August 6, 2006, 5:45 pm

Sunday Morning Comin’ Down…at Starbucks!

UPDATE: THE TTLB ECOSYSTEM IS NOW SAYING I’M A LARGE MAMMAL. THE LAST TIME THEY DID THIS I WAS EXCITED FOR A WHOLE FIFTEEN MINUTES BEFORE THE ERROR WAS DISCOVERED AND I DROPPED TO A CRUNCHY CRUSTACEAN. OH, NZ BEAR, QUIT PLAYIN’ GAMES WITH MY HEART….

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harsh

Oh puh-lease!

Have you ever heard a doctor say that?

I haven’t seen a dumber ad since we weren’t allowed to squeeze the Charmin.

Did the patient rip herself a new one because she used an SOS pad as toilet paper?

Her butt hurts and so the nurse has to support her and walk her into the clinic?

I can hear the talk now.

“That ol’ Mrs. Smith, if she would just wipe her rectal area with something as soft as old linen, she would be pain-free.”

“But doctor, look how much it costs! Three rolls are twenty cents! Why, that’s how much you pay me in a week! How on earth can she afford that much money for high-quality toilet paper?”

“Yes, nurse, it is a sad state of affairs when one has to choose between feeding one’s children and using the correct paper to wipe with.”

Oh…wait…”Soft as Old Linen”…

Yeah, I want my toilet paper to feel like an old sheet.

Is that what they used before toilet paper was invented?

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Starbucks is much better today.

No reggae at 0600. It’s a Sunday afternoon (which is morning to me) and it seems they are having a “deep cuts” 80’s Sunday afternoon. David Bowie, Joe Jackson, Peter Gabriel…and oh man Simple Minds!

{singing} Don’t you forget about me! Hey, hey, hey, hey! {/singing}

I can dig it!

Have to stop singing. I’m attracting attention

(For you young ‘uns out there, my post title, “Sunday Morning Coming Down” is an old hit by Kris Kristofferson. And if you don’t know who he is, well, I’m older than I thought!)

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I hate change.

Did I ever tell you that I hate change?

I’m not talking about the fifty-bazillion new forms I have to fill out.

I’m talking equipment.

We had a perfectly functional needle-less system that meshed with our paramedics’ tubing and was so good that I could stick in a saline lock, get blood from it and never even spill a drop.

Now it looks like a rectal bleed has been through my room every time I try to start an IV.

And the one piece of the puzzle that would solve this problem has not yet arrived.

And the new system doesn’t work with the paramedics’ IV tubing.

And my esteemed colleagues working the floors are not pleased if we don’t take the medic’s IV all the way down to the hub and replace it with our new stuff.

Ummmm…okay….let me see….

  • I have an ambulance patient with chest pain, R/O MI with a field IV, who needs an EKG and I have to take report.
  • I have a migraine patient who needs an additional injection for their pain who has been non-stop vomiting despite the initial anti-emetic.
  • a patient with a dislocated shoulder who will need conscious sedation after he gets back from x-ray for reduction of the dislocation.
  • and an elderly man with diarrhea who I have to get up to his assigned bed before the consult comes in or it will be another two hours.

All in the same room.

Sorry, dear colleagues. I know you run your derrieres off as hard as I do if not harder, but a complete change of IV tubing down to the hub is not going to happen before the patient gets to you.

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Well, it looks like this ol’ dinosaur will be thumping back to the night shift.

Believe it or not, it is actually easier to work from 7p-7a than my present 3p-3a position.

I’m a night person anyway, might as well get paid for being awake!

Plus, I will be working my brains out because both my oldest daughter and my son are getting married within 5 weeks of each other next summer!

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Of course, being the mother-of-the-bride/groom means I must look my best.

I’m down to a single chin, so I’m making progress. Hopefully I can get a waistline showing relatively soon.

My thighs are a hopeless case, but that is why God invented loooong dresses.

Have you noticed that nurses don’t have flabby arms? It’s all the lifting and pulling and gurney pushing we do.

Think of it as a professional perk!

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Speaking of night shifts, they have changed.

Used to be you could clear out the PM shift by 0100 and you never saw another thing until 0530 when the daily Code 3 or hip fracture would come in.

Now it is non-stop almost until 0430 and just as you finish your charting, everyone wakes up and it starts all over again.

We have a good reputation as a great ER to go to, so patients often request us because they don’t have to wait for hours and hours to be seen.

But, the more people who get that impression, the more people will choose to come to us and the busier we are and the more the wait will be.

It doesn’t help when our facility advertises that you will be seen faster than you can finish a sneeze!

But in reality, we are a department of seasoned veterans and we move!

It’s a great ER.

Even with the stupid new tubing…..

4 Comments

  • Nicole
    Nicole

    August 6, 2006 at 6:33 pm

    FYI, Johnny Cash also did a great recording of Sunday Morning Comin’ Down.


  • d
    d

    August 7, 2006 at 10:35 am

    I hate when things get switched. Our hospital recently decided that all needles must be of a certain brand, and they will *NOT* order any of the old brand. Nobody consulted us, however, and they don’t realize that the $600/syringe shield we use doesn’t fit over the new needles! Now they’re trying to tell us that we cannot special order the old sharps buckets from BD, we have to go with the Monoject ones. Unfortunately, the lead cases that hold the (round) BD ones will not hold the (rectangular) Monojects, and a new one would be $1000, plus the cost of installation!


  • d
    d

    August 7, 2006 at 10:35 am

    PS, you’re still a Large Mammal from here, I think it’s real this time!


  • Dawn
    Dawn

    August 7, 2006 at 3:10 pm

    Ah Nicole, ya stole my thunder!


About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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