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!!