Sorry for the lack of posts but I have so busy! Finished my assignment in Temple, acquired a contract in New York City, and about to move there at the end of this week!
Conclusion of Temple:
The last couple of weeks in Temple were hell!!! My schedule consisted of the following: On one off one on one off one on two off one on three! It was a nightmare! I can't believe they screwed me over so hard my last shifts there! I didn't complain, or attempt to change it, I just rocked on and rocked it OUT! And they wonder why no one wants to freaking work there! Oh well, don't have to worry about this handsome face crossing those double doors any more!
The last shifts in Temple were horrible! I was floated frequently and hung more products in one night than I ever had in my whole nursing career. Patient 1: 4 PRBs, 4 FFP, Jumbo Platelets...Patient 2: 4 FFP (And I gave this patient factor 9!) It was probably the most bizarre two weeks of my career. Bipolar patients, patients who knew they were going to die, patients who went AMA, and patient families who had no concept of what was going on! It was freaky lmao!
AMA patient: it was a patient in their 60's with COPD (who continued to smoke) HTN, afib etc etc and who happened to have a really bad pneumonia. All he wanted was some dinner! LMAO! However, the patient was NPO because it wasn't clear whether or not they would need to be intubated. So at the beginning of the day, the patient was like screw it "INTUBATE ME, so I don't have to be aware of what's going on" and on my shift "I want dinner!". I was like, ok you wanted to be intubated and now you can't stay hungry a few hours for us to monitor your pulmonary status? Well they snatched off their bipap machine and said "I am ready to leave". OF COURSE the family was there to instigate everything, because prior to their arrival they were COOL! They were wearing their bipap mask, just relaxing/chillin in bed then the visitors showed up! Next thing I know they are pissed off, snatched off the bipap mask and demanding to leave...so of course the type of nurse I am, I explained the importance of why we were doing what we were doing and the risks involved etc etc...THEN I requested the AMA paper be printed and called the MD on call. If you want to leave, then don't let the door hit you on the ass on the way out! A hospital stabilizing you is a RIGHT, everything else is a privilege! You sign the consent for treatment and from there on in its all a choice, so if you choose not to participate in care then hit the ROAD! I hate nothing more than a patient who tries to dictate their own care, because they are a MD, RN, or PHARMD let us do our job or get out! So it took about 20 min for me to have them out of the door, with no hard feelings...good luck and goodbye! Its nothing personal!
As the days progressed I became more and more of a smart ass. There was this dumb resident who I wouldnt let take care of my worst enemy's dog consistently dropped the ball AND worked almost every night with me until the end. I was so pissed! After a while I actually started to feel sorry for him because no one respected him including his colleagues...but naaahhhh. I took a big chunk out of that ego every opportunity I got! LMAO! Example: Patient was severely fluid overloaded who was a DNR/DNI and basically drowning right in front of my eyes. So I call the doctor, he does nothing of course..."ummmm give em a breathing treatment and increase the amount of oxygen he is on". I literally could have just crawled up in a big ball and just CRIED tears of blood/fire. I mean we can't be too aggressive with the patient, but do something! (The whole DNR/DNI patient in ICU is a special subject I will discuss on a later post)
I am tired of thinking about Temple, I am glad its over...won't ever happen again! Lets talk about NYC!!!!!!
It all actually started in March before I started my travel adventure! The 1st placed I told my recruiter I wanted to go was NYC! The reasons: I love NYC, Victoria was there, I love NYC, I love NYC.......
BS RN
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