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Davey Do Davey Do (Guide) Guide

Tuesday April 8, 2014

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:) Very nice Davey-Do.

Well, I got 3 hours of sleep last night and came home at 4:00 p.m. and crashed on the couch for 3 hours. Of course, that has messed me up falling asleep tonight. So, sipping Sleepy Time tea and ate a banana.

Very busy day working both my jobs as the other school nurse who cares for the diabetic kiddo two days a week was off for medical reasons. And mom didn't come in. So I went back and forth as hospice and school nurse. I hit a wall while trying to use our computerized charting (:banghead: ) and so just came home. I have two more patients to chart on but I'll do it tomorrow - well, technically it is tomorrow and the sun will be coming up. Or so says Joe . . or Davey. . or both.

It was almost 80 here today.

Be back in a few for coffee. :wavey:

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Good Morning Davey, Stephanie and all who pop in,

 

Loved the cartoon Davey thank you may you have an awesome day.

 

Stephanie I think you passed your insomnia on to me last night, I was exhausted from work, had my sleepytime tea but still could not settle into a good sleep. Finally got up at 4:30am although my night was not restful at all. Hope you manage to get some rest before coffee time.

 

Sitting here slurping on my green tea and contemplating my navel. LOL

 

Ran my toosh off yesterday, got my 7 visits taken care of then came home to collapse. I was so close to pitch my work cell phone out the window as it was driving me crazy with some not necessary phone calls and texts. Well I should not say that but they were issues that should have been taken care of if refill requests were signed by MD's. I mean really come on guys do it then the patients will get their medications!!

 

Going to be less frantic for me although I do much better in frantic conditions, LOL I sure work best when I put myself under pressure and am far more organized than a quieter day those are the days I can get up to mischief. :o

 

Gave the dogs a good run around last night, they were so happy to burn off some energy after being camped up all day due to the soggy conditions although I was so pleased to see some good beneficial rains. Now we need the sun, the lawn to green up even more and I will be a happy camper out there on the ride on doing what I love to do.

 

Hope you are all doing well this day.

 

I have been praying so hard they find something about the missing plane, my heart bleeds for those that have lost loved ones and the not knowing would be agonizing. Please may they find something soon to allow those to start grieving appropriately over their loss.

 

May you all have a most excellent and fulfilled day.

 

Much love to you all.

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Davey! :laugh: Actually it reminded me of when the movie "Annie" was being filmed, my sister was in a dance class and all the girls hoped to be chosen for Annie.

Steph and Sabby I hope you got some sleep. I've been waking up around 2am for some reason.

Not too bad a day at work, I did my best not to get stressed or push myself too hard, made sure I took a break during the day. Oftentimes I forget to do that.

Had to contact the insurance company last night as I didn't get my insurance cards, found out they had my old address. Got that straightened out. Did a bunch of journaling last night, I think a total of 1500 words! Planning to do some more tonight, along with the laundry.

Have to say, I'm getting annoyed with ABC. "It's the Easter Beagle Charlie Brown" ran back on 3/31, I just found. Nice if they ran the specials close to the holidays they represent...

Edited by Joe NightingMale

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the movie "Annie"

"It's the Easter Beagle Charlie Brown"

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This made me laugh this morning.

As did me. Thanks, herring!

My Dogs are Mic, a Mixed Breed of Lab, and possibly, Pit Bull. He is a Sweetheart of a Dog. Then there's Rudy, a Pure-Breed Cocker Spaniel who is the Boss. Mic is very patient with Rudy's Assertive Ways, but Mic will not be pushed past a point. However, Mic will "groom" Rudy when they are laying around in the Garage or in the Sunshine. Mic's Grooming is not quite as Entertaining as Sitting on Rudy, but Cute, nonetheless.

Thanks again for sharing...herring!

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Good Afternoon!

It's 3:17 PM (EST) here!

Cool cartoons, Dave! herring_RN. . . loved the dog photos!

Speaking of dogs. . . Had to take our Chelsea for her Rabies shot this afternoon. Boy, was that a dramatic experience for the small brown dog! LOL! (Shake, shake, shake. . . pant, pant, pant. . . shake, shake, shake. . . ) The trip to the vet is a yearly event for both canine family members. You'd think they'd figure out that all is OK in the end! LOL! She got the usual lots of lovin' and the special doggie treat afterward.

Work was busy last night. My one and only patient did relatively well until the end of the shift when she decided to have a near-syncopal episode while sitting on the commode. It literally happened at the change of shift. I stayed a little while longer just to make sure she recovered from the spell, which she did. Come to find out that she had a significant drop in her H/H from a duodenal bleed, and this was after receiving 2 units of PRBC and FFP (to counter the coumadin). She had a planned EGD for the morning. Hopefully they moved it up the schedule. (I guess I do take work home, sometimes. . . . worry, worry, worry.)

I'm off for the next couple of nights. . . .

Received news at the beginning of the shift (last night) that the DPH found some significant issues with our hospital and it's outlying services. The CMS is coming later this month for an extra special survey. Apparently our "Critical Care Access" designation is at risk because of some of the DPH findings. Actually, with regards to the actual hospital and hospital staff, a few findings were problematic but not necessarily horrific. However, the findings with the outlying services, especially the PCP services that's somehow provided by our hospital, were not good. Up until last night, I did not know just how "married" this PCP service was to our hospital. When I heard what the issues were, I was horrified! To be honest, my stomach is in knots. Another hospital in the same county was very recently forced to close its doors. So the issue of hospitals closing is causing nerves to be raw, mine included. Overall, I sincerely believe that we do well as a hospital. We certainly provide need healthcare support to the surrounding communities. I can sincerely say that our hospital's administration goes the extra mile to ensure that all regulatory issues are met. It's painful, sometimes, to how we're reminded time and time again to ensure that the "T's are crossed and the I's are dotted", and that we follow the regulations and be mindful to the Core Measures and "Get With the Guidelines", wash our hands, and on and on and on. (Well, apparently, we can do better in washing our hands! Geeze!) But it seems that this PCP service, which apparently is also the responsibility of our hospital and its administration, somehow failed to follow some basic regulations. I'm shaking my head as I think about it! Ugh!

Oh well. . . We were told that our ICU did well in answering the questions by the DPH surveyors. Our "T's were crossed and I's dotted". I guess all we can do is our best work (and hope that others do too). I'm going to bone up on my acronyms. Apparently, some employee in our hospital was asked what to do if they saws a fire. Jokingly, they said, "Run Away!". Well, apparently the surveyor didn't think the joking was funny! (And to be clear, it was not me! Although tempted, I would NEVER joke around to a surveyor!) When our nurse manager had the meeting with us last night and we were talking about acronyms as tools to help remember things, I could remember, "R.A.C.E.", but I could not remember what the last "S" stood for for "P.A.S.S." (I got the first three correct, though!) The Healthcare Profession LOVES acronyms. Me? I HATE them! Apparently, the CMS has made it clear that they can and will come unannounced during any time of the day or night. Throughout my modest 21+ years of nursing, I've never been confronted by any type of surveyor during the NIGHT SHIFT. (I was once when I worked evenings, though. I did well then.) Well, we, us night-nurses, were told to expect the unexpected CMS surveyor. UGH.

Ain't life interesting?!?!? Geeze. . .

Cheers, folks.

Ted

Edited by Ted

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I hope things turn out well for you Ted. It's frustrating being judged as a whole instead of individually. Especially if your goal is being a competent component of the company.

There is a flyer on the Gero Psych unit, I sometimes rotate to, outlining the many functions of an Ombudsman. Basically a picture of the same guy is on this flyer 6 times, each with a different title above his head. A pt. of mine was referring to Ombudsmen as cyborgs because they all look the same. This went on for a couple hours through the night and was very entertaining. I made a comment to her that Ombudsmen were very much like cyborgs, because I've never encountered one and don't believe they exist.

Well.... I work psych weekend option and have a part-time job through the week at a skilled-nursing facility. Who was on my vent unit the next time I worked there? Sure enough, a cyborg had invaded my domain. The lady Ombudsman was very quiet, but followed behind me from room to room while I did the trach/stoma care and vent tests for 15 residents. Each time, I washed my hands after I went in and before I came out. After the last room, she approached me and asked if I had any hand sanitizer. I pulled out three bottles and told her that I was running a little low, so I was conserving what I did have by using soap and water. She had been interviewing some of the residents that I had given care to, so I mentioned to her that I'd noticed that she hadn't been sanitizing her hands in between rooms. I asked if that was acceptable in her line of work since she wasn't giving care. She shot me a blank stare for a split second and then I had to check an alarm so I didn't get to hear an immediate answer. When I resolved the alarm and returned to find her, she had vanished. Those cyborgs sure can move fast.

Edited by Jacob Rockstar-RN

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the Gero Psych unit I sometimes rotate to

BreakRoom Buddies! It is my Esteemed Pleasure to Welcome, and Introduce you to, that Behavioral Health Rock Star of Nurses, who Everybody calls Cute... Jacob!

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Welcome, Jacob Rockstar-RN! I see that you're relatively new to allnurses, too! It's a mighty big bulletin board with lots of forums, lots of members and lots of chatting! LOL! It's good to see you here at the "General Off-Topic" forum, which is a nice place to hang out and talk about things that might or might not make sense! LOL!

Curious. . . Are you in a band (as your UserID name suggests)?? If so, what instrument do you play. Are there recordings of your music to hear??

Take care! :)

Ted

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Curious. . . Are you in a band (as your UserID name suggests)??

Ted, in the Past, Jacob has only visited AN.com on the Weekends he Works, but I've got an Idea of where his Username came from, so I'll tell you the Story in Hopes I'm not Stepping on Jacob's Toes. However, I'm Sure Jacob will Chastise me, and Correct me, if I'm Wrong.

I Know and Work with some Outstanding Professionals and have Encouraged them to get Involved with this Wonderful Website. I Believe there are Six Professionals who are Current Members of AN.com due to, at least in part, my Encouragements.

One Particular Professional who is a Nurse once made a Humorous Statement. She said that just because she Competently does Her Job, she is seen by her Co-Workers as "a Rock Star Nurse".

Recently, one Weekend, that Particular Nurse started a Thread in the Psychiatric Nursing Forum on the Yellow Pages side, informed me of it, and asked if I would Post a Comment. I did as she requested.

The Next Weekend, she Followed up with me and informed me that Jacob had also Posted a Comment on her Thread. "You've got to see what Username he choose", she Laughingly said.

So, in Summary, Ted, I Believe Jacob will Play with you. However, I'm not sure if it will be in a Musical Way!

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