As The Hospital Pervs-- It's Overtime Time

[pete]

god bless nurse janey, our medically-trained cacher in the rye

 

[Bidin~Time]

The belligerent drunks are a challenge.

One last night was exceptionally so, when I went to bring him to my room and he tried to get belligerent with me, the response in my head was "you don't want to fight me, buddy, cause i own more bitch than you own belligerent". I remember a split sec of 'you can't say that to a pt!" but my mouth had already opened and the words had started. Miraculously, those words were translated into, " Buddy, do you act this way every time you're surrounded by pretty women? 'cause if you do, that's really not gonna get you very far with them." LOL he stopped dead in his tracks, gave me a sideways look, and said, "you are a pretty damned good lookin woman". I said, "I know, and I'm a damn awesome xray tech, you just do what I say and I'll impress the heck out of you". He was a pussy cat with me after that. Unfortunately, he went back to being belligerent with everyone else.

 

[gotsnowgotslush]

12.04.2013

18 year battle

200,000 Signatures in Support of Two Health Care Ballot Initiatives to the Secretary of State’s Office via Hospital Gurney

Dec. 4, 2013
A delegation of MNA nurses and patient advocates from across the state held a press conference outside the Massachusetts State House
and then immediately went on to deliver nearly 200,000 ballot-related signatures to the Secretary of State. The conference and signature
delivery were in support of two ballot initiatives: one that will dramatically improve patient safety in Massachusetts hospitals by setting a
safe maximum limit on the number of patients assigned to a nurse at one time and another that will ensure that taxpayer health care dollars
are dedicated exclusively to patient care and needed community-based hospital services.

Nurses attending the conference wheeled the signatures from the State House over to One Ashburton Place on a hospital gurney while the
RNs chanted, “What do we want? Safe limits! When do we want them? Now!”

The goal ? Placing these initiatives on the ballot for 2014. http://patientsafetyact.com/

 

[sweepthefloor]

god bless nurse janey, our medically-trained cacher in the rye

I can't talk, I just think and try to turn words like a poet.

“Don't ever tell anybody anything. If you do, you start missing everybody.”
― J.D. Salinger, The Catcher in the Rye

 

[GiggLeGasm]

my favorite is when the resident asks for the pulse during chest compressions..

"I'm hoping it's about 100."

and then asks how we're sure..

:::shaking head:::

 

[sweepthefloor]

The belligerent drunks are a challenge.

One last night was exceptionally so, when I went to bring him to my room and he tried to get belligerent with me, the response in my head was "you don't want to fight me, buddy, cause i own more bitch than you own belligerent". I remember a split sec of 'you can't say that to a pt!" but my mouth had already opened and the words had started. Miraculously, those words were translated into, " Buddy, do you act this way every time you're surrounded by pretty women? 'cause if you do, that's really not gonna get you very far with them." LOL he stopped dead in his tracks, gave me a sideways look, and said, "you are a pretty damned good lookin woman". I said, "I know, and I'm a damn awesome xray tech, you just do what I say and I'll impress the heck out of you". He was a pussy cat with me after that. Unfortunately, he went back to being belligerent with everyone else.

I have to admit the drinkers are the most challenging closing the gap by a horse head of the mentally ill that come in with medical problems from the psychiatric wards.

The drunks take so long to recover, especially if they are still drunk when they come in. I find myself calculating the blood alcohol level with the IV fluids versus hours to sober, to the hours/days of DT onset. There is a formula for that somewhere in the back of some medical residents mind, and also in the medical math application.

The last one that came in as yellow as a highlighter with a belly bigger than a nine month pregnant woman was as sweet as can be: Thank you Miss. The happy drunk.

Happy enough till the booze wears off, and then we got trouble. It's a serious illness.

 

[sweepthefloor]

12.04.2013

18 year battle

200,000 Signatures in Support of Two Health Care Ballot Initiatives to the Secretary of State’s Office via Hospital Gurney

Dec. 4, 2013
A delegation of MNA nurses and patient advocates from across the state held a press conference outside the Massachusetts State House
and then immediately went on to deliver nearly 200,000 ballot-related signatures to the Secretary of State. The conference and signature
delivery were in support of two ballot initiatives: one that will dramatically improve patient safety in Massachusetts hospitals by setting a
safe maximum limit on the number of patients assigned to a nurse at one time and another that will ensure that taxpayer health care dollars
are dedicated exclusively to patient care and needed community-based hospital services.

Nurses attending the conference wheeled the signatures from the State House over to One Ashburton Place on a hospital gurney while the
RNs chanted, “What do we want? Safe limits! When do we want them? Now!”

The goal ? Placing these initiatives on the ballot for 2014. http://patientsafetyact.com/

I have had families ask me 'how many patients do you have today?'
The thing in ICU is I get to say one, just you, or two.

This is not the case on the floors, especially the telemetry floors where the patient acuity borders not so sick, to the cusp of an ICU admit. They go up to six patients. It's hard for them. They often call rapid responses for things that could be easily fixed but they can't fix them because they have five other patients calling for them. It's easy in ICU to stick to ratio and acuity because we work together. We pick up a third patient if the acuity demands it.

I curtsey for these nurses taking a stand.

In my state, the only mandated safe ratios are the Union RNs, and not all hospitals are unionized. I am jealous of them.

I haven't done the research and patient outcomes, but I know California has won the battle.

On the floor: The truth is they don't want to pay, and in some cases patients suffer because we cut corners. The teaching is less, the hand holding is less. Skip the linen change and pass the medications please. I remember those days.

Even in ICU it can border danger, sure we might only have 2 patients but what about when we transport to the OR, or CT scan? We are gone and who is caring for that other patient? Sure, we sign out to another RN who already has 2 sick patients.

The powers that be are also afraid of mandated ratios because if the hospital is over-run with holding, will a nurse refuse to take on more patients because it is over the ratio? If it is set into law will the Hospital be fined if they didn't stick to the ratio, and a bad outcome occurs? Nah, they would rather put the burden on the RN-- bad outcome, patient fall? RN blame.

No prudent RN would deny care because of a ratio, but they don't understand that. There has to be a middle ground.

Good luck to your nurses! Maybe more states will follow.

 

[sweepthefloor]

my favorite is when the resident asks for the pulse during chest compressions..

"I'm hoping it's about 100."

and then asks how we're sure..

:::shaking head:::

LOL it better be about 100 or I would say: this is not high quality CPR.
::doppler::

 

[InternationalFunboy]

Nursie Janey--
Sweeping up hearts since 19XXX

Whoa are you from the future?!

So me an lovely Nurse Curtsy might have shared a moment over piercing my flesh, but now all I'm left with is a fading memory, and tape goo on my arm that won't be washed. What's a fella to do?

Signed...
The Last of the International Funboys

 

[sweepthefloor]

Whoa are you from the future?!

So me an lovely Nurse Curtsy might have shared a moment over piercing my flesh, but now all I'm left with is a fading memory, and tape goo on my arm that won't be washed. What's a fella to do?

Signed...
The Last of the International Funboys

Dear Last of the International Funboys,
I just like the triple X, but we can pretend I am future space nurse. I hope I get to wear a cool outfit. I am wearing red this winter, maybe I could have a sparkle red nurse dress, with red clogs, red tights, and a cute red cape.

The tape glue goo will not do, I won't stand for it. A fella would find a space nurse with some rubbing alcohol and a few cotton ball brains. That is a lasting memory, as the glue fades.

You might have to rub a little hard to compensate for the soft textured cotton.

Signed...
The First of the Intergalactic (fun) Nurses

 

[sweepthefloor]

It is said that as many days as there are in the whole journey, so many are the men and horses that stand along the road, each horse and man at the interval of a day’s journey; and these are stayed neither by snow nor rain nor heat nor darkness from accomplishing their appointed course with all speed.
—Herodotus, Histories

It is said that as many days as there are in the whole trauma journey, so many are the nurses and morphine drips that stand along the bedside, each needle and nurse at the interval of a shift's journey; and these are stayed neither by snow nor rain nor heat nor darkness from accomplishing their appointed plan of care with all speed.

Neither snow nor rain nor heat nor gloom of night stays these couriers from the swift completion of their appointed rounds.
~USP Service

Neither snow nor rain nor heat nor gloom of night stays these nurses from the swift completion of their appointed rounds.

 

[sweepthefloor]

7:30am --
Surgeon: What is the 24 hour output? I can't understand this.
Me: The total is here.
Surgeon: Who did this last night?
Me: I am not telling you. It's fixed.
Surgeon: If you don't tell me I will find out somewhere else.

 

[sweepthefloor]

As the snow blows, if you can't make it to work by 0700 better find an empty bed, or the emergency cots set up for all you slutty hospital workers to stay the night before the storm. And because you are so submissive you won't even get paid for spending the night-- it's your duty. There will be no acceptable call outs. It's a 24 hour power exchange-- so get on your knees you essential personnel and start sucking.

And remember: stay away from the Resident call rooms! There is no reimbursement for licking doctor dick!

 

[sweepthefloor]

The Surgeon entered the room.
I began to describe the detailed neurological assessment, follows simple commands......

He said: follows commands, all I want to know. Slow down it's getting boring.

 

[pete]

The Surgeon entered the room.
I began to describe the detailed neurological assessment, follows simple commands......

He said: follows commands, all I want to know. Slow down it's getting boring.

he sounds precious.
you should marry him!

 

[sweepthefloor]

he sounds precious.
you should marry him!

Haha! He is precious handy with sharp objects, stitches, staple guns, and blunt facts.
I am no surgeon's wife.
I am a steward of post-operative care.

 

[sweepthefloor]

And it's the (back) neuro nurse in me that completes the assessment: left side gaze, no neglect to touch, aphasic, motor strength to light pain, eyes open spontaneously-- boring.

follows simple commands. -- exciting news.

 

[sweepthefloor]

It's always a little scary when he says: Get the Level 1 in here and begin mass transfusion protocol.

http://cdn.dotmed.com/images/listingpics/646582.jpg

 

[sweepthefloor]

It is true I drink theraflu, this projectile sneezing hurts silly.

And the nurse goes: is it the flu? a minor cold? or does the pain increase when leaning forward? does it hurt on inspiration?

Is is pericarditis?

 

[sweepthefloor]

Just when I thought my immunity was so high from eating dirt and collecting sputum samples from traps: I get sick.
---
Also my latest interest is the story of AIDS. I am trying to get the nurses and my favorite infectious disease physician to talk to me about the time and experience, when they didn't know what was happening.

 

[GoddessTink]

My mom was a nursing student when AIDS was just emerging (graduated school in 1970). She worked at a large city hospital remembers getting the Karposi sarcoma patients who were young and otherwise healthy. Gloves on during super bloody procedures and when you needed sterile technique. She remembers changing bloody dressings and emptying bloody foleys and urinals bare handed on patients that later would be diagnosed with AIDS.

The culture has changed. Now everyone wants you to glove up before you touch them. Hey buddy, gloves are more for my protection than yours.

 

[pete]

My mom was a nursing student when AIDS was just emerging (graduated school in 1970). She worked at a large city hospital remembers getting the Karposi sarcoma patients who were young and otherwise healthy. Gloves on during super bloody procedures and when you needed sterile technique. She remembers changing bloody dressings and emptying bloody foleys and urinals bare handed on patients that later would be diagnosed with AIDS.

The culture has changed. Now everyone wants you to glove up before you touch them. Hey buddy, gloves are more for my protection than yours.

glad to hear that your moms never contracted anything during all those messy years

 

[jomar]

I closed my eyes and imagined it was you sticking me. I think she noticed that I got a bit of wood.

 

[sweepthefloor]

My mom was a nursing student when AIDS was just emerging (graduated school in 1970). She worked at a large city hospital remembers getting the Karposi sarcoma patients who were young and otherwise healthy. Gloves on during super bloody procedures and when you needed sterile technique. She remembers changing bloody dressings and emptying bloody foleys and urinals bare handed on patients that later would be diagnosed with AIDS.

The culture has changed. Now everyone wants you to glove up before you touch them. Hey buddy, gloves are more for my protection than yours.

I find these stories to be interesting from the medical perspective. Was everyone confused, as they tried to figure out what was happening? I found two documentaries on netflix, but they were mostly about activists and personal stories about the friends and loved ones who were dying. I want to know what the nurses and doctors were thinking.

I don't know why this curiosity is getting at me. Maybe because I see people still dying from AIDS. I have been searching the internet. The CDC has a good timeline.

I was never in that culture of the non-glove. I got splashed in the face by accident the other day with projectile sputum from a cough. We wear gowns many times even in our non-isolation rooms because I don't want any weeping edema on my white top when we turn, roll, and wash.

I always wear gloves for the patients, and myself. The rise of resistant bacteria is so high I don't want to bring anything into the other rooms. Yes, the culture has changed.

I am so used to washing my hands on my way out, but often forget to wash on my way in-- usually I just left one room and already washed out, so what is the point of washing in? It's a direct travel but infection control monitored us when we had an outbreak of acinetobacter. One patient came in infected with it, and within weeks four more lengthy ICU admits on ventilators had cultures drawn positive with acinetobactor. Those four did not come in with it (that we are aware of), as cultures were drawn after admit, but the probability is that we exposed them as health care workers.

At the same time the non-glove is a personal touch. I will shake hands, touch the arm, provide comfort without a glove on (in non-isolation rooms)--- and then wash my hands.

And nurses are known for enforcing infection control. I watched a neurosurgeon walk into an isolation room without a gown or gloves on just the other day.

 

[sweepthefloor]

At the same time I am not afraid of HIV/AIDS. We do not isolate these patients-- it's a blood-blood transmission, and without a portal of entry I safely touch with bare hands intact skin.