August, 2007 Archive

August 8, 2007, 8:34 pm

Change of Shift: Volume II, Number 4

cos
A new year, a new logo!

Actually, my oldest daughter informed me that the old logo looked like, to put it gently…commode contents.

The new one is exciting! Bold! Futuristic!

It’s…..blue!

I tried fifty different colors and at least one hundred combinations.

I had to have blue.

Now if I can just figure out how to curve the corners…….

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Before we get to the submissions, it is a pleasure to welcome back our blogger buddy Jen, as she returns to blogging at Into the Unit. Jen is looking for information on grief/debriefing teams as she is starting one at her facility. We’re glad you’re back, Jen!

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Geena over at Code Blog finds out her baby is a savant…at CPR! Remember, you saw it here first! Check out 8 Month Old Does CPR, Saves Gloworm. Oh and get your kleenex – you will laugh so hard you’ll cry! And when did Gabe get big enough to stand, let alone do CPR????

Emily learns a lesson in medications, but also handles her first interaction with doctors in a very professional manner. Find out What I Learned Today posted at Girl in Greenwood. Good job, Emily!!!

TC at Donorcycle discusses transplant coordination in This is Why We Do It. Not only does she review what conditions are considered for donation (you will be surprised), she lets us in on a success story from an unlikely source!

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Speaking of kids – for nurses who have them and nurses who take care of them – Therapydoc discusses the need for support that we all have, even if we say we don’t. A thoughtful post called Intimate Opportunities posted at Everyone Needs Therapy. And I agree; there are certain times in life when everyone can benefit from therapy. (Oh, and you can check out Doc’s take on Oscar the Cat here!)

Pain is whatever the patient says it is. Or not. ER Murse expresses frustration over the abuse pain scales in this discussion of pain and the ER in A Vital Sign With Concerning Unintended Consequences posted at ER Murse. In a second contribution to this edition of Change of Shift, ER Murse describes horrific situation in Remote CPOE Error and the Relationship to Critical Thinking Nurses. Don’t let the technical title fool you. Your your heart will be in your throat.

This guy has to win the most frustrating patient of the year award. What happens when the patient fights you every step of the way? Wanderer deals with just such a situation in Right, My Bad at Lost on the Floor. Why do people call for help and then reject all efforts to help them. The eternally unanswered question…

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If you missed this in Grand Rounds a week ago, catch this rerun of Yaakov Stern: Build Your Cognitive Reserve posted by Alvaro Fernandez at Brain Fitness Blog. Alvaro is not a nurse, but he writes about brains and nurses most definitely have them (Fifty doctors just thought of a joke to insert right here…you know you did! That’s okay, I thought of a few, myself!).

Violence. Lateral, backstabbing or just plain front-on rudeness – nurses are guilty as charged. Mother Jones looks at this from her unique perspective in Why Are Graduate Nurses on Today’s Menu? at Nurse Ratched’s Place. As the Purple One put it so succinctly: why do we scream at each other? (No, I don’t mean Barney…)

In NASCAR the green flag means go, the yellow flag means caution and the checkered flag means you won. Beware of the red flag because in the ER it signals the staff that things may not be what they seem. Check out Red Flags in ER at Madness: Tales of an Emergency Room Nurse.

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Ever have one of those days where you thank God for electricity? Well there is a patient of ER Nursey’s who probably does! Find out why as ERnursey presents Bringing Back the Dead posted at ERnursey – Stories from an Emergency Room Nurse. And yep, you always remember the first time you provide, uh, electrical assistance!

Dean Moyer isn’t a nurse (or a doctor) but he does have a common sense take on spinal health. In The Truth About Herniated Discs (Part one of a two part series), Dean discusses research that shows a surprising lack of evidence that those pesky discs cause back pain. I don’t know a single nurse who has not had back issues, so check out his blog Rebuild Your Back for some great tips!

Over at Medscape Nurses, life in the ICU is not easy as Beka discusses the loss of many patients in the space of a week in 10 Deaths and Counting. It’s time for a vacation, and after reading Going Home, I’m ready to go with her! She even quotes Leo Buscaglia. You can see all the Medscape Nursing blogs at In Our Own Words.

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My grandmother once told me that when she is in the hospital, “an ice chip is worth a million bucks”. Someday Nurse understands. She sees things from the patient’s viewpoint in Priorities posted at How I Spent My Nursing Education. Sounds like a great nurse in the making!

Thanks to Someday Nurse, I found a link to Ian’s blog over at ImpactED Nurse that she named “The Grossest Emergency Room Story EVER”. Ian simply calls it Oyster. He didn’t submit it, but it is the most…..unusual story I have ever heard and I’ve been around the block a few times. I’m taking the liberty of including it here. Make sure you have an empty stomach. You have been warned!!!!!

Emergiblog celebrated its second birthday this month! If you missed the post commemorating the event, it’s here!

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Many, many thanks for all who have read and who support CoS through links and submissions!

Next edition, Change of Shift (August 23rd) will return once again to Nurse Ratched’s Place. Mother Jones is waiting for your contributions as we speak!

The ever wonderful Blog Carnival is a good way to submit or you can send them directly to Mother Jones at motherjonesrn at yahoo dot com.

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2:14 pm

Trivial Pursuits

Moxie

If I were that doctor, I don’t know that I’d accept that glass of “Moxie”

She has an awfully suspicious look upon her face.

I hope that doctor has been very nice to that nurse.

Lord only knows what’s really in that glass.

This could be a Perry Mason episode in the making: the Case of the Moxie Murder”!

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Well! I was interviewed over at Blog Interviewer.com and if you are interested in knowing what makes Emergiblog tick, you can check it out here! Don’t forget to “rate the blog”!

I just rated myself a “thumbs up”, so now there are two ratings and the other one was a “thumbs down”!

Say what?

Who’s the party-pooper?

Thank goodness “the middle finger” is not an option!

*****quinn

He signed!!!!

Brady Quinn signed his contract with the Cleveland Browns!

Bless his ever-loving Irish heart!

I’d follow the game against Kansas City on Saturday, but my son decided to pick that day to get married!

Who raised that kid?

I read some dumb article that said Brady Quinn charged money for his autograph.

Oh puhlease!

This was the guy who would sign anything you put outside his dorm door while he was at Notre Dame.

Which means my autographed ball has my name on it!

Thanks, Brady!

(Photo courtesy of the Modesto Bee)

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10:17 am

You Will Remember NOTHING!

fiftytoday

Fifty?

Try more like seventy!

(They’re just jealous that the guy in the middle still has hair!)

If these old geezers are fifty, then I’m seventeen.

Actually, that may be the definition of fifty: adolescent enthusiasm in a middle-aged body.

My great-grandmother once said, “I don’t know where this body came from, in my mind I’m still a teenager!”

Your mileage may vary.

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Ah, here at Starbucks the Bangles are walking like Egyptians!

Julie from Life in the NHS asked if I lived at Starbucks.

In my dreams!

Actually, I’m still acting as chauffeur for my youngest daughter, so whenever I have to drop her off, I hit the closest Starbucks until it’s time to pick her up.

There are three different Starbucks in the area that know my “drink” by heart. If they start start playing McCartney the minute I walk in, I know I’m a fixture!

Today’s drink is a Grande Non-Fat Caramel Macchiato….with whip, of course.

(Oooooo! It’s “Don’t You Forget About Me” by Simple Minds! I ADORE that song!)

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The dreaded colonoscopy. A rite of passage for those of us who have reached the mid-century mark.

If you know what that is, you are showing your age. If you do not, you have nothing something to look forward to.

Looking forward to it is all you are gonna get, because you won’t remember a thing after it’s over!

I have yet to experience this unique screening procedure, but my husband is now an official member of the “I Survived My Colonoscopy” club.

He did not get a T-shirt.

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I must give out discharge instructions for conscious sedation twice a day.

No driving for 24 hours. Light on the diet to start. Have someone with you for 24 hours. No major life decisions for 24 hours. Don’t sign any contracts for 24 hours. No alcohol for 24 hours.

In other words, put your life on hold for a full day.

And be sure to discuss these with the patient and their driver/babysitter before the procedure.

Blah, blah. Yadda, yadda, yadda.

I can do it in my sleep.

Now I know why we give those instructions.

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After waiting dutifully for hubby in the waiting room while the gastroenterologist surveyed the scenery, I found him resting in a gurney, drinking juice and alert. Very mellow, but alert. Clear speech.

He remembered nothing about the procedure!

Cool!

Then the very nice gastro doc came in and discussed the findings. He told us how long it would take to get the full report, where he would send it, what to watch for. We discussed Hubby’s health history and made arrangements to follow up. Hubby asked a lot of pertinent questions.

Later that night, Hubby was miffed that the doctor had given us zero information on what happened.

Whoa!

He didn’t remember a single bit of the post-procedure conversation.

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When the instructions for the colonoscopy prep said “clear liquids only” for the twenty-four hours preceeding the event, Hubby took it to mean, “oh hell, why bother to drink anything but water” meaning he essentially fasted the entire time.

I told him that he should have taken fluids with calories for nourishment at least.

As a result, he had the lowest blood sugar he’s had since his diabetes was diagnosed (86) and he was famished after it was all over.

Wanted a cheeseburger, he did! And not just any cheeseburger, but a big, greasy 1950s style burger from the local retro joint.

I couldn’t talk him out of it. I wanted to first stop at the local coffee drive-through across from the restaurant. While I’m ordering my drink, my husband gets out of the car and walks across three lanes of busy traffic to go pick up the burger!

He chides me for my concern that he is up and wandering through traffic less than an hour after being sedated. “I’m fine!” he says.

Eight hours later he doesn’t remember the meal.

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After napping for five hours (having been up all night secondary to the “prep”), Hubby decides to go visit the neighbor.

He comes back and raves about the wine our neighbor had poured.

“Hubby!” I reprimanded. “You aren’t supposed to have alcohol for a full day!”

I can’t let this guy out of my sight for a second!

He had no recollection of any alcohol instructions.

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So this is why you make sure a patient has someone with them after conscious sedation and for a full day!

Trust me, once that medication is given, I don’t care how alert, how appropriate or how steady the patient feels, they are not going to remember anything, including what they do for hours after the procedure!

Nothing like being on the other side of the coin to have something drummed into your head.

I’m just ticked at myself for not taking advantage of the situation and running Hubby to the local Apple Store to buy an iPhone and a 17-inch MacBookPro.

But honey, you said I could!

Whaddaya mean, you don’t remember!

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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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