Wednesday, May 18, 2011

Frustration...

So, over the last few months I've noticed that I've become more and more bitchy at work. And not my typical "bold like a lion" self. More like mean like a snake. And it's not the patients. It's the freaking cynical people I work with. Not all of them, granted. But some of them just are always so negative. It only takes one bad apple to spoil the bunch, right? Well, I'm easily spoiled. I get stressed out and instead of those in charge giving me a word of encouragement they go bad mouth me to my peers. Then they have enough nerve to ask me why people in this ER can't get along and why we're all back stabbing...Well dur....You set the bar because you're the CHARGE NURSE. If you're playing high-school games, you can expect the rest of the staff too...

I admit, I am easy to pull down. In some ways I am a leader. Unfortunately, in others I am a follower. And if I'm surrounded by negativity and trash talking it's very easy to pull me down to that level. On the same hand, if I'm surrounded by positive attitudes and people so happy to be be doing what they're doing, it can be pulled to a higher level. I recognize that since I am now a nurse, it's partly my responsibility to set the standard, and not just the standard of care. But a standard of professionalism and attitude. I don't want to be a follower of the negative. I want to be a leader of positive!

So I am truly working on this. It's just hard to change a mind-set that has been with me for 30 years. But I can think of two specific instances in the last three weeks that I have shut my mouth and just smiled while another peer unloaded on me. Usually I would have let my mouth say stuff that would make Satan blush in order to tell the other person off. However, I didn't. Even though those people deserved what I had to say. Why? Because now I must help to set the bar.

I'm just so frustrated. I don't like dreading going to work. I don't like counting the minutes until I can go home. I just hope that I can and do change my own personal frame of mind. I hope I can become impossible to drag down and easy to pull up.

If you are the praying kind, keep me and my attitude in your prayers. Please.

That is all.

Monday, January 17, 2011

OMG...

So, this episode has absolutely NOTHING to do with the ER. But it does have to do with death, grief and mourning.

Today, on this miserable, rainy, wet, cold and dreary day...I have turned thirty. Yep that's right, folks, my twenties have died. They were having SOB and went into respiratory distress yesterday, along with all the idiot chief complaints I saw sign in yesterday at the front desk of the ER. Recepted every stupid complaint into the computer myself, while my poor twenties were in respiratory distress. Well, as you can imagine without action and treatment, my twenties coded on me sometime in the night during my sleep. Well when I woke up this morning, I attempted to resuscitate them, but I have just called the code. They are dead. Luckily for me since the code didn't happen at the hospital, I have no paperwork to fill out, except my recollection of the events in this blog.

So now, I guess I'm officially in mourning. Man I had a lot happen in that decade of life known as my twenties. I became a drug addict in that decade. I snorted so much crap up my nose, it's amazing that my nose didn't protest and run away from me. Doesn't work the best for breathing now, but for some strange reason allows me have heightened sense of smell. How lucky for me in the healthcare industry that I still get to smell every putrid stench that comes along and makes me gag.

It was in this same decade of life that God spoke to me and saved me AND delivered me of the addiction I speak of above. June 5, 2004 I was reborn and put down the straw. PRAISE GOD! Life clean is so much better and more rewarding. Without God, I would be dead. I would be taking the ol' 6-feet under, dirt nap. But instead, God saw fit to keep me alive and use me for his purposes.

In my twenties I was given the gift of motherhood and bringing life into this world. How that child taught me love. I had used the word "love" in my vocabulary my whole life, but I did not know it's true meaning until I felt her move inside of me. Wow, my use of the word "love" prior to that wasn't even close. Then when she was born, the word grew even more. To know why the mother lion or bear or elephant or *insert wildly violent mother protector here* is so vicious in regards to her offspring, is truly amazing. The love and need to protect my Angel sprang forth from my DNA. I can't even describe it.

In my twenties, I found what God has called me to do with this life of mine. Found out what my purpose is. He called me to be a nurse. He showed me through my child. You see, my Angel was born with a very RARE disease. So rare that they have yet to isolate the gene/chromosome(s) responsible for this disease. So rare, that she is only the fourth known child in the world to have this condition. So rare that she has a case study, all to herself in a peer reviewed medical journal published and read throughout the GLOBE. So rare that she and her symptoms are in a database in the UK, all by herself, so that doctors can compare their pts symptoms to hers and thousands of others, in hopes of finding other babies like her. She was severely handicapped. And I kinda became a nurse before I knew I wanted to be a nurse. She required almost round the clock care. And until we got in-home nursing, I did it all. All of her meds, G-tube feedings, PT, OT, etc. I was just taking care of my baby, I didn't know that was nursing. Then, I finally asked enough questions to the nurses that helped to care for her that they said, "Why don't you just go to nursing school and find out." After 10 or so of them said the same thing, I figured maybe God wanted me to be a nurse. I realized how much I want to take care of people. I want to take care of the people that society has cast to the side and deemed unimportant. I want your "drug-seekers" and "crazies". I want your helpless. I want your worthless. I your poor in health. I want your poor in spirit. I want the pt that is so ornery and crotchety and has nothing nice to say. I want them all. And I want to shower them with excellent nursing care and I want to shower them with LOVE.

On a side note, I may be a smart-ass. And I may rant about the ER and some of the situations I find there. But I absolutely wouldn't trade it for the world. I get to help people on a level that I don't think I could anywhere else. Don't mistake my venting for lack of passion.

I met my husband in my twenties. When I had finally decided to give up on finding a man that would have any interest in a single mom with a severely handicapped child, I got a flat tire and pulled into a gas station and met the man that is now my husband. That man and my Angel fell for each-other so quickly, it was frightening. What if it didn't work out? My little Angel would suffer the loss, too; not just me. But thankfully, that wasn't the case. Unfortunately, it was Me and That man that would suffer the loss of her.

In the same decade that I was given the gift of love and life, I was given the terrible heart ache of death and grief. In my twenties, my gift from God was taken home to be with our Lord and Saviour. My little Angel died at the age of not even 2 years old. That grief will be with me until the day I die and I get to be with my Saviour and see him holding my own little Angel. The grief of one's child dying (spelling?) before you is unimaginable. I mean, we are supposed to die BEFORE our children. It's something that our DNA has not really coded for. That man wanted to adopt my little Angel, but alas, we didn't have enough time. But it was put on her death certificate with That man as her father.

In my twenties, I became a wife. Still sounds kinda odd. Wife. Sounds so adult. Me an *adult*. heh. The question is, when will I actually FEEL like an adult?

In my decade of twenties I actually got into nursing school. I am still in RN school, so I didn't finish my twenties as a registered nurse, but as a student nurse. The RN will come with the 30's. I absolutely hate nursing school. The stress of nursing school ranks up there with the stress of one's child dying (I didn't say grief, I said stress, there are many mental aspects of death). And that says a lot. I count the days until my graduation. Honestly, I don't recommend nursing school to anyone. I must be a glutton for punishment, or something, to continue on with this thing that I call Hell.

In my decade of twenties I've learned to care a little less of what people think about me than I did in my previous decade. Hopefully by the time I reach my 40's I won't care AT ALL.

In my decade of twenties I also completed a half-marathon at Disney (less than two weeks before my 30's).

My husband and me moved to the most awesome neighborhood in my twenties. Might seem small but we have some really swell neighbors. I haven't lived in a neighborhood that was involved with one another since my early childhood. It's nice to open up the door and holler, like a red-neck, across the street to my neighbor.

In my twenties, and through nursing school, I met one a person that is so dear to my heart. I only have 4-5 people that I would call "friends for life". And she is one of them. The friendship seemed so unlikely. Still does. She's so chill and laid back. Shows up at the last minute for everything. She's kind of preppy, hoity-toity. Blonde, thin and cute. Basically she's the anti-Me. I'm a neurotic spaz. High-strung. Show up early to just about everything. I am so not preppy and very hick-ish. Not blonde, not thin and not cute. Somehow, she gets me. She's about the only one in nursing school that has not talked about me behind my back and when I start having one of my spaztastic freak attacks she will tell me to shut up and chill-out. I am grateful for her. She has been added to my friends for life. After all, she did put me as one of her "Friends & Family out of network contacts" with Verizon. lol. ;-)

In your 30's, you're supposed to be a grown up, right? Guess I gotta do it some time. Some of the best moments of my life thus far where in my twenties and it is sad to leave them behind. It is for that reason that I feel like my youth is gone. For that reason, I say that my twenties have died. So, join me in mourning for my twenties and have a beer (Dos Equis Lager my fav), a glass of your favorite wine (for me it's Mascatto), or you favorite liquor drink (The House Margarita from Ted's Montana Grill made with Bombay Gin instead of Tequila is what I recommend), or whatever you so choose and say "Goodbye" to my twenties.

That is all.


Sunday, January 02, 2011

Hospital Overflow...sacrificing patient safety.

So, I was supposed to report to work on Jan. 1, 2011 and work from 3p to 3a. I called the ER at 14:00 and they said not to come in until 7p unless contacted otherwise because we were slow. At 17:30 they called me in b/c apparantly shit had officially hit the fan. I get to work and they float me to our "admit unit" (take ER pts and do the admission assessment on them then send them to appropriate floor). But since our hospital has a maximum capacity of 196 pts and we have a census of about 220 pts, the ER is holding. So, that means the admit unit becomes its own little island of med-surg fun! AND to my luck, I get to float down there...Can you hear the sarcasm in my voice?

Well, I wasn't the only one not pleased with the situation. The RN in the admit unit tonight is an ER nurse that agreed to work in the admit unit to pick up some extra shifts. She was trained on how to do the admission assessment, not be a floor nurse. Well, what do ya know? She's one tonight. With no training on our company's eMAR (ER uses different eMAR) AND she gets to have a 6:1 ratio of patients, with only one of her. All night I have literally been waiting for her to pop a gasket...

Then on my end, the person that was "unit secretary" for our "unit" didn't do the work they were supposed to and failed to tell me. So around 1 am I realized a butt-load of orders weren't entered and the chart will have my name on it, not theirs...Oh, and there's not tech/secretary to cover the unit from 3am to 7am, so I will be working until 7am. Hence the reason I am still here. But luckily not all is lost as I have access to my blog. However, the one night of the year I forget to bring my charger I can use my phone. So, now I have a $500.00 paper weight shaped like an iPhone 4...hmmm.

I'm just curious as to whether anyone else's hospital does this? with the holds? Is this being done here because I work for the one of the world's largest hospital companies in the world and they are so focused on the numbers/times/metrics of it all and have forfeited patient safety for their numbers to look good on paper? I mean this nurse hasn't worked a med-surg floor for 3o years. She's been in the ER since the mid 80's. And in our ER, the RN's have no more than 4 pts at a time, and here she has six.

And did I mention that I'm still HERE?!?! At the fricken' hospital. I'm gonna sound lovely to sing with my worship team in the morning at church...

That is all, for now.

Saturday, January 01, 2011

Rants...

I love my job in the ER. Love it. I have ADHD and it's the perfect environment for me. The ability to not focus on one thing for too long works great in the ER. But I have frustrations. I need to get it out. I feel like I'm the only one that has these thoughts. So here go:

This is not my first career. I have had a career in the clerical/secretarial world for about 10-13 years. I can push paper around a desk and office like a champ! I can man that fax/copier/scanner til the cows come home. So, this isn't my first work experience. But, it is my first job in a hospital. Being that I'm in RN school, thought it would be a good idea to work in one. I look a lot younger than I really am. I will be 30 y/o in less than a month, but some people think I'm like 20 or something. So everyone always says to me when I point out a frustrating fact, "Awe, honey, that's just something you have to get used to in the real world." My thought's: Uhm excuse me but no, this is not normal. I have never worked with such a caddy, back-stabbing, rude, heathen bunch a folks before in MY LIFE! *shakes head*

I'm just so darn tired of the bullshit! Now I see why all the soap opera's are set in a hospital! That's where all the drama is. I love the work, but can't stand a good percentage of my co-workers. It's so bad that I am entering my last semester of RN school on Wednesday and I'm wondering can I really handle these bitches for the rest of my life? I like the people on the med-surg floors so much better, but I literally want to slit my wrists when I get floated to a floor. I can't stand floor work. So my options are a life of boredom with bed sores and bed pans or caddy bitches with the excitement of codes (did I mention that I am a total adrenaline junky?) and trauma, etc...

WTH is wrong with these people? Scenareo: I'm sitting in the break room with Loud Mouth nurse and the Registrar. In walks Goody Two Shoes nurse and Loud Mouth and Goody start talking about Sexual Harassment Charge nurse and the swinger sexual escapades that go on at his house and the party he had last night. Goody walks into the bathroom, does her deed, and comes out then leaves to go check on her pts. I shit you not, as soon as the door latched shut, Loud turned to me and starts talking smack about Goody! WTF? As soon as Loud leaves, the registrar starts talking about Loud!

I've been at this ER/hospital for about a year and a half. I've had problem after problem with a certain clique of people from day one. I've gone to the appropriate chanels to have this problem addressed. It made it to the director. Do you know what her damn answer to me was? "Nurse Extern (me) I know you THINK that this is going on, but it's just not. This is MY ER, and I would know if this was going on in MY ER." Really? I mean, Really? Your office is accross the hospital. How the hell would you know what it was like to work in that unit? The only time that you are in the ER you're micro managing everyone to death and don't let the CHARGE RN charge. What, are the employee's gonna come up to you and say, "Hi Mrs. Micro-manager, we're gonna ostracize your new employees and make their life a living hell while they're here with us. But don't worry, all the good one's we'll be extra rough on, so they won't be with us past orientation." Uh, no they're not. Wake up, come down from that tower and realize that something has gone awry in the ER and fix it. I bet she's really shit a brick if she heard what people had to say about her. I was told when I started working at Hell ER, "Oh that's Micro-manager. When you see her turn around and walk the other way and look extremely busy."

I've seen so many nurses come and go since I've been here and they all tell me why they don't stay is the attitude and atmosphere created by the employee's. Ridiculous.

My question to anyone reading this: is this normal everywhere or does it sound like a problem in this particular ER? Should I put in a request for the ICU? I've been there a few times and liked it...

That is all, for now.