O My Gosh.............I just realized I seriously haven't posted in TWO MONTHS. What the hell have I been doing? Who knows but I will try to recap and fill you in on all the things I can remember. Actually Ive been working a lot but y'all already knew that!
This may disturb some, but just laugh a little with me please. Lets see, there is such a thing as a fecal (rectal) bag - yes it attaches to your butt hole and drains well you know.....and honestly I.m sure the person who invented that made bank sadly enough. Why wasn't it me? The night I learned of such a thing I was kinda in shock I had heard there was such a thing, but seriously didn't believe it! I had made a copy of the directions just so I could post them for your enjoyment but right now its in my car, so here is a link to a picture of one http://www.nextag.com/rectal-bag/search-html . The best part were the instructions on the one we had in the ED which had 'Be sure to cut hair prior to attaching' listed as one of steps. I seriously could only laugh...........
Last week I got to shock a patient, he was in cardiac arrest it was only my second time doing that and I happened to be the closest one to the machine that shocks. So it was my duty but I was freaking out for fear that I wasn't going to remember how to do it - but I did. Unfortunately we didn't get him back but, I got the experience.
In that same night I put a HUGE (well for me) 18 gauge needle in an old guys arm, but that's cause he needed a transfusion. I have only put in like 3 of these in my life.....and sadly enough they make them bigger than this! Here is a link so u can see the size......and laugh with me this is off a veterinarian supplies site and it lists the 18g as for a HORSE!! That should give u an idea how damn big it is......... http://www.drsfostersmith.com/product/prod_display.cfm?pcatid=11043&cm_mmc=Shopping%20Portal-_-NexTag-_-Dogs-_-Monoject%20Needle,%2018%20gauge,%201&ref=3665&subref=AA&GCID=C12188x007 LOL!! The 20g next to the 18 is what I typically put in people. Just look at the difference in SIZE of the barrel.
O and to end the night, I got to stop a mans heart again - he was in SVT where his heart beat was in the 180's. I pushed a medicine and he converted into a nice Sinus Rhythm just like that!! :) It was sweet! Pts just become very symptomatic and complain of bad chest pain or that the are going to pass out, and some do.
I have oriented two different new nurses over the last two months - on an as needed basis. One was just about to come off orientation and the other had been in the ED a while so they both were fairly competent, however its awesome to know I am trusted and respected by the 'higher ups' enough to allow me to do this!
I should also be orienting to triage soon.......but that really isn't anything terribly exciting, just something that will be a change of pace. (well last night I was put in triage WITHOUT any orientation!! How scary is that......but I did just fine! I still want to be oriented for the simple sake of doing it cause there are things I would have questions about. )
Yesterday I completed my ACLS - Advanced Cardiovascular Life Support Class, so now I am certified in that. I have to attain my PALS certification within the next few months - that's Pediatric Advanced Life Support. And finally, I will probably be going after a S.A.F.E. - Sexual Assault Forensic Examiner certification later this fall. It means if someone comes in after a rape and the police are brought in to prosecute and/or find the suspect, I will be the one who does the exam, takes the photos, documents the pts description of what happens and the one who is responsible for making sure the 'evidence' has a chain of command so that it can be used in the trial. I think it will be very rewarding to help people who have been assaulted. I know it wont be an easy certification as there is lots of training, orienting and METICULOUS documentation involved. But I am certainly interested.
I'm house, well condo, searching. Had originally looked in Westminster but decided what I was looking at and the size just wasn't where and what I wanted. Currently the hunt is on in Frederick and I have several I am interested in - all basically in one area. I'd like to be able to buy and move within the next few months (2-4). Basically I have most everything paid off except my car and student loans, so those few months I'm going to be really checking out whats available I should be able to finish paying off the credit card debt I still have - but its a LOT less than it was!
Tricia and Desi are engaged! I have a wedding to be in this November and I love our dresses. Looking forward to the events for that.
That's all for now, but that's cause I'm tired of thinking and need to get this post out.
Monday, March 19, 2007
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