Monday, July 13, 2009

Schwarzenegger Replaces Most of Nursing Board

This alarms me a little, as I think that based on my experience, most allegations against nurses (at least the ones that I've heard about) are false, or at least overblown.  I am a firm believer in cause and effect, and nurses who are defacing the profession deserve what they get.  I like the idea of cleaning house and getting a fresh start, and I agree that years to investigate wrongdoings is far too long, but I fear that a new nursing board that is put
in place solely because the last board wasn't swift enough to punish
nurses may go overboard (no pun intended)


What do you think?

Saturday, July 11, 2009

Today's "Reason For Your Visit"

When a patient checks in at our ER, they are asked to fill out a half-sheet of paper with name, phone, SSN, birth date, and "reason for your visit".

Whenever I work triage, I write down the interesting ones and have been building up a list.  Some are funny, some embarrassing, and some just tickle my warped sense of humor.  I try to give the benefit of the doubt.  I know that these people are hurting and just want to be seen, but it still makes me shake my head to see some of the things that patients can come up with.

Thus, my regular (as in whenever I feel like it) series, "Reason For Your Visit."  Please keep in mind that spelling, punctuation, and capitalization are copied directly from the original paper.


So let's get to today's Reason For Your Visit:

Dissness

I think everybody has been there before, but the answer to being dissed isn't an ER visit, it is a night out on the town with good friends.  Then again, to some of our patients, we are their good friends, and what better way to forget your sorrows than in a good Dilaudid cocktail?

Wednesday, July 8, 2009

Today's "Reason For Your Visit"

When a patient checks in at our ER, they are asked to fill out a half-sheet of paper with name, phone, SSN, birth date, and "reason for your visit".

Whenever I work triage, I write down the interesting ones and have been building up a list.  Some are funny, some embarrassing, and some just tickle my warped sense of humor.  I try to give the benefit of the doubt.  I know that these people are hurting and just want to be seen, but it still makes me shake my head to see some of the things that patients can come up with.

Thus, my regular (as in whenever I feel like it) series, "Reason For Your Visit."  Please keep in mind that spelling, punctuation, and capitalization are copied directly from the original paper.


So let's get to today's Reason For Your Visit:

sic

[sic]

Tuesday, June 23, 2009

Your Long-Overdue Update

Hello to all my faithful blogees.  I know it has been quite a while since my last post, but hopefully you will understand what with the move and all.  We are finally getting settled in our new home and are loving the improvement in weather from Washington State.  I started at my new hospital over the weekend, and I feel a little like a new grad again, because nearly all the equipment is different, many of the meds are different (I had never even heard of Norco before) and so many of the policies and procedures are different that there is a huge learning curve.  That said, I love my coworkers so far and I can't argue with the pay raise (more than 1.5 times my previous salary with only a modest cost of living change).

Perhaps the biggest change is going from a 3:1 patient ratio to a 4:1 ratio.  I thought that I had to run before, now I have to fly.  One of my coworkers told me about her old ER out east where they would work 6 or even 7 patients per nurse.  I'm the kind of nurse that really enjoys taking the time talking with my patients and learning who they are and what they need.  So far in this new place, I feel like I only have time to run from task to task and then I'm getting a new ambulance.  I'm confident that I will adapt and everything will go okay, but it is still a big change and makes me feel just a little overwhelmed so far.

I'll try to get back to doing more regular blog updating, but bear with me as we finish getting everything settled and getting to know our new area... and lounging by the pool soaking up the sun.  I have a tan for the first time in years.  It's very nice.


Thursday, June 4, 2009

Is It Just Me...

Or is there something refreshingly appropriate about scheduling the Obama White House Spectacular right after "I'm a Celebrity, Get Me Out of Here"?

Just saying.

The Walmart Shooting

I live less than half a mile from the Walmart in Lakewood, Washington where a security guard was executed yesterday as he walked out of the store carrying a bag with some money in it.  The shooters, the getaway driver, and the Walmart employee who was the girlfriend of one of the accomplices and apparently was feeding inside information to them have all been arrested and are behind bars.

Needless to say, this has shaken things up in the community a little.  I first became aware of it as I was trying to drive home about 20 minutes after the shooting when a fat topless man with a bad farmers tan was detouring traffic off my street.  "That's odd," I thought as I begrudgingly detoured.  When, a minute later, I realized that although I was about 2000 feet from home, it would probably be half an hour or more given the state of traffic, I decided to call the local police office (everyone should have their local police office number in their cell phone) and told them, "you probably know this already, given the 5 helicopters flying around overhead, but something is going on out here as traffic is at a near stand-still and some random guy without a shirt is directing traffic off of 75th street."  The lady's response: "oh, that is because there is a stalled vehicle over there... and also another incident."

Something wasn't adding up, and I've lived here long enough to know that there aren't usually several helicopters floating around overhead, so I called my wife and told her to close and lock the doors, because something strange was going on.  As I was about to turn back onto my street, two police motorcycles came roaring up with lights flashing and started directing traffic, and guess who's car was the second in line and would now be forced to make a big u turn and go around the back way to get home.  If you guessed Barack Obama, you have a very poor grasp of current events.  By the time I got back to where my house was, I decided that with two little girls at home and no idea why police were rerouting traffic and helicopters were making what looked like slow searching patterns overhead, that I should make sure I didn't need to go home and get my family and leave for a while.  I parked a little off the street and walked up to the corner where an officer was directing traffic.  After a few minutes he looked over and saw myself and another man standing there and asked what we wanted.  I said, "I just live right over there and I want to make sure that everything is safe with whatever is going on here."  His response: "Are you kidding?  There are more cops here than at a police convention.  This is the safest place around."

So I went home, told the neighbor who was cutting wood in her garage to close the door and lock the house and went in to try to find out what was going on.  As the story has been coming in, it seems like a carefully planned robbery involving an employee who had been timing the coming and going of the security guards, a getaway driver, and the two perpetrators who waited for the moment to kill the armored truck employee and run off with the money.  I had been in the store just a couple hours earlier and my wife later told me that she had been planning on sending me back on my way home to pick up some diapers.  My brother's mother in law was actually in the store at the time of the shooting, though she was in the back of the store and she said that she heard a loud sound and thought, "hmm, that sounds like a gunshot," but shook off such an absurd thought and went about her shopping.

It is a little scary to think just how close to home this occurred, but this could have happened anywhere, and so it doesn't make me feel any more unsafe.  In fact, I decided this morning that I would go shopping at Walmart today to show a little support; perhaps even to prove that a couple scumbags with a gun and no brains wouldn't change my life or make me cower in fear.  Whatever the reason, I expected to walk into a shell of a store with a few scared customers with bowed heads walking quietly through the aisles.

Instead, I found a busy and bustling store that was about as full as I had ever seen it, with people going about their normal lives.  It would be easy to assume that these are just heartless people who don't care that a life had been taken here just a day before, but I prefer to be the optimist and say that these were people of a like mind to me, who decided that the best way to heal the wounds is to get about business and show that we are not afraid.  By the end of the day a healthy memorial was already developing with flowers and cards and news crews standing around filming.

It was a little strange to walk through the entrance to the store and think, "here is where a man died," but for a reason I have a hard time expressing, I feel that one of the best ways I could honor a man who died faithfully fulfilling the duties of his employ, is to help that business and the flow of culture and community to not be shaken.

Less than 24 hours from now I'll be driving a moving truck out of here, but I'm sure that it will be quite some time beyond that before all of the psychological implications of an event like this are fully sorted out in my mind.  All I can say for those involved in this unconscionable crime is that I dearly hope that they never again get to enjoy the blessings of freedom and peace of mind that they so brazenly stole from a whole community for a few thousand dollars.

When I went to Walmart today, I saw good people trying to make sense of it all, but trying also to go about their lives and not have their freedom, their faith, their innocence stolen.  Seeing that, I think, helped calm the quiet fires in myself and restore some of that faith in the goodness of people that so few, with cold and thoughtless actions, would seek to take away from me.

And I hope that you will go out today and look around you and see the great people who are everywhere around, just doing their best to create a life of happiness and love.  Take it in, and hold it close to your heart, because some day, you may need to pull that thought out and embrace it to you as you try to make sense of the senseless.

My thoughts and prayers go out to the family and friends of that poor young guard, who was just trying to do an honorable service as he made his way through helicopter school to become a pilot, and to all the armored truck guards who will now forever be glancing in the shadows around them wondering if perhaps they are next.

Tuesday, June 2, 2009

...And In The "Threatened By A Fortune Cookie" Department

How about opening up a fortune cookie and finding this one:

"Only put off until tomorrow what you are willing to die having left undone."

So is the "fortune" telling me I'm dying tonight?  Maybe that really wasn't chicken after all.

And along those lines:



This is the fortune cookie that I opened a couple weeks ago while eating at a Mongolian Grill.  If you have a hard time seeing the picture, it says, "Next time order the shrimp."

Nice to see a sense of humor in these guys.

Today's "Reason For Your Visit"

When a patient checks in at our ER, they are asked to fill out a half-sheet of paper with name, phone, SSN, birth date, and "reason for your visit".

Whenever I work triage, I write down the interesting ones and have been building up a list.  Some are funny, some embarrassing, and some just tickle my warped sense of humor.  I try to give the benefit of the doubt.  I know that these people are hurting and just want to be seen, and if I were the patient, whatever I wrote down may just end up on a list like this as well, but it still makes me shake my head to see some of the things that patients can come up with.

Thus, my regular (as in whenever I feel like it) series, "Reason For Your Visit."  Please keep in mind that spelling, punctuation, and capitalization are copied directly from the original paper.


So let's get to today's Reason For Your Visit:

THROWT HURT / CANT EAT SWALLOW

Is that an African or a European swallow?

Wednesday, May 27, 2009

Star Trek

I watched a fair amount of Star Trek when I was younger, but as I got older, and as the spinoffs came, I completely lost interest.  I never got into Deep Space 9 or Enterprise or any of the other shows, but I remember enjoying watching some of the original series and I liked the Next Generation series even more.

I would never say I'm a trekkie.  Just enough to know most of the characters and to know that a red-shirt ensign dies on every episode.

So I went in to seeing the movie this evening with a little skepticism.  Yeah, the movie has an 8.4 rating at IMDB, placing it in the top 100 movies of all times, is directed by the man who brought us Mission Impossible 3 and the always entertaining TV show Alias, and yeah, every review I have read says it is amazing, but then so went the hype about Batman Begins, and that, while good, didn't live up (despite an amazing score by my homeboy Hans Zimmer).

This one does.

From the universally outstanding acting performances, to the gripping action from minute 1 until the end, to the special effects to the music, there is very little to critique in this outstanding film.  For the Trekkies, there are lots of hidden jokes (I saw it with my brother who is a big Star Trek fan and he pointed out a lot of them), for the casual fans even there are inside jokes that you will get, and even for those who couldn't care less about Star Trek (like my mother, who shocked me with the revelation that she liked it) the film doesn't leave you behind - at least not completely.  The young actors who have the nigh unto impossible task of portraying cultural icons do a great job of playing the characters in such a way that it seems that you actually are watching these characters in their younger days.

You still have to suspend your disbelief a little bit in some scenes and a lot in others, but if you can join this fantasy world, you will be held spellbound from beginning to end and walk out of the theatre hoping for more sequels.

And that is perhaps the best part about the whole thing: the plot was constructed in such a way that there is a lot of room for more sequels that can be completely and believably independent of the previous Star Trek movies, including the last several train wrecks that they threw at us.

So get off your chair, put your hospital gown and stethoscope down, and head on over to the cinema to enjoy what will hopefully become a sci-fi classic before it leaves the big screen, and see if you laugh as hard as I did at Kirk's line as he is being choked by the Romulan.

2 enthusiastic - and slightly surprised - thumbs up.

Today's "Reason For Your Visit"

When a patient checks in at our ER, they are asked to fill out a half-sheet of paper with name, phone, SSN, birth date, and "reason for your visit".

Whenever I work triage, I write down the interesting ones and have been building up a list.  Some are funny, some embarrassing, and some just tickle my warped sense of humor.  I try to give the benefit of the doubt.  I know that these people are hurting and just want to be seen, but it still makes me shake my head to see some of the things that patients can come up with.

Thus, my regular (as in whenever I feel like it) series, "Reason For Your Visit."  Please keep in mind that spelling, punctuation, and capitalization are copied directly from the original paper.


So let's get to today's Reason For Your Visit:

have Epilepsy have headache

have Epilepsy, have headache, heck, have whatever you want!  I'm just giving it away!

Monday, May 18, 2009

Leaving on a Jet Plane... or a Uhaul.

Life has been interesting of late, with the culmination being a new job offer (actually two, but I could only accept one of them), and a trip down to my new state to get a license and complete the paperwork and look for a house.

That's right, I will soon leave Saint Bigold Hospital and travel to warmer climes, where I will start a new position in a smaller ER in a bigger hospital.  16 beds instead of 25, but the census is the same.  What does that mean?  Hallway beds galore, baby!  I'm not a big fan of hallway beds, but when the weather is great and the new base pay is better than my current overtime pay, I'll deal with a hallway bed or 6.

So that and a move and some sickness running through the family and a recent muscle strain and just being generally busy have kept me from posting as much as I would like.  I still plan on keeping the blog up, but the sparseness of the posts will likely continue for a bit until we get settled in to our new place.  I still have a huge backlog of "reasons for your visit" as every new shift in triage brings in piles of them, so I'll try to post some of those from time to time.

Oh, and in case anyone who cares really cares, I think Adam will win and deserves to win American Idol.  I still hate his over the top stage shows, I continue to almost universally love his studio recordings when he tones it down and just concentrates on singing.  Too bad I can't write in for Anoop, though.

Saturday, May 9, 2009

Today's "Reason For Your Visit"

When a patient checks in at our ER, they are asked to fill out a half-sheet of paper with name, phone, SSN, birth date, and "reason for your visit".

Whenever I work triage, I write down the interesting ones and have been building up a list.  Some are funny, some embarrassing, and some just tickle my warped sense of humor.  I try to give the benefit of the doubt.  I know that these people are hurting and just want to be seen, but it still makes me shake my head to see some of the things that patients can come up with.

Thus, my regular (as in whenever I feel like it) series, "Reason For Your Visit."  Please keep in mind that spelling, punctuation, and capitalization are copied directly from the original paper.


So let's get to today's Reason For Your Visit:

employee exspose

Even if we ignore the spelling, it still sounds like a soft core porn title.  (did I just inadvertently increase the traffic to my site?)

Friday, May 8, 2009

Dear Jennifer

I got your email. Do you really read my blog religiously, or are you just saying that so that I will pay more attention to your advertisement?

Sincerely,

Me



Posted from my iPhone.

Tuesday, May 5, 2009

American Idol

Best quote of the night (by my wife):

"that had to be the single worst note ever sung on American Idol." (referring to Danny's girl's camp scream.

Runner up:

"ouch, he sounds like Grandma with a bad cold." (me, referring to the notes leading up to the fateful scream)

Other notes:

• I still don't like the register he sings in, but man does Adam have amazing voice control.
• I didn't see this thought coming, but I realized after that last duet that it should be an Adam/Allison finale.
• I miss Anoop.


Posted from my iPhone