Ok two posts in one week! Don't get too spoiled! LMAO! Any way straight to the point
One HUGE i mean HUUUGGGEEEE thing that made me go hmmmmmmmmmm was the fact there was a patient on the unit where the nurses weren't cross trained to take. It was a patient with a vesicular drain a "brain drain". I was thinking cool...ok...im not taking it but hmmmmmmmmmmmm....the charge nurse "well heck I don''t know how to mess with the ICP drain stuff" hmmmmmmmmmmmmmmm LOL! Yeah I was freaking out on the inside! The nurse who took the patient was like "well I haven't had one of these patients in like six months, but it will be fun" hmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm!!!!!!!! LMAO! I mean I guess ignorance is bliss because there is not way in the world I would take a patient I wasn't cross-trained on! NEW NURSES: If you aren't completely competent on a device or a condition a patient has...don't take it or make it known you aren't sure about the device or the patient. When taking care of patients with devices there are certain focused assessments and "norms" you should know! For example IABP patients...you must assess the groin the balloon is in, ALL the pulses they ARE ALL important for various reasons, the wave form etc etc...also the if the patient isn't on 1:1...its probably a good idea the patient is anticoagulated...my point is: how can you know whats wrong or what orders to anticipate if you aren't familiar!!! THAT WAS SO SCARY MAN! The nurse called the rapid response nurse and the staffing nurses for help and this other nurse came from STICU...ok if you have to call resources outside your unit...maybe that patient should not be there! Whats worse I voiced my concerns with a staffing nurse there and they seem very unaffected and some what very unconcerned about this situation hmmmmmmmmmm. I am just so glad I had enough training and was exposed to experienced nurses to tell me the "no-no's" of ICU nursing. I guess execs don't think about themselves or their family members being in that hospital bed when they start making decisions like that. Oh yes! "It was decided this unit would be able to take these patients based on this criteria..." WHO DECIDED!? All the staff nurses were completely clueless to this new fact! DUDE! Very very scary! hmmmmmmmmmmmmmmm...I don't think so! I guess its good to see the good bad and the ugly...thats one thing my home facility taught me...education is key! Before any new piece of paper, machine, policy, procedure ANY thing changed or rolled out...there was extensive education! To the point of frustration! I appreciate it NOW! LOL!
It just makes me so appreciative I am on this "side" of things. I feel so sorry for the patients families who don't have a clue!
I am sooooooooo ready for New York, I am even training my mind about using the public transportation there! Yes folks, I know how to ride the subway system!!!! Just know uptown the numbers are going up, down town they are going down which is towards the financial district! The trains that run left to right are pretty self explanatory! I can't wait to go see lion king and bring Tammie to NYC! (Thats my mother!...mentioning her and all that...I would have to start another blog lmao) ahhhhhh! Can't wait!
B.S. RN
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