UK is a cunning googler

June 29, 2010

He chose the right combination of search algorithm terms and found the blog.  While work is unusually slow tonight, I can’t bring myself to actually sit here and write anything of sustenance, so I’ll just give him kudos and go back to doing NA stuff.

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TGIF

June 11, 2010

To most people, at least.  For me, it’s Tuesday–night 2 of 6.  I’ve been nervously waiting my for my phone to ring and someone from day shift to tell me that since we’ve got a whopping 3 support staff scheduled tonight (that’s actually what we’re supposed to have) that I can stay home, because that would be just too easy to run with full staffing.  The unit isn’t completely filled with only ICU patients.  Too expensive.  My phone isn’t ringing, and I’ve been up since 2:00.  Rats.

I thought I’d spend the extra time shopping, but after checking my banking website, I guess I’d better wait.  I hate going shopping knowing that even if I find something really cool and really cheap, I can’t get it.  Not a good window shopper.  Trying to make a sizeable dent in my undergrad student loans before I quadruple them with grad loans sounded like a good idea before I heard the crickets chirping in my checking account.  Not so much now.

Excited because I get to work with some of the favorites tonight, and I get to work alongside another CST.  Even if she was dying, it would still rock to work with Kendall just because quantifiably, that’s half the work.  Half as many “can you help me with a boost?”‘s, 50% less “let’s get this bath knocked out” and on a Friday, when we’re guaranteed to have multiple admissions, that’s priceless.  I know she’s not really enthused about pulling another 12 but I’ll be glad to have her, plus, unless they’ve called her off, JJ’s charge tonight, which means she’ll help us get the baths done early.  Sweet.

So, mini-rant.  My job would be so much easier if we didn’t try and take foley’s out of everyone the minute they get out of the OR.  I understand the hospital’s trying to cut out the costs of having to pay for CAUTIs, but they’re really shooting themselves in the foot because of the increase in cost they’re incurring with the frequent use of the bladder scanner, I/O cath sets, extra laundry, and if it keeps up,  my broken back.  It’s so frustrating having to turn and clean the same patients hour after hour who clearly no longer have the mental/muscular capacity to control their bladder anymore.  And the worse part is the inevitable skin breakdown that the patient gets.  Skin doesn’t like to sit in urine with a hundred or so pounds of leg and torso on top of it.  And they wonder why our UTI rates are increasing?

Another long pause…

June 6, 2010

Can’t believe it’s almost been a month since I was last on.   I’ve been going through these long spells where I’ll take 2 or 3 weeks off of work, then go back and work 5 or 6 nights before the cycle repeats.  It screws with my concept of time as well as my sleep schedule.  I’m starting to get back into a regular schedule and try to get some overtime, but I’m starting to think my body liked being in the work 1 week off 3 schedule–mostly because I realize that I’ve got to drive back to Chapel Hill in 3 days to work 6 and I don’t really want to.

Work is weird and taxing now.  I didn’t realize how much expanding would change things.  Now that we have around-the-clock secretaries, my job is a lot more standing and stocking and cleaning.  There’s not nearly as much time for resting–I actually have to sit down with food and actively eat to make people understand that I am on “break,”  (and there are still some that don’t get it) whereas before if you were hungry, you sat with food in front of you, leisurely nibbling, and people understood that you weren’t to be bothered until the food was gone.  I think a lot of it has to do with the mixture of nurses we have now.  There are lots of new nurses (fresh out of school or converting from being a floor nurse) who still operate under the old school philosophy that NA’s do all the grunt work and it’s off-limits to ask another nurse to help you, no matter if that nurse isn’t busy at all.  I’ve literally been mid-stride into another patient’s room to do something, or been holding a patient up doing a bath and had a new nurse ask me to help them with something else.  I feel like telling them off, but I don’t, I just politely say that I’ll get to it as soon as I finish, or warn them that someone else has asked me to help them when I’m finished with my current task.  The day might come when I do tell one of them off–admittedly I have ignored a couple of them when they hollered at me from the other side of the unit.  It’s sad because my ally nurses see the way the other nurses treat me and they say how wrong it is, but most of them are so passive that they won’t say anything directly to the other nurses–the most aggressive action they take is to volunteer to help in my place, and unfortunately, the new nurses are usually so consumed with themselves and their patients, that they don’t even notice.  ::sigh:: I miss Ila too.  JJ and I have grown much closer since Ila left, and Lauren worked with us the other weekend, which was a pleasant change.  Melia works herself to the bone, our charge usually sits at the nurse’s station the entire night, and the rest of the nurses are newbies who work their entire 3 nights in a row.  It stinks, because if you start with a newbie, you know you’ve got to put up with them for at least 2 more nights–very painful.  I have hopes that they’ll learn soon, but then I just open my email and notice that we have 10 more newbies coming.  And now we’ve got newbie’s training newbie’s.  ::can of worms::

Still accumulating stuff.  Have two “barrels” almost full with barely breathing room, at ~80 lbs each.  Still more stuff accumulates, so it’s either add a third “barrel” or see how much we can fit in the $23/each checked luggage.  Still have more books to get, and still mother keeps trying to sneak in stupid stuff that I don’t want and don’t need.  There isn’t a nice way to tell her that I don’t want it–I know she’s trying to help, but it’s the same way every time I move–she gets me stupid useless stuff that I hate and she likes and then I take it just to be polite and it sits around the entire time I’m there because I legitimately don’t need it.  This time, we’re quantitatively having to pay for every pound and cubit foot of useless stuff and quite frankly, that’s another 30 packs of ramen I could be bringing with me so I don’t have to go out and buy $6 cereal.  She doesn’t get it.  I don’t know how to make her get it.  If I call her out on it, it’ll be ugly.  What do I passively aggressively do?

Making steady progress in Embryology.  Still have yet to get to Anatomy, but it seems somewhat pointless to try and start on veins and nerves and stuff without lecture and a cadaver.  I suppose I could start reviewing bones, that’s easy enough, and then muscles.  I learned cat muscles a Looooong time ago, but they’ll be useless here.  And from what I remember, the cadaver was most helpful with them.  It’s just not the same looking a book when you can take your lab kit and lift up layer upon layer of abdominal muscle.

I made a new friend on valuemd and facebook which is exciting!  I met some people from school earlier, but they weren’t nearly as enthusiastic as this new friend.  NF (I won’t give out his real name here) is just as enthusiastically nerdy as I am (he’s already as far in anatomy as I am in embryology!), and has been reading through the forums just as religiously as I have, only longer!  What a catch!  I hope he doesn’t turn out to be a jock.  I’m looking forward to hearing about his whole process on choosing MUA.  He’s Canadian, so I’m sure it’ll be different, given the whole loan thing.

Hoping I’ll make it to Staples to swap out some pens tonight.  Mom’s starting a new diet where I’m her new “diet coach,” so I suppose I should be useful and plan some meals.  It’s not rocket science (in fact, I can’t believe we pay people to be registered dietitians) it’s just making yourself eat what you know are the right foods–I’m making her do low carb, high un-processed, local fruits and vegetables.  It’d go much easier for her if she’d drink her water, but she’s too fixated on the caffeine-powers of soda and coffee.  Whatever, who listens to the wisdom of a 23-year-old anyway?