Before I start this story submission, I want to congratulate all of the 2004 Medical Weblog winners! Great job!
I also want to point out that I have added several more buttons to the sidebar. I discover more and more medblogs every day! As Beth from The Senior Practicum Experience (link off to the side there!) said, “The links on the right of your site definitely reflect an abundance of medical blogs and a scarcity of nursing blogs.” I’ve changed that… when I started making buttons there was only one other nursing blog (Alwin’s Code; The Web Socket), but I’m quite happy that there are enough now for Nurse Blogs to have its’ own category.
Now on to the story submission. Sadie of Foxglove Formulary writes:
I have now been an RN for ten months. I work on a medical/surgical unit on the 3-11 shift. When people see me in my oh-so-fabulously-hip scrubs, they ask me, “Are you a Nurse?” And for a brief moment I feel all giddy, like, yes, Nurse. Sadie the Nurse. (Imagine James Bond music). When they ask me if I like being a nurse, then it gets hard. Because I do- I love my patients for the most part (my husband will vouch for me coming home proclaiming I’m leaving him for some stunningly blue-eyed WWII veteran with a great sense of humor and some kick-ass faded tattoos) and I love being able to do small things to make them feel better. Like give pain meds. It’s my favorite part of the job, other than sitting there and gabbing about nothing, like we are two people stuck in line at the supermarket, not a patient and a nurse in a hospital. That happens rarely, as all of you know, as our workload does not promote socialization with the patients.
If I have enough time to introduce myself and explain that I’ll be providing care for them for the evening before the unit secretary is shrieking her head off that Dr. So and So in on the phone about the patient in 416 bed 2 (never mind that I came on shift 4 minutes ago and don’t know the first thing about this patient cause I haven’t gotten report yet because the day nurse is still expaining it slowly to my darling charge nurse, a very sweet girl who is smart and funny and a great nurse and who will, one day if the day shift doesn’t straighten up, bring a gun and pistol whip the living ..feces.. out of the day charge nurse due to her condescending attitude and the way she talks to her as though she is a deaf dog or something) then the day is off to a good start. But then we get admissions. Because the best time for the ED to send up admissions is 3:00. Sometimes I think they sit there and giggle “it’s change of shift, let’s really mess with them!” It’s also a great time to announce that the patient in 414 is going to a nursing home and the ambulance is here and what
do you mean I didn’t fill out the transfer form? She’s leaving at 3:15 and since I’ve been here for 15 minutes, clearly I should have used my psychic powers to suss out that the paperwork needed to be done. [Ed: And spent the last 15 minutes working on it, of course!]
Though I never eat dinner and run around like a mad woman, I’ve lost no weight. (Not counting the severe abdominal pain I had over the summer which resulted in going to the ED at midnight and getting a CT and ultrasound which proved that I was “anxious and did I want some Xanax?”)
My psychic powers remain weak, as I constantly must remind the unit secretary and the family members of patients, though that must be done in tasteful and diplomatic way.
I no longer am amazed at any pain medication prescription. We have a frequent patient with 30someodd abdominal adhesions, who has had over 20 surgeries and has a permanent mucoid fistula and has a port-a-cath for her seven-times-a-year admissions so she can get PPN and Demerol PCA. In 24 hours she gets an average of 1250 mg of Demerol. [Ed: !!!!!!!] And Ativan 1 mg. And Klonopin 1 mg. And Ambien 10mg. And if you just spoke to her, you’d never in a million years guess that she had that many drugs in her system. She’s actually one of my favorite patients- she’s a very sweet, very sad lady. Some people get upset and go on drinking binges or spend tons of money on Manolo Blahniks. She gets admitted to the floor for 10 days. Then one day she’ll call her doctor from her phone, get dressed, and go home . She kind of breaks my heart.
Out of work right now with a (non-work related) injury. Torn tendon in foot. Accomplished this by walking in the driveway to the car to go to work, wearing “Professional” Clogs by Dansko. Perfectly reasonable shoes, but I still rolled my ankle and messed up my foot. Got a text message from my Charge nurse buddy, who for future reference I’ll call Selena- she told me that one of our favorite patients died last night. A sweet 90 year old man who had the unfortunate luck to break the acetabulum and spend the last 6 weeks of his life with 50lbs of skeletal traction to his leg. He’d sing in his room, humming and harmonizing all night long. A lovely man. “You’re a good girl!” He’d say to us as we cleaned him up and straightened up his bedclothes, giving him pain meds when he finally admitted he had some pain. And then he’d thank me. “From the very bottom of my tomato, you sweet girl you!”
I’ll miss you. RIP.




Comments
Terrific story addition, but I can answer one of her conundrums: the reason the admissions start coming up at 3PM is because they’ve been waiting since 12, but the floor has been “too busy” to take new patients.
added by GruntDoc on 01.19.05 3:24 pm | Permalink
I’d always take a code at shift change over an admit any day. :)
Sorry about the ankle. Never, ever wear those damn clogs — even if they have the cute little straps across the back.
Be good to the shrieking unit clerk. A good clerk can make life much easier for you on the floor.
Thanks for the button, Geena! I love it! :)
Diana
added by Diana on 01.19.05 6:38 pm | Permalink
Sadie et al…I used to wonder how people stayed awake after that much morphine/Demerol/fentanyl too. But I take 1200 mcg of fentanyl four times a day, along with 100 mcg /hr via Duragesic, and you wouldn’t know unless I told you.
I don’t work on the unit now, but not because I act strange – quite the opposite. I appear sane as a….well, sane, anyway, to everyone else. I don’t work because I don’t trust my own judgment, and I couldn’t live with myself if I forgot something and injured a patient. My husband can’t understand it, because he thinks everything’s normal. It’s not – it just seems like it is.
And I’m with Sadie about the day shift….never worked days and I never will, because they’re an entirely different breed. I’ve worked over before, and I’m just not that….day-shifty. I know a couple of day charge nurses I’d like to slug – or show what actually happens on nights.
Do be nice to your unit secretary. It’s not their fault they’re getting screamed at on the phone. And Diana’s right about the clogs, too. They’re evil. They did get you some time off, though, so they might not be that evil….. ;)
added by Delia on 01.19.05 11:51 pm | Permalink
I’ll tell you where I’ve seen some serious meds: I used to be Public Information Officer at the now defunct Fort Worth State School. Our clients all were diagnosed with some degree of mental retardation and many of them were also mentally ill. Talk about some meds! I agree with Delia — I don’t know how some people didn’t fall over flat with what all they were taking!
And Geena, contrats (I voted for CodeBlog, of course) and thanks for the button. Keep on blogging.
added by Denise on 01.21.05 4:14 pm | Permalink
Stay away from Dansko Professional clogs. They feel great but will amputate your feet at the ankle with constant wear. Dansko makes a squooshier line, called “Dansko@Work” that has wider heels. They work better for clumsy nurses (me).
added by Jo on 01.22.05 5:16 am | Permalink
As a unit secretary I must say we often find that during the half hour of shift change that no-one has any of the patients. Telling the leaving shift about problems doesn’t work because they say they have given report, and the on comming shift says that they have not gotten report.
I know that I often hassle the nurses, but I have to find someone.
added by Beth on 01.23.05 8:50 am | Permalink
I’ve been on an association (union) leave of absence for the past 8 months from my job in the ER – after 20 yrs in the ER I was so burnt out I could hardly see straight – 20 years of a few demented charge nurses and for one period, an evil manager – fortunately for us, the evil one was transferred to another department – we now have great managers and our department head is the greatest thing that ever happened to the ER – I think things are better in our dept now so hopefully I can go back to work in July with a better attitude and perspective – this isn’t a reply to anyone, just taking an opportunity to talk to fellow RN’s.
added by Anonymous on 03.07.05 6:05 am | Permalink
I can relate to the patient with 30 abdominal surgeries I have had 23 with the last removing 4 feet of small bowel. However, there is no help now as they are too afraid to “fix me.” Any suggestions as the pain us truly unbearable and all test show there is no problem.
added by donna on 04.28.07 6:31 am | Permalink
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