Good Morning Saturday, January 22, 2005

  1. Well, it's still only 2220 out here on the West Coast, but I thought I'd start the GM thread a bit early.

    What a week.......we've had so many admissions and so many heavy care patients recently that my brain is totally fried. So fried, in fact, that I had to write myself up tonight for missing an order that had been written at 1150, which I didn't discover until 1830 It wouldn't have been so bad if it hadn't included additional pain medication (Toradol IV q 6h) and a change in IV fluids, but it did, and I couldn't just let it go even though the patient's pain was adequately controlled with PCA. So I fixed the problem, gave the meds, wrote out the incident report and 'confessed' to my manager, who just patted me on the back and told me not to sweat it.

    Fortunately, I have a reputation for steadiness under pressure, and I don't make very many mistakes, which is why I'm kind of the bellwether of the unit---if I'm stressed out and screwing up, management takes it to mean the workload is too heavy. But the way it's been this week, we could've had 20 nurses out there and it wouldn't have been enough......just too many really sick patients who should've been in ICU or transferred to a higher-level hospital. I was lucky in that I had most of the same pts. for two days, and as busy as they were, they were all delightful human beings whom I truly enjoyed caring for. But I was also helping bail out some of the other nurses who were drowning in a sea of poop, paperwork, and pesty family members, which put me behind in MY work.........even when I have my own team, my co-workers think of me as the PRN'er, and it was "Oh, Marla, could you pleeeeeeeeeeze put a Foley in my LOL in 202, she won't let a male nurse near her" and "Marla, I need an IV start in the meth user in 206" and "Marla, we have an admit for you....."

    Oh well, it's the weekend, and I'm off, thank the Lord and bless the people. So here's breakfast for everyone: French toast with a hint of nutmeg and cinnamon, Belgian waffles with fresh strawberries and whipped cream, a breakfast burrito made with whole-wheat tortillas, eggs and pork chorizo & topped with salsa, and of course, a cup of joe made hot and fresh!

    Have a great day!!
  2. 63 Comments

  3. by   Grace Oz
    WOW! Marla, that's SOME breakfast!! Tell me please, how do I do the cinnamon and nutmeg french toast? Sounds delish! (as in delicious!) lol I'm amazed what some of you folks have for breakfast, just reading the posts sometimes..... amazing!

    Anyway... since it's now evening here in Oz, once again, we're in your Future!:chuckle
    I'll say G'day and goodnight!
    Have a happy weekend all!
  4. by   VivaLasViejas
    Thanks, Grace! I just put a couple pinches of cinnamon and a teensy bit of ground nutmeg in the egg really adds something to the French toast. My 13-year-old introduced our family to it---I think the boy has a future as a chef, he's always goofing around in the kitchen and he comes up with some really tasty stuff.

    'Night, my friends.......'see' you all in the morning! Enjoy your b'fast
  5. by   Tweety
    Grace, do share an Aussie-style breakfast with us.

    Marla, I'm hearing ya! Med-surg is tough, tough, tough these days. Some days are it's crazy like that. Sorry about the missed order. Delayed orders on crazy days I'm afraid are all too common. If found orders in the chart at night from 16 hours earlier like "transfuse two units of blood". So of course at 2AM, I start the blood and the patient reacts. "Dr. So and so, you know that blood you order 18 hours ago.........".

    I'm going to read some nursing a bit and then relax. I'm working this weekend so trying to stay caught up on schoolwork as the "big paper" is coming up. Ugh.

    Take care.
  6. by   DDRN4me
    Good Morning all..and thanks for your kind words this week...have to make this quick as I'm off to my prn position at the pedi office.."time to play"

    then i'll wait for the "big storm" we're supposed to get. lots of homework time, and research time..hope the dsl doesnt go out!

    my bset friend was here from TN...flying home today so she'll miss woman!!!
    well, have a great day and keep warm! Mary
  7. by   phn92
    Good morning all!!

    Marla, I understand---you just want to kick yourself when that happens!!! Hey, we are all human and mistakes can happen. I think you are a wonderful nurse who admits when she/he does wrong. Better than not admitting it at all!!

    The big snowstorm the weatherman promised has fizzled!!! We were suppose to get 4-6 inches depending on which station you watched. Didn't hardly get anything overnight, but may get 1-3 inches. That's okay, I'm really getting tired of it!

    DH and two older kids were to the local high school basketball game, I stayed home with the youngest. She did okay in school, but didn't want to push her too much. We stayed home and watched a movie.

    I need to pack more stuff this weekend, I think we may be getting closer to finishing the addition. I am hoping to be painting next week. I need to get a couple of estimates for the flooring, so I think I will call today and get that started. They got the ceilings done and they look great! We put cheap paneling on the walls of the garage because I didn't want to paint it. It is about the same price as finishing the walls. It really looks good and I think it will be much easier to take care of later.

    We have another ballgame tonight, so I think we will all go. I always sit with a friend and catch up with her. It's more a social time for me. It's also a good way to keep an eye on our teenagers and see who they are hanging with. LOL

    I'd better get busy, so I hope everyone has a wonderful Saturday!!
  8. by   nursemary9
    good morning, cyberfamily!
    i have to confess something--i feel soooooooo
    guilty!! i just got up!!
    well, i was supposed to work last nite--& you know we were to get 8-12 in. snow. well at 8:45p the hospital called & spoke to dh. they said i didn;t need to come in--low census!!
    well, he was surprised & even said--"are you really sure about this"? they assured him him they were serious & i could stay home.
    so i was so tired & exhausted from the last few weeks, i just got up & took my nite time meds & went right back to sleep. dh was also "done-in" & decided to also go to sleep.
    he turned on the answering machine, closed the bedroom door & came to bed. we both slept absolutely all nite!! this morning i found a message to call work--it was the same nurse who called him last nite, so she must have been calling me back to come in!!
    so now i feel extremely guilty!! someone must have called in late!!
    oh gee, i don't know; but no matter what i say, i feel guilty!! well, i have the weekend off, so i gues i will spend the whole time feeling guilty!! nice!! i guess that's a nurse for you!!

    well, we have major snow!! phn--you can share some of ours!! we are also supposed to get another 4-6 in today!!
    dh is out now doing the snowblowing!! it's a winter wonderland!! for a few minutes!! gosh, i hate snow!!:angryfire

    marla, thank you for that great breakfast!! i too add cinnamon to french toast, but also some vanilla; i will have to try the pinch of nutmeg!!
    don't beat yourself up too much by your little slip! like tweety says, we nite people find much worse!! what makes it worse is that you make a small mistake & feel bad & write it up & there are people who make huge mistakes & laugh it off!! like he says about the blood--i have seen that exact type mistake so often it's scary!! except that people just often make lite of it!! i don't understand sometimes. i guess that's the difference in a good nurse & a mediocre nurse--the fact that we feel so bad about this type incident!!

    tweety, i hope your weekend goes well--when do you start orienting?

    to all i have not mentioned & to all those yet to come, have a great day!!

    see you guys
    mary ann
  9. by   dianah
    Wow, Mary Ann, I can picture the beautiful snow . . . but to have to shovel/blow it/DEAL with it, I don't wanna!! Glad you got an unexpected weekend off, what a treat!

    Marla, my mom taught me to add cinnamon (and LOTS of it!!) to the french toast! I also add a pinch of nutmeg and a little vanilla. Dh and the kids LOVE it! But we use up a whole loaf of wheat bread when I make it!!

    Grace, I'm also curious about what an Aussie breakfast would be like! Share with us!

    Hi Mary, Dixie, Tweety!

    Have a good day!
  10. by   chris_at_lucas_RN
    G'morning everybody! <yawn>

    I've been up and went back to bed, waking up to 7 of the 8 dogs gazing at me like, so where's breakfast? Have no idea what I had been dreaming of, but I wanted that other woman who lives here to feed them. (???)

    Five are out in the yard, three are in here, but as soon as I finish this little note, the outside dogs will come inside (it's 50 and they are wimps), and we'll all go watch some TV. For some reason I'm bushed.

    I was online most of yesterday. I'm sure I accomplished something but cannot remember what it was.

    I'm beginning to think there is some kind of huge emotional adjustment that comes with starting nursing. Stressed out, prone to agitation with very little impetus.

    Maybe it's just nutzoidosis.

    Looking forward to that Breakfast from Oz, Grace.

    About french toast, here's what I've done (and I have the hips to prove it), make the french toast (FT) without any spices or sweeteners or anything, and use it as the bread of grilled ham and cheese. So you have FT, ham, cheese, FT. It is an incredible supper.

    All of ya'll with snow, I sympathize. It was almost 80 yesterday, just beautiful, and today will be a little cooler, but still beautiful. Even though this is Texas, it's hard to believe it is January.

    Well, I'll snoop by later.... take care everybody!
  11. by   manna
    Well, I'll admit - I had ramen noodles for breakfast. Yours sounds much better! :chuckle

    Going to be a lazy day around here. I've got to finish up my clinical paperwork to turn in Monday and do a little housework, but I'm waiting for hubby to get home first. He's sort of "sitting" with his older brother - who we're waiting to go into rehab after he had an OD with his Mom's anxiety meds.

    Kids are playing video games and the dog is sleeping, and of course here I sit wasting time in front of this box. Guess I should get up and do something productive, huh?
  12. by   NursesRmofun
    good morning (errr...afternoon)!

    marla, don't be too rough on yourself.

    breakfast? way past breakfast here. but we had some banana bread earlier. i need more coffee. <sigh>

    supposed to get mucho snow here too! maybe a foot!

    leaving for nc monday to look at houses starting tuesday! i am excited!

    happy saturday!
  13. by   VivaLasViejas
    Sure feel bad for you guys with all that snow..........I love the stuff myself, at least until I actually have to GO anywhere in it! Of course, I grew up in So. California where snow was something you went to the mountains to visit, and here in Western Oregon anything more than a couple of inches pretty much paralyzes us. Last winter we had what was for us a major dumping of the white stuff (10 inches in my front yard, 4 inches in the city) and several significant snowstorms besides that one........and that was plenty!

    This winter, we've had nothing more serious than one ice storm thus far, and 2 days later the temp was, to say the least, unseasonably warm (it was almost 70 degrees on the 18th!!). In fact, we've been very dry this winter, which is just fine with me personally, but it does not bode well for our water supply.......we're apt to be rationed this summer, and so much for my lawn again.

    Glad you're all enjoying your morning repast. Stay warm, everybody!
  14. by   Marie_LPN, RN
    Scrambled eggs, turkey bacon, and green tea for breakfast.

    I ought to go to the store, but the 6 inches of snow on the ground is something i don't feel like fighting. Too many fools that freak about snow are out and about on a Saturday. Yech, no thanks.

    Boiling a pot of homemade yardbird (chicken) soup. That stuff is wonderful on cold days like this.