will enjoy the reprieve. Hope you enjoy your weekend wherever you are!
I certainly enjoyed sitting outside drinking coffee with Bubba and my sister (Bubba drinks lemonade). Last week when we were outside, we were desperately trying to keep iced drinks going down because the heat and humidity was stifling.
I will enjoy the reprieve. Hope you enjoy your weekend wherever you are!
Wednesday, June 15, 2016
RehabRN book club: Be inspired
If you are a burn nurse, I applaud you. You have one of the hardest jobs on the planet. Your work encompasses so many skills: ICU skills, rehab skills, and above all, those sterile dressing skills, working on dressings that often takes hours to complete. I've heard a few stories from my traveling partner, who spent the first part of her career as a RN and NP in a burn unit at a level one trauma center.
John O'Leary's On Fire centers around his experience as a burn victim and the things that happened after this life-changing event.
There are a lot of tear-jerking and inspirational events in this book, but the one that got me was when he saw his favorite nurse years later.
If they ever make this into a movie, that part will have everyone in the audience bawling.
Hope you enjoy it as much as I did. Stay tuned for more book reviews.
John O'Leary's On Fire centers around his experience as a burn victim and the things that happened after this life-changing event.
There are a lot of tear-jerking and inspirational events in this book, but the one that got me was when he saw his favorite nurse years later.
If they ever make this into a movie, that part will have everyone in the audience bawling.
Hope you enjoy it as much as I did. Stay tuned for more book reviews.
Tuesday, June 14, 2016
Meeting agenda and assorted paperwork
Today's meeting agenda was like a ransom note but lacking a weapon. The list of demands was long, but the list of assurances was short.
I know I'll never forget this moment. I tell myself that I'm keeping that e-mail forever because it's going in my book. The book I'll write about the Hotel (and some of my crazy coworkers) that will be called Is this a bad business case or reality? You decide (working title). If that title isn't snappy enough, we'll get another.
Some of the agenda items were crazy:
1. First of all, when the boss asks each attendee for a meeting agenda item, it does not mean 10 from one person. (not kidding). He/she is running the meeting, not you.
2. The need to define our "communication terms". Last time I checked, you had a company-provided cell phone, a desk phone, a laptop and a desktop PC. If you can't communicate with that, I don't know what to tell you.
3. Asking the boss for prizes. Don't you need an extra trinket for nurses' week? Maybe I'm just weird because I don't.
My assorted paperwork continues. Paperwork for the siblings, paperwork for this agency and my all encompassing travel paperwork that will probably get rejected on the first round.
I feel like a hamster in a wheel...stay tuned.
I know I'll never forget this moment. I tell myself that I'm keeping that e-mail forever because it's going in my book. The book I'll write about the Hotel (and some of my crazy coworkers) that will be called Is this a bad business case or reality? You decide (working title). If that title isn't snappy enough, we'll get another.
Some of the agenda items were crazy:
1. First of all, when the boss asks each attendee for a meeting agenda item, it does not mean 10 from one person. (not kidding). He/she is running the meeting, not you.
2. The need to define our "communication terms". Last time I checked, you had a company-provided cell phone, a desk phone, a laptop and a desktop PC. If you can't communicate with that, I don't know what to tell you.
3. Asking the boss for prizes. Don't you need an extra trinket for nurses' week? Maybe I'm just weird because I don't.
My assorted paperwork continues. Paperwork for the siblings, paperwork for this agency and my all encompassing travel paperwork that will probably get rejected on the first round.
I feel like a hamster in a wheel...stay tuned.
Friday, June 10, 2016
RehabRN book club: Summer 16 edition
The reading clubs (yes, even for adults) are back at RehabLand's library system and Bubba and I are reading away. Dahey always does (he could spend every waking minute reading if left to his own devices...) but never competes in the contest.
While my boys have methods to selecting the books they get, I don't really have one, outside of the fact that I like new books. Ones with catchy titles and authors I recognize also helps. Lately, I've taken to just picking up a book while I wait for Bubba, randomly opening the book, and reading a few pages while I wait.
If I like the book, I check it out.
The two books on my reading list right now are those kinds of books.
The first one I'm reading is Beyond the tiger mom: East-West parenting for the global age by Maya Thiagarajan. I liked it because Ms. Thiagarajan is a teacher. She's got street cred. She's not just avowing a philosophy to make us working mothers look like slackers. To top it off, she has some great ideas for interventions you can try at home with your kids.
My favorite quote in the book is not just applicable to education, it's also applicable to my job as a nurse:
"Don't worry so much about making everything "fun"...I personally believe "fun" is the wrong word to use. Learning should be challenging, meaningful, rigorous, engrossing, interesting, and satisfying." (p.132)
You could easily switch learning to work and it would still make sense.
The next book on my list right now is We have the technology: How biohackers, foodies, physicians, and scientists are transforming human perception, one sense at a time by Kara Platoni. I'm only a couple of pages into this book but it's looking promising.
More updates to come. Hope you enjoy whatever's on your reading list. Feel free to discuss.
While my boys have methods to selecting the books they get, I don't really have one, outside of the fact that I like new books. Ones with catchy titles and authors I recognize also helps. Lately, I've taken to just picking up a book while I wait for Bubba, randomly opening the book, and reading a few pages while I wait.
If I like the book, I check it out.
The two books on my reading list right now are those kinds of books.
The first one I'm reading is Beyond the tiger mom: East-West parenting for the global age by Maya Thiagarajan. I liked it because Ms. Thiagarajan is a teacher. She's got street cred. She's not just avowing a philosophy to make us working mothers look like slackers. To top it off, she has some great ideas for interventions you can try at home with your kids.
My favorite quote in the book is not just applicable to education, it's also applicable to my job as a nurse:
"Don't worry so much about making everything "fun"...I personally believe "fun" is the wrong word to use. Learning should be challenging, meaningful, rigorous, engrossing, interesting, and satisfying." (p.132)
You could easily switch learning to work and it would still make sense.
The next book on my list right now is We have the technology: How biohackers, foodies, physicians, and scientists are transforming human perception, one sense at a time by Kara Platoni. I'm only a couple of pages into this book but it's looking promising.
More updates to come. Hope you enjoy whatever's on your reading list. Feel free to discuss.
A profound statement
"You’re not where you work and your work is not you." Howard Behar
Be true to yourself. Jobs will come and go.
Happy Birthday Bro!
Be true to yourself. Jobs will come and go.
Happy Birthday Bro!
Thursday, June 9, 2016
Cramming in a few more things
It's that time of year, otherwise known as June, the due date month. Due date for presentations and my annual review (which I have to prepare feedback on every year, even if I don't get promoted.)
I have fun doing slide shows. Since we have to have everything we present approved in advance by legal, I have lots of fun. For a long time, I refused to use photos (I'd use free license cartoons, but no pictures). I decided this year that was dumb. For fun, I have added some old home ones with interesting captions. I'm actually in one, so I'm not technically picking on just relatives. And I don't have to ask for permission from anyone, which is helpful.
My annual review, unfortunately, doesn't include pictures. If it did, I could have a lot of fun.
Things I'd take pictures of to put in my review if I could:
1. The ethics consultation (no photo available) part. Can you photograph integrity? Maybe not, but our ethics chair looks like he came out of a film noir. (His photo would be good in black and white).
2. The associate chief nurse looking befuddled when I explained that her simple project wouldn't be so simple. It only took her a couple of years for her to believe that I actually knew my job. She thought another manager (who was directly assigned to his/her position with no experience) knew everything.
That look was priceless. I wanted to say "I told you so" but I didn't. Hindsight is 20/20.
3. The pie my coworkers and I bought after a long ride to take care of a patient in his/her home. The famous pie place was on the trip back. I'd have given our driver a gold medal, but it wasn't available.
I guess if they ever make us do a portfolio, I'll have to add more photos.
Hope you enjoy the rest of your week wherever you are. Friday will be here soon enough.
I have fun doing slide shows. Since we have to have everything we present approved in advance by legal, I have lots of fun. For a long time, I refused to use photos (I'd use free license cartoons, but no pictures). I decided this year that was dumb. For fun, I have added some old home ones with interesting captions. I'm actually in one, so I'm not technically picking on just relatives. And I don't have to ask for permission from anyone, which is helpful.
My annual review, unfortunately, doesn't include pictures. If it did, I could have a lot of fun.
Things I'd take pictures of to put in my review if I could:
1. The ethics consultation (no photo available) part. Can you photograph integrity? Maybe not, but our ethics chair looks like he came out of a film noir. (His photo would be good in black and white).
2. The associate chief nurse looking befuddled when I explained that her simple project wouldn't be so simple. It only took her a couple of years for her to believe that I actually knew my job. She thought another manager (who was directly assigned to his/her position with no experience) knew everything.
That look was priceless. I wanted to say "I told you so" but I didn't. Hindsight is 20/20.
3. The pie my coworkers and I bought after a long ride to take care of a patient in his/her home. The famous pie place was on the trip back. I'd have given our driver a gold medal, but it wasn't available.
I guess if they ever make us do a portfolio, I'll have to add more photos.
Hope you enjoy the rest of your week wherever you are. Friday will be here soon enough.
Tuesday, June 7, 2016
So not rehab
***Deviation ahead, please stand by...***
I'll never profess to being a hip, happening fashion or movie blogger. I'm just too "straight" as one of my patients told me recently.
However, I really enjoyed this article featuring Helen Mirren discussing fashion, insecurity, butt, and thighs.
I hope you enjoy being who you are as much as I do. Live like you want to live, baby!
More to come...
I'll never profess to being a hip, happening fashion or movie blogger. I'm just too "straight" as one of my patients told me recently.
However, I really enjoyed this article featuring Helen Mirren discussing fashion, insecurity, butt, and thighs.
I hope you enjoy being who you are as much as I do. Live like you want to live, baby!
More to come...
Monday, June 6, 2016
The little people
We finally found out where the VIP entourage went while they were touring Washington recently, and we were patiently waiting on the floor for them to stop by on our unit. The VIPs stood us up.
Since everything our hospital system does is now posted on Facebook, the photos told us where they went.
I'm used to being "cut" from the A list in my area all the time. Nurses are used to it. My bosses, he and she, are not.
It's not fun finding out you are the "little people" after you come to work when you really could be doing something better.
Life is full of small victories. Enjoy every minute.
More to come.
Since everything our hospital system does is now posted on Facebook, the photos told us where they went.
I'm used to being "cut" from the A list in my area all the time. Nurses are used to it. My bosses, he and she, are not.
It's not fun finding out you are the "little people" after you come to work when you really could be doing something better.
Life is full of small victories. Enjoy every minute.
More to come.
Saturday, June 4, 2016
Dear Coworker
Sometimes I hold my tongue, not to embarrass you, but to keep from getting prosecuted.
First of all, I eat "quickly" because while you're regaling the bosses at our business lunch and one-upping everyone with your stories, I'm eating. Plain and simple. You might just catch up if you stopped talking.
Second, it would also help if you actually left the table when your phone rings. Have your phone ring six times while we were eating is not acceptable. It shows that you really cannot be present with our boss (who has better reasons to answer his/her phone) and actually listen.
Constructive criticism is helpful if you choose to learn from it.
Quietly yours,
RehabRN
First of all, I eat "quickly" because while you're regaling the bosses at our business lunch and one-upping everyone with your stories, I'm eating. Plain and simple. You might just catch up if you stopped talking.
Second, it would also help if you actually left the table when your phone rings. Have your phone ring six times while we were eating is not acceptable. It shows that you really cannot be present with our boss (who has better reasons to answer his/her phone) and actually listen.
Constructive criticism is helpful if you choose to learn from it.
Quietly yours,
RehabRN
Tuesday, May 31, 2016
A rehab fact: inaugural edition
Since we see lots of stuff in the media about cool technologies and procedures, did you ever want to know more?
Fear not, as a rehab nurse, here's my take (with a little help from our PTs) on some topics of interest.
Our first installment is about one of the hottest topics out there in rehab: exoskeletons. I worked with a general surgeon who actually said in a meeting, "We could solve every problem with our SCI patients if we could get them an exoskeleton, and what wonderful PR it would be for Madison as a whole."
My first thought: wow! Yes, exoskeletons ARE cool, but unfortunately, they don't work for everyone.
Here's a list of criteria (which is also on the website of one manufacturer)
1. You must be between 5'3"-6'3" tall. Too short or too tall disqualifies you.
2. You must be able to use a walker or crutches. Certain SCI patients who cannot grip adequately would be disqualified.
3. You cannot be over 220 lbs.
4. You have to meet bone density requirements.
5. You must have a companion with you at all times.
In general, cost is often a prohibitive factor with these devices, which can cost $70,000 and up. Another factor to consider: you need to plan on taking 20-25 minutes to both don and doff this device. As with any prosthetic device, proper use is crucial.
Finally, this technology will continue to evolve. Nurses, don't just think it's for your SCI patients, you very well could be using this daily in your own tasks on the job. If so, the concept of robonurse might not be so far behind. Baymax here we come!
I hope you enjoyed this discussion about a current rehab topic. Feel free to share your thought or ideas for the next installment.
Stay tuned!
Fear not, as a rehab nurse, here's my take (with a little help from our PTs) on some topics of interest.
Our first installment is about one of the hottest topics out there in rehab: exoskeletons. I worked with a general surgeon who actually said in a meeting, "We could solve every problem with our SCI patients if we could get them an exoskeleton, and what wonderful PR it would be for Madison as a whole."
My first thought: wow! Yes, exoskeletons ARE cool, but unfortunately, they don't work for everyone.
Here's a list of criteria (which is also on the website of one manufacturer)
1. You must be between 5'3"-6'3" tall. Too short or too tall disqualifies you.
2. You must be able to use a walker or crutches. Certain SCI patients who cannot grip adequately would be disqualified.
3. You cannot be over 220 lbs.
4. You have to meet bone density requirements.
5. You must have a companion with you at all times.
In general, cost is often a prohibitive factor with these devices, which can cost $70,000 and up. Another factor to consider: you need to plan on taking 20-25 minutes to both don and doff this device. As with any prosthetic device, proper use is crucial.
Finally, this technology will continue to evolve. Nurses, don't just think it's for your SCI patients, you very well could be using this daily in your own tasks on the job. If so, the concept of robonurse might not be so far behind. Baymax here we come!
I hope you enjoyed this discussion about a current rehab topic. Feel free to share your thought or ideas for the next installment.
Stay tuned!
Monday, May 30, 2016
Memorial Day
I thank those who have gone before, leaving families, friends, babes in arms, children who would never know them except through photographs or home movies or stories told from the grieved spouses, siblings, brothers, sisters, parents and friends.
That sting of a lost loved one in the war was a pained expression I saw every year in my family. My grandmother next door wore it, some days with bearing and dignity, other days, with much distress.
These are a few of the quotes that sum up what this day means to me.
I remember those brave men and women who answered America's call today and every day. I hope you will, too.
Until next time...
That sting of a lost loved one in the war was a pained expression I saw every year in my family. My grandmother next door wore it, some days with bearing and dignity, other days, with much distress.
These are a few of the quotes that sum up what this day means to me.
I remember those brave men and women who answered America's call today and every day. I hope you will, too.
Until next time...
Sunday, May 29, 2016
Deep thoughts
I really loved Jack Handey on Saturday Night Live. Some things they mentioned on that segment of the show were delightfully sarcastic.
While some of you might say the same thing about two things I'll address below, I'm going to say them. Because someone needs to mention them. Because my patients mention them.
So sit down and listen, please.
First, I enjoy getting my regular copy of the American Journal of Nursing every month. Since I subscribe to the newsletter, too, I also get a copy of the electronic table of contents. I saw this listed in the TOC and just about blew a gasket. Why you ask?
Because we have a whole lot moreidiots, or shall we say "free spirits" out in the world who are so nervous they have to make fun of things they don't like or understand. Since I am not allowed to discuss politics in my home, I won't even discuss a certain political candidate who has endeared himself to the physically challenged, prisoners of war (also military veterans) and something I can identify with: women.
The point: Nurse researchers, please get with the program. While my folks may use safety belts, I have yet to see any "bound" to a wheelchair. If you are so up-to-date, please use modern terminology, please. Wheelchair user would do just fine in your article.
Finally, never assume. Wheelchair users most likely are not deaf, nor stupid. Treat them the way you'd want to be treated. In the fine words of one of my friends with multiple sclerosis (who celebrated World MS Day this past week), "I have MS, but it doesn't have me!"
And now for a moment from our sponsor. Stay tuned!
While some of you might say the same thing about two things I'll address below, I'm going to say them. Because someone needs to mention them. Because my patients mention them.
So sit down and listen, please.
First, I enjoy getting my regular copy of the American Journal of Nursing every month. Since I subscribe to the newsletter, too, I also get a copy of the electronic table of contents. I saw this listed in the TOC and just about blew a gasket. Why you ask?
Because we have a whole lot more
The point: Nurse researchers, please get with the program. While my folks may use safety belts, I have yet to see any "bound" to a wheelchair. If you are so up-to-date, please use modern terminology, please. Wheelchair user would do just fine in your article.
Finally, never assume. Wheelchair users most likely are not deaf, nor stupid. Treat them the way you'd want to be treated. In the fine words of one of my friends with multiple sclerosis (who celebrated World MS Day this past week), "I have MS, but it doesn't have me!"
And now for a moment from our sponsor. Stay tuned!
Saturday, May 28, 2016
Holiday weekend thoughts
"The more we assign the soldiering to a select few volunteers—we don’t have an equalizing draft and there is no required national service—perhaps the easier it is to forget what it means to share a common citizenship or feel a sense of indebtedness or appreciation. If we no longer share in the service, risk and obligation, maybe that explains why many of us no longer observe Memorial Day."
This is a quote from John Bussey's worthwhile assessment on why Memorial Day needs to be more than a day off or shopping.
I do believe that we are living in troubled times, and unfortunately, the sacrifices aren't shared.
I hope you have time to reflect this holiday weekend. I know I will.
More later...
This is a quote from John Bussey's worthwhile assessment on why Memorial Day needs to be more than a day off or shopping.
I do believe that we are living in troubled times, and unfortunately, the sacrifices aren't shared.
I hope you have time to reflect this holiday weekend. I know I will.
More later...
Monday, May 23, 2016
Can you say...inappropriate?
One of my returned calls today:
Me: Hi this is RehabRN returning your call Mr. RehabEscapee (aka almost AMA).
Mr. RE: Yes, RehabRN, I know we need to do that appointment. (RE whispers)
Me: Sure, is it a good time right now? I notice you're talking lower.
Mr. RE: Well, I'm at the emergency room.
Me: For you or someone else? (I've gotten some weird calls before, but...)
Mr. RE: Oh no! I'm helping out. For someone else, so I have a few minutes and I figured I'd talk to you.
What Mr. RE doesn't realize that I have a long set of questions to ask him. And no, he might not want to answer them in the ER, since they can get personal.
If you're there to support someone else, wouldn't it be nice to pay attention to them?
I convinced Mr. RE it was. His wife might like him later if he does.
More later...
Me: Hi this is RehabRN returning your call Mr. RehabEscapee (aka almost AMA).
Mr. RE: Yes, RehabRN, I know we need to do that appointment. (RE whispers)
Me: Sure, is it a good time right now? I notice you're talking lower.
Mr. RE: Well, I'm at the emergency room.
Me: For you or someone else? (I've gotten some weird calls before, but...)
Mr. RE: Oh no! I'm helping out. For someone else, so I have a few minutes and I figured I'd talk to you.
What Mr. RE doesn't realize that I have a long set of questions to ask him. And no, he might not want to answer them in the ER, since they can get personal.
If you're there to support someone else, wouldn't it be nice to pay attention to them?
I convinced Mr. RE it was. His wife might like him later if he does.
More later...
Saturday, May 21, 2016
What not to do: Happy Graduation 2016 edition
Congratulations graduates! You worked hard and now you're prepping for that NCLEX. Some people say it's the hardest exam they've ever taken. You may get nauseated (I did) before it's done.
Please, grads, don't find your way into your state's Board of Nursing (BON) newsletter for getting a ding or losing your license. Trust me, keep it clean and shiny. You are worth it!
Here are some of the things I noticed in this edition:
1. Use respectful language.
Yes, believe it or not, one RN was censured due to this little problem. They just keep piling on the issues, too, as they did for this nurse, if you're really a pain (unauthorized record access, changing orders, etc.)
Just say no.
2. For all of you nursing instructors out there, don't dope slap your nursing students.
One RN did and she was written up in this BON newsletter. One word: priceless. I think some of my nursing instructors may have thought it, but no one ever did it.
3. Don't steal a resident's purse, then get something from the med room and shoot up.
This nurse did. She obviously forgot the video cameras reported her every move.
4. Don't ask nursing students to do the wrong thing.
Telling your student to give a patient normal saline instead of Dilaudid is a perfect example. Someone will notice. The patient did and reported the nurse.
5. If you forget a specimen, get it to the lab. Do not take it home.
Yes, someone actually took a specimen from a procedure home, since the nurse forgot to send it along. A technician found it when cleaning the room. Admit your mistakes, but get it to the lab!
6. Drug testing is not optional.
Just remember: your facility policy is not optional. Compliant is a lot different than "slightly compliant".
7. Do not forget to document drug wastes.
Always, always, always waste drugs per your facility policy (we have special containers for various classes of drugs) and make sure you document appropriately. Your license really does depend on it.
Many happy returns and best wishes for a long nursing career!
Please, grads, don't find your way into your state's Board of Nursing (BON) newsletter for getting a ding or losing your license. Trust me, keep it clean and shiny. You are worth it!
Here are some of the things I noticed in this edition:
1. Use respectful language.
Yes, believe it or not, one RN was censured due to this little problem. They just keep piling on the issues, too, as they did for this nurse, if you're really a pain (unauthorized record access, changing orders, etc.)
Just say no.
2. For all of you nursing instructors out there, don't dope slap your nursing students.
One RN did and she was written up in this BON newsletter. One word: priceless. I think some of my nursing instructors may have thought it, but no one ever did it.
3. Don't steal a resident's purse, then get something from the med room and shoot up.
This nurse did. She obviously forgot the video cameras reported her every move.
4. Don't ask nursing students to do the wrong thing.
Telling your student to give a patient normal saline instead of Dilaudid is a perfect example. Someone will notice. The patient did and reported the nurse.
5. If you forget a specimen, get it to the lab. Do not take it home.
Yes, someone actually took a specimen from a procedure home, since the nurse forgot to send it along. A technician found it when cleaning the room. Admit your mistakes, but get it to the lab!
6. Drug testing is not optional.
Just remember: your facility policy is not optional. Compliant is a lot different than "slightly compliant".
7. Do not forget to document drug wastes.
Always, always, always waste drugs per your facility policy (we have special containers for various classes of drugs) and make sure you document appropriately. Your license really does depend on it.
Many happy returns and best wishes for a long nursing career!
Friday, May 20, 2016
You get what you wish for...
Or at least it seems that way right now. What a week!
For almost five years, I've been asking for help and/or equipment. While I can't get them to give me the help, in terms of personnel I want, I am getting equipment, so it's keeping me busy.
My favorite thing: I'm finally having days where I actually do the job I was hired to do for almost the entire eight hours I'm there (and sometimes then some...). The patient flow is something I have to work on, though. I follow the guidelines, but somehow, I always have a patient who wants to tell me more.
This week, I got to go to training that was cancelled many moons ago. It was interesting, even though I had to attend with my boss, who, with his/her MBA, knows everything. He/she succeeded in driving a lot of people nuts, which got me lots of sympathy from the folks I already know.
Finally, after working on my last patients this afternoon (and one emergency with a speech therapist), I got the e-mail I've been waiting for from the boss. He/she's recommending that the holdouts complete things they need to do to work with me in my clinic.
Five years is a short time where I work but almost a lifetime anywhere else. That e-mail made my week. I can only hope I'll get a few more wishes...
Happy weekend wherever you are. More to come...
For almost five years, I've been asking for help and/or equipment. While I can't get them to give me the help, in terms of personnel I want, I am getting equipment, so it's keeping me busy.
My favorite thing: I'm finally having days where I actually do the job I was hired to do for almost the entire eight hours I'm there (and sometimes then some...). The patient flow is something I have to work on, though. I follow the guidelines, but somehow, I always have a patient who wants to tell me more.
This week, I got to go to training that was cancelled many moons ago. It was interesting, even though I had to attend with my boss, who, with his/her MBA, knows everything. He/she succeeded in driving a lot of people nuts, which got me lots of sympathy from the folks I already know.
Finally, after working on my last patients this afternoon (and one emergency with a speech therapist), I got the e-mail I've been waiting for from the boss. He/she's recommending that the holdouts complete things they need to do to work with me in my clinic.
Five years is a short time where I work but almost a lifetime anywhere else. That e-mail made my week. I can only hope I'll get a few more wishes...
Happy weekend wherever you are. More to come...
Wednesday, May 11, 2016
I'm still a kid
When I think of that day 30 odd years ago. I was on my way to school. I knew my mother was dying of cancer, but I didn't realize that I wouldn't make it there before she did.
I came into my grandmother's house and all I heard were laments. My father was silent and hugged us. He let my brother and I see Mom before my uncle called his friends at work (who were the undertakers). My father was always the one who was there, when his mother and his wife died.
My grandma was a mess. My mother was her youngest child.
There are a lot of things that are a blur, but a lot of things I will never forget. I learned much later that I could spend all my time thinking about the horrible things a teenager could have to witness (the stretcher, the body bag, the death rattle), or I could choose to remember the things my mother left me.
Her happy disposition despite many trials. Her stubbornness and relentlessness to see things right. Her wavy hair that always curled when you wanted and sometimes, when you didn't. Her enjoyment of the little things in life, like the salami sandwiches from our town's Italian section. The jello (red and green) that Santa left us at Christmastime.
My mother also left me her faith. Her faith that we are all actors in our own story and a little divine intervention never hurts. Sometimes we need to help and be helped. Those traditions of perseverance were more helpful than I ever knew later in life.
So while my mom is no longer here to be celebrated, I look every day for the places where she left her mark on my life. And I see her every day. I put a photo of happy times on my refrigerator, so I remember that. She and Dad took us to get family photos. It was the last group family photo we would get.
So I can mourn this day, or I can live it as Mom would want me to do. My mother always wanted me to be a nurse, so I know somewhere in Heaven she smiles. Even with my detours and stubbornness, she got her wish.
I came into my grandmother's house and all I heard were laments. My father was silent and hugged us. He let my brother and I see Mom before my uncle called his friends at work (who were the undertakers). My father was always the one who was there, when his mother and his wife died.
My grandma was a mess. My mother was her youngest child.
There are a lot of things that are a blur, but a lot of things I will never forget. I learned much later that I could spend all my time thinking about the horrible things a teenager could have to witness (the stretcher, the body bag, the death rattle), or I could choose to remember the things my mother left me.
Her happy disposition despite many trials. Her stubbornness and relentlessness to see things right. Her wavy hair that always curled when you wanted and sometimes, when you didn't. Her enjoyment of the little things in life, like the salami sandwiches from our town's Italian section. The jello (red and green) that Santa left us at Christmastime.
My mother also left me her faith. Her faith that we are all actors in our own story and a little divine intervention never hurts. Sometimes we need to help and be helped. Those traditions of perseverance were more helpful than I ever knew later in life.
So while my mom is no longer here to be celebrated, I look every day for the places where she left her mark on my life. And I see her every day. I put a photo of happy times on my refrigerator, so I remember that. She and Dad took us to get family photos. It was the last group family photo we would get.
So I can mourn this day, or I can live it as Mom would want me to do. My mother always wanted me to be a nurse, so I know somewhere in Heaven she smiles. Even with my detours and stubbornness, she got her wish.
Saturday, May 7, 2016
In honor of mothers
It's that time of year again. One I never fully understood until I joined the sorority of women over a decade ago.
The things you learn...
1. That those nine months seemingly last forever, but you never realize, the end may be a sprint.
2. After the sprint, you hit the marathon. Only a couple of other times in my life was I ever as physically exhausted as I was by taking care of a newborn. It's almost like a semi-permanent state of jet lag.
3. You'll never forget that first smile, or that first laugh.
4. You'll become the sentinel, the guardian, the protector, because that little cherub really is your heart walking around (or just plain escaped) outside of your body.
5. Everything and little things are milestones you'll want to record. Don't sweat it if you run out of film or space on your device so you have proof. A good story (told over and over) will be a family memory for generations.
6. Be kind and curious. So many folks don't appreciate those things anymore.
7. You'll miss your mother so much when she's no longer with you. I know I do. My mom never got to know Bubba or any of her other grandchildren. Losing her as a teenager meant she missed so much.
If you've never known your mom or the love of a mother figure, you may be sad today, too. But remember, if you are or planning on being a mother, you'll write your own story. Be the mother you want to be. The past is in the past for a reason. The present is a gift for you.
Enjoy your day and weekend! Happy Mothers' Day!
The things you learn...
1. That those nine months seemingly last forever, but you never realize, the end may be a sprint.
2. After the sprint, you hit the marathon. Only a couple of other times in my life was I ever as physically exhausted as I was by taking care of a newborn. It's almost like a semi-permanent state of jet lag.
3. You'll never forget that first smile, or that first laugh.
4. You'll become the sentinel, the guardian, the protector, because that little cherub really is your heart walking around (or just plain escaped) outside of your body.
5. Everything and little things are milestones you'll want to record. Don't sweat it if you run out of film or space on your device so you have proof. A good story (told over and over) will be a family memory for generations.
6. Be kind and curious. So many folks don't appreciate those things anymore.
7. You'll miss your mother so much when she's no longer with you. I know I do. My mom never got to know Bubba or any of her other grandchildren. Losing her as a teenager meant she missed so much.
If you've never known your mom or the love of a mother figure, you may be sad today, too. But remember, if you are or planning on being a mother, you'll write your own story. Be the mother you want to be. The past is in the past for a reason. The present is a gift for you.
Enjoy your day and weekend! Happy Mothers' Day!
Friday, May 6, 2016
Some you win...
I felt like I was winning today until I got to my patient as arranged today. When I saw him, he was a mess. Bedraggled and anxious. Terrified. Lonely. I worked with him the best I could, but it didn't seem to be enough.
I called one of our other staffers to help. I did everything I could.
Finally, I wrote my note. I finished my work that needed to be done. Even though, I accomplished much, it didn't feel that way.
I tried. It was all I could do today. I will do the same the next time.
I called one of our other staffers to help. I did everything I could.
Finally, I wrote my note. I finished my work that needed to be done. Even though, I accomplished much, it didn't feel that way.
I tried. It was all I could do today. I will do the same the next time.
Wednesday, May 4, 2016
Reality check
How many of you go to work sick? Raise your hands.
If I had a 100% rate, I would not be surprised. Nurses often come to work with illnesses for a variety of reasons. This article has one of the best arguments I've seen for a long time.
I have gone to work because I'm a master at assessment. I've had chronic health issues (nothing major) for years. My body is good at telling me what's wrong.
These are my rules:
1. If I have a fever and will be in regular contact with patients, I'm not going to work. Plain and simple. If I can't do paperwork that day and hide to avoid breathing on anyone, I'm out. I had nursing instructorsbeat this into me, I mean, reinforce this vigorously on my clinical rotations. As I know from my work in the SU, if you have a fever, you probably are infected with something. This red light is one you should not ignore.
Do everyone a favor. Don't share and stay home. This health system actually publishes an algorithm.
2. Diarrhea will also keep me home. If they only knew how busy our staff bathrooms are (and many times, it's not just staff using them).
3. If you have any other symptoms that are not normal or normal for you, i.e. vision or balance disturbances, you probably need to see what's going on first before coming to work.
My managers always love the "migraine with vertigo" call in (I've used it), but I don't care. You should like being able to keep affordable car insurance. If walking is a problem, driving will be, too.
Also, never take any open wounds (even paper cuts) for granted. If you can't cover them effectively, you need to consider staying home until you can.
I like my doctors. They know I won't bug them unless I think it's an issue for me and my patients. Be sure to have a PCP, so when you need them, you have them. I love mine because she likes nurses and always has our back (she has no problem talking to pesky nurse managers if needed).
To sum it up, if you're sick, don't buck it up. Take care of yourself so you can take care of your patients (and not contaminate your coworkers). You deserve to be well, and so do your patients and coworkers.
More later.
If I had a 100% rate, I would not be surprised. Nurses often come to work with illnesses for a variety of reasons. This article has one of the best arguments I've seen for a long time.
I have gone to work because I'm a master at assessment. I've had chronic health issues (nothing major) for years. My body is good at telling me what's wrong.
These are my rules:
1. If I have a fever and will be in regular contact with patients, I'm not going to work. Plain and simple. If I can't do paperwork that day and hide to avoid breathing on anyone, I'm out. I had nursing instructors
Do everyone a favor. Don't share and stay home. This health system actually publishes an algorithm.
2. Diarrhea will also keep me home. If they only knew how busy our staff bathrooms are (and many times, it's not just staff using them).
3. If you have any other symptoms that are not normal or normal for you, i.e. vision or balance disturbances, you probably need to see what's going on first before coming to work.
My managers always love the "migraine with vertigo" call in (I've used it), but I don't care. You should like being able to keep affordable car insurance. If walking is a problem, driving will be, too.
Also, never take any open wounds (even paper cuts) for granted. If you can't cover them effectively, you need to consider staying home until you can.
I like my doctors. They know I won't bug them unless I think it's an issue for me and my patients. Be sure to have a PCP, so when you need them, you have them. I love mine because she likes nurses and always has our back (she has no problem talking to pesky nurse managers if needed).
To sum it up, if you're sick, don't buck it up. Take care of yourself so you can take care of your patients (and not contaminate your coworkers). You deserve to be well, and so do your patients and coworkers.
More later.
Sunday, May 1, 2016
It's the weekend
Now I have enough time after a busy week to make an attempt at getting sick. I feel a cold trying to overtake me.
Happy Orthodox Easter to all who celebrate today.
Joy...stay tuned.
Happy Orthodox Easter to all who celebrate today.
Joy...stay tuned.
Thursday, April 28, 2016
The Revenant
No, I was not mauled by a bear, but alas, I do realize that I've taken leave from here a wee bit too long.
Lots of stuff cooking, so I plan on adding some material soon.
The work of a rehab nurse is never done! Stay tuned.
Lots of stuff cooking, so I plan on adding some material soon.
The work of a rehab nurse is never done! Stay tuned.
Monday, April 11, 2016
Take ownership
Yes, I had to do this in a few different ways lately.
First, my fancy new external hard drive got messed up when I changed a security setting. It looked as if I totally erased the drive. Thankfully, that Windows certification came in handy (haven't used it in a decade, but...) I finally found the page on www.microsoft.com about Taking Ownership of a drive.
My data wasn't gone. It was just hiding (since I didn't have permission to view it). What a relief!
At work, I finally got to the bottom of what happened to my dream job a while ago when I was stuck waiting with one of my coworkers. It was enlightening, and frankly, nice to hear, that no matter what, I did my best. The other person involved probably was not too happy, either, but I still had my day job.
One of my coworkers mentioned that there was an incident with a patient this weekend. He/she knew because the patient had confided in him/her. Some of our staff are being rather surly. While it's not disruptive yet, it's certainly becoming hostile on the floor at the Hotel.
Since I had a similar issue recently, I sent my coworker to the other team provider. He/she will tell him/her to take ownership, too.
Hostile and/or disruptive behavior is really not welcome in a healing environment.
Hope you will take ownership of your space wherever you are. You and your patients deserve dignity.
More to come...
First, my fancy new external hard drive got messed up when I changed a security setting. It looked as if I totally erased the drive. Thankfully, that Windows certification came in handy (haven't used it in a decade, but...) I finally found the page on www.microsoft.com about Taking Ownership of a drive.
My data wasn't gone. It was just hiding (since I didn't have permission to view it). What a relief!
At work, I finally got to the bottom of what happened to my dream job a while ago when I was stuck waiting with one of my coworkers. It was enlightening, and frankly, nice to hear, that no matter what, I did my best. The other person involved probably was not too happy, either, but I still had my day job.
One of my coworkers mentioned that there was an incident with a patient this weekend. He/she knew because the patient had confided in him/her. Some of our staff are being rather surly. While it's not disruptive yet, it's certainly becoming hostile on the floor at the Hotel.
Since I had a similar issue recently, I sent my coworker to the other team provider. He/she will tell him/her to take ownership, too.
Hostile and/or disruptive behavior is really not welcome in a healing environment.
Hope you will take ownership of your space wherever you are. You and your patients deserve dignity.
More to come...
Sunday, April 3, 2016
RIP
Dahey lost a relative this week. It was one we never actually met.
R. was from the old sod, a place from which Dahey's ancestor had escaped (and occasionally returned) a long while ago. We met him through Facebook. One of his cousins actually met R. last year with her family. It was fun to see some of the family resemblance.
We knew he was a relative once we saw his photo, because he was a doppleganger for Dahey's uncle (so much so, it would have been fun to have a photo with the two of them in it). Dahey's dear departed uncle was one of those folks who traveled a lot and looked for his surname in the phone books wherever he went.
I'd suspect that's how he'd found cousin R.
An Irish blessing
May your neighbors respect you,
Trouble neglect you,
The angels protect you,
And heaven accept you.
Until we all meet again...
R. was from the old sod, a place from which Dahey's ancestor had escaped (and occasionally returned) a long while ago. We met him through Facebook. One of his cousins actually met R. last year with her family. It was fun to see some of the family resemblance.
We knew he was a relative once we saw his photo, because he was a doppleganger for Dahey's uncle (so much so, it would have been fun to have a photo with the two of them in it). Dahey's dear departed uncle was one of those folks who traveled a lot and looked for his surname in the phone books wherever he went.
I'd suspect that's how he'd found cousin R.
An Irish blessing
May your neighbors respect you,
Trouble neglect you,
The angels protect you,
And heaven accept you.
Until we all meet again...
Saturday, April 2, 2016
All this time...
I waited to do my stair climb. The last one I did was in 2010. Ah, to be that young again!
However, I sizzled the old time.
Thanks to this guy on my phone. Next year...I plan on being back. Happy weekend all wherever you roam.
However, I sizzled the old time.
Thanks to this guy on my phone. Next year...I plan on being back. Happy weekend all wherever you roam.
Friday, April 1, 2016
RehabRN book club: The TGIF edition
Yes, dear readers, it's been a while. Books just take forever anymore, especially when I spend an inordinate amount of time with my new baby computer, trying to get everything where I want it. Online backups are wonderful, yet slow.
However, I must say, I've found some good stuff to read. As I may have mentioned earlier, Brief by Joseph McCormack is a keeper. If you're a fan of the Elements of Style, it's more concept than rule. It really does give practical advice. I'll be buying one (since I got threats from the library if I didn't return it).
My most recent finish (on Wednesday) was Presence by Amy Cuddy. To me, there's a lot to like in this book. As a rehab nurse, you'll be cheering for Amy because she's a rehab patient who's made it (she had a DAI for all of you who are interested.) As an escaped business person, she went to work at Harvard Business School and changed up a lot of things with her research. Overall, Amy's book is stories of how presence changes things (see her TED talk for the rest of the story).
Trust me, I'll be posing it up before my next set of meetings. Why not?
Have a great weekend! Enjoy every minute.
However, I must say, I've found some good stuff to read. As I may have mentioned earlier, Brief by Joseph McCormack is a keeper. If you're a fan of the Elements of Style, it's more concept than rule. It really does give practical advice. I'll be buying one (since I got threats from the library if I didn't return it).
My most recent finish (on Wednesday) was Presence by Amy Cuddy. To me, there's a lot to like in this book. As a rehab nurse, you'll be cheering for Amy because she's a rehab patient who's made it (she had a DAI for all of you who are interested.) As an escaped business person, she went to work at Harvard Business School and changed up a lot of things with her research. Overall, Amy's book is stories of how presence changes things (see her TED talk for the rest of the story).
Trust me, I'll be posing it up before my next set of meetings. Why not?
Have a great weekend! Enjoy every minute.
Wednesday, March 30, 2016
And so I rise...again
I rise again, because the crazy patient leaving Washington missed hitting me in the crosswalk. I really thought I was going to go down for the count. I had the right of way, but the hurried patient was turning right on red. No harm, but I did notify our local PD (took a photo while he waited at a stoplight nearby), in case Mr. Hurry-Yup decided to run down any students down the street at Private U.
I'm not sure why I decided to become a stair climber. I think it had something to do with running up and down all the flights of stairs at Saintarama to the rehab gym to take patients their pain meds. Ah, the days before bar coded medication administration! Pull the meds, mark the MAR, and give the pills. It wasn't perfect, but we made do.
This weekend, I'm going on my next stair climbing journey. It's the same set of stairs in the same skyscraper. However, I'm older, wiser, and a tad out of shape, but a promise is a promise.
I figure this old asthmatic nurse ought to do something right? I have been so lucky that my asthma is well-controlled. I drove my sainted mother crazy with my asthma attacks as a kid. We were on a first name basis with most of the Saintarama Childrens Hospital ER staff due to our regular visits.
My friend, a grade school teacher, had to tell her class that one of their classmates passed away on spring break. P. was a kid with asthma for years. This time was different: it got so bad he was put on a ventilator, then he crashed. They couldn't bring him back.
So I will rise, and as I go up all 865 steps, I'll think of P., and the 3,630 other folks who died last year due to asthma. Otherwise, the firefighting crews who race after me will just have to pick me up and take me the rest of the way to the finish.
Stay tuned...
I'm not sure why I decided to become a stair climber. I think it had something to do with running up and down all the flights of stairs at Saintarama to the rehab gym to take patients their pain meds. Ah, the days before bar coded medication administration! Pull the meds, mark the MAR, and give the pills. It wasn't perfect, but we made do.
This weekend, I'm going on my next stair climbing journey. It's the same set of stairs in the same skyscraper. However, I'm older, wiser, and a tad out of shape, but a promise is a promise.
I figure this old asthmatic nurse ought to do something right? I have been so lucky that my asthma is well-controlled. I drove my sainted mother crazy with my asthma attacks as a kid. We were on a first name basis with most of the Saintarama Childrens Hospital ER staff due to our regular visits.
My friend, a grade school teacher, had to tell her class that one of their classmates passed away on spring break. P. was a kid with asthma for years. This time was different: it got so bad he was put on a ventilator, then he crashed. They couldn't bring him back.
So I will rise, and as I go up all 865 steps, I'll think of P., and the 3,630 other folks who died last year due to asthma. Otherwise, the firefighting crews who race after me will just have to pick me up and take me the rest of the way to the finish.
Stay tuned...
Sunday, March 27, 2016
Happy Easter!
For those of you who celebrate (now or later), may the joy of the Risen Christ be yours all throughout the year.
For those of you who don't, enjoy every bit of candy while you can. Most will be 50% off tomorrow. Cadbury eggs are awesome!
I have already hidden my chocolate marzipan eggs (I prefer dark) from prying characters in my home.
Until next time...I raise a glass to you and then go check the ham.
For those of you who don't, enjoy every bit of candy while you can. Most will be 50% off tomorrow. Cadbury eggs are awesome!
I have already hidden my chocolate marzipan eggs (I prefer dark) from prying characters in my home.
Until next time...I raise a glass to you and then go check the ham.
Friday, March 25, 2016
Now hear this!
This Good Friday was eventful. Bubba was still on spring break, so in between some appointments we had fun with him.
Dahey and I had to get our taxes done. All went well except for the craziness when he had to work out of town last year. It's just fun when people make stupid mistakes and we end up paying taxes for one state when we're in another. Eventually, my boss will figure out how to make sure my paycheck is correct, too. He/she should get docked, too, even though it's always resolved in my favor.
We owe money this year to everyone, but I'm not complaining. As our tax guy told us, if he calls, it means someone stole our identity and filed a return. Thankfully, we got no call.
After tax excitement, Dahey got his new hearing aids. While I don't work in audiology, I have to know the basics of hearing aids because it can cause issues in our clinics. Rehab nurses sometimes get enlisted to change batteries. (Another skill for my resume, I guess!) I even learned a few more tricks today, thanks to our lovely audiologist.
Dahey was amazed at what he was missing. Noise inside my car, wind, and birds made him look around in wonder. He goes back in a couple of weeks to get his remote ordered and to get more sound profiles set.
We finished the day off with Bubba at a local fish fry. He wouldn't have it any other way.
Stay tuned...
Dahey and I had to get our taxes done. All went well except for the craziness when he had to work out of town last year. It's just fun when people make stupid mistakes and we end up paying taxes for one state when we're in another. Eventually, my boss will figure out how to make sure my paycheck is correct, too. He/she should get docked, too, even though it's always resolved in my favor.
We owe money this year to everyone, but I'm not complaining. As our tax guy told us, if he calls, it means someone stole our identity and filed a return. Thankfully, we got no call.
After tax excitement, Dahey got his new hearing aids. While I don't work in audiology, I have to know the basics of hearing aids because it can cause issues in our clinics. Rehab nurses sometimes get enlisted to change batteries. (Another skill for my resume, I guess!) I even learned a few more tricks today, thanks to our lovely audiologist.
Dahey was amazed at what he was missing. Noise inside my car, wind, and birds made him look around in wonder. He goes back in a couple of weeks to get his remote ordered and to get more sound profiles set.
We finished the day off with Bubba at a local fish fry. He wouldn't have it any other way.
Stay tuned...
Thursday, March 24, 2016
An inspiration: RIP Joe Garagiola
In another life, I graduated from college, and this baseball player/broadcaster/general good guy came and spoke at our university at commencement.
It was a time when unemployment for new college graduates was high. How high? High enough that employers were picky and paid you a pittance unless your degree was in demand.
I remember things from that day that don't seem important: goofing off, taking a picture with my favorite professor, watching pigeons fly into the arena (unplanned!), hanging out with my husband and my best friend. My dad couldn't make it to the graduation--he attended one of the other graduation events earlier that week--because he nearly died the month before.
To me, graduation was a victory, even though the reward--a full-time job in my specialty--was still more than a year away, after five years of undergrad work.
When Joe spoke, he told stories, of his life, baseball and left us with many words of wisdom. The ones I'll never forget were these:
"Don't take a 'no' from someone who can give you a 'yes'."
As I finally got a job, and made a career, I learned that maxim, and many other things he mentioned, were absolutely correct.
I never saw Joe in person after that day, but many years later, I got to thank him when I called into a radio show. I had been driving down the road, heard it, and called the question line.
He was kind, appreciative, and thanked me for paying attention. The radio host, too, was surprised. However, for a guy like him, it was just taking care of the folks coming up. Because that's what you do. You share the gifts you are given. Joe did that wherever he went.
And you never forget where you came from, where you were just a regular kid down the block.
RIP Joe. Godspeed and say hello to the rest of the folks you and I know for me.
It was a time when unemployment for new college graduates was high. How high? High enough that employers were picky and paid you a pittance unless your degree was in demand.
I remember things from that day that don't seem important: goofing off, taking a picture with my favorite professor, watching pigeons fly into the arena (unplanned!), hanging out with my husband and my best friend. My dad couldn't make it to the graduation--he attended one of the other graduation events earlier that week--because he nearly died the month before.
To me, graduation was a victory, even though the reward--a full-time job in my specialty--was still more than a year away, after five years of undergrad work.
When Joe spoke, he told stories, of his life, baseball and left us with many words of wisdom. The ones I'll never forget were these:
"Don't take a 'no' from someone who can give you a 'yes'."
As I finally got a job, and made a career, I learned that maxim, and many other things he mentioned, were absolutely correct.
I never saw Joe in person after that day, but many years later, I got to thank him when I called into a radio show. I had been driving down the road, heard it, and called the question line.
He was kind, appreciative, and thanked me for paying attention. The radio host, too, was surprised. However, for a guy like him, it was just taking care of the folks coming up. Because that's what you do. You share the gifts you are given. Joe did that wherever he went.
And you never forget where you came from, where you were just a regular kid down the block.
RIP Joe. Godspeed and say hello to the rest of the folks you and I know for me.
Full moon fever
Oh, the natives are getting restless, and for a moment, I didn't know why. Ah, the full moon! It was one of those days recently. Everything and nothing goes right.
One patient I follow is still ditching me for his/her monthly follow-up. Since I have to report to his/her provider re: progress, this makes things sticky. Try, try, again.
I am finally (maybe) getting resources to start a program I proposed earlier this year. Got clearance from the local committee and everything. If all goes as planned, the key pieces will fall into place next week. I'll still be sending prayer requests to my favorite nuns, monks, and old ladies, though. Working in this arena is rewarding, but endlessly frustrating with the amount of backtracking I have to do.
Thank goodness some of my folks still love me!
And speaking of the love, my next door neighbor and I found out our abstracts have been accepted to one of our favorite conferences.
The show WILL hit the road again, just in time for hurricane season, Labor Day and a family wedding. Why not have everything big happen in one week's time?
Stay tuned and enjoy your weekend! Happy Easter to all who celebrate!
More later...
One patient I follow is still ditching me for his/her monthly follow-up. Since I have to report to his/her provider re: progress, this makes things sticky. Try, try, again.
I am finally (maybe) getting resources to start a program I proposed earlier this year. Got clearance from the local committee and everything. If all goes as planned, the key pieces will fall into place next week. I'll still be sending prayer requests to my favorite nuns, monks, and old ladies, though. Working in this arena is rewarding, but endlessly frustrating with the amount of backtracking I have to do.
Thank goodness some of my folks still love me!
And speaking of the love, my next door neighbor and I found out our abstracts have been accepted to one of our favorite conferences.
The show WILL hit the road again, just in time for hurricane season, Labor Day and a family wedding. Why not have everything big happen in one week's time?
Stay tuned and enjoy your weekend! Happy Easter to all who celebrate!
More later...
Sunday, March 20, 2016
Happy Spring
Hope you are enjoying your day. It's cold, cloudy, and snowing today the first day of Spring.
Mother Nature is surely a jokester.
That is all...more later.
Mother Nature is surely a jokester.
That is all...more later.
Friday, March 18, 2016
Oh weekend
Dear Weekend:
Thank you for arriving. Waiting for you this week has been interesting. Yes, there were fun things this week but there were things that were decidedly not fun.
The beautiful sunny weather is disappearing this weekend, so I'll make myself productive again inside.
Here's hoping for better weather next week when Bubba is on Spring Break.
We can only hope.
Yours sincerely,
RehabRN
Thank you for arriving. Waiting for you this week has been interesting. Yes, there were fun things this week but there were things that were decidedly not fun.
The beautiful sunny weather is disappearing this weekend, so I'll make myself productive again inside.
Here's hoping for better weather next week when Bubba is on Spring Break.
We can only hope.
Yours sincerely,
RehabRN
Thursday, March 17, 2016
Pills, possibilities and picadillos
Ah, what a week it's been. Starting off with Pi Day on Monday, I feel as if I've been sprinting everywhere. Spouting might have been correct, though. After I had my lunch and ordered a new computer (which was absolutely crazy--for both the discount and the credit card hold), I showed my friend K. the new office, since she's rarely over anymore. I look up, and there it is: a huge leak on one of the ceiling tiles.
Since my office is in an older part of the Hotel, leaks are not that uncommon. After three days, moving from this room to that room, they finally finished the search for the leak. They found it in one of the radiator lines upstairs. I was ecstatic that the leak was repaired and I didn't have to wonder if the tile would come crashing down while a person was visiting me.
The CDC also published guidelines this week about opioid prescriptions. Our folks in the SU hope it works. They had another unruly customer in the building who required a two personassist, I mean escort out of the building by security. On top of that, we have a very troublesome patient, who's behavior is escalating. It's making things difficult for the staff.
For picadillos, Google says I must remind all of my European visitors that we use cookies here on Blogger. I don't use the data, so I hope you don't mind.
Despite all the mess, today is St. Patrick's Day. I celebrated by wearing my green and eating corned beef and cabbage at the lunch one organization had for the staff and patients at the Hotel. I remember that without those Irish ancestors (or some like these) I probably wouldn't be here today.
More to come...
Since my office is in an older part of the Hotel, leaks are not that uncommon. After three days, moving from this room to that room, they finally finished the search for the leak. They found it in one of the radiator lines upstairs. I was ecstatic that the leak was repaired and I didn't have to wonder if the tile would come crashing down while a person was visiting me.
The CDC also published guidelines this week about opioid prescriptions. Our folks in the SU hope it works. They had another unruly customer in the building who required a two person
For picadillos, Google says I must remind all of my European visitors that we use cookies here on Blogger. I don't use the data, so I hope you don't mind.
Despite all the mess, today is St. Patrick's Day. I celebrated by wearing my green and eating corned beef and cabbage at the lunch one organization had for the staff and patients at the Hotel. I remember that without those Irish ancestors (or some like these) I probably wouldn't be here today.
More to come...
Thursday, March 10, 2016
Going to the taxman
Getting ready for this guy. Ugh!
Gotta go early enough, or I'm on my own.
No thank you. I'll leave mine to the professionals.
Gotta go early enough, or I'm on my own.
No thank you. I'll leave mine to the professionals.
Wednesday, March 9, 2016
Dear Boss
I know you are stressed. I'm sure you're kind of on autopilot, but I notice things.
I notice that you said, "You learn this in therapy" in way too many places recently. Yes, people learn things in therapy, but when you have a RN in the room and a therapy student with patients in a education class, you have to make sure the patients understand one thing.
They should learn EVERYWHERE at any time. Yes, everywhere. If they don't, they may not survive.
Nurses work 24/7, and frankly, we should be teaching patients that amount of time, too. It's not just during therapy, or by nurses on breaks from therapy, it's whenever they can. I view saying "hi" to someone in the hall as an education opportunity. Like the fellow who wandered into the clinic at Washington while I was talking to my nurse friend T. He learned something, because I took five minutes to teach him (thank goodness for those brochures in my bag!).
Our therapists might be good, but they are not here 24/7. Our nurses are. Please don't discount them. Empower them. Encourage them to do their best, to learn more, to get certified, to be the best they can be.
Sincerely (because I really do care),
RehabRN
I notice that you said, "You learn this in therapy" in way too many places recently. Yes, people learn things in therapy, but when you have a RN in the room and a therapy student with patients in a education class, you have to make sure the patients understand one thing.
They should learn EVERYWHERE at any time. Yes, everywhere. If they don't, they may not survive.
Nurses work 24/7, and frankly, we should be teaching patients that amount of time, too. It's not just during therapy, or by nurses on breaks from therapy, it's whenever they can. I view saying "hi" to someone in the hall as an education opportunity. Like the fellow who wandered into the clinic at Washington while I was talking to my nurse friend T. He learned something, because I took five minutes to teach him (thank goodness for those brochures in my bag!).
Our therapists might be good, but they are not here 24/7. Our nurses are. Please don't discount them. Empower them. Encourage them to do their best, to learn more, to get certified, to be the best they can be.
Sincerely (because I really do care),
RehabRN
Monday, March 7, 2016
Sin City indulgences
Yes, it was beautiful weather in Las Vegas when I was there recently. But, as usual, in conference season, it's also crazy. A couple getting married was on our flight. We all signed napkins with marital advice and they got a bottle of the sparkly stuff for their trip.
I got to stay at one of the most beautiful places around in the Mandalay Bay complex. Pools, palms, casinos, shows, nightly turn down service, you have it all.
What I would have preferred though? A lighter duvet. You would have sworn it got to 30 below zero outside even though the thermostat in the room never went below 65 (I tried to no avail). This lead to much discomfort at night. I figured out (on the last night) that I actually slept better in the bathrobe with just the sheet covering me.
We had lovely meals (hence the indulgences that made my scale go up) and I ate EVERY dessert (although most were tiny). Tiny pain au chocolat at breakfast, tiny chocolate mousse and other sundry mousse-like items, and tiramisu (also tiny). They were all good.
To make up for it, I tried to march around the mall every chance I got, because it beat walking around in the casinos which could get smoky. I also ran up stairs wherever possible.
And yes, I gave some money to the house at Mandalay Bay and Luxor. After I ran through $80 of my $100 budget, I gave up and went to the airport. On my last $20 I put in the slots near my gate, I made $50. I cashed out and vegged while awaiting my plane in the crowded terminal.
The flight back was nice. I sat next to a pilot who was returning to start his work week. Got a lot of insider information and it was fun.
Now, it's back to work. Let the week begin. Hope you enjoy yours wherever you are!
I got to stay at one of the most beautiful places around in the Mandalay Bay complex. Pools, palms, casinos, shows, nightly turn down service, you have it all.
What I would have preferred though? A lighter duvet. You would have sworn it got to 30 below zero outside even though the thermostat in the room never went below 65 (I tried to no avail). This lead to much discomfort at night. I figured out (on the last night) that I actually slept better in the bathrobe with just the sheet covering me.
We had lovely meals (hence the indulgences that made my scale go up) and I ate EVERY dessert (although most were tiny). Tiny pain au chocolat at breakfast, tiny chocolate mousse and other sundry mousse-like items, and tiramisu (also tiny). They were all good.
To make up for it, I tried to march around the mall every chance I got, because it beat walking around in the casinos which could get smoky. I also ran up stairs wherever possible.
And yes, I gave some money to the house at Mandalay Bay and Luxor. After I ran through $80 of my $100 budget, I gave up and went to the airport. On my last $20 I put in the slots near my gate, I made $50. I cashed out and vegged while awaiting my plane in the crowded terminal.
The flight back was nice. I sat next to a pilot who was returning to start his work week. Got a lot of insider information and it was fun.
Now, it's back to work. Let the week begin. Hope you enjoy yours wherever you are!
Tuesday, March 1, 2016
In a hurry
If we are in a hurry, there are a lot of things we don't see. We run past people on the street, in the halls, in their rooms. Just like this guy, a noted researcher in a hurry.
Some people just don't move fast enough: they're slow. E. was one of those folks. He just meandered around in his wheelchair, sometimes numbed and slowed by his brain injury. Frankly, I was surprised when he wandered into my clinic a couple of weeks ago to ask some questions. It was something he rarely did, but he needed help.
A staff member at the nursing home told him he needed to be seen at the Hotel. So when I looked into things and checked his appointments, I saw, he was right. I sent a message to our clinic nurse down the way, Q. and he/she said they'd get him on the next clinic list. I escorted E. to make sure he wouldn't be distracted and forget. Our scheduler was waiting and put him right on the schedule.
E. was happy when I saw him last week. He got his appointment, and everything looked good. "Thank you." he said slowly. I smiled and told him, "Any time, E. Just come bang on my door (pointing at it) if you have to."
He smiled, his driving cap, turned jauntily to the side and rolled out to the home's bus, awaiting him outside.
That was the last time I saw him. Today we found out that E. was found dead in his room.
I always wonder when I'm in a hurry about what might happen if I slow down. As I reflect, I see it now. I just might catch a glimmer of a light that may never shine the same way again.
Take your time and remember those little moments. They could be the last.
More later...
Some people just don't move fast enough: they're slow. E. was one of those folks. He just meandered around in his wheelchair, sometimes numbed and slowed by his brain injury. Frankly, I was surprised when he wandered into my clinic a couple of weeks ago to ask some questions. It was something he rarely did, but he needed help.
A staff member at the nursing home told him he needed to be seen at the Hotel. So when I looked into things and checked his appointments, I saw, he was right. I sent a message to our clinic nurse down the way, Q. and he/she said they'd get him on the next clinic list. I escorted E. to make sure he wouldn't be distracted and forget. Our scheduler was waiting and put him right on the schedule.
E. was happy when I saw him last week. He got his appointment, and everything looked good. "Thank you." he said slowly. I smiled and told him, "Any time, E. Just come bang on my door (pointing at it) if you have to."
He smiled, his driving cap, turned jauntily to the side and rolled out to the home's bus, awaiting him outside.
That was the last time I saw him. Today we found out that E. was found dead in his room.
I always wonder when I'm in a hurry about what might happen if I slow down. As I reflect, I see it now. I just might catch a glimmer of a light that may never shine the same way again.
Take your time and remember those little moments. They could be the last.
More later...
Wednesday, February 24, 2016
Multiple headaches today
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.
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.
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.
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