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Hmm….

In Uncategorized on October 17, 2011 by talesfromtheniteshift

My level of compassion lately has been dropping dangerously low. I am ok and have no problem until I have a disagreement with a patient. This usually doesn’t bother me. I can brush aside rudeness and downright bitchy-ness due to someone being sick. Lately though, if we have a differing opinion on what needs to be done or how and you show the least bit of attitude, I just wanna hurt ya. Now, mind you, I never really would. And I am always respectful to my patients. But, in my head, in the med room, or at the desk I will be fuming. After all, I am the nurse right?

Maybe I need a vacation….

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Memories…

In Uncategorized on September 28, 2011 by talesfromtheniteshift

This week we are moving my Mom from my childhood home to a smaller apartment. I can’t imagine how difficult this is for her. I know how hard it has been for me though. Trying to help her pack her things has been very difficult for me. I recognize how much space she has to work with and that means how little of her things she can take. But watching her soft through it has been hard. How do I tell her what memories she has room for? Many of these memories I share with her. And my brothers during all this? Anywhere but helping. They have left it all to me and a close friend of ours.
I will be glad when it is over and I no longer burst into tears for absolutely no reason.

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Dear LPN…

In Uncategorized on September 20, 2011 by talesfromtheniteshift

I know what our limitations are. Really I do. I know that sometimes we are given pts that really should have gone to an RN. A pt who has a central line and is getting potassium riders shouldn’t be assigned to one of us. It really defeats the purpose if the RN has to do everything anyway.

See, here is how I view our job. We can take care of pts within our scope so that it lessens the burden of the RN’s. We should be given pts who have peripheral sites where we can hang any IV meds that are due. Hopefully they are on PO pain meds or at least are getting a shot only every four to six hours. We should be assigned the somewhat less complex pts so that the RN’s can spend their time with the higher acuity pts. Yes some have to be done only by the RN covering us on that pt. It is our job to help them remember those things while making sure we are doing the things that we can do. I also know this doesn’t always happen, but we do what we can right?

Let me also say that I know it gets crazy busy on day shift. I have worked a small amount of them and everytime I do, it reinforces to me why I choose to work nights.

However, this still doesn’t mean you shouldn’t do your job. When you are providing care for that pt in a nurse capacity you should try to stay on top of what is going on. This means that if orders are written before two on a patient you maybe should have glanced at them before seven. Yes, I know that we can’t sign them off. The RN is responsible for that. (and this is where that part about helping them remember this comes in, reminding them about orders to be signed can never hurt really) However, we can be aware of those orders and be ready to carry them out. Or at least pass them on to the next shift.

I felt like an idiot when the nursing home called to ask if we were sending the pt back tonight. I told her that I had just finished report and that I hadn’t looked at charts yet, but that I wasn’t aware of any discharge orders. I was slightly embarrassed when she mentioned that the family had been at my facility early that afternoon and was told by doctor that the pt would be returning home that day. Imagine my chagrin when I looked at the chart and read the orders from TWO O’CLOCK allowing us to send the patient home. I realize that some of that must be done by the RN. But you could have at least helped that process along. Or at least informed me that the order was there. What if the nursing home had not called me? What if I hadn’t looked for that chart until much later? That pt may have had to stay an extra night in our facility that was completely unnecessary.

This is just one if the things that you forgot to mention. But it is also the one item that put two of us a little behind before we even were able to start. Thank you for that.

Articles

It’s like this chic…

In Uncategorized on September 14, 2011 by talesfromtheniteshift

It’s not really my fault. I did not approach you and draw a knife across your arm. I am not the reason you are here. But the ball is rolling now. If I were you I would sit back and endure the ride.
You see, my friend, cussing at us and playing one against the other just isn’t gonna work. We have seen this game too many times for that.
No, I don’t really care what the nice lady before me did to break policy. That is not my problem. I only worry about my license.
Heartless and uncaring are the labels you have given me. Oh well, those are absolutely not the worst things I have ever been called. If your intent was to hurt or offend me in any way you failed. Sorry.
You will be leaving our little ER and will be admitted to a facility. Not until after I leave but I assure you that it will happen. No matter what you have to say or how ugly you are from now till then.
So why don’t you play nice and stop trying to manipulate us in the interim. (The big crocodile tears are not getting you anywhere either.)
Have a nice day.
-signed-
The Cold and Heartless one.

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Here’s a good read….

In Uncategorized on September 7, 2011 by talesfromtheniteshift

If you have a little time and would like a very thought provoking read, then you should check out this guy. Ye doesn’t post often but the posts are always worth it…
Happy Reading…

Articles

I may have been raised wrong…

In Uncategorized on September 5, 2011 by talesfromtheniteshift

I was taught that holidays were meant to be spent with family and friends. Apparently in the community where I work, the fun thing to do is to spend the holiday yelling and cussing at the nursing staff of the local ER. Not my fault that everyone chose today to come in all at once.
Sorry. (rolls eyes)

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Really…

In Uncategorized on September 2, 2011 by talesfromtheniteshift

You only thought giving up your place in line would benefit your girlfriend. Sorry dude, still not her turn. Haha