Wednesday, April 27, 2011

You may say I'm "just a nurse," but...

this nurse saved a few people's lives! Pushed and pushed for a re-eval for a pt that they were trying and pushing me to send home. Turned out she had a ruptured spleen, was bleeding into her belly, and needed to have emergent surgery and ended up in ICU. Also, got into a debate w/ a physician about the dose of a cardiac drip. For all my nursing friends who read this, you definitely do NOT hang a Cardizem drip @ 30mg/hour. I refused and told him he either needed to come up w /a different plan or consult w/ cardiology b/c what we were doing was not working! He wasn't pleased w/ me when I said, "When was the last time you actually hung a Cardizem drip?" Lol...So glad I have some experience and critical thinking and am not a robot following doctor's orders!

Thursday, April 21, 2011

Long awaited update!

Recently, there have of sad patients...35 y/o woman found down in cardiac arrest outside of a shopping mall and pronounced dead at the hospital w/o any known cause. drunk girl vs. tree, man vs. Metro (suicide attempt), man vs. 4th floor jump (suicide attempt)... and a lot of other stupidity. Young girl w/ depression and some kind of coagulation disorder that overdosed on Coumadin and Benadryl. I apparently walked in on a very old school but effective gastric lavage to see if they needed any help and literally, her vomit flew across the room at hit me in the face. Nice.

Of course there is the usual weirdness. A 24 year old rational (or so I thought) thinking girl asked me if the apple juice I brought her, in the clearly marked and sealed apple juice cup, was in fact somebody else's urine and was convinced that it was despite my attempts to assuage her fears. She refused to drink it and kept going on and on about how it "smelled like urine." Um... I didn't even know what to say.

Then today I had a very sweet 90 y/o WW2 vet who was on some trip from Kansas to see the WW2 memorial who fell off the top bunk this morning and came in w/ a fractured rib. He was being discharged and was being wheeled out to his car when he literally slumped over in the chair. Yes, he went into cardiac arrest. He was coded two times and brought back successfully! He completely came to, was speaking appropriately and we got to do a lot of chatting throughout the day. Eventually he was telling me how he was on Facebook. I seriously considered friend-ing him! So cute!

Thursday, March 17, 2011

Oh na na, what's my name?

So today I had the pleasure of meeting up with a patient that I knew quite well from my previous job... except for today she registered under a new name. Of course I had the luck of the draw to get assigned to her, so I promptly went into the room and addressed her by her real name. She was not pleased.... she also did not like when I was trying (in vain.. no pun intended!) to draw some blood from her. Since it looked like she was spray tanned w/ track marks, I mean ALL up and down her neck, arms legs, she chastised me for sticking her in her arm, saying "You know I'm an exotic dancer, and if my arm is messed up, I can't put in my teeth!"

After about 2 hours she admitted that she knew me. When I was discharging her (kicking her out... with a box lunch and the obligatory bus token) I was going over her instructions about her diabetes because her blood sugar was high, and she told me "You know that number is good for me!"

Sigh...

Friday, December 31, 2010

Can somebody tell the old lady

that just because she doesn't like the nursing home, she can't call 911 and come back to the ER? We are going to send you right back!

Wednesday, October 6, 2010

The beginning of a beautiful friendship...

Well folks, I did it. I jumped ship, bailed on my old job and took a new one at the trauma center. Very excited! Closer to home, much better pay and trauma! Let's just hope it's not "mo money mo problems," right Biggie?

Long week of general orientation = painful!!! Driving 1.5 hours each way w/ traffic to sit 8 hours in a classroom where only 1 or 2 presentations are applicable to ED/trauma. Seriously, if I ever find myself putting up a tube feeding I will seriously reconsider my workplace!!!

Glad to be in a new, more positive work environment. Hope things will be better!!! For now, I'm about to make myself horizontal on the couch in front of the TV. Catch you later!

Saturday, August 28, 2010

People are going to get hurt. People are going to die, good people, no matter what we do, in spite of what we do. That’s just something you’re going to have to get used to. That’s the reality. That’s the job.


Heard this today on a tv show and it brought back some memories... sometimes you never forget the good ones you lost.

Wednesday, August 18, 2010

Parasites and love songs and all kinds of crazy

The story of my day! Picked up a day shift..... 7a-3p today. Slept 3 1/2 hours before going to work in the pouring rain. Definitely off to a good start. Then, got to work, and had 5 patient assignments. No biggie. Got the day started out by helping with a STEMI - my favorite kind of patient. (For my non-nursing friends, that is a: non-ST elevation MI = heart attack). Poor guy had to admit that he started having chest pain after having some early morning sex...

Had a series of truly bizarre patients. A seizure patient that had a significant head trauma some time ago sang me a love song with his slow slurred speech. Another patient wanted to be evaluated for her chest pain (as she is clutching her armpit), oh and also, the redness on her ear, the bug bite on her neck, the rash on her legs. And, my nemesis for today - a lady who wanted to get treatment for the intestinal parasite that her ex-best friend gave her AFTER this said friend had an affair with her husband. this was "not in her imagination" and she was "fearing for her life." She also had a major crush on the doctor who was taking care of her. She asked me to keep her stool sample hidden from him, she didn't want him to see it....... *sigh*

Then there was a drug-seeker who of course came in my ambulance, laid in the bed, threw her arms up in the air and said "I'm having a stroke." Ok. Sure. Whatever you say.

Then there was my man in the hallway who kept grabbing his testicles because "they were about to explode." ????????????? Nevermind that he was just evaluated for the same exact thing yesterday but said he wasn't able to "tolerate the Percocet." This was fun as he admitted to being an IV drug abuser... very very hard to get a good line on him.


3:30 couldn't come fast enough, and by the time I gave report on my 6 patients I was outta there! Tell me why I signed up for 3-11 tomorrow.... I think my wallet is making decisions without me.

Off to bed to recuperate the lost sleep from last night!