This video is so beautiful, if only because when the instructor says “Stick,” and the student’s nervous hands are hovering over the vein, struggling to hold the syringe steady, she says, “I can’t.” And her instructor says, “Yes you can. Do it. Now. Now,” and then she does it, and you can hear her whoosh of relief and pride in her exhalation. It reminds me so much of my training, of EMS in general really. That sense of, “I can’t do this,” and a patient voice behind you or in your head, a memory of the instructors who got you here, insisting that “Yes you can. Now. Now.”
>you should see them freak when they do their first IO
>it’s like dude, you got this —calm down and just drill the leg
>then they pull the trigger and the needle spins and it’s like NOPE
I give props to the teacher for being so encouraging…HOWEVER the technique of that girl having her index finger right above the needle? You are a needle stick waiting to happen. In addition, what the fuck is that scotch tape doing on the needle?
I went to a critical care class today for work today- the class is comprised of nurses that need the critical care class because they are new to specialty or a new grad. I technically tested out of the class, but, the educator said I could opt to still go as a refresher. I did.
There was this hot guy there. Bottom line this guy asked for my number, he looks like Milo (above).
I had a pt with a bp of 55/34 and is ABG was garbage and LOC deteriorating no IV access and this all was happening as soon as I walked in at 0710. The resident did not want to intubate the pt because if anything they wanted to do Bipap first- fine- conservative approach. We did everything to make this stable to transport including getting a central and dopamine started. The resident, respiratory, me, another nurse, and a nursing student transport this patient to the ready room, this is because when my charge nurse tells me to move the patient- I move the patient.
When I get up to ICU the charge nurse who has rhinestones on her stethoscope is trying to ream me out for bringing my unstable pt to the ICU- her reasoning? BECAUSE the vent machine was not ready. I told her that the Doc doesn’t want a vent so basically her argument was null and void. Then her response was that she was going to call my charge nurse. I simply told her “that’s fine because she was the one to tell me to transport the patient”. I guess she didn’t like that response because she said that I was supposed to call ICU charge nurse prior to sending the patient. Then I finally asked “you want me to override my charge nurse?”. She was being not nice at this point and said there was going to be a write up about this.
fine. write it up. I did what was best for the patient- not your political nonsense.
lol madame- you are the definition of ridiculous- stethoscope and all.
1. What gloves size do you use?
7.5 or medium
2. Where was the first ward that you went for a duty?
I started my nursing Career in the emergency department
3. What was your first case in the Operating Room?
I was never an OR nurse but during during school I scrubbed into a knee replacement surgery
4. What’s your favorite nursing procedure?
Diabetes teaching/ ngtube insertion/ iv insertion/ foley insertion/ anythingthatsparksmyfancy
5. Your least favorite nursing procedure?
code brown clean up .
6.What nursing procedure is the most difficult for you to do?
IV’s on pt’s c IVDA HTN and/or DM
7. Have you experienced a patient die under your care during your shift?
as a nurse? *knock on wood* no
8. Have you experienced doing post-mortem care?
9. What’s your favorite area/ward?
10. Least favorite area/ward?
the land of the little people- PEDS
11. Who is your favorite Clinical Instructor?
my OB instructor
12. Least favorite Clinical Instructor?
the Veeg (med surg)
13. Do you enjoy Nursing?
tis’ my calling
14. Why did you take up Nursing?
lots of reasons- mainly because I like science/working with people
15. What Nursing school regulation do you hate?
the acceptance of older nursing eating their young- I know this is not a spoken rule but it is one that is there and one that I hate with a burning passion
16. Do you come to the hospital early?
yes with my venti starbucks
17. Do you go to the library often?
I will be Grad school bitchessss
18. What are your favorite nursing subjects?
Critical care, Diabetes
19. What are the nursing subjects that you hate?
20. How often do you go on absents?
21. What is your favorite Nursing Diagnosis?
Insomnia. I like how I dx a pt with this when as a rotating shift nurse I am the biggest hypocrite about sleep :P
This image is very similar to my patient’s x-ray. DISCLAIMER: This is NOT my pt’s x-ray just a similar image courtesy of google images. She had a vibrator completely in her rectum that was ON and inside her for 11 hours before coming to the ER. She had to have it taken out in the OR.
I started to feel bad for the girl when she said her boyfriend put it there- then my nursing/ motherly instincts kicked in and I wanted to make sure he wasn’t abusing her. This was very serious to me- I could see that she was young and fragile (even though I am only three years older than her). She said everything was completely consensual but you could see the need for acceptance she was seeking. She only knew the boyfriend for a month. She had old scars on her wrists from cutting herself. I wish more girls knew their own self-worth to have a voice in situations like these.
I really wish her the best- if anything I know she is not going to use a vibrator in the near future.