Posts Tagged ‘work’

I am overdue for a new post, but really have not had much worth writing about.  (Or that I feel is worth writing about….)

I could have posted about my frustration of going home at the end of a shift and feeling like I did nothing but torture a poor soul who should have been let pass on their own terms.

I could have posted about how crappy it is to have paid vacation, but to have such low senority that you never get any vacation time granted and to get any time off you have practically kill yourself by doing switches.

I could have posted about how I would like to make more friends at work, but don’t want to have to deal with the stupid social soap operas that I would end up getting dragged into.  (It is bad enough that I am now becoming more away of the stupid social soap operas that exist here….)

I could have posted about how it sucks to watch a young person die and we can do nothing about it, while we are forcing another person who has lived a long life to stick around a little longer.

I could write about how elective surgery is still surgery, and can still have huge risks associated with it.

I could write about how for the last 3 shifts I have done absolutely nothing, as my patient needs nothing.

But really, I think that if I write about those things I will just be whining and complaining.  I’ll try to get my act in gear and see about getting some words flowing…..

Halloween was a little sureal in my world.

Started handing out candy to the munchkins in my neighbourhood, all decked out in their adorable/cute/creepy/scary costumes.

But then I had to leave and head in for my 13 hour night shift (oh yes . . . time change . . . fall back . . . everyone else gets to sleep an extra hour . . . . but I get to work.  Boo!)

I went from cute kids and their parents all happy and having fun, to seeing a mom kissing her “little boy” on the head.  A young man, barely even a man, who made another attempt to escape the demons in his own head.  He almost succeeded this time…. and maybe he still will.  Too early to tell.

Flash forward a few hours and a Trauma code is called over the PA system.  Never a good sign.  Rumors trickle up to us on the second floor.  Four young men (again… barely even men) in a fast car met a tree.  Helped a coworker admit one.  Didn’t look good, but was better than the others.  I was to admit the second.  Updates on him coming to us from the ER were not looking optimistic . . .  coded twice already . . . .  But my admission (to me my first admission of a trauma patient, first admission of a really sick patient) was not meant to be tonight.

This morning I walked home in the sunshine, passing by the remains of pumpkins smashed on the roads . . . . too bad the jack-o-lanterns were not the only victims of this year’s Halloween celebrations . . . .

On this late summer Sunday afternoon, while preparing for a night shift I happened to turn on the TV and the SARS movie happened to be on.

Is this just coincidence, or is someone in TV scheduling land trying to make people think.  Especially with the fall and winter ahead, and the possible impending doom of H1N1.

Lately in the news there has been talk about how people think that H1N1 is blown out of proportion, and nothing will happen to them.  I worry that because of this attitude we might be in for a worse winter…

Butterflies are pretty, but they don’t need to be in my stomach…

I have survived… and more importantly, my patient has survived my first two shifts on my own. I finished my buddy shifts last week, and yesterday was the day that I started as a “real ICU nurse”.

My patient for the last two days is pretty sick, but not horribly sick. He is only on one vasopressor, very sedated, ventilated. I have managed not to break him, which I was kind of proud of. He isn’t doing much better after my two days with him, but he also isn’t doing much worse. Right now, we are supporting him until he makes the decision on what he is going to do. Will he get over this pneumonia and whatever else is going on in his gut right now to recover… or will he take the trip into that bright light… Time will tell. Maybe he will surprise us.

Bazooka Joe or Bubblicious

She was a RACE* call from the medicine floor earlier in the day.  In with CHF, how in cardiogenic shock.  The intubation was quick, and she was still half awake for fear that too much sedation would knock her already low pressure even lower.

Fast forward 9 hours.

Her NG feeding tube is blocked for some strange reason, no amount of fiddling with it will unblock it.  The doctors try to put a new one in, but it gets stuck just past the pharynx.

Grab the laryngoscope to take a look… grab the suction…

“Nurse… what is that on the end of my suction?”

I believe that it is bubble gum!

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What have you found hidden in people when you least expected it?

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*RACE =Rapid Assessment of Critical Events team which consists of ICU RN, ICU doctor, RT and travels to the floor to help deal with patient in crisis.  Has decreased number of Code Blues by leaps and bounds.

While taking care of my 75 year old patient today, I ended up being flashed by her older sister who had a double mastectomy 3 weeks ago….

And by flashed, I mean lifting up her shirt like a drunk chick at Mardi Gras.

My response…. Looks like you are healing well.

In my head I couldn’t help but wonder, isn’t it usually the other way around… showing off you boobs when they have been enlarged, not cut off?

One thing I never expected when I headed to ICU, thats for sure.

And my preceptor wondered why I was giggling….

It would seem that spring time is a dangerous time for young people.

Recently, we have had a spurt of patients in their early 20’s who have been the victims of traumatic injuries.  Car, motorcycle, and motocross accidents have left these young people paraplegic, quadraplegic and amputees.  Maybe because it is my first spring in ICU that I am noticing this, or maybe it is a trend.  We’ll see I guess.

One this is for sure, I know of at least 5 young adults whose lives are forever changes…