Saturday, January 30, 2010

Where has RehabRN been?

That crazy late 80s song is reverberating in my head, even if I haven't seen Michael J. Fox anywhere. All those darned signs make me want to look for prospectors or some cowboy to appear on the landscape.

We'll begin the drive back to RehabLand soon, so this show will hit the road.

Please keep those cards and letters coming...Change of Shift is here on February 4th.

Monday, January 25, 2010

Heard on the unit, volume 2

"RehabRN!" "RehabRN!" "RehabRN!" Patient #2
Remember him from our last installment? Yes, Mr. Demented proceeded to call out my name all weekend according to the night shift and he did it on day shift, too.

One of these days, we'll get those meds calibrated correctly, won't we smarty Dr. GeroPsych?

"Who is that nurse who looks like Gumby in pink?" Mr. Complains-a-lot.
All I can say is....I like Easter egg colors some times.

"If I had the middle covered up on this brace, (a TLSO) I'd paint a six pack on it." Mr. Renoir
Somebody really, really doesn't want to adhere to a diet that does not allow pie with every lunch and dinner. Said patient was outed to the dietician for eating seconds on pie this weekend, which is not part of his weight loss plan.

And if that's not entertaining enough, seen in orders....

"Record patient bowel movements to see if we need more forceful bowel preparations." noted for one of our patients being evaluated for colostomy.

We really like BM stories at the Hotel. We also get requests for frequency, color, and smell. We sent a C-diff for one patient after s/he suffered all weekend soiling the linens and the MDs wrote it off as a diet change....right!

School started recently so I'll be reading away.

Don't forget...the next Change of Shift will be right here at the Hotel Rehab on February 4th. Keep those cards and letters coming!

Sunday, January 24, 2010

Just another reason why...

You don't want to go to the hospital alone. I will definitely heed my nursing instructors' advice if I ever end up in this situation.

Thursday, January 21, 2010

Come on down!

It's your turn on the Price is Right...wait a minute! It's time for that perennial favorite...Change of Shift!

This week Kim's got a lot of CoS goodies over at emergiblog and on February 4th, you'll find Change of Shift right here, direct from the Hotel Rehab.

Use the BlogCarnival sidebar item on the right or e-mail them straight away to hotelrehab at nyms dot net.

Enjoy the latest and greatest...and get those fingers typing!

Lucky ducky

Yes, I am lucky.

So lucky that both of the codes I was called to today were resolved (or very near that) by the time I went to them.

First one was a fire code that I ran in the rain to get to the building. No smoke, no nothing. Just a whole lot of people standing around saying, "Okay, which smoke alarm was it?"

Next, was the code I got called to by the charge nurse, who said, "Come with me." in one of those voices that makes you think 1)one of the patients just did something horrible, or 2) someone just died. Happily, neither of those scenarios materialized. Visitor fainted in the parking lot by another building and was assessed by the folks there.

Walk back, wait, and it's time to go home....an exciting way to end the day.

Wednesday, January 20, 2010

Nuggets for January 20

Yes, it's Wednesday again and here's the latest and greatest goodies on the 'net. Enjoy!

Editing takes all the fun out of it

I was really stunned when I initially saw this story on the BBC website about how blonde women were more aggressive. The story must have pretty inflammatory (and they removed the Margaret Thatcher photo), so it was revised to reflect the researcher's actual research. Darn, it would have been fun posting this at work when it was about hair color!

A little rehab

We talk about lots of conditions that can cause you to end up in rehab at the Hotel--brain injury, spinal cord injury, and especially stroke. This article from this past weekend's NY Times is about strokes in children called Children Don't Have Strokes? Just ask Jared, which is a great article about this not-so-uncommon problem in pediatrics.

Battle of the sexes

As Gilda Radner used to say, "It's always something." Here are some recent articles of interest about men and women, inequality, housework and marriage.

Female Scientists Do More Housework (from the Chronicle for Higher Education) The first line is one of the best mental pictures for this type of article.

More Men Marrying Wealthier Women
(from NY Times) It's an interesting trend.

Health and informatics

2 Nurses emerge as leaders in informatics A press release from AMIA, the American Medical Informatics Association.

Finally, just start jogging away from the desk right after you read this: Experts: Sitting too much could be deadly (from AP via Yahoo!)

Tuesday, January 19, 2010

Oh happy day!

Time to clean and work on lots of paperwork...why is all that paperwork appearing? Nothing like tax season and the start of the semester for the senseless murder of trees.

For my resource-obsessed coworker, S: Look, blog uses no paper! S is a little different...she brings her water in an aluminum bottle from home, which makes me believe she thinks the Hotel water (a mere five miles from her house) is poisoned. Nothing like a paranoid person to deal with when you work. Thankfully, we rarely work on the same shift. I hear of her exploits from the other folks.

One of my New Year's resolutions is not to talk about people much at all, even in terms of whether they were at work or not. I'm beginning to think that military truism of only having the absolute necessary information to work is better with one's coworkers. Some things I'd rather just not know.

I had a little time last night to look up a few topics and so did a couple of other people, so we were Google dueling for a while. Someone picks a condition and we google it to see who comes up with the best information first, without getting info from Wikipedia.

It's always interesting on the evening shift.

Monday, January 18, 2010

Over halfway through...

I can hardly believe January has gone by this quickly. So many things on the horizon...road trips, birthdays and grad school starts again.

The time is just flying again...more to come, so stay tuned!

Saturday, January 16, 2010

Heard on the unit...2010

I haven't really had too much in a long while for this segment, but it's getting better and better everyday.

Here's a few I've had recently...
"Please call the minister. I want to let him know what I want for my funeral." Patient #1

He's not even dying yet, but this guy wanted us to do everything to get the chaplain on the unit right away recently. Chaplain had already left for the day, so we left the service a message. Now if he starts dreaming about the dead relatives and the farm...that's a whole other story!

"Is that a beer bottle over there on the shelf?"
"Where's my good luck kiss before I go in the ring?" Patient #2

This patient is demented and his worst periods often happen in the middle of the night. No, there is no beer bottle, but the flashlight we keep there sure can look like one in the dark.

I get the pleasure of reorienting him back to the hospital, which isn't nearly as exciting as his career in the Marines, the boxing ring, or as a bartender.

Stay tuned for more goodies!

Friday, January 15, 2010

Welcome back!

Things you always want to see on your first night back from vacation:

1. Patient who is given a bottle of magnesium citrate, just as your shift starts. Load up the pads, towels and cleaning supplies.

2. Patient who goes from obnoxious all day to threats to assault to taking a swing. Security!

3. Patient who remembers your name and yells it out every single time you walk past his/her room, just to see if you'll come in.

Maybe I should have just given him the night shift charge nurse's name, instead.

Wednesday, January 13, 2010

Help Haiti

Here are a few links if you're interested in helping those affected by the Haitian earthquake yesterday.

For nurses and other first responders, check out this page at nursingworld.org.

For more information on contacting relatives, etc., check out the Department of State blog.

Here are charities actively working in Haiti who need cash donations now to help their already established organizations there:

American Red Cross

Cross International
Food for the Poor
St. Boniface Haiti Foundation

Nuggets for January 13

Yes, it's Nuggets...the post-holiday edition. Sit back and enjoy wherever you are. The regularly scheduled holidays may be over, but if you want to make up your own holiday, check out some of the items below.

So what is January 13, anyway?
Just go nuts...or maybe Knuts would be more appropriate today, which is St. Knuts Day in random parts of Scandinavia. Want to know more? Check out this page about St. Knut's Day.

Nurse vs. IRS

Nurses are very smart people, and sometimes they need just a little more education to do their jobs effectively. This Wall Street Journal article called Nurse Outduels IRS to Deduct M.B.A. Tuition tells a great story you may need to use later. Lori Singleton-Clarke, you are my hero! Hope you get a book deal!

J. Lo --the ideal woman?

Tired of chubby buns and thighs? Never fear! Salvation is here. According to this BBC News story; Having a big bum, hips and thighs 'is healthy'

For all the parents out there...

Take heed if you have a leaky lad or lass. All is not lost. The 18 and under section of the NY Times health blog has a great story about bedwetting among kids over 5. Read the whole thing...the last paragraph is priceless.

And for all the corrections nurses...

This one's for you. Jeffrey Rosen has a great story called Prisoners of Parole, which was discusses alternative ways to keep certain offenders from reoffending and going back to prison.

Tuesday, January 12, 2010

I love allergies

No, I don't wear an allergy band, but if I did, they'd probably have to print it in very small font.

You'd think that all the mold in this place would finally be frozen with the oh-so-low temps we've been having lately. No way...that's why the maintenance guys have turned up the heat.

Welcome to the house (or hotel) dust storm! A-choo!

More to come...stay tuned.

Saturday, January 9, 2010

New Year's Resolution: Another club to join

We don't have any of the biggest and baddest of these in our neck of the woods, but we do have a 50 story monster I took on this morning in a test climb.

Skyscraper 0, Nurse 1.

Just like doing the upstairs rounds at work, only several times over...now it's march, march, march until D-day, the day of the climb.

Friday, January 8, 2010

Late Nite...

It's the latest version of Change of Shift up at emergiblog, silly. Who knows where or what Letterman is doing.

Go check it out!

Thursday, January 7, 2010

Nuggets for January 7

Happy New Year, all! Welcome to the very first edition of Nuggets for the new year.

Lots and lots of goodies out there on the 'net and in the blogosphere for your enjoyment. If you're snowed in and at work, like me, take a break, take a load off and enjoy a moment to yourself, 'cause that shift may last a LOOOONG time if relief doesn't get there!

More new year's resolution stuff

Here are a few goodies I've run into on this front, if you're up to a change:
How to keep your new year's resolutions (from Time Magazine)
Swissballs - info on one balance ball maker
Thinking of going to graduate school? Check out this article, if you're thinking about the humanities: Just Don't Go. (from the Chronicle of Higher Education)

Nursing, technology, etc.

It's in the news all the time...here are some interesting items recently.

Nursing: we take care of the whole family as our patients, including some unusual family members: Nurses take care of man's seeing eye dog (from the Lincoln, NE Journal Star)

Technology: The merger of these two health record systems may be a noted as a major accomplishment one of these days: VA, Kaiser to share health records (from Sign On San Diego)

Love story: Yes, it's not necessarily nursing-related, but it is a good story nevertheless, so go ahead and read it. Could I forgive him one last time? (from the NY Times)

Tuesday, January 5, 2010

Decade, what decade?

"Time flies when you're having fun." anonymous

I was reading Maha's post the other day about the last decade, and it got me thinking about my own whereabouts.

My decade...in a nutshell.

2000: Maybe they should have called it --Y2K, your life. My life: family deaths, weddings, and a job change all in one year.

2001: Job is cool and all of a sudden on my way to a meeting, hundreds of people are in the lobby. Whoa, some meeting, I think. 9-11 is happening on the screens as I go by, which was so surreal. Next, go to the meeting, come out, get ready to go to another meeting, and find out the people I was supposed to meet cancelled for a very good reason. They were called in to their Army Reserve jobs immediately. Project delayed.

2002: Things were very different after 9-11. Projects on hold. Market tanks and old, venerable company has first layoff. Out I go. I enjoy unemployment so much, I get pregnant. Dahey promptly leaves town for work.

2003: Almost like 2000 again: good things (baby, new job) and bad things (literally and figuratively crazy relatives, wacko real estate deal). Lots of stress going back to work. Dahey is out of job for much of the year, which actually turned out to be a good thing. Can you say Mr. Mom?

2004: Love/hate relationship with job. Lots of stuff in head...go do MBA or take nursing prereqs? Start prereqs, since they're cheaper.

2005: Find out boss is shopping my job to contracting firms. Very, very pissed. Start looking for other jobs. Relative dies, which actually turned out to be a good thing. Relative is best friend of godfather, who works at same company. Boss realizes this and out of the goodness of his heart (with tail between his legs to boss, since he now had some explaining...) rescinds job search for my position. In retaliation, I find a job with better pay and benefits and give two weeks notice. Finished nursing prereqs. Apply to several nursing programs in two states.

2006: Freak out when I get acceptance letter from PrivateU's nursing school. Pay deposit and wait six months. Oh.My.Freaking.Heavens. Give notice at job before start of the year of living dangerously in an accelerated program. One of my coworkers tells me before I leave, "That is the best kiss-off letter I've ever read!"

2007: Graduate from nursing school. What an experience! The overachievers there made business school look like kindergarten! Work at Saintarama in my first job. Have fun, learn lots and have a sore back from all the heave-ho.

2008: Decide I need to leave Saintarama. Was wanted in a bean-counting job, but just couldn't do it, for all the tea in China (way too much hassle, even if it was "education".) Get job at Madison with so much less and so much more. Less driving and hassle and more money. Still have fun with rehab patients. Learn about government bureaucracy. Go to my first conference ever in my career. Have a blast and decide to pursue certifications.

2009: It's a good at the Hotel Rehab. I get pay raises, certifications, an award, and a chance at a desk for that clock/radio I got for nurse's week. Okay, so I don't have the desk yet, and the clock part doesn't work, but it was an effort. Started grad school as a new hobby...sometimes I wish I liked needlepoint like my friend S.

And now it's 2010. We'll just have to wait and see...

Back to basics

Keep It Simple, Stupid, or the KISS principle as it's known in IT circles has been the story of my days lately.

Lucky me, the grad student, got nominated by the boss to be on the IT committee for the unit for some redesigning work and a special project. What does this mean? In addition to my regular duties keeping everyone happy at the Hotel, I've been working on analysis of some of the upgrades that are coming. (See, some of those classes really do come in handy!)

Now I just have to manage to herd the other RN on this project into more meetings and get my boss to cooperate in letting me off the floor for said meetings.

It should make this an interesting few months...stay tuned.

Monday, January 4, 2010

Another fun evening

Yes, today's the first business day of the new year, and we're looking forward to the booking agents filling up all the empty rooms in the Hotel again. Our census has been low, low, low, so now we have to start combing the hospitals, homes and clinics hither and yon, to fill up the place. Should make things exciting this week.

Happily, I've been enjoying having less people, because I've been able to spend more time with my patients. One is confused. He's getting better, but why is it that all the confused people, who sometimes can't remember where they are, can remember down to the minute, when they get their next pain pill (and badger me until they get it)?

I'm praying the prosthetic people bring one of our amputee patients his stump shrinkers. He sure needs them. I can't properly wrap his stumps with ACE wraps, and it's driving him (and me) crazy. He finally believed me when the charge nurse told him we weren't really wrapping his stumps according to the book protocol (with ACE going around the waist).

Outside of that, I finally got my grades sent off and am awaiting next semester's bill to submit. Let's hope the education people don't run out of money!

Stay tuned...more to come from the exciting land of Hotel Rehab.

Saturday, January 2, 2010

Happy New Year

I got to spend New Year's Eve at the Hotel working with patients, and as I was driving home, people in the neighborhood were blowing fireworks off, lighting up the already bright blue moon sky.

So, I've been recreating here and there in between shifts and sleeping. Never can get enough sleep.

I woke up disoriented this morning thinking it was a day ahead, and somehow the paper people forgot my Sunday paper. Alas, it's only Saturday. Now, it's time for work.

Stay tuned...more to come! The year awaits...