Monday, August 04, 2008

Another fun in the sun week

Hey all, how are ya? We are still having a good old fashioned Arizona summer. Very hot but not humid and no rain to speak of. Today is by far my favorite of the last 2 weeks...it's about 85 and cloudy...of course it's only about 8am but, it's a nice change.
I've done a lot of running around the last week...my nephew is here for his summer vacation. His Mom's idea to send him to 110 degrees for a vacation, not mine. We've been able to do a few outside things but, I'm sure not as much as he'd like. I'm glad he is old enough to entertain himself a little. It's really difficult to get used to having another person around 24/7 when it's just been me, my husband and the dog for so long. I think it would have been great if it was only for 3 or 4 days...but it's been 8.
Headed to a baseball game tonight...D'Backs vs. Pirates. I wonder who will win?lol The D'Backs have been doing very well this season again but, my heart is in Cleveland. I also love the Cubbies (ya gotta have a winning team as the back up). I love Chase field though...how awesome is an indoor baseball field? with a pool? and a/c? Only in America.
Work has been ok...only 3 days of work last week, I haven't done that in ages. It was nice to be home. There was the usual excitement of an alcoholic patient with chest pain going into DTs, I had a COPD pt come back from the cath lab after a pacemaker that I had to give Romazicon to...that was a first for me. Never had to give the stuff before, it works like a charm. This poor guy, if he didn't have his bipap on and a pacemaker in he woulda been a goner...one shot of Romazicon in the IV and he was awake and talking. I'm glad my other patients were stable because he took all my attention for over an hour. Not so lucky was some poor lady the day before. She apparently came back from the cath lab along with 2 other patients to the same nurse in a short period of time...all the circumstances are unclear except the end result, they had to call a code on her and she is now in the ICU. Now, that's a bad day.
My problem is with management. We have a charge nurse or CM as they call it. They walk around asking when our patients will be discharged and handing out the admissions without much consideration for the patient or the nurse. If you have 3 empty rooms they will give you 3 admissions. If you have 3 patients going to the cath lab, oh well. No back up, ya know sometimes you are so busy you don't have time to find them to ask for help, but they are so removed from the idea of real nursing in 2008 that they don't get it. These are nurses who have been in their position for YEARS like 10 or 15, they don't understand what it's like to be in the trenches anymore. They always get their lunch break and their 15 minute breaks throughout the day. They randomly dole out the assignments for the next shift without looking at the day before or what kind of acuities they are handing them...I was in lower management for awhile. I know what it's like, but I got in there and paid attention to how my nurses were doing and helped out where it was needed.Just frustrating I guess, to see the patients suffer from a lack of leadership. Maybe the next hospital will be better. I think that's my problem, I think I like a place then the longer I am there, the more I see, and then I need to go. Just a traveler at heart.
Thanks for listening to the ranting...any comments?
Non noc nocere.

1 comment:

Travel-Nurse said...

Hello fellow Traveler!

I did a few assignments in Tucson but luckily always Fall/Winter.

Heard it gets pretty hot there in the Summer.

I'm on the Carolina Coast now. Pretty Hot here and Humid.

Great Blog!

Check me out at TravelNurseToolbox.com ....

I'm a Psych RN Traveler.

Been doing Psych Screening in ED last year now.About time for a break now.

See Ya!