I needed a laugh

Dr. K, one of our specialists who works with us in the SU, was part of a profile article on our program for the local paper. All the PR Hotel staff approved, said all the appropriate PR incantations and they came out to take a photo of us seeing a patient. Patient signed release (and a couple of autographs for his neighbor on the unit who egged him on, out of earshot, of course.)

When I told Dr. K. a few minutes before he came into the room, he says, "Darn it. I should have worn a tie today."

"Why wear a tie?" I said, "You never wear that or your white coat anyway. No one would know who you are."

Sure, it looks easy

But running around and doing everything you need to do on Monday can get really, really crazy.

I thought I had a reasonable assignment, but I ended up getting involved in miscellany again. One minute it was transferring a patient who didn't want to go anywhere for a test, the next it was changing trach ties. Finally, I get my people finished in time for lunch...literally just in time, as lunch was delivered.

Next, I straightened a room, ate my lunch and enjoyed peace and quiet, when I found out my admission had arrived. I spent the rest of the afternoon getting things done--assessment and paperwork. When I thought I was done, I had to teach to a few people how to draw blood from a PICC. Oh, we so need a refresher on blood draws for some people, including order of the draw. I also realized I need to get educated on bloodstream infections, particularly regarding blood cultures and PICC catheter cultures.

Finally, I finished my day. I was able to sit down to do my paperwork. While I had a moment, I got in on a conversation about alcoholism (an observation by another coworker) and she mentioned this resource. It also made me think later that we might just need to involve more of our patients in alcohol treatment programs than we currently do.

The day didn't quite work the way I thought it would, but it was not terrible. We'll see how the rest of the week goes...stay tuned.