Sim Patients

So usually we have Sims lab at Radford university even though we have our own Sims lab. The sad part is that there is not enough faculty to actually run it. But this last Thursday we actually got to use it will our teacher. Now mind you it wasn’t as organized as our main SIMS. But these SIMS were set up to keep failing as we were failing. For Example the first group of 4 went up and had a patient that was in the ER for a knee amputation that was bleeding. So they knew that they had to put pressure on the site. But there was no orders to go by to figuring out the meds or protocol was really hard. They hung Fluids and gave pain meds…but the patient got worse and before you knew it they were doing CPR. It was actually more comical…because they were running around..and it was so chaotic… But they were trying harder and harder and the patient just got worse…I was dreading my turn…well out patient was a surgery patient that came in to the ER unconscious with a crazy wife that we had to try to calm down and get out of the room because she was beating on the patient. Come to find out we had to go back and get info from her to find out that the patient had OD on Lortabs. So we had to give Narcan and fluids…and then the patient of course got to decline on us and we had to use the ambu bag on the patient. The more we did the more thing the patient declined….it was comical..but the reality is it was scary as hell…that at some point…i will be doing this for real!
We got to practice putting in ET tube…which was awesome…

We also convinced the teacher to do the simulation…so we could have a good laugh..forgot she worked in ER on her summer days…crap she did pretty good with 2 other students…even one of the students pretended to be the girlfriend of the gun shot wound patient…now that was comical…she did an awesome crazy person…so that was my fun on Thursday. We also ate out to celebrate the last clinical for the year!!!! whoo hoo!!!

My life in ciaos

Okay dialysis paper and AA are still due,
Get tomorrows notes for muscular system too.
One more dose of Sim’s Lab left to do,
I haven’t even started the questions, boo hoo.
Registration for spring, Graduation form turned in,
More money to come up with, this should be the end.
Make up clinicals for the free clinic coming soon,
Time for 12 hours at work, great a full moon.
12 hours nah, let’s make it 14 hours instead,
No help again, guess i will come home dead.
Get out the poster board, get out the glue,
It’s time to teach brushing teeth to rugrats too.
1st of the month, have i done the bills yet?
Nope its the 5th and I am now far in debt.
Kids to and from church tonight,
Say a pray for mom alright?
School uniform washing for clincals next week,
I forgot my uniform last time, i just started to shriek.
Questions for psych, missed that email,
Hurry up, hurry up, I am going to fail.
Dog jumping on laptop
Feed me Feed me you forgot!
12 year old cooking again, not time to stop,
My Care plan is due, my head is about to pop.
School nurse and OB next on the list,
Oh darn, man’s birthday I just about missed.
Christmas shopping done yet? It’s almost here,
Nope last minute shopping for me I fear.
3am care plan is done,
Printer has died, oh great, what fun.
Why does this thing decided to waits until then?
Jump drive and email to the rescue again.
Woke up at 5 with sick kid number 2
With a nice temperature of 102.2.
Kid 1 calls, my lunch pail is at home!
Sorry mom is in school, can’t answer the phone.
6 months to go, until the big date,
Won’t my life be dull….after I graduate.

Moon Crazies patients

(pic took w/ my camera attached to my dads telescope)
Have you ever experienced Moon Crazies behaviors associated with the Full moon?
I work in a Long Term Care Facility and I HATE full moons because for next few days it seems like all of the patients I care for are louder, more prone to disruptive behavior, more unwilling to cooperate, and would revert to behaviors they usually don’t do like (biting, nudity, screaming fits, destroying property, refusing medication, etc).
I've Bet my readers out there that are in other professions have experience some type of Luna craziness, i.e. (cops, ER workers, EMTs, funeral directors, coroners, mental hospitals workers). Have you noticed?....Are you a believer of this phenomenon? Tell me what do you think? Share stories…or just tell me you think its all in our heads. That we expect the worse so the worse happens?

I know that my pts refused to take their medicine today, were trying to climb out of their beds without assistance, crying more, moaning more, yelling more, and I swear at one point today all my call lights were on down the hallway. Not to mention I must of had to call the doctor at least 4 times today to get some type of new meds…ugh Even fully staffed today and I feel like I ran a marathon today…darn full moon…give it a rest already

This coaster ride of live…i am ready to get off please!

I know that live has its ups and downs…but lately I feel like i am getting a little sick to my stomach and I am ready to get off this ride of life.  Not ended it like in suicide more as in lay on a beach chair on a tropical beach and have some hunky waiter waiting on me hand a and foot.  Between school and my family and I think you might find me in the mental ward or jail..lol

First lets start with the constant bickering. My girls are 15months apart and completely opposites.  My youngest is the girly girl, organized and apparently a grade level below in reading.

My oldest is the tom boy,  who never seems to comb her hair and her room looks like a bomb went off.  If you don’t keep up with her she will wear dirty clothes if left on floor.  She is unfortunately taking more after my ex than i wish.  I just found out she  got a F in math. 

My redneck man, who grew up with a mommy that did everything for him…possible wiped his ass is sloppy, constantly cusses, and had inherited the family pass time of drinking.
Now mind you I am no angel. I can be hard to live with.  I am a perfectionist, organized and can all around be a bitch.  Or at least my man seems to call me that most times.
So my dilemma is do I try to fix the family issues or hope that all can survive for the next 3 months and 5 days left before I graduate and pray no one dies?

My man is no help. He won’t take the kids any where. Not to band or church youth group. He works hard and thinks kids would do better if just left with nature and not culture.  Making him in charge of the kids education is scary and would be better off in my dogs paws.  He has taken over cooking but I think he did that because I have slacked off on it and gone to quick and easy meals.  That’s about all he does.  My youngest helps out the most and will do anything if asked.  But she shouldn’t have to do it all herself.  In fact the man has learned that and will inform me that the house got clean and most of it was done by her.  While he drank his beer and watched. My oldest…uh lets just say its never done right and most times you have to go back and redo it anyway.  She has struggled in school to the point that i had her test to make sure she wasn’t ADD.  Nope she was borderline.  So no help there.  My man is high against any drugs to help her focus.  Oh did i mention she still wets the bed?  she is 12. dr said there is nothing physically but possible age issues.  Meaning she will grow into her bladder.  He told me 2 yrs ago we could put her on meds for it.  Which btw is an antidepressant with suicidal ideation as a risk…so uh no thanks,  So reading most family blogs I see everyone else's kids excelling and skipping grades…what the heck am I doing wrong? we do extra math and reading.  But heck some of that math was 20yrs ago when i did it.  The teachers are a joke.  I mean don’t you think they should have let me know she was slipping in grades instead of waiting till it was on the report card.  This kid had be grounded from everything.  No videos, no TV, no overnights, and this time i am not letting her go to the dance.  I mean this has been going on for the last 2 yrs at least.  She knows she is suppose to show me the low grades so that we can work on them.  But i never seem to see those papers.  Unless i am there in class holding her hand and telling her what to do I am beginning to think we might not make it to high school.  Is anyone else out there having issues?
and as for the man that's another blog

psychotic or demented?

Okay so you get a new pt because the state hospital has declined them…an emergency admission. Yea! Then your told that the pt. like to wander..ok demented…also likes to attack for no reason..never no what might set him off. Great…why is he in a room with a pt that can’t get out of the bed then? Sometimes uses the bathroom and sometimes doesn’t. Won’t always let you assist him to the bathroom and won’t wear depends…great…stays up 3days at a time then crashes for a day. Hey lets put him with other pts who are trying to have a normal life and sleep. Then it starts all over. Well lets just say within 12 hours Haldol was ordered..because he tried to attack a nurse. So does the state still think its dementia and not psychosis? Give me a break…what makes him crazy when he attacks a resident or a nurse? Hello he already attacked the family member and police was called…ding ding ding can we say crazy??? We are not staffed to take care of this high need patient…why the hell did we accept this pt? Just to fill a bed? Thanks admissions…we get the bruises and you get the money.

weird redneck stuff

okay so I have learn that the rednecks here are entertain with simple things, eat strange things and say weird stuff here goes…

1. My husband does not like cake…let me say it again does not like cake but his mom will insist on making cake for his birthday every year that never gets eaten….what does he like?  Icing…as in tube of it and eating it plain… So my daughter bought him that tube above..
2. Leading to my mans next obsession…the color of his poop after eating such an item…or asking others that have eaten blue poop coloring icing…yea just what mejis wants you to ask…is the baby’s poo blue?
3. Following a comment the next day…i tried to take a pic of the poo with the camera..but the lighting was all wrong.. serious?  just the lighting was wrong with that statement? sheesh
4. What did his sister get him for his birthday?  A whole pork loin…hmm meat from your sis…redneck
5. My crazy redneck lab dog…enjoys cleaning my mans toes…only his toes…and i have seen him chewing on his toe nails…can you say ewww gross!!!
6. My man has chewed on a milk bone just to aggravate the dog…mmm minty fresh!
7. Another gift for his birthday…moonshine..yea major redneck border lining into hillbilly
8. My man also has no problem with a birthday cake like this…. yup he watches SpongeBob…blames the kids..yet they are sometimes at school when he is watching
9. my hubby finds it funny to throw farts..ask for a hug and then fart…pull the covers over your head..fart…oh yea what entertainment
10. Also i have learned when he says hey look a raccoon…does not mean its alive…sure Hun lets play identify the dead thing on the side of the road..whoo hee
11. I have learn also that rednecks cannot take pictures…even if they have the same camera as me…people are never centered, and 12 pictures of the same bird is not exciting…unless its rare…but a sparrow or whatever that bird was…not interesting
12. When my man want his brother…he will ask me to message mejis and have her tell him…ugh..its called the telephone..or even sadder walk up there…they live right behind us…
13. Or if his brother is shooting or playing with fireworks…mine has to retaliate with his own gun or fireworks…like he has to one up his brother..is that some type of redneck mating dance…bang i have big balls…i am sexier..come mate with me? good grief…anyway that is my redneck man

weird redneck doings

okay so I have learn that the rednecks here are entertain with simple things, eat strange things and say weird stuff here goes…

1. My husband does not like cake…let me say it again does not like cake but his mom will insist on making cake for his birthday every year that never gets eaten….what does he like? Icing…as in tube of it and eating it plain… So my daughter bought him that tube above..
2. Leading to my mans next obsession…the color of his poop after eating such an item…or asking others that have eaten blue poop coloring icing…yea just what mejis wants you to ask…is the baby’s poo blue?
3. Following a comment the next day…i tried to take a pic of the poo with the camera..but the lighting was all wrong.. serious? just the lighting was wrong with that statement? sheesh
4. What did his sister get him for his birthday? A whole pork loin…hmm meat from your sis…redneck
5. My crazy redneck lab dog…enjoys cleaning my mans toes…only his toes…and i have seen him chewing on his toe nails…can you say ewww gross!!!
6. My man has chewed on a milk bone just to aggravate the dog…mmm minty fresh!
7. Another gift for his birthday…moonshine..yea major redneck border lining into hillbilly
8. My man also has no problem with a birthday cake like this…. yup he watches SpongeBob…blames the kids..yet they are sometimes at school when he is watching
9. my hubby finds it funny to throw farts..ask for a hug and then fart…pull the covers over your head..fart…oh yea what entertainment
10. Also i have learned when he says hey look a raccoon…does not mean its alive…sure Hun lets play identify the dead thing on the side of the road..whoo hee
11. I have learn also that rednecks cannot take pictures…even if they have the same camera as me…people are never centered, and 12 pictures of the same bird is not exciting…unless its rare…but a sparrow or whatever that bird was…not interesting
12. When my man want his brother…he will ask me to message mejis and have her tell him…ugh..its called the telephone..or even sadder walk up there…they live right behind us…
13. Or if his brother is shooting or playing with fireworks…mine has to retaliate with his own gun or fireworks…like he has to one up his brother..is that some type of redneck mating dance…bang i have big balls…i am sexier..come mate with me? good grief…anyway that is my redneck man

Redneck Texting

I will tell you that first I am not a fan of texting.  Never had it and usually block it from my plan so I don’t get charged for stupid texts.  Hey its call the invention of the telephone…you just talk in it.  Okay Okay i know that in some instances texting is quiet and doesn’t disturb others but anyway…I have finally moved up in the world and got a blk berry.  Which just feeds my internet addiction.   I got it because my instructors are constantly emailing and changing their minds when if comes to meetings and deadlines.  Now I get my emails straight to my phone just in case they change their mind at the last min.  Anyway on to the redneck world…my hubby got a new phone when we upgraded and it has a better signal than what we had.  So my hubby, who goes to bed at 830 most nites, was up until 12 midnight playing with his new phone.  Even called me from the bedroom for me to bring him a beer…great now we have room service?The package that I have with my phone gives us free texting.  So for shits and giggles I sent him one while at work on lunch break…only after the second one I get a message that say F Y this shit sucks just call me… (that was the exact message) well at least it was spelled right my brother in law has issues with spelling.  I know the king of taking pictures of every Efin  nature thing in the world and send it to me via texts pics….yea!  Yup its a flower…and another flower..lol  But the most amusement he has right now is calling with in the house to ask whatcha doing?  Like he doesn’t call me enough already throughout the day. Sheesh. But to top it all off was when he ask me to ask my sisterinlaw to ask her man to send him that picture of the cougar dragging off some deer.  Why can’t they talk to each other?  Why are we the go to person?  Have they forgot how to use the phone? Pfft!

fake seizure

 

I would like to share this video that I found…which can kinda tell you what I have to deal with some days.

So a few days ago I get an EMS call over the radio saying that this patient has had 10 seizures on route to the ER.  So this patient is coming to my room that I am assigned to.  It had been a long time since I had to deal with a seizure.  My coworker are laughing about it and me new to the scene have no idea why.  I look up and there is this woman lying on the stretcher with her arms flapping and legs kicking.  First I was like wow…then when I really got into the room I was like what kinda of fit is this?  Then it stopped.  She didn’t talk for awhile.  Then started acting like nothing was wrong.  I asked all the questions and got her list of meds.  When I was done I went to the nurses station.  They said first time you’ve seen her?  I replied yes.  What the heck kind of fits are those?  I know that's not a seizure.  They said they are pseudo seizures. (fake for the non medical people).  She’s a regular the proceed to tell me.  Well then I hear a bunch of ruckus and notice my adult patient having a “seizure which looked more like this…  minus the crying…the doctor had entered the room.  He was wise to this act and instructed the woman to stop.  That he knew she was not indeed having a seizure.  She just intensified it some more.  So we came in to help.  Was instructed to get some ammonia sticks.  Which is use to help regain consciousness of a patient that has passed out.  Let’s just say if your faking it’s like sticking your nose right over a bottle of cleaning ammonia and taking a big o’le whiff.  She stopped her “seizure”  so she could roll away from the awful smell.  Forgetting she was suppose to be kicking…and she had just one hand going now.  He instructed that she stop or he would have to use the ammonia again to help calm her down since now she was shoving the doctor away and banging her arms on the side rails.  He stated that he didn’t want her to harm herself but she kept pretending to be having seizures.  After the 2nd dose of ammonia she stopped.  What makes people want to do this?  Mental issues?  Attention?  Drugs?  Found out drugs…she was telling the doctor she needed Dilaudid for her headache that the seizures caused….can I get some for the head ache she caused us?  GRR
PS:  I also was informed she isn’t the only regular that does this.  In fact the patient will state in her history part that she has pseudo seizures….dear lord help me

Mental hospital

Okay so we did our orientation at the mental hospital. It was a bit boring…HIPPA this HIPPA that…I found out that I will be doing my clinicals in September. I will either been in one of the Wards or I will get to be in one of the group therapy sessions. Worst would be going to court and having to listen and find out if they can go home or not. Not real interesting to me. I would rather be on the ward. Some would rather do the court. Why? Because they don’t like being in the mental hospital. They don’t like the locked in feeling. Give me a break. Or one…(giggling) actually back up against the wall every time a patient walked by…hmm do they think they will never encounter a mental patient? First of all if your in ER you are really going to see the crazies. I work long term and we get alot of the psychotic patients that don’t get committed. So believe me they are everywhere. We actually have on patient that when I give her meds you actually leave the pills on the bedside table (don’t worry i watch from the door frame) because she will just look at you and you have that feeling like she would grab anything sharp just to stab you with it. Or how about the patient when she over hears you laughing she thinks your plotting something against her and she goes ape crazy. So yes its in most lines of nursing. Time to get over your fears…cause hell aren’t we all just a bit insane?