Showing posts with label evaluation. Show all posts
Showing posts with label evaluation. Show all posts

Thursday, November 29, 2012

A topper

I really did think when I called my friend N. on the Left Coast, that I really did have a story that could top anything that happened to her.

N. is a manager of a Borg Pharmaceutical vendor, who will remain nameless.

My day was fine and dandy until Mr. and Mrs. Lost came to my door. I figured it was a simple, direct-them-to-the-SU kind of thing that normally happens. Nope.

Mr. Lost told me that he was going to kill someone. (Ding, ding, ding -- alarm bells) To top it off, he had a plan.

Hello...there went my beautiful boring morning. Calm Mr. and Mrs. Lost down and call the psych people.

No one is answering their phone. (Maybe that lunar eclipse thing messed them up?) So I went looking for the mental health staffers on our team. After much searching, I found one.

Mr. Lost stayed in my office while J., our mental health staffer, called the "Heightened state" team. Chief says, "Send Mr. Lost to the ER for evaluation."

Surprisingly, Mr. Lost was okay with that. J. stayed with him until the ambulance came. Mrs. Lost went home to collect some things and call Mr. Lost's daughter.

And so, J. had a teaching moment with the student today.

I'm so glad I got to be the lucky person...stay tuned for more.

Friday, December 9, 2011

Just lovin' it

Yes, in a mere three days I'll be done with the latest installment of my graduate education. And I have to say, I learned a lot. I learned that some people are just a pain in the arse. Yes, they are.

I thought we only hired non-professionals at the Hotel. No, kids, the non-profs are everywhere. What distinguishes them?

1. When you're supposed to function as a team and communicate with members who can't show up for meetings, you take minutes and post them before the next meeting.

2. You act like an adult.

3. You actually show up, and do some work.

and finally,

4. When you're assigned to be the leader, you lead. You don't goof off hiking in the woods when you're supposed to be responsible for an assignment (I wish that wasn't a real excuse...).

Now, I'm going to finish what I started, just like I said I would. And when I'm done, I'm gonna pray that we get a passing grade out of this one. I don't have a really good feeling.

Should make doing evaluations really interesting.

More on the way!

Monday, August 8, 2011

You know it's Monday when...

"It's a cruel, crazy, beautiful world./Every day you wake up/I hope it's a blue, blue sky." --Johnny Clegg

1. Your patient is the heaviest one on the floor.
2. The first thing you have to do when you walk into the room and say hi, is suction said patient.
3. After that, you have to change the patient's external catheter, since the last shift somehow managed to pull it off. Said patient has a wet pad beneath him.
4. Clean up patient and change pad.
5. Wait for docs to round. Hold bowel routine, 'cause heaven forbid a doctor see a patient who poops whilst they're in the room!
6. Once Dr. HarvardMedSchool gives you crazy orders (like attach dressings without attaching them and you're not using one of these), start bowel routine.
7. Bowel routine over, so bathe patient. Suction again, and again, and again, before shave, after shave, after turning, etc.
8. Feed patient lunch. Suction patient.
9. Be so happy you follow the rules re: isolation gowns in rooms because as you dress patient, patient has a lot of gas, which is accompanied by a moderate amount of loose stool, which sprays bed rail, bed, and some gets on you.
10. Take off gown, wash hands, put on new isolation gown and other assorted PPE, then suction patient again.
11. Get patient dressed, into wheelchair and adjusted. (This takes 30 minutes including cleanup after explosion).
12. Get patient out door.
13. Patient returns in two minutes frothing. Suction again.
14. This time it works, get patient to therapy for evaluation for new wheelchair.
15. Patient is gone for not quite an hour. Lo and behold, the PT inadvertently pulls off external catheter during transfer. Put patient back to bed and clean up.
16. Suction patient again once in bed. Finish cleanup.
17. Dress patient in new clothes. Get patient adjusted then resupply room for next nurse.
18. Give report.
19. Wash wet cushion cover.
20. Go home.

And in between all that, I had 1) other patients and 2) lots of documentation to do.

So glad I eat fast and early! And I'm thrilled my work Monday is over, over, over!

Stay tuned...

Monday, February 22, 2010

You want what?

The story of my days recently.

1. You want to admit how many people today? Our usual is one per MD during normal business hours, but we went way over the limit on a recent day. No wonder they were snapping so much!

2. You want what kind of lunch? We're all out.
Don't you just love it when the dietician says, "I wish they'd put Ms. X on her colonscopy prep early. We're out of xx food item she needs."

3. You want to get up everyone 250+ lbs. plus today on a stretcher? It just seemed that way for a while...my back's still hurting.

4. You want my evaluation? I've already sent it.
Now please put me on the list for a pay raise, and I'll forget all about how many times you asked for and I e-mailed my information that you requested over and over!

Stay tuned...it can only get better!