8 nurses

A New Grad’s Year Reflection

Today you’ve got 8 patients, and you’re feeling overwhelmed; you’ve got three discharges planned, one patient to go the OR, one scheduled for contrast and CT, and one trying to climb overboard… you see that the board has about four admissions waiting to come up. You take a pause, and remind yourself, you can do this. You remind yourself that about six months ago, you could barely handle two patients on orientation without feeling overwhelmed, and now you’re up to 8 patients. A heavy and stressful day, but you’ll get through it.

Today you have a patient who coded. You have a moment of panic as you look around the room, and you see you’re the most experienced nurse on this night-shift, and you’ve only been here 8 months. The charge nurse is on a break, and you’re wondering how this happened that all the new grads are together with no real support. But then you jump in and start working with the code team, and you realize, just over 8 months ago, you were the student watching - and back then you had no idea what to do in a code…so today, you may not be an expert, but you’re part of code team that’s working well together, and even though it doesn’t feel like it on a normal day; a lot’s changed in such a short amount of time.

Today, you have a CVVHD patient, and you feel like roadrunner with just one patient, a room that looks chaotic, maintaining an extraordinary amount of infusions, nervously working around the vascath, titrating meds, and just trying not to kill the patient. You feel like you’re treading water trying to stay afloat with the accuracy and measurements, and you’re sort of wishing this patient had a nurse who was more confident and maybe anticipated care a lot better…. and then you look around the room. Today is the first day you’ve had one of these patients. Yesterday you didn’t know how to do this, today you do.

Today you were standing around in rounds; with the intimidating jackass Attending, his group of residents, the scary charge nurse, case manager and social worker, and they’re grilling you on your complex patient, ( the one you freaked out when you saw  you were assigned to them). They’re grilling you for minute details, and you pause for a moment. The brand new baby nurse you would have been terrified by being put on the spot, but you realize that now you actually know the answers, and you weren’t in this place before. You aren’t an expert by any means - plus you’ve got a steep hill ahead of the learning curve, but you are confident in your assessment, and you know your patient, so you’re standing your ground. You didn’t do that yesterday, today you did.

Today you have a weird feeling that something is wrong with your patient; you look at him, and you can’t pinpoint what it is. He’s sitting up in bed, vital signs normal, no ectopy on the monitor, nothing out of the ordinary. But you feel it, and you want to dismiss it, except you remembered about a year ago, you didn’t trust your instinct at all, and a patient crashed when you didn’t follow through with it. Today you will. Your trust in yourself is evolving. A lot has changed in a year, even if on your very worse day, you don’t feel it.

Feliz aniversario casada! Pra provar o meu amor, toma aqui o nosso garoto zuadinho <3

Isn’t it amazing that my wife’s birthday is right in the middle of Nursey Week?? This is her birthday present, because she is basically one of the best things that ever happened to me <3

So this actually happened
  • A dog came in for a pregnancy x ray today. The breeder is a pain in the butt and really reluctant to spend money, always implements cost cutting measures wherever possible.
  • I see one of the girls walk out of x ray with her hand over her mouth, clearly trying to contain laughter.
  • Me: What's going on?
  • Nurse: So the bitch isn't pregnant.
  • Me: Really?? Maybe she's just not at 8 weeks yet?
  • Nurse: No, really. He gets his mate to do the AI so he doesn't have to spend money here. And apparently... he put it up the butt.
  • Me: He put the tube...
  • Nurse: Yes. The dogs definitely not pregnant!
  • Ahh, breeders.

The body of one of Richard Speck’s victims being removed from the crime scene. Speck murdered 8 student nurses over the course of a single night on the 14th of July 1966. He was found guilty on 8 counts of murder and was sentenced to die in the electric chair, but his sentence was eventually reduced to 300 years in prison. He passed away in prison on the 5th of December 1991 from a heart attack.

Spirk in Episode 8

No, you’re not crazy, there’s no “Spirk in Episode 7″ mainly because I couldn’t find much Spirk in that episode, so I figured I’d just move along.

So in episode 8, Kirk and Nurse Chapel beam down to meet with Chapel’s fianceé, Dr. Korby. However, Korby creates a robotic Kirk to replace him on the Enterprise and gain control of it.

Actually, yes, Jim stop smiling.

A: Spock noticed the difference between Kirk and an android who mimicked Kirk’s voice.

B: Spock cared enough to make sure Jim was feeling okay. 

Conclusion: Slay me.

Let’s talk about the fact that after Kirk learned that Korby’s android is going to have his thoughts and instincts, his first thought as to making sure someone knew there was something wrong was to insult Spock? Not Uhura, not Sulu, not Bones, not even to just to something stupid, like eat his least favorite food. Nah, he thinks the most out-there thing an android replica of him could do is (non-playfully) insult Spock. 

Spock runs onto the scene and takes in Kirk looking at an obviously distressed Nurse Chapel. His first concern?

The obviously-okay captain because hot damn, he better be okay. Then, almost as an afterthought,

Honestly, this shouldn’t even be a debate…

(Translation: That actually really did hurt, Jim)

(Translation: I apologize, Spock…)

(…but I’m still gonna sass your ass off.)

(I wouldn’t have it any other way)

(GAAAAAAAAAAAAAYYYY!!!!)

Richard Speck: Before and After the Massacre

The name Richard Speck is well known throughout the true crime community. For those unfamiliar, Speck was responsible for the 1966 massacre of 8 Chicago nursing students. He bound, assaulted, strangled, and stabbed them. To put this crime in perspective, Speck had so many victims he didn’t even realize that one was missing. The 9th woman, Corazon Amurao, squeezed beneath a bed and hid for hours until he left and she felt safe enough to come out.

But what of Speck before and after this brutal, senseless crime?

Before:

• He was born the 7th of 8 children.
• He was abused as a child by his stepfather.
• He married and had a daughter.
• Throughout his early years, he was in and out of jail and trouble with the law.
• When he got work on a ship, it seemed that dead women cropped up behind him, including in Michigan.

After:

• He died in prison in 1991 of a heart attack.

• In 1996, a video of Richard prior to his death went public. In the video, he had appeared to have grown breasts, likely due to hormone therapy. He also engaged in drugs and sexual activity with a fellow prisoner, while wearing women’s underwear. He even spoke of the murders of the 8 women with absolutely no remorse. In fact, when asked why he had killed the women, he laughingly replied, “It just wasn’t their night.” Needless to say, the video shocked and disgusted those who viewed it.

7 jobs that are actually seeing wage growth
  • Physician’s assistant: Average salary is $97,280, salary growth is 42%
  • Occupational therapist: Average salary is $80,000, salary growth is 38.9%
  • Physical therapist: Average salary is $83,940, salary growth is 31.8%
  • Speech language pathologist: Average salary is $74,900, salary growth is 31.8%
  • Operations research analyst: Average salary is $82,940, salary growth is 30.1%
  • Database administrator: Average salary is $82,280, salary growth is 27.8%. 
  • Registered nurse: Average salary is $69,790, salary growth is 25.3%

not only have their wages grown, but they have actually matched or beat inflation in the last 10 years. only 16% of jobs do that. but wait, it gets even better in the long run.

2

Congratulations for small stuff!

Yahoo! We just got the official copyright registration on the Periodic Table of Parasites and the Periodic Table of Viruses. On top of that we did the ISBN registration, so that they are “real” documents. If you want either one before they go out for sale and distribution let me know.

This was one huge pile of work!  People ask “Why did you do it?” and I usually say 1 of 3 things back. “Clearly the periodic table of elements needed to be rewritten” or “Biologists need something cool to hang on the wall” or “I’m insane.”

With around 240 wee beasties, if we post 2 a week that will keep things busy for more than 2 years. Of course I haven’t finished the Periodic Table of Microbes book yet, but it’s almost there.  I mean the Table is done, but the companion book isn’t. Oh, and I need to do the companion books to the Table of Viruses and the Table of Parasites. Yes, I think it’s insanity. But think of the challenge: “What can you say about small life forms in around 300 words that will be memorable and cool?”

The Tarantula Hawk Wasp and Kyzyl Agach virus are my current favorites. But Mad Itch, Titi Monkey, and Strawberry Crinkle are  pretty awesome too.

The ISBN for the Table of Viruses is 978-0-9961456-7-1.

The ISBN for the Table of Parasites is 978-0-9961456-8-8.

purdysbluemoon  asked:

Band 7-8 nurse mother who is a matron and a band 6 nurse ENP, nurse practishiner, trainee doctor and college student FOR educating diseases and infections as a step father. I'm pretty sure they know their stuff. Mum's been in medicine for 29 years, she knows her stuff. They both teach me things, but yes you're the educated one but I'm still not getting vaccines even though I'm putting people's lives in danger. I'm sorry okay? I just don't want vaccines. That's it, I'm an idiot and I know that,

So you don’t care about hurting people? Wow… all because someone gave you incorrect information? I have zero respect for people like you. 

weight-less-spirit  asked:

21, 40

21. What’s the most scared you’ve ever been?

My husband was stuck in traffic when I was induced with our first son. His heart rate started dropping and like 8 nurses and a doctor filled my room and were about to take me to the OR. I was all alone and terrified I was going to lose my baby. It was the worst but thankfully he had just laid on his cord and the doctor moved him and he was delivered about an hour after that 💜

40. Talk about a desire you have that scares you.

I just want to be happy but sometimes thinking about actually getting there scares me.

After last night’s absolute bullshit 3 hour bedtime, tonight wee boy fell asleep with like 8 minutes of nursing in bed.  We officially abandoned his nap last Sunday for the time change and every night has had wildly different success rates.  Like, he always sleeps through once he’s down, but getting down… 3 hours vs 8 minutes.  What the hell.  How are we supposed to know if ditching his nap was a good idea or not?  :o