Today's lunch break

It all started when I forgot my lunch that I had purposefully prepared last night for work today. Anyways, I travel to the cafeteria which I knew wouldn't go well. The options were buffalo wings, huge chicken thighs, pizza, and bogus Indian food. I was already nauseous so I just wanted to throw up. When I walked in. I cant really do meat with bones anymore because I find it gross, lol. I traveled outside to one of the many lunch trucks. I settled for a grilled chicken pita with honey mustard. While waiting for my lunch, it started pouring! I got a good laugh at everyone running for cover, lol. I made it back ti the cafe and ate my lunch with about 15 minutes to spare :) I chaotic with the fam via FaceTime and am now updating my blog. And they though I was taking 45 minutes? He'll no I need my hour! Lol

This was suppose to post Friday when I was actually at work lol

It happens to every nurse....

and today was my turn. 3 years since i have been a nurse and I had my first pt fall today :( Thank goodness the pt was ok. I would get into the story but I dont want to violate confidentialiyy. basically this BB (pt) was very drowsy and I had just checked  them out to see if BB was ready to go back to his room. sHe was drowsy, but answered my questions appropriately so I left to go requset transport and write a note. In less than 5-10 minutes I was back in the room because I seen she had come off the EKG. I found her sitting on the floor. she was ok and I went through the whole policy for falls.

Suprisngly, usually when something happens like this I feel bad and feel like it was all my fault. But in this case I really wasn't totally at fault, it was just something that happened. I am upset that one of my coworkers was standing right out side the room and walked past mulitple times then tells me after the fall "oh i seen her sitting up on the end of the bed" Im thinking why didnt you do or say something? this was the same coworker who had witnessed how drowsy BB was so she knew she had no business sitting up.

Anyways, a lesson learned :(

uggggh busy/annoying day at work!

first off i worked 12a-12p...worst shift ever! i come in and do 3 lunch coverages back to back. i came to work kinda with the "i dont feel like working attiude" smh but as soon as i take care of a pt i turn that 'tude off :) lol. my day was fine doing my lunches, then i go into to my assigned station and have a lady thats doing ok, but i just had to travel with her to her room because she had a new chest tube. transport goes ok even though the floor Rn never came in the room to help get the patiient in bed or set up her suction. so, of courrse i tuck my lady in set her all up and then leave. as i am walking down the hall i get attitude from some random nurse " did the nurse know u were coming" lol i say "she got report, ive been in the room for 15 minutes setting up and she hasnt come in" then i keep it moving, but not before asking exactly who is the nurse. I leave telling the nurse that i dropped off her pt and am on my way.

now i am back on the floor and walk into my zone with a new patient.... and guess what? i have yet another patient that will need transport! WTF! anyways i get her all settled and its now my lunch break. i come back from lunch and theres now a 2nd patient in my zone and guess what? fresh trach which equals rn must travel :( so while getting my trach pt settled i notice my other patient (nepherectomy) hasnt really been putting out urine.... i call the md and he has me hang a liter bolus.

now fast forward to like 4 hours later,2500 in saline boluses, 500 hespan, stable VSS, and like hardly 25cc of urine. i call the md with updates and they basically want me to keep the patient until she makes uring because shes "unstable" nonsense, her vitals were fine and the only thing i did for her was hang fluid and check urine. things that can be done on the floor. i had no problem keeping the patient but it was almost 10pm and we were gonna be down to 4 nurses and 4 patients with still 2 to come out of the OR (our ratio is 2:1) sigh.... long story short, call md back because urine output had increased to 50 cc in 1.5hrs. per md patient can now return to the floor! OMG at this poing its a litte past 11 and i am beyondd ready to go, but OR is ringing because they are finished with the urology pt. of course i take him beecause 1 nurse had a busy paitent, the other nurse had a patient, and the third nurse was just getting report on her patient.

ok tired of typing, in the end it all worked out. all patients went to the their rooms/homes and night shift was left with only 2 patients between them ( 2 RN's)



* i only complianed about having to transport my patients because this usally doesnt happen. there is/was enough nurses to have taken one of my patients so i wouldnt have to do 3 back to back transport....but whatever