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Tweety Tweety (New Member) New Member

Friday August 17, 2018

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Good Morning!

Working today then having a few days off. Yesterday was a bit rough. I had a full assignment. My bass helped out. She's not here today and I'm hoping for a light assignment. There's only one tech so we're working short unless there's a float tech they can send us, which with sitter cases they usually can't.

My tech drama continues with another one. It's clear they talk to one another so one one is mad they all are mad. I was getting a vital signs machine walking down the hall. The tech said "I could have told you where one was all you had to do was ask". Me: I see it here and I didn't need to ask to you to find it for me. Her: I don't have time for your mess today, next time I won't say anything.

Anyone want to tell me what I said that was wrong because I surely don't get it. I ask for them to do something and I get yelled at. I walk to get my own vital signs machine to take my own vital signs instead of asking a tech and I get yelled at.

The kicker was she quit talking to me and when a patient needed something she told another nurse to tell me and the nurse didn't. She said "I'm not getting involved in your mess." So the patient had to suffer and I got very upset at the unprofessionalism. "You may never talk to me again, I don't care, but if my patient needs something you are to be a professional and tell me what they need."

Ugh. Do I really have to have a meeting to tell adults that are getting a paycheck who to behave as adults professionally? I guess so.

Sorry for the vent but I hate the people i work with. It's just a paycheck and I'm going on vacation in a couple of months and that's my reward.

I'm hoping to see my sister this weekend. She's moving and might need my help. She was able to buy a mobile home very close to wear she already lives, close to her grandkids. The guy that sold it too her is a veteran and had problems with opioids due to an injury so is sympathetic to her opioid conviction a couple of years ago that's been haunting her.

Have a great day.

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Morning-

I'm back to not sleeping well. My A/C system is leaking, and the drip, drip, drip kept me awake. First world problems, I know. Still, not sleeping makes for a bad day ahead. I'm already thinking about going to bed tonight.

Tweety-Sorry for all the drama at work. Sounds like people need to grow up and act their age. They're not in high school anymore. The fact that a patient didn't get what they needed is inexcusable. I'd be writing that tech up, and leaving her to the mercy of the disciplinary process. Enough already. I hope you get to see your sister. Glad she's found a place to live.

Off to work I go. Out at 3 today, so that's a good thing.

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Tweety sorry the drama continues. I see my job the same way, mostly just a paycheck, which is fine for now at least

BC sorry you didn't sleep, that does make things more difficult

Work was fine yesterday, was a little stressed about getting things done in time to leave early but it turned out OK

The phone banking went fine too, did almost 3 hours worth, the vast majority of the calls I made no one answered, I spoke to maybe 5 or 6 people in that whole time. Going to do it again next month, maybe stopping by a little later so I don't have to take time off of work

Dad called, he's busy this weekend so I won't see him, so he talked for quite a while. Then J called and also talked for quite a while. My ears were pretty sore LOL

Should be a fairly normal day of work today, J and I are meeting at one of our usual places

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Morning All!

My elusive 'frequent flyer' CHANGED HIS MIND overnight about study participation!

I had everything lined up and ready to go! We're up to 88 participants on this trial - precisely TWO have withdrawn. Still burns!

Had to write a gracious and tactful withdrawal letter, studiously avoiding the phrase "WHYYYY? WHY ARE YOU DOING THIS TO MY LOVELY STUDY?"

Which accurately reflected my feelings, but which may not look so good in the medical notes.

Tweety, the tech situation sounds exasperating.

(Actually, my first choice of words was somewhat crude. So was my second. I worked through various downright vulgar options and eventually settled on 'exasperating')

Keep your powder dry... in my experience people of that ilk tend to hang themselves if given enough rope.

And in the meantime: may their next bowel movements be hedgehogs.

Nel, yesterday's infiltrated IV line is a worrying reminder for me. We've got an infusion-centred drug trial starting soon, and it's nearly a year since I inserted cannulae on a regular basis. I badly need practice... definitely one of those skills you've got to use or lose!

BC, I booked parachute lessons last year - got my medical done - first session cancelled due to bad weather. Tried to rearrange - same story. I gave up. This summer's been glorious, but the idea of following up on the whole parachuting thing had slipped my mind 'til now!

In other news... Her Majesty the Queen's homeopathist has been run over by a truck.

Am I bad for thinking that if only somebody had quickly dipped a ' Hot Wheels' in a glass of water, maybe he could have been saved?

Enjoy the weekend, all!

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Morning All!

My elusive 'frequent flyer' CHANGED HIS MIND overnight about study participation!

I had everything lined up and ready to go! We're up to 88 participants on this trial - precisely TWO have withdrawn. Still burns!

Had to write a gracious and tactful withdrawal letter, studiously avoiding the phrase "WHYYYY? WHY ARE YOU DOING THIS TO MY LOVELY STUDY?"

Which accurately reflected my feelings, but which may not look so good in the medical notes.

Tweety, the tech situation sounds exasperating.

(Actually, my first choice of words was somewhat crude. So was my second. I worked through various downright vulgar options and eventually settled on 'exasperating')

Keep your powder dry... in my experience people of that ilk tend to hang themselves if given enough rope.

And in the meantime: may their next bowel movements be hedgehogs.

Nel, yesterday's infiltrated IV line is a worrying reminder for me. We've got an infusion-centred drug trial starting soon, and it's nearly a year since I inserted cannulae on a regular basis. I badly need practice... definitely one of those skills you've got to use or lose!

BC, I booked parachute lessons last year - got my medical done - first session cancelled due to bad weather. Tried to rearrange - same story. I gave up. This summer's been glorious, but the idea of following up on the whole parachuting thing had slipped my mind 'til now!

In other news... Her Majesty the Queen's homeopathist has been run over by a truck.

Am I bad for thinking that if only somebody had quickly dipped a ' Hot Wheels' in a glass of water, maybe he could have been saved?

Enjoy the weekend, all!

"May their next bowel movements be hedgehogs".

Best curse ever!!! Phil-please come to the States so we can have a beer and laugh our butts off!!!

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Good Morning -

Phil-on-a-bike - LOL! What a cute saying! LOVE it! LOL! Regarding the study: hope it goes well. Appreciate the frustration when people bow out of the study. Curious. What is the study on??

Joe - Nice to read that the phone banking went well. At first, i didn't know what you meant by "phone banking". I thought you were referring to doing banking business via the phone. Then I remember that you're making political calls to people. (Please correct me if I'm wrong.) Hope the discussions with the 5 or 6 people were fruitful ones. Seems like you spent a lot of time on the phone, yesterday! LOL! Have a nice time with J this evening.

BCgradnurse - Poor sleep is no fun! Not having a working AC is no fun either, especially in hot, humid weather. Hope work is kind to you today.

Tweety - That tech not conveying patient requests to you. . . Not Good! It is unprofessional and potentially dangerous to the patient(s). That individual (those individuals) should be held accountable for their unprofessional behavior. Hope work today, for you, is kinder with professional and caring co-workers by your side.

Me?!? I was placed On Call last night. Did NOT get Called In! (Woot, woot!!) I'm really happy about this because I am working extra this week as well as working extra next week (both times as Shift Director). I don't plan on taking on extra shifts, if possible. Not sure what I'm going to do today. Last night I FINALLY finished editing one of the video projects. It's what I tend to do when On Call. Still have a few more to finish, but at least one project is out of the way.

Working extra Saturday and Sunday nights (involving two different pay periods). It is normally my weekend off from work. Can't wait for Monday which I do have off, thankfully.

Nothing much else to share at this point. Hope all have a pleasant day today! :)

Ted

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It's a great little study, Ted: it's one of our own 'in-house' projects by two NHS clinicians - a pharmacologist & a gerontologist.

Their premise is that there needs to be more specific data on the absorption and metabolisation of Direct-acting Oral Anticoagulants in the over-65's.

We screen medical admissions, cardiology and CotE units online for anyone over 65 who's on a DOAC - take trough citrated samples for clotting studies pre-dose - then take a series of precisely timed samples post-dose.

We love this study for many reasons - the one-time-only intervention makes it an 'easy sell', so over 90% of patients approached sign up.

The fact that we're out and about on many different wards is great for raising the team profile and letting the ward teams know which other studies we're running and what inclusion criteria we're looking for. That always bumps recruitment to our other studies!

Because we're running it start-to-finish in-house, it's great for taking students and new staff right the way through the study procedure.

It carries university funding - always good to be bringing money in to the NHS.

And it involves a bit of lab work, which I really enjoy.

The only fly in the ointment is a feature of the study design - they want equal numbers of participants on each DOAC.

What that means is the cohorts on the more commonly-used meds are going to reach their targets and close very soon, while the cohorts on the less-frequently used meds crawl very slowly towards their total.

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Phil-on-a-bike - Very interesting! Please share the results of the study when you have them! Off the cuff?? I'd wager to bet that the metabolism of oral anticoagulants would be slower for those older than 65, and even slower for those in their 80s to 90s. Just how slow, if at all??? Hopefully your study will share good information and insight. :)

Just got back from a 2-mile "power-walk" with Amy on this hot and humid day. I'm working to burn off that "Budda-Belly" that I'm sporting! LOL! :D

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Well, there's no danger of any weight loss in this neck of the woods this evening - we're off to Solomon's tandoori for a curry big enough to drown a yak and hot enough to cook it.

(Lemon pilau and a garlic naan on the side!)

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Well, there's no danger of any weight loss in this neck of the woods this evening - we're off to Solomon's tandoori for a curry big enough to drown a yak and hot enough to cook it.

(Lemon pilau and a garlic naan on the side!)

One of my offices is next door to an Indian restaurant. They bake their own naan and I would like to crawl out the window and onto their roof and pilfer a big basket of it. The smell wafts over into my office and makes me drool. Enjoy the curry!

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Good late morning Tweety, BCgradnurse, Ted, Joe, Phil-on-a-bike, and whoever visits later.

I love the thread so far today.

I had written husband's once a year visit to the nephrologist for the 17th of this month. While getting ready O checked in the patient portal. Thankfully we didn't drive there, park, and go embarrass ourselves in the office.

I'll drive him to his club soon.

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Hello all!

Yep. I love the hedgehog bowel movement comment, too.

Love your sense of humor, Phil. It is great!

For what it is worth, Tweety, I think you are going to have to have a come to Jesus moment with the offending techs.

Since the act like middle-schoolers, I would treat them like middle-schoolers, and meet with them, and give them a choice: either we learn to cooperate and work together among ourselves, or I will let the NM mediate this dispute.

If I were you, I would have a nicely worded e-mail ready to send to your NM, to circumvent the middle-schoolers from reaching her first with lies.

If they elect to go the mediation route, you fire off that e-mail as fast as you can.

The situation has clearly es escalated, and it can't be ignored any longer. It is interfering with your ability to do your job.

I worked with the lazy, pregnant tech the other night.

She bladder scanned patients of the nurse she smokes with, and "forgot" to do mine. She also didn't empty urinals for my patients, all shift.

I absolutely hate having her as my tech. She is nearly useless, as far as I am concerned.

I worked on the nursing home side last night and struggled to stay awake. And I mean, struggled! It was so boring.

Went to buy Biggie chopped hay this morning, after work, and they were sold out. That never happens!!!!

Who bought all the damn chopped hay?!!!

Cashier told me some guy came in and bought a bunch to be used as mulch!

I couldn't believe it. I said: My guy needs to eat it because of issues with his teeth, this guy bought it all to put over dirt?!!

I had to buy him compressed hay, which is different stuff.

You don't want to switch their hay like that because it can cause COLIC.

I still have a bit of the chopped, so I can mix it.

Of course, I leave town tomorrow, so I will worry about Biggie's tummy.

I am preparing all of his meals before I go, so hired helper only has to open a baggie, and all supplements will be mixed with feed.

Safe travels.

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