May, 2008 Archive

May 29, 2008, 1:08 pm

Change of Shift Goes Miss-Elaine-ious!

… up over at Miss-Elaine-ious RN!

The theme is nursing school/new nurse stories and there are some great stories!

The next Change of Shift will be over at Nurse Ratched’s Place, so get those keyboards flying!

You can send your submissions to “motherjones at yahoo dot com” or use Blog Carnival.


There is a new nurse community online and you should check it out. It’s called NurseLinkUp.

I found out about NurseLinkUp from Keith at Digital Doorway. If you have never read “Digital Doorway” you should and if you have read it, you’ll know why I’m excited about NurseLinkUp!

I signed up. Check it out and join me!

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May 27, 2008, 9:15 pm

Grand Rounds/Change of Shift - Custom comment codes for MySpace, Hi5, Friendster and more

Wow – Between Change of Shift and Grand Rounds, Dr. Emer is one busy guy!

I’m sitting here in Starbucks (where else on a Grand Rounds Tuesday?) and planning on catching up with some blogs!

You can find Grand Rounds over at Parallel Universes – so get your latte , curl up in a comfy chair and enjoy the medical blogosphere!


Don’t forget….Miss-Elaine-ious RN is hosting Change of Shift Thursday and her theme revolves around being in nursing school or a new graduate. You can email your submissions to her directly at “misselaineious1 at gmail dot com”.

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May 24, 2008, 1:44 pm

Jive Talkin’

Gee, you think they could look a little happier about getting their cap!

Nevermind that the ceremony is being held in Dracula’s castle next to Transylvania General.

The one getting capped looks like a pin was just stuck into her scalp and the one on the far left looks like she’s happy about it!

You can’t see it, but the nurse actually doing the capping is holding bobby pins in her mouth. Tres unsanitary!


The San Francisco Bay Area is a very diverse place. Many languages are spoken, and I happen to be competent in one of the more common latin-based languages you will find in this area.

Meaning I studied it for four years in high school and use it on-the-job every day.

Oh, I’m not fluent by any means but I can get through a full triage, tell a patient what is happening to them, how it will feel, give full discharge instructions and answer basic questions in full, grammatically correct sentences.

I’ve also discovered that many patients know quite a bit of English, but are not confident enough to try using it. They don’t want to make any mistakes. When they see I’m making the effort to speak their language, they are more confident in trying out their English. They do great and we wind up encouraging each other.

It can be a lot of fun, and I enjoy it.



What do you do with a group of people you know speak fluent English, but pretend they don’t?

I’m not talking “Gee, I would like to converse in my native language as I am more comfortable.” I’m talking, “Let’s screw with the nurse and doctor for the hell of it.”

My colleagues familiar with this multi-generational group told me to expect the “act”, but I really didn’t think anything of it. I figured I would just speak their language to the best of my ability



The entire time I’m in the room, speaking their language, the group is smirking. Either my version of the language is really off the wall and there is a reason to smirk, or they are playing me like a fiddle.

Talk about “rosin’ up the bow”!

Now, I know they know English, but they don’t know that I know they speak English. I notice that the patient innocently looks all confused at the most basic statement and plaintively looks to the man and says “What?”.

The man repeats what I said back to her! Word-for-word. In their language. Exactly like I said it.

Ah, so the game is to pretend not to understand anything I say, English or not!

Okay, as long as the patient is getting the information she needs I don’t care if it’s English, the native language or Morse Code.


But then the ante is upped. On my next visit, no one in the room is acknowledging that they understand anything!

I begin to notice breaks in the “other team’s” strategy.

First, the patient says “thank you” in English. That was nice, she really was thanking me for the ice chips. Except… before I left, one of the younger folks ask her “Why are you speaking English?”, only to be hit in the leg by another family member.

Ah, young grasshopper. You have just arrived and are new to the game, you have not yet learned I can speak your native language and understood what you just asked your elder.

Strike One

Next, the patient needed something from the utility room. Grasshopper comes out and asks for it in perfect English! (Remember the underlying principle of the game, NO ONE in that room knows English.)

Strike Two.

The bases are loaded, the last runner is up.

I am about to give pain medication to my patient and I tell her that in her language. She understands that without any translation or repetition. Amazing how that works! But then in a voice without a hint of an accent she emphatically yells out:


Strike frickin’ three, lady.

Game’s over.


Now I know for sure that I have been played for a fool. They did everything but put their finger and their thumb in the shape of an “L” on their forehead (with apologies to Smashmouth).

So I figure I’ll just clear the air.

I walk in with the discharge instructions and announce, with a smile:

“I know for a fact everyone in this room speaks English. But, since I like to speak your native language I am going to give the discharge instructions in that language. Now, I may mangle some words so don’t laugh too hard, but it’s good for me to practice. If I get stuck on a word, feel free to jump in and help me out.”

They went from smirking to sheepish in five seconds. I gave my instructions, they helped me with the words I got stuck on and when I asked questions in plain English they answered them.



The moral of the story?

1. I’m waaaaay too trusting and willing to give others the benefit of the doubt.

2. Most people are willing to at least try to speak English. If you can, and you don’t I would file that under “obnoxious”.

3. The next time you try to play a registered nurse, know that he/she is not as stupid as you think.

4. For Pete’s sake, if you are going to play games get your game plan together before you come into the ER.


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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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