Thursday October 24, 2013

  1. 4
    Good Morning Dear Friends,

    Up early due to a very poor night's rest, I could not get my peepers to stay shut and I just tossed and turned for most of the night until eventually I got fed up and rose out of bed around 4AM. Oh well nothing that tonight will not fix, usually my sleepy time tea is all I need but I guess it was not my night to rest that well.

    Sent D out on her own again and she did just fine, she will be out with another colleague today and hopefully another one tomorrow then start her regular position on Monday. I will be buddying up with her on Nov 9th where she will take the calls of patients that require assistance, I will go along with her and be her resource person.

    Got a heap of stuff done in the office yesterday and will have at least 3 visits before I will head off to do an admission which is not too far from the office. Looking forward to that as the patient will be mine. Love this new system of admissions for your own census.

    Came home and ran the dogs around as it was windy and chilly. Wanted to do it before the sun settled and it got colder, dogs were happy and I gained an earache which settled once I got inside the house.

    Much love and prayers continue for AKY, praying for peace and comfort at this time.

    So what are you all up to today?

    I took my cross stitch to work yesterday to show my colleagues, they were amazed by the work and look of the cross stitch.

    Well I had better mosey off so I wish you all a very happy productive and safe day.

    Much love to you all this day.


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  3. 7 Comments so far...

  4. 5
    Good Morning -

    I'm finishing up my shift right now. My one and only patient is safely sleeping with her heart a-beatin' . She's doing much better, thank goodness. Nausea seems to have passed her by last night. We went for a nice long walk down the hallway which is usually a positive sign that a patient will soon leave our happy little, teeny-tiny ICU and go to the Med/Surg floor.

    Have the usual day planned for today. Drive home. Eat breakfast. Go to sleep. Get up and eat lunch. Go back to sleep. Get up and do the "3 Ss", feed the dogs, eat a snack, and drive to work. If it's a "Q" night at work, I'll be preparing myself to give an in-service on "TeamSTEPPS" this Friday. Nothing like last-minute preparation. I'm going to teach my co-workers how to CUS. (. . . and SBAR, and Pass the Baton, and all sorts of neat stuff. )

    Sabby_NC - Hope you show us a pic of that cross-stitch.

    AKY - (((Hugs))) Sent you a PM regarding Sunday.

    Cheers!

    Ted

    Oh Steph - Hope your day at work is a quiet one! LOL!
    Sabby_NC, herring_RN, BCgradnurse, and 2 others like this.
  5. 6
    Morning Sabby and Ted

    Didn't get much sleep last night, had a bit of a struggle. Used benadryl, which got me a couple hours but left me with a bit of a hangover this morning. Don't think I'll have any problems sleeping tonight.

    That migraine I was expecting began to hit yesterday, managed to head it off before it got bad. I think I've learned just the right amount of caffeine to take to ward it off without making myself jittery. Still might have been enough to affect my sleep, I don't know. Perhaps the migraine itself kept me up, they make me jittery too.

    Work actually went fairly well yesterday, got everything done and even a little ahead in spite of the training. I'm thinking today might be similar. Am worried about Friday, still more training and a bunch of work to do. We'll see.

    Did laundry yesterday, will do the grocery shopping today.
    NF_eyenurse, Sabby_NC, herring_RN, and 3 others like this.
  6. 4
    I'm off hospice call until Monday Ted! Say Quiet as much as you want.

    Surprised I didn't get a call last night. Maybe the night before was enough madness for awhile.

    The warm weather is staying with us for awhile. So glad.

    It is almost Friday!
    Sabby_NC, herring_RN, efiebke, and 1 other like this.
  7. 2
    "Quiet" must be the word of the day. I only have 5 patients scheduled for the whole day. Glad I brought a book! Maybe I'll get a couple of last minute sick visits.

    Fall is here. Day time temps are only in the 50s. I think we had a frost last night. I guess it's time to give up the sandals, much as I hate to.

    I start my new per-diem job this Saturday. I'm a little nervous, but I think it will be good. I've been working in a specialty practice for a couple of years, so I need to brush up on my Urgent Care skills. Hopefully it will all come back to me.

    Hope everyone has a good day!
    Sabby_NC and herring_RN like this.
  8. 2
    We had a student diagnosed with meningitis recently. Which led me to do more research. I came across a radio program on NASN (National Association of School Nurses) with a young woman who got sick and 14 hours later was hospitalized in dire health and ended up with amputations of parts of all 4 extremities.

    The website mentions asking doctor's office at school sports physicals or yearly physical to push the importance of getting immunized against this disease. Does your clinic do that BC?

    I'm going to ask our local docs.

    Voices of Meningitis | Get in the Game

    VOICES OF MENINGITIS™
    herring_RN and Sabby_NC like this.
  9. 2
    Quote from Spidey's mom
    We had a student diagnosed with meningitis recently. Which led me to do more research. I came across a radio program on NASN (National Association of School Nurses) with a young woman who got sick and 14 hours later was hospitalized in dire health and ended up with amputations of parts of all 4 extremities.

    The website mentions asking doctor's office at school sports physicals or yearly physical to push the importance of getting immunized against this disease. Does your clinic do that BC?

    I'm going to ask our local docs.

    Voices of Meningitis | Get in the Game

    VOICES OF MENINGITIS™
    We don't, Steph. We deal strictly with asthma, allergies, and immunodeficiencies, and leave the routine vaccines up to the PCP. But, I know it is a required vaccine for most colleges, as I've discovered from my kid's college application processes. My kids' PCP brought it up several years ago and both of my kids have been immunized. I did one of my NP clinicals at a college health service, and we had a young woman with bacterial meningitis. Fortunately, she completely recovered. It's a horrible disease.
    herring_RN and Sabby_NC like this.
  10. 2
    My eldest was required to have it when he went to college. The local girl had viral meningitis but it made me start thinking about doing some research. There is a lot of info and help for school nurses on those sites.

    To be honest, I do not know if my other kids were immunized. The recommendation say start at 11-12 and get a booster at
    13-15.

    Routine recommendation

    All 11-12 years olds should be vaccinated with meningococcal conjugate vaccine (MCV4). Now, a booster dose should be given at age 16 years. For adolescents who receive the first dose at age 13 through 15 years, a one-time booster dose should be administered, preferably at age 16 through 18 years, before the peak in increased risk. Adolescents who receive their first dose of MCV4 at or after age 16 years do not need a booster dose.
    herring_RN and Sabby_NC like this.


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