Monday, April 19, 2004
2 days till my birthday... dunno if that is exciting or sad or what.
Work was pretty excruciating today, day 6 is always a hard one to actually work and be compus mentus. We had 5 people come at 8am for theatre at 8:30am, I admitted 4 out of the 5 with no help. One of the midwives was sposed to be taking two of the patients, she did shit all work with them. All 5 of them went to theatre throughout the morning, and we kept getting more patients to admit, about 11am the bed coordinator comes to me and says, oh and btw you have 4 new admissions for this afternoon, pre op for tomorrow. I am like, oh great, where the fuck do you think we are gonna put these people? are we putting two people into each bed now? This is mainly due to the fact that maternity is pretty full to start with and there seems to be more maternity patients coming in all the time at the moment. So I talk it over with the coordinator as my patients start to return from theatre, we work out the admissions and I keep running cause now I have 30minutely obs to do as well. Demanding patients, not horribly, but demanding none the less.. vomiting on return to ward, or needing pain relief, needing TLC.
So I end up with 5 people returned from theatre, the midwife isn't helping (flitting around doing fuck knows what) and then I still have people arriving to admit. I get one man to admit who has absolutely no idea about anything, he hasn't got any paperwork from his doctor, he is an insulin dependent diabetic (brittle which means he can have a hypoglycaemic event at any stage out of the blue), so I call the doctor that he is admitted under cause he is on a clear fluid diet and I am worried about his blood sugar dropping, I ask him what he wants and whether he wants me to call this guys diabetes doctor (endocrinologist), he is like.. oh well.. if you want to.. I am like DUH... like I am gonna leave my ass on the block when he crashes and burns cause of his diabetes. So I call his diabetes doctor and he says he will come see him and to do his blood sugar level. I go into his room to explain some stuff and he grabs my arm and tells me am very pretty (he is another nationality and reasonably elderly) so i just say thanks and keep going. I let him have his clear fluids and at afternoon tea time he orders tea WITH milk, and a biscuit and cheese... *rolls eyes* I managed to get there before he starts to eat or drink, and I am telling him off... he takes hold of my arm and says, oh you are soo cute, you are so nice, I like you. Ok so he starting freak me out so I avoid going in there again.
I go and hand over and there is only one surgical person on for the afternoon shift, I think shit, she is sooo not gonna cope, she has 9 patients to herself. So then the "boss for the day" looks at me and says, "Beeeek...you couldn't stay for a while extra could you till we can get things sorted?"
I am sooo tired out by this stage I am prolly dangerous to keep working, but unfortunately I am so blase cause I am tired I say, ok then. She asks me to stay an extra hour or so (even though i got no lunch break) and I do it. So I do obs and get nausea drugs, and I go in to change an IV onto a pump, it turns out the current IV has no bung on it or anything, so I have disconnect it at the connection right by the skin and put a new bung on it before I can change the rest of the lines which is a huge pain. I get it all done and set her up. I head back out to the main desk cause by now it is 1 and 1/4hrs after my normal quitting time. I speak to the surg nurse for the next shift, she says "I can't do all this, I have all these nauseated patients and 3 patients on obs and I have 3 more admissions for this afternoon to do." I apologise, but hell... I have now been at work for 10hrs on my 6th shift in a row and I am so tired that I know I would be getting more dangerous to stay longer. I would do a double shift and stay if I wasn't so tired out, I was feeling numb cause I was so zonked.
So I leave, after I get out of the hospital and I notice I still have one of the pagers (oops) and that I haven't written any notes for the day. I just turn the pager off, am back in two days anyways. As to notes.. stuff it, I honestly can't be bothered, and if they hadn't given me such a huge workload by myself I would have had time to write some. Fortunately the patients were ok, so in a way its not too huge a deal.
Well its midnight and I am tired out (as I have said about 50 times this post), so I am going to bed.
G'nite all
Laters
Work was pretty excruciating today, day 6 is always a hard one to actually work and be compus mentus. We had 5 people come at 8am for theatre at 8:30am, I admitted 4 out of the 5 with no help. One of the midwives was sposed to be taking two of the patients, she did shit all work with them. All 5 of them went to theatre throughout the morning, and we kept getting more patients to admit, about 11am the bed coordinator comes to me and says, oh and btw you have 4 new admissions for this afternoon, pre op for tomorrow. I am like, oh great, where the fuck do you think we are gonna put these people? are we putting two people into each bed now? This is mainly due to the fact that maternity is pretty full to start with and there seems to be more maternity patients coming in all the time at the moment. So I talk it over with the coordinator as my patients start to return from theatre, we work out the admissions and I keep running cause now I have 30minutely obs to do as well. Demanding patients, not horribly, but demanding none the less.. vomiting on return to ward, or needing pain relief, needing TLC.
So I end up with 5 people returned from theatre, the midwife isn't helping (flitting around doing fuck knows what) and then I still have people arriving to admit. I get one man to admit who has absolutely no idea about anything, he hasn't got any paperwork from his doctor, he is an insulin dependent diabetic (brittle which means he can have a hypoglycaemic event at any stage out of the blue), so I call the doctor that he is admitted under cause he is on a clear fluid diet and I am worried about his blood sugar dropping, I ask him what he wants and whether he wants me to call this guys diabetes doctor (endocrinologist), he is like.. oh well.. if you want to.. I am like DUH... like I am gonna leave my ass on the block when he crashes and burns cause of his diabetes. So I call his diabetes doctor and he says he will come see him and to do his blood sugar level. I go into his room to explain some stuff and he grabs my arm and tells me am very pretty (he is another nationality and reasonably elderly) so i just say thanks and keep going. I let him have his clear fluids and at afternoon tea time he orders tea WITH milk, and a biscuit and cheese... *rolls eyes* I managed to get there before he starts to eat or drink, and I am telling him off... he takes hold of my arm and says, oh you are soo cute, you are so nice, I like you. Ok so he starting freak me out so I avoid going in there again.
I go and hand over and there is only one surgical person on for the afternoon shift, I think shit, she is sooo not gonna cope, she has 9 patients to herself. So then the "boss for the day" looks at me and says, "Beeeek...you couldn't stay for a while extra could you till we can get things sorted?"
I am sooo tired out by this stage I am prolly dangerous to keep working, but unfortunately I am so blase cause I am tired I say, ok then. She asks me to stay an extra hour or so (even though i got no lunch break) and I do it. So I do obs and get nausea drugs, and I go in to change an IV onto a pump, it turns out the current IV has no bung on it or anything, so I have disconnect it at the connection right by the skin and put a new bung on it before I can change the rest of the lines which is a huge pain. I get it all done and set her up. I head back out to the main desk cause by now it is 1 and 1/4hrs after my normal quitting time. I speak to the surg nurse for the next shift, she says "I can't do all this, I have all these nauseated patients and 3 patients on obs and I have 3 more admissions for this afternoon to do." I apologise, but hell... I have now been at work for 10hrs on my 6th shift in a row and I am so tired that I know I would be getting more dangerous to stay longer. I would do a double shift and stay if I wasn't so tired out, I was feeling numb cause I was so zonked.
So I leave, after I get out of the hospital and I notice I still have one of the pagers (oops) and that I haven't written any notes for the day. I just turn the pager off, am back in two days anyways. As to notes.. stuff it, I honestly can't be bothered, and if they hadn't given me such a huge workload by myself I would have had time to write some. Fortunately the patients were ok, so in a way its not too huge a deal.
Well its midnight and I am tired out (as I have said about 50 times this post), so I am going to bed.
G'nite all
Laters
9:09 AM
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Writing since January 2003!
web-counter? Maybe one day
BJ T now was S
Born in April on the 21st!
Australian but living in the USA.
Allison
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