Friday, November 28, 2014

Star Wars!

I am cautiously hopeful that the new Star Wars doesn't suck. The first trailer is out today which you should go immediately watch and tell me what you think about it.  But really, I'm just so pulling for this to not be terrible. I'm almost afraid to get excited about it, because I don't want to be let down.

That said...

Yeah, that's me.

And here's the trailer!


Sunday, November 23, 2014

Walter would be proud.

Dude I hate to break it to you, but...declining an ibuprofen for your bum ankle because you "don't like to put pills from big pharma" in your system then almost immediately admitting that you do meth quite frequently just doesn't make sense.

I really don't understand people.

Saturday, November 22, 2014

Oh no...

I've done something terrible at work. Something awful. Right now no one knows about it, but it's a pretty small ER and rumors can travel fast. I'm not even there at the moment but it only takes one person to suspect something and start talking. What do I do if I'm found out? Do I come clean and apologize? Or do I dig in, pretend it never happened and hope it blows over?

I just don't know. It's bad though. Real bad.

I...

This is hard. I don't even want to tell you, anonymous interwebz.

I...

Okay. Deep breath. I've gotta come clean.

I...pooped in the break room bathroom.

I KNOW I KNOW, IT'S TERRIBLE. I just went in to pee, and all of a sudden my butt was like HAHAHAHA NOPE and I had to poo. It's one of the ago old rules to the ER - don't poop where you work. And there were people in the break room! I was mortified. No one had to use the bathroom right after me but I can't hold out hope that I left it unscathed. There had to be some olfactory evidence, because errrrrr-ones shit stanky. I'm not special!

Gah. I think I'd almost rather forget to chart an assessment or have a patient get mad and write me up for something stupid. At least then I'd have the sympathy of my coworkers. Bathroom poobomb? There won't be any kind words for me, that's for sure.

Tuesday, November 18, 2014

Caring.

A few days ago I sat and held the hand of a soon-to-die man who was anxiously looking forward to it. He didn't want to be in the hospital but didn't want to go home. When the young resident finally got frustrated with the old mans' repeated answer of "just let me die, dammit" to all the interventions suggested, I finally stepped in and suggested that we admit the gentleman overnight until his primary doctor could come in since they had an established history and knew exactly what the patients' wishes were for end of life care. The resident agreed although I think it was partly out of relief that the decision was taken out of his hands and partly because he didn't know how to deal with someone who didn't want to get better. Either way, he wrote the admission orders for comfort care and left.

Since I was floating that night and it was a ridiculously slow shift, I pulled up a chair and sat with the man. He told me stories of when he was in the military and met his beautiful wife, how she had a sailor mouth worse than his, and how she was "such a classy broad" who was a down home country girl who took none of his shit yet could doll up with the best of them. He told me of their adventures around the world. He cried when he told me of their struggle with cancer years ago. She beat it once, but eventually it came back. When he was quiet for few minutes, I said nothing. "I'm not looking forward to dying," he said, "but I just can't wait to see her again and give her hell for leaving me so soon."

Together we went through a box of shitty hospital tissues - mostly by him, but I used my fair share too.

Before he went upstairs to his bed he asked me to put the rail down for a minute. I helped him stand up, thinking he needed assistance to the bathroom or maybe to straighten out his sheets. Instead he gave me a great big bear hug and hung on for a few minutes. He thanked me from the bottom of his heart. I told him I'd come see him in a few days when I was back, and he replied that he hoped I was too late.

The next time I worked I called the floor to find out if he was still in that same room. They told me he died a few hours after I sent him up there.

I've become a cynical, jaded person over the past few years. The daily grind of the ER sometimes beats me down and makes me question why I choose to work in a field where I'm verbally abused, often in danger of physical violence, surrounded by people who try to manipulate me into dilaudid or bus tickets or free meals, see ungrateful and entitled people who take advantage of the system, and deal with generally horrible people who have no concept of what it means to be decent. But this man makes me remember why I chose to work in this field. Because every now and then, I get to meet someone like him and truly make a difference.

Wednesday, November 5, 2014

Germs

I understand the Ebola fears circulating. I really do. It's a scary, horrifying disease and just because it isn't ravaging the US yet doesn't mean it can't. People need to take precautions, educate themselves, and not be dumbasses. An incredibly tall and impossible request, it would seem.

I'm continually amazed at how derp people are. I mean, marching into the ER with the N-100 mask ordered from the interwebz to "help me breathe good," demanding a pair of gloves from the triage nurse and then proceeding to keep the same pair of gloves on for the entire visit -EVEN IN THE BATHROOM - is not how any sort of infection is avoided. Loftily telling me that you don't want to sit on the stretcher because "that where a-bola people might sit" is not how to avoid getting sick. Come on, people. Whether it's Ebola or the regular flu or any other communicable disease, not acting like an idiot is the single best thing people can do to not catch something.

I suggested proper handwashing instead of gross glove wearing, and sneezing techniques that don't involve the spraying of snot all over everyone, gave education on the reality of Ebola, recommended a flu vaccine, and - and this is where I got cut off, because she goes "whatever, I know what I doin."

I can't win.



But here's a word of wisdom from me. You don't want Ebola? STAY THE FUCK OUT OF THE ER FULL OF SICK PEOPLE. Don't come in for your made-up complaint, angling for norco, and then bitch to me about how gross the ER is. Guh.

Friday, October 10, 2014

A Dialogue in the ER

"Alrighty, you've been discharged and we can't let you sleep here all night long. Sorry, but you've got to go," I say.

She responds, "where is the nearest bus stop?" I answer that it's about a quarter mile away, north up the street, and kindly hold the door open for her. "Can you push me there in a wheelchair so I don't have to walk?" she asks.

"Um, no."

"Fine bitch," she responds, "then I need a coffee with cream and sugar, and a sandwich bag."

***

Security is next to enter the scene.

***
"Imma mess you up, I know where you live! I'm gonna give you Ebola!" she shouts as security escorts her out on foot. The sound of her screeching fades as the doors slide shut, and I wearily sign up my name to the next patient coming into my group. Abdominal pain, the chief complaint says. And in the triage note I see their first request is for some juice.

***
End scene.




Thursday, October 2, 2014

I'm back, with even more rage!

So, sorry about that time I stopped blogging for forever. I'm back and have stories saved up and shall bring all the hilarity. But before hilarity comes rage.

I'm pretty full of that rage right now, both from stupid stuff and from a confrontation with a nurse yesterday that reduced me to tears and made me feel like I was a new grad with no confidence all over again. But more on that later. First, the stupid stuff rage.

I had to buy new scrubs for this job, and whilst scrub shopping I was slowly building my rage level because of how ridiculous scrub attire is now. You never see scrubs for men with fancy little decorations on them or brightly colored trim or attractive flared darts to make the boobs look nice. And when men wear scrubs, they are viewed as a professional wearing a uniform to get a job done. Women, on the other hand, are bombarded with scrubs with sexy cat logos or boob darts or ruching and slim cut lines to enhance the body and appearance of scrubs. So when a woman wears a pair of scrubs, they aren't wearing a standard uniform anymore but instead are wearing a stylish outfit which just happens to be workwear.

And this this pisses me off. I searched for hours for a plain pair of scrubs. No frills, just a soft-wash pair of pants with simple pockets and a top with two reasonably sized front pockets and without a bunch of decorative stuff. I'm not even joking when I say I was in the dressing room for hours. The sign on the door said 7 items only, but I just looked at the lady with a side eye and defiantly carried in my 25 items.

I finally find a pair to my liking, with all the requirements and in a nice boxy shape so I don't look inappropriate. Imagine the rage I felt when I look at the tag to check the price and saw this:


THE ACTUAL FUCK?! This is a catalog model trying to be a lingerie model. I AM A NURSE. I AM A PROFESSIONAL. Not this shit. I try my hardest to be a good nurse and a professional worker in a well respected career. And this is the type of company I have to buy from. Even when I find a pair of scrubs that fit and don't make me look like I'm trying to slut it up at work, I end up supporting a company who perpetuates the stereotype that nurses are just there to look good and bring water and fawn over the real professionals who are doing the actual work. It's a bunch of bullshit, and I'm sick of it.

Saturday, September 6, 2014

Heyooooooo!

Long time no see! I promise, I didn't just drop off the face of the earth. I was busy doing things that didn't involve lots of work. Basically I miss being in college and getting summers off so I decided to live it up for a couple of months and enjoy the sun.

Here's a quick rundown of things since July:

-I finished my contract in Denver, and already miss those friends like crazy. Denver was amazing, and I can definitely see myself living there in the future.

-I flew home to the east coast and immediately went on our annual family Lake Vacation (20th year running!). It was a week of good times, delicious drinks, hilarity, and an ungodly amount of combining all three of those together while floating on a raft in the lake water under the sun.

-My boyfriend flew up to visit. He met the entire family and almost all of my friends. No one drove him off with torches and pitchforks, so that's a good sign.

-I worked back at home hospital for 2 weeks. It was amazing. I had an unprecedented string of fantastic shifts where it was busy but not overwhelming, calmed down nicely at reasonable hours, and I got to work with all of my favorite nurses and doctors. That place will always be home to me.

-I went to the Gettysburg Bluegrass Festival with family and friends. Campfires, bluegrass, jams at 0200, GORGEOUS weather, and amazing bands. It was just all the best.

-A trip to Punta Cana with my cousin. 5 days, all inclusive, amazing weather, and the BEST TAN EVER. Seriously. I had to buy new makeup when I came back because the old stuff was too pale.

-Another road trip to Texas. Yeah, I'm back. And this time, it's for a significantly longer period of time. I'm still travel nursing, but I have an actual place to call home here. It's weird. So weird. But good.


I start orientation later this month at a hospital in town, and I'm looking forward to it. I will hopefully have some ridiculous stories once things get rolling, which I shall dutifully share with you all.

Thanks for sticking with me through the slowest of summer blogging!

Saturday, August 2, 2014

Summa summa summatime

Hi folks!

I figured it was about time for my annual "I'm having too much fun on summer vacation to post anything" update, since I've spent the past three weeks variously at the lake, in my old hometown, with my parents, and my boyfriend flew in to visit and meet the horde that is my entire family/friend group. I've got another few weeks of vacation, picking up per diem time at Home Hospital and generally being a lazy bum. Then I'm back to the Southwest for more travel assignments! I'll keep you all posted when I know exactly where, but in the meantime...



You're welcome.

Thursday, July 3, 2014

Constipation

I'm not sure if this is practicing good medicine or not, but coworkers and I were sitting around the other night discussing the various alternatives to patient care (read: ways to avoid actually completing the order) when a doctor orders an enema on a young and otherwise healthy patient. Really, we'll do anything to get out an enema administration. They're not fun. Trust me.

In this conversation, I mentioned the best constipation remedy I've ever heard of - it was a comment from Hood Nurse, and I still laugh about it and wish I could tell my patients this:

If you are young, healthy, and just suffer from an unfortunate lack of fiber in your diet and subsequently think "should I go to the ER because I haven't pooped in four days?" then the answer is no. Go home, drink one cup of black coffee, eat one taco bell taco or burrito with hot sauce, and then go for a jog around the block. If you don't run the risk of shitting your pants before making it back to your house, then you may come to the ER and we will give you a bottle of mag citrate.

Pretty sure that's not an exact science though, so take it with a grain of salt. And don't sue me if it doesn't work, because this is the internet and contrary to popular opinion not everything on here is true.

Wednesday, July 2, 2014

Blame

There's this one doc I work with who is super slow at seeing patients and discharging them, but is otherwise a great provider. She's smart and thorough and a really nice person. The patients like her because she takes the time to explain everything to them, and is also very good about telling them exactly what to expect during their stay - things like "I'm worried you may have something wrong with your belly, so we're going to do bloodwork and I'll be ordering a CT with contrast. The contrast can't be given until your kidney function is confirmed as good, so it won't be done until your blood tests are back which will take around an hour. The CT will then probably take around 2 hours to be done and resulted, and since it's a busy day it will probably take me a little bit longer to get back in to you with the results. But Shrtstormtrooper here will keep me updated on how you're doing and if you're in too much pain, so make sure you communicate with her. Any questions? Can I get you a blanket?"

I mean, it took forever for me to just write that, let alone have her explain that to a patient. But I don't really mind the delay because communication really does (sometimes, if the patient is logical) prevent pissed-off people. Also, alliteration.

However, we use Meditech at this here hospital, and it's a piece of shit. This doc hates is so much that she frequently just bursts out in a string of curses whenever trying to do something mundane like chart or order something or review a test. Since she is not the quickest to begin with, this EMR just turns a slower pace into something exponentially more lumbering and painful.

So the other day, we had a patient who was somehow connected to the bigwigs at the hospital. He came in for a pretty minor reason, but the department was slamming busy and the primary nurse hadn't gotten back in after the initial assessment. The guy comes out to the nursing station, and sees this doc standing there. He's like "what's taking so long? I just got asked my address at least four times by two different people!"

Doc jumps on the opportunity that no one else is ballsy enough to take. She says "It's Meditech! It's a terrible, outdated system which doesn't allow anyone to communicate with each other and we have to ask the same questions a million times! I'm still trying to document from patients I had hours ago, and that's why I haven't been in to see you yet. You should definitely take this to the board and let them know that Meditech is awful and directly affects patient care. I'm not kidding..."

I am 99% sure the guy took it to heart, and I can only hope that somewhere, somehow, an HCA exec is getting ripped a new one for supporting such a terrible EMR.

Wednesday, June 25, 2014

Denver fun times

One of my favorite things about travel nursing is getting to experience cities in depth, not just from visiting the touristy places for a couple of days.

I haven't put up a lot of photos from this assignment, so let me remedy that for you now...

My first Denver beer.

Maxwell Falls

These mountains. I love them.
An early-assignment hike for which I was woefully unprepared. And also didn't finish, because OMGZ elevation is a bastard.

Stranahans Whiskey is so delish.

M-A-R-S MARS, bitches! Red Rocks! But seriously. It was SO AMAZING!

Baseball, of course.



Don't worry. I don't know that guy on the deck. But this view. I can't even.

So I've made some good friends, and I've had a lot of fun times. I didn't realize quite how soon I'll be done here - just a few more weeks and I'm out. I'll miss it here. I think I'd be singing a different tune when winter comes, but right now it's summer and it's gorgeous and I love this state.

The adventure will continue elsewhere, though!

Tuesday, June 17, 2014

Throwback

There is this doc I work with who is super badass. He's no nonsense, only-the-necessary-workup type, funny, compassionate, and intelligent. I seriously enjoy working with him because he's the best mix of all of the above, and gets shit done in a timely manner to boot. Basically, an ER nurses' dreamboat of a doc. I mean that not in a Tiger Beat weird way, but in a professional "I enjoy coming to work and seeing this doc on the schedule" kind of way because I know the patients will be well taken care of and I also won't hate my life during the shift.

He does, however, have one downside.

Every single shift sees him wearing these awful, hideous, terrible ACIDWASHED JEAN material scrubs. It's so painful. Is this the 90's? These scrubs are the equivalent of me putting a VHS tape into the VCR and the machine eating the tape. Or of hearing the devastating news that *NSYNC has broken up fo' eva. Possibly as bad as having a Lisa Frank folder that didn't fit into your trapper keeper.

All I'm saying is that this doc somehow stopped dressing himself in the 90's. And a very small part of me is amused by it, but the vast majority of me is like NOOOOOOOOOOOOOO, the horror! I wish I could help. I think, however, that he is too far gone to save.

Wednesday, June 11, 2014

Food

I've gotta hand it to the tech and nursing staff at this Denver hospital. They have these docs trained so well it's almost like watching an educational video. I'm seriously impressed.

When the 11am doc comes in she brings a tray of cookies. When the 5pm doc shows up he brings a veggie tray and a two liter. When the 9pm doc arrives he brings a bag of chips and m&m's. When the 6am doc rolls in she brings a dozen bagels.

Every. Single. Day.

I'm not exaggerating. Every single day, when the docs show up for shift they bring food. I didn't go grocery shopping this week because I'm lazy and couldn't make myself get out of bed early, but I didn't starve at work. I also didn't eat healthy but you win some and you lose some. The important matter is that I was never hungry, because the nursing staff has laid down the law and demanded food and their edicts have been followed ever since.

I've never worked anywhere else that had the providers trained this expertly. I've really enjoyed working at this hospital, and will be sad to leave when my contract is over. It's full of great people and the city is fantastic. But if for no other reason, I'll miss my daily 6am work bagel.

Friday, May 30, 2014

Science

In the ER world, gravity + beer is a very bad thing. It inevitably starts with the famous "here, hold my beer" statement and is quickly followed by a brutal demolition of both ego and intact anatomy. I'm pretty sure Newton even started formulating his equations after witnessing some drunk guy holding an apple while on a horse go, "Hey guys! Watch this!"

These unfortunate people are most always surrounded by a group of people who either gasp in horror or point fingers and laugh. Sometimes, the act of Spectacular Fail is even recorded on video for posterity. Which helps me out in the ER, when my patient comes in with a broken arm and has a perfect rebuttal for the question of "Oh my God! HOW did you DO that?!"

Fortunately, there is no shortage of beer in this world and no shortage of stupid people willing to hand over said beer to try something dumb.

Take, for example, this girl:


Close analysis of the picture reveals a few things: a hill in the background, a bike, a bike wheel at an odd angle against a piling, and a bike rider with a face accelerating towards the dock at 9.8m/s^2. Fortunately, she's wearing an alcohol helmet and flip flops. Because safety first, you guys.

I can only imagine the shame that was felt by this girl after this accident. Wait. I don't have to imagine it...

Because I'm that girl.

Science. Helping drunk people make a fool of themselves since the Neolithic Era.