November, 2008 Archive

November 18, 2008, 2:40 pm

Grand Rounds Does the iPod Shuffle!

Oh my goodness!

I don’t know what is worse!

That fact that these are actually made

Or the fact that I actually want one!

One can never have too many places to play one’s iPod and Dr. Deb brings us an iPod themed Grand Rounds this week!


I wonder what songs you would play during the functions associated with the location of this player?

“Goin’ Down” by Bruce Springsteen?

“Wake Me Up Before You Go-Go” by Wham?

“You Keep Me Hanging On” by the Supremes?

“Stand Back” by Stevie Nicks?

“Passenger Seat” by SheDaisy?

“Smooth” by Rob Thomas and Santana?

“It Don’t Come Easy” by Ringo Starr?

“Can’t Fight This Feelin'” by REO Speedwagon?

“I Want to Break Free” by Queen?

“Push” by Matchbox Twenty?


Okay, I’ll stop, but I got a million of ’em!

I’ll be here all week and don’t forget to tip your waitress!


Oh, and while we are talking about “output”, why not send some blogging “output” to RehabRN for inclusion into the next Change of Shift! You can send submissions via blog carnival or to “hotelrehab at nyms dot net”.

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November 15, 2008, 2:50 pm

Melancholic Baby


How come I didn’t know about this?

Yes, there is enough fat in a Cinnabon to last you for a week and clog even the widest coronary artery.

Doesn’t mean I wouldn’t have gone for a free one!

Kudos to Cinnabon for doing this, I don’t know of any other non-healthcare company who has ever given free goodies to nurses during Nurses Week.

I’m verklempt! Seriously.

In fact, to show my appreciation to Cinnabon, I’m going to have to purchase at least one of these each week.

Since I’m dieting, I won’t be able to eat it, but I shall buy one nonetheless and give it to my thinner colleages.

I do think it is funny they had to limit it to one roll per nurse! Geeze, it’s not like any of us would eat a dozen.

Or anything…..


Editor’s note: I accidentally deleted my Obama post when I was deleting old drafts. After panicking for five minutes, I was able to recover it from my RSS feed (thank goodness for Google). Unfortunately, the comments section could not be recovered, which is a major bummer. Didn’t want anyone thinking I was censoring comments! : )


Is it possible to be bored in an emergency department?


It has nothing to do with how many patients you do or don’t see during a shift.

If you think about it, so much of ER is just rote repetition, unless an emergent situation shows itself.

IVs, blood draws, medicate, evaluate , EKG, re-medicate, re-evaluate, CXR, re-medicate, re-evaluate, Normal Saline, re-medicate, re-evaluate, CT, re-medicate, re-evaluate…

You get the picture.

I’m not burnt so much as a I am bored.

And restless.

I’d rather write, concentrate on school, do a million other things than work. For every two night shifts I work it takes four days to recover back to a normal schedule.

If I feel like this working in a decent ER with great co-workers and having most of the last few weeks off, I’m afraid of what I’ll feel like when I get back to my regular schedule at the end of December.

When you start getting depressed because you have to work the day before your shift, something is wrong.

I’ve been here before.

But unlike before, I am not going to make any knee-jerk changes until I have a chance to evaluate all options available to me.

Do I need to move on? To what? To where?



So I do what I always do and that is focus on my patients.

Yes, the tasks are routine but the patients are not.

Every patient is a new and different experience, even though their chief complaints may be similar.

The ER may be routine for me.

It’s far from routine for my patients.

And in the long run, it’s not about me, it’s about them.


I just wish I could shake off this melancholia.

It’ll pass.

It always has.

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November 14, 2008, 9:55 pm

Presidential Advice Via Grand Rounds

Did you hear that???

No, it wasn’t an earthquake here in the San Francisco Bay Area.

It was the sound of, oh, about 200 of my friends and family hitting the ground after seeing a picture of Barack Obama on my blog.

You might say I didn’t vote for him.

However, there comes a time when you need to look ahead and as he will be my President, I figured I’d look at the bright side.

1. He’s the best looking President we’ve ever had. John Kennedy, the runner up, doesn’t even come close. Folks, I saw women at work fighting over the front page of the San Francisco Chronicle the day after the election so they could have the full page photo. No, I was not one of them, but yeah, he’s cute.

2. We’re going to have little kids in the White House again! For some reason, I like that idea. How cool for Malia and Natasha to see their dad elected President!

3. Michele Obama wears totally cool clothes. Wasn’t crazy about the election night dress, but she is so elegant. I may get a few pointers.

Now, I know that I say nothing of weighty matters like national security or health care, but come on, who can argue with the three points I just made? I have four years to look at the other stuff!


And now for a word from our sponsor: Change of Shift. Tomorrow. Crzegrl, Flight Nurse. Be there!


And all that was an introduction to Dr. Rob’s hosting of Grand Rounds over at Musings of a Distractible Mind, where he gives job advice to a guy who just got a job a few weeks ago and needs some pointers.

If you get my drift.

Here is why you should drift over to Dr. Rob’s:

1. Dr. Rob reveals he worked at Wendy’s and the thought of dry burgers stressed him out.

2. The picture of the Yoda spaniel. Srsly!

3. I did not know that Dr. Val was Canadian! See what you learn during Grand Rounds?

4. One of my Zippy photos is there!

5. One of my posts is there!

6. They are blaming autism on Disco. Oh come on! One day Barry Gibb is saving lives and then next minute we hear this? Oh, wait, they must mean Donna Summer’s music…

7. The funniest Macintosh cartoon ever written since the beginning of time. It’s all I can do not to swipe it and post it over here. Instead, head over there and check it out now!

It’s a great edition, full of llamas and goats and burgers and lobsters and the only thing missing is you!

I’m a day late, but I fully intend to forget the housework, forget the homework, forget the hubby (he’s at a hoity toity wine-tasing in San Francisco) and grab my coffee and catch up!

Nice work, Dr. Rob!

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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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