Tuesday, November 3, 2009
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Nurse
Monday, November 2, 2009
Happy.
It's not all bad. There is that .1% of the time that my job is great.
We lucked out times two the other day. First of all we had 3 staff nurses on duty. Usually that would not be enough. But something else happened that was lucky.
The same random force that can throw all critically patients at you when you are more short staffed than usual can also throw all stable patients at you when you are well staffed.
Actually there was a third lucky thing that happened. The bed manager will usually float a nurse away to another unit if we have more than 2 on duty. But she didn't on this day.
Only two people were on IV meds. No one was acutely ill.
Since there were three staff nurses we decided to put one staff nurse for each group of 14 patients with yours truly in charge and coordinating.
This allowed the staff nurses to get on with the care uninterrupted while I sorted the doctors rounds, the phone calls and intercepted any interruptions before they got to the primary nurses. I answered call bells, assisted the HCA's and made sure that the primary staff nurses were left alone to concentrate on their drugs and the rest of their job. I got their insulins and IV's out of the way for them to save them time. I helped the HCA's with daily care.
I babysat a confused and wandering patient to keep her from escaping to the motorway on foot and half naked yet again. The previous day when there were only 2 staff nurses on it took them until 11:30 AM to get all the 8 AM meds out. On this day because I was there to intercept interrutpions and deal with problems they were done at 09:15 AM.
When our main consultant showed up for his round I approached him, introduced myself as the nurse in charge and told him that I would be attending the ward round for the whole ward and I knew all the patients very well. I had done two night shifts recently and had time to read all the notes etc. He looked surprised. I explained that I was an extra nurse today so we are coping well, and that there would be two staff nurses on the ward attending the patients while I was on the round (which takes 1.5 hours). He was really pleased.
I like going on the ward rounds. It's easy to trail after the docs and answer questions and take notes. I won't even consider attending if it means I have to abandon my patients for hours without having another RN keeping on top of their care. That is just hasking to get hauled before the NMC. I always learn a lot from ward rounds and it helps me get a better handle of what is going on.
Not only did we get everything done but we got it all done well. The patients were happy and the next day a relative gave us a beautiful thank you later. We even had lunch midway through the shift. That was cool.
Just one extra staff nurse and lower acuity allowed for this!
We have approached management asking if we can always have a senior nurse in charge and coordinating every shift just for this reason. Two words: Shot down.
We lucked out times two the other day. First of all we had 3 staff nurses on duty. Usually that would not be enough. But something else happened that was lucky.
The same random force that can throw all critically patients at you when you are more short staffed than usual can also throw all stable patients at you when you are well staffed.
Actually there was a third lucky thing that happened. The bed manager will usually float a nurse away to another unit if we have more than 2 on duty. But she didn't on this day.
Only two people were on IV meds. No one was acutely ill.
Since there were three staff nurses we decided to put one staff nurse for each group of 14 patients with yours truly in charge and coordinating.
This allowed the staff nurses to get on with the care uninterrupted while I sorted the doctors rounds, the phone calls and intercepted any interruptions before they got to the primary nurses. I answered call bells, assisted the HCA's and made sure that the primary staff nurses were left alone to concentrate on their drugs and the rest of their job. I got their insulins and IV's out of the way for them to save them time. I helped the HCA's with daily care.
I babysat a confused and wandering patient to keep her from escaping to the motorway on foot and half naked yet again. The previous day when there were only 2 staff nurses on it took them until 11:30 AM to get all the 8 AM meds out. On this day because I was there to intercept interrutpions and deal with problems they were done at 09:15 AM.
When our main consultant showed up for his round I approached him, introduced myself as the nurse in charge and told him that I would be attending the ward round for the whole ward and I knew all the patients very well. I had done two night shifts recently and had time to read all the notes etc. He looked surprised. I explained that I was an extra nurse today so we are coping well, and that there would be two staff nurses on the ward attending the patients while I was on the round (which takes 1.5 hours). He was really pleased.
I like going on the ward rounds. It's easy to trail after the docs and answer questions and take notes. I won't even consider attending if it means I have to abandon my patients for hours without having another RN keeping on top of their care. That is just hasking to get hauled before the NMC. I always learn a lot from ward rounds and it helps me get a better handle of what is going on.
Not only did we get everything done but we got it all done well. The patients were happy and the next day a relative gave us a beautiful thank you later. We even had lunch midway through the shift. That was cool.
Just one extra staff nurse and lower acuity allowed for this!
We have approached management asking if we can always have a senior nurse in charge and coordinating every shift just for this reason. Two words: Shot down.
But I will enjoy these rare days when they occur. On these days I am glad that I am a nurse.
Eyeballs
If you know anything about me, you should know that eyes skeeve me out. I don't like foreign objects in eyes (especially pencils, fish hooks, etc), I hate "retinal tears" and the idea of a buckle (ohhhhhhhhh, god.......)... and frankly, I'm a -10 in both eyes and would rather be eaten alive by maggots than to go get lasik (which I am an "ideal" candidate for). I do manage to put my contact lenses in in the morning, and to take them out at night... but that's about the extent of my strength. Beyond that... there's hyperventilation, weak knees, all-over shakiness, increased pulse, and a distinct feeling of nausea.
I'm not sure of the source of this irrational fear... Maybe because as a young child my ophthalmologist yelled at me when I couldn't put in my first pair of contacts, then he grabbed my face and stuck them in my eyeballs? Or all those "eye trauma" pictures in EMT books I sneaked pics of as a kid... (while all the other kids were sneaking looks at porn, I was looking at trauma... go figure)... Or maybe it's from when I was a firefighter and one of my first calls was a little girl who zipped her eyeball into her hoodie. Hell I don't know.
So why oh WHY did I go to lab today? Today when we dissected the eyeball? So I could see the frontal bone of the skull being crushed by a hammer to access the orbit? No. So I could see my lab mates skin the eyelids and remove the rectus muscles? So I could poke the optic nerve? Nope... not those reasons either.
I went with the sick idea that maybe... just maybe... participating in the dissection would toughen me up a little. You know "what doesn't destroy you makes you stronger?" Well, that was a big fat negative. I tried to be tough for the first 20 minutes... then I was destroyed. Grossed out. I didn't even DO anything. Oh, my lab group hates me I'm sure... but I just couldn't. It was just.... EEEEWWWWWEEEEEE.
POEA Nursing Jobs Abroad for Oman
This is good news for all Filipino nurses seeking employment in nursing jobs abroad. For the month of October, the POEA or Philippine Overseas Employment Administration has approved 4 job orders that will provide the opportunity for qualified Filipino nurses to work in nursing jobs abroad specifically in the Middle East country of Oman. The said job orders for nursing jobs abroad has a job order balance totaling more than 500 nursing jobs abroad vacancies and was approved for 2 recruitment agencies. Below are the breakdowns of all the POEA approved nursing jobs abroad for Oman.
Ward Nurse --------- GEMS 22 MANPOWER COMPANY --10/12/2009 -- 100
Senior Staff Nurse - GEMS 22 MANPOWER COMPANY -10/12/2009 --- 32
Staff Nurse --------- GEMS 22 MANPOWER COMPANY ---10/12/2009 -- 120
Staff Nurse --------- I-REKRUT MANPOWER INC. -------------10/13/2009 – 300
For further info on the said POEA nursing jobs abroad for Oman, just leave a comment on the comment section at the end of this article including your Email address and the questions you want to be answered and we will reply to your queries the soonest possible time.
Ward Nurse --------- GEMS 22 MANPOWER COMPANY --10/12/2009 -- 100
Senior Staff Nurse - GEMS 22 MANPOWER COMPANY -10/12/2009 --- 32
Staff Nurse --------- GEMS 22 MANPOWER COMPANY ---10/12/2009 -- 120
Staff Nurse --------- I-REKRUT MANPOWER INC. -------------10/13/2009 – 300
For further info on the said POEA nursing jobs abroad for Oman, just leave a comment on the comment section at the end of this article including your Email address and the questions you want to be answered and we will reply to your queries the soonest possible time.
Genetics
A new class... yay! I'm really ready for a change of gears... hopefully this will be cool. So far so bad though... I actually fell asleep during the first lecture set. Hopefully it will get more exciting...
18 Specialties For D.O.'s
Here's a list of the 18 Specialties that D.O.'s can become board certified in (not counting sub-specialties):
1. Anesthesiology
2. Emergency Medicine
3. Dermatology
4. Family
5. Internal (plus 11 sub-specialties - Cardio, Allergy, ID, GI, Oncology, etc.)
6. Neurology and Psychiatry
7.Neuromusculoskeletal
8. Nuclear Med
9. OB/GYN
10. Ophthalmology
11. Orthopedics
12.Pathology
13.Peds
14. PMnR
15. Preventative
16. Proctology
17. Radiology
18. Surgery
Not to mention, DO's can apply to allopathic residencies and then apply for board certification in those as well....
Doesn't seem so limiting now, eh?
Whoa.... psychiatrists and neurologists... relax. The AOA lists them that way. Don't shoot the messenger.
Sunday, November 1, 2009
Well since we're on the subject....
I put my DO vs. MD link on the side, had a few comments, and others are posting about it again. Here's Ella's version of the straight dope.
Moment of truth: If I had to do this again. I would have gone to DO school.
GASP!
Not because I don't love my school or my program. I love where I'm at. But I could have gone to DO school years ago. I could have been a doctor by now, half way done with residency. I didn't do it out of pride. Pretty much pride only. Because I wanted to be an MD, and because I didn't want to "defend" my education to others. Which is a pretty BS reason to waste years of your life.
Additionally, I think I would have had a different peer group. More alternative routes to med school, more diverse backgrounds, and more older students. Which is something I do feel that I miss out on here.
I really don't think the education is any different. And while there is undeniable residual stigma associated with osteopathic schools... I think it's lessening. All the time I hear MDs say how cool the DO physical manipulation is. And how so-n-so is a DO and is amazingly good. And I promise... very soon osteopathic schools will have the exact same academic criteria for admission. Some of the best osteo schools are already there (like the Texas program). Others are building their reputations.
Consider it. Or don't... and spend however many extra years of your life stressing about how you can POSSIBLY become an MD.
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