|5/25/03 Sun (0904): First I have to wish my Aunt Judy a belated HAPPY BIRTHDAY! It was the 22nd. I blame my computer! The calendar program didn't transfer over so I didn't get my reminder popping up a few days before - sorry Judy.
Today is National Tap Dance Day. I took Tap as a kid, too bad I didn't keep up with it! Took ballet too.
Encyclopedia.com says on this day in 1976 Star Wars opened across America. I don't think that's right. I remember seeing it with Mom & Dad the summer of 1977. Dad was going to Saudi Arabia first and Mom and I were going to pack stuff up and she was going to go later. We drove the Blazer to New York from Texas, Feb 1978; she flew to London then Saudi Arabia and I flew to Boston to see Helen. So I think Encyclopedia.com is wrong.
My horoscope: 'Uh oh. The cows have come home and the fat lady is about to sing. Better come up with some new excuses, quick! You can do that while you're coping with the unpleasant result of the cows coming home.'
I just worked 3 nights in a row - everyone knows how I feel about that. Kate called me on Thursday and asked if I'd come in at 1500, I said yes. That means I've worked 40+ hours in the past 3 days, whew! Was on 4 West and had more than enough to do all three nights. Friday night we had a patient start having pauses (nice way to say heart not beating) about 0230, seems like about every hour, starting at about 3.5 seconds and gradually getting longer. At 0500 he had one 7.5 seconds and as Sharon was running for the vital signs machine I went in and it appeared he was having a seizure.
Myra came up and we hooked him up to the Zoll (portable monitor & defibrillator) so we could watch his rhythm in the room, of course he was okay then. Went in Sat night and we were told he had a 30 second pause, then later found out it was a lot longer, I think 3 minutes. He was a chemical code only, meaning no chest compressions or shocks, you just give him Atropine and hope there's enough circulation left to get it to the heart. His heart starting beating again, but there was a definite change in his status. He was no longer responding to questions. Family was there when it happened and they changed him to a "no code." He was stable last night, but no longer really responding.
The pt I admitted around midnight on Friday had come in with a 3rd degree heart block (atria & ventricles not beating together) and a rate of about 35. They gave her Atropine in the ER, she went up to about 40, then back down, then converted over to sinus rhythm. She was fine for me that night. Last night she kept bradying down and flipping over into heart block again - she's getting a pacemaker today. We put the external pacer pads on her and had the Zoll in the room so if she wasn't conducting we could do it for her.
Just two patients of several that we had to watch. What a difference 2 years makes! Well, almost two years. If all this had been going on when I first started I think I would have been a nervous wreck! That's why you always have to keep up with your education, go to skills labs, just keep on top of things. I guess what I'm trying to say is that I don't feel stupid anymore when things happen - I know what to do. And it helps that there's always other people around to jump in and help you, you're not on your own.
Worked with Melodee & Diana last night, Diana made me feel good this morning. I was the "resource nurse" as I'd been there the longest; means I'm supposed to know answers to any questions the other two have about their patients, procedures, protocols, etc. Diana said she enjoyed working with me and I was "very knowledgeable." That was nice!
Update on the elbow. It was doing fine, scabbing over nicely - looks worse than it is and everyone was commenting on it. The big scrape on the side looks worse than the tip of the elbow. Then just before I left this morning I whacked it on the corner of the Pyxis (holds medication) hard enough to make me almost cry and to make it bleed. I was going to upload a picture, but I'm getting a hacker alert so can't turn off the Internet Security. Isn't that just what you wanted to see!
|5/25/03 Sun (2018): The picture on the left is 2nd day after the fall. The one on the right is from this morning after I got home from work. Picture on the right, the left side of the big scrape is what I hit, and you wouldn't believe how much that bled!|
|What an exciting life I lead, huh? I mean, if the most interesting thing I can do is post pictures of a banged up elbow, well.........|
|5/26/03 Mon (2235): Let's see, today was the observation of Memorial Day, what did you do? Since I don't work 5 days a week anymore, 3-day weekends don't exist. I didn't work today. I wasted the day by sleeping - for some reason I was really tired!
My horoscope: 'Excellent day to blow soap bubbles in unusual places. See if you can get them to drift by people who are thinking too hard.'
If you haven't seen it yet, check out the page I added to the family section, here.
|5/29/03 Thurs (0943): Well, I already had this written and then it wouldn't save :( Now I don't feel like writing it all over again!!!!! Worked on 4West last night and it was a good night, only had 3 pts. One of them was a friend of my grandparents, took me a little bit to figure out who he was as his legal name is not the one by which I know him. (I have permission to talk about him!). Spoke with Honey this morning (my grandmother) and had to laugh when she asked if I had to catheterize him. Told her he didn't need it, but if he had I wouldn't have been able to do it - not when I've sat across from him at the dinner table!|
|Okay, I promise (I think!); this is the last one. Elbow 1 week after:|
|5/30/03 Fri (0246): Hey - today is Hug Your Cat Day! You don't need a special day for that, hug them every day! On this day in 1536 Henry VIII married Jane Seymour. You can go back to those Tudor pages to read about her.
My horoscope: 'You will discover a small flaw in your character. Meditation and Ginseng tea might clear it up. Or if not that, then a few gallons of cheap wine and an adventure involving a cart filled with garbage, some gold coins, and a goat.'
If I can manage not to stay up the rest of the night and get a little more sleep, I'd like to go see the movie, Finding Nemo. It's an animated movie about fish, yeah, fish! Looks cute.
And, one year ago today I made my first entry into the journaling section of my webpage. It's been a year since I started this webpage , what do you think :) I think I've improved.
|6/2/03 Mon (1331): Today is Yell "Fudge" at Cobras Day, so the next cobra you see you'd better do it! On this day in 1953 the first televised Coronation of a royal monarch, Queen Elizabeth II, was broadcast.
My horoscope: 'Beware of unwarranted electrical assumptions today. On the other hand, a shower of sparks and a bit of ozone can be fairly exciting...'
Worked on 4West the past two nights. Saturday night was busy, so much so that I never got a break for dinner, neither did Jessamyn. Still, managed to get things done on time. Last night was much better. Although only one of my pts was still there, I knew 2 of the other three I picked up. I even managed to get one chart done before midnight, wow!
I was waiting for the Day nurses to get out of report and the phone rang. I picked it up and answered, "Barbara, 4 West." The person on the other end paused, then said, "oh, I was just seeing if you were working," then hung up. I am not good with the fast comebacks, darn it! I should have said, "well, actually I'm watching TV and drinking a beer right now, what do you want?" Turns out Fariba was looking for me so she could say hi before she went to a class at the hospital.
I had an appointment at 0800 over at Sharp Mission Park, time to get the boobs squished. I know it's a necessary evil, but I'm sure a man invented the procedure!
|6/3/03 Tues (2324): Today is Mount Chimborazo Day! I had to look it up and this is what I found "Celebrate the mountain peak that sticks out farthest into space. This Ecadorian mountain reaches 20, 561 feet into the air. Mount Everest reaches 29, 029 feet, but doesn't stick out as far as Mount Chimborazo due to it's location relating to sea level."
On this day in 1937 the Duke of Windsor married Mrs. Wallis Warfield Simpson; you can read a little bit about him here.
Word of the Day: hew \HYOO\ verb. 1: to cut or fell with blows (as of an ax); 2: to give shape to with or as if with an ax; 3: to conform, adhere.
My horoscope: 'You will start having strange dreams of becoming an aquatic creature. Eventually, you'll spend nearly all your time in the water and will attempt to get strangers to throw you fish.'
I certainly don't like this schedule of 2 days on then 2 days off! The first day is a waste as I either come home & collapse and sleep off & on most of the day or manage to function for 2-3 hours, then stop. Then, as usual, I'm awake most of the night so I have to sleep some during my 2nd day off. Now I'm awake again, but have to work the next 2 nights!!!! Hopefully the next one won't be changed as much and I'll get the schedule I want.