Only 4 WEEKS LEFT!

I am ready to get the hell out of Temple! Its like being in purgatory! Its not small enough to be a complete nightmare but after 9pm everything freaking closes! Even the dang stop lights start to blink yellow! It pains me when I have one day off then have to return the next couple of nights because I am basically sitting there twiddling my thumbs! PLEASE HELP!!!!!

Cinco De Mayo (I don't know why I can't say May 5th...) my NY state license was finally approved!!! I think it was the quickest the NY state board has ever moved in their history! I sent off in April, so just about a month where as it usually takes 3 months! So basically I have accomplished both of my major goals on this 1st travel assignment: Travel Experience AND NY state license! I feel very accomplished!

Now to the good stuff:

Can someone please explain to me the "work horse" mentality of some of these nurses!? They don't let anyone help them, they would prefer to do everything themselves (even when everyone else is sitting down), and they seem to be the only one struggling/running around! Mama always told me to work smart and not hard! I think what irritates me the most about these nurses is when you ask them for help they REFUSE! No wait, whats absolute worse is the fact sometimes it can hinder the care of the patient. For example: This nurse will have a patient crashing, then another patient who needs to leave the unit for a STAT CT etc. This nurse will try to hang the pressor and hold up the STAT exam because they can't delegate, they end up with two HAMs and a lot of anguish and charting to do.Maybe you can have that mentality on the floor but not in ICU. Some of the most experienced and knowledgeable nurses I have experienced in my career always knew their patients...and they ALWAYS knew when to ask for help. Dear "work horses" you can't do it all, you won't be able to code your patients when they crash based on your inability to ask for help. PERIOD. Hopefully they won't have to learn the hard way...sitting in front of the board of nursing!

This past week I took care of this patient who was very sick and it just blew me away. Very sick: hx of this cancer and that cancer, I'm sure this patient had at least 4 or 5 organs effected by cancer and counting! It was to the point where their body was so edematous they had incisions hooked up to wall suction, it was crazy. What's worse this patient was under 40! They were intubated the 1st night then extubated the 2nd night...the condition this patient was in, I didn't even think they would fly without the tube!What struck me the most was how nice they were and even their condition was terminal they were still thankful to be alive! It just took be back because its like how dare I complain when this patient can't even do their own bodily functions out of normal orifices! Yes, it was bad! That's one of the reasons why I could never work on an oncology unit! Cancer patients are usually the most nice, humble/thankful people on earth! They have these terminal illnesses and are so chipper! I can't say I would be the same...who knows!

Dr. Dumbass: I must admit I have met some dumbass fellows/residents in my career but this one I met recently has to be the DUMBEST resident in the history of the medical profession! I don't even see how they passed medical school. Its so bad, I pray my patients don't have issues so I don't have to interact this this dumbass idiot. The sad thing is no one respects them. The fellow follows them around and usually we don't see the fellows unless there is some massive emergency. They are the type of person who will repeat what you just said in different words and that's their answer. So for example: "I think this patient is acidotic the pH is 7.2" their response would be "This patient's pH is 7.2 they are acidotic!" Yeah. Yall pray I don't have to interact with this person because I haven't been pulled in the office for conversations yet but I will eat this resident for lunch and pick my teeth with their pride. Some nurses are out to get residents, I need them too much to be too hateful but this one right here is an exception! LMAO!!!

I plan to start my next assignment on July 12 in NYC! I haven't started the interviewing process just yet (still too early) but im sure I will start being pimped out here in the next couple of weeks! I will def have to post on how that process works!

BS RN BSN