dexter: at work

Trading ~whore stories~

(This ended up being long, so, for those not interested in the full background, I'll mark the more savory bits in bold.)

Worked today, usual chaos. My shift is usually 7a-7p, but then needed someone to stay an extra few hours because of a call-out and the only nurse who could come in couldn't come in until 9. I volunteered, since I'm off for 3 days and, to be honest, I'm usually there finishing up all of my documentation anyway.

6pm rolls around and the shit hits the fan -- which is to say, there was all the usual bullshit, but new, crazier bullshit heaped on top of that.

I had a patient, a homeless guy, cut his hand and let it go for a few days before coming to the hospital. It became infected, they had to cut out the abscessed portion, pack it and dress it. He's supposed to keep his arm elevated to reduce swelling, and is on scheduled antibiotics.

That is, of course, the least of his concerns. I basically played waitress for him all day -- "Can you get me a coffee, plenty of sugar?", "Can I get a cold beverage?" One of those patients that seems incapable of asking anyone else but the nurse for anything, just comes out to the nurses' station to ask you directly, regardless of whether the tech was just in the room ("Can you tie my gown?"). (To make matters worse, he has MRSA, so I have to gown up everytime I go in the room.)

So, 6pm rolls around, he is due for his IV antibiotics, which take 2 hours to infuse. I hook him up to the pump. 15-20 minutes later, he's asking if he can be disconnected so he can go off the floor to smoke. I try to explain to him that it's important that his antibiotics are given at the time they are ordered, because we have a protocol as for when we draw labs and monitor the levels of the meds in his bloodstream, to ensure he is getting the most effective dosage of medication. He just doesn't care, what's the big deal, he'll be gone for 15 minutes and then he'll be back. (My manager is sitting at the nurses' station at this time, and she also tried to explain to him.) I tell him finally that I need to call the doctor first so he's aware that when we do draw his labs, they won't be accurate.

I'm on the phone with the doc, and the guy starts getting agitated, yelling, saying he'll leave AMA if we don't let him go, goes to try to disconnect himself from the IV.

The doc comes up and basically gives into the demands of an overgrown toddler throwing a temper tantrum. Tells him he can go off the floor and get the meds when he's done. He starts to walk away and my manager actually says to him, "Are you kidding me? You're letting him stay? I'm tired of the patients running the floor -- you give them what they want, but you get to leave and don't have to deal with the patient all day."

It's just the usual bullshit of running a hotel/diner, where the patients can come and go as they please, nevermind the fact that they could be god-knows-where and we have to chase them down to give them their fucking meds and do our job.

Security had to be called because he was getting so unruly.

Then, less than an hour later, I've got another ordeal on my hands. One of my patients had a fall and has some lasting neuro effects -- he's expressively aphasic, so he has difficulty finding the right words and expressing what he wants to say. He's rather loud, says "NO" very loud and emphatically. He's another patient on isolation for MRSA, so they're ideally supposed to stay in their rooms (MRSA patients are cohorted, and we gown up and everything to decrease the risks of transmitting from one patient to the other, even if it's more so transferred via direct contact with some kind of fluid or whatever). It's of course peak time for me and I'm trying to get all my meds off to my 6 patients, so I try to keep redirecting him.

I'm in another patient's room and I hear our secretary call my name and tell me to look where my patient is -- he's sitting behind the desk of the nurse's station, trying to use one of our computers. I ask him to go back to his room, try to explain that we need patients to be in their rooms so we know where they are and can give them their meds, etc., etc.

Keeps wandering (the night before he apparently wandered and got on the elevator and they had to call security). Next time I catch him in the computer lab that the docs go to, again, trying to use the computer. I can't understand him, he's visibly frustrated. Again, I try to walk him back to his room, but he overshoots it and goes the other way.

Then things get ugly. Increasinly agitated, he basically tells me the "fuck off" -- not as well put together, but there was a clear "you" and a clear "fucking" directed very loudly and angrily towards me. He refuses to go to his room.

Call security again, and this time 3 guys come up. I have to get them to hold him down while I give him Haldol to calm him down.

This angered him. Fractured our relationship very much. I had to give him some insulin later, and THIS time, he tells me (again, very loudly, very pointedly -- think of the POTW in the House ep "Failure to Communicate," only louder, and he can't write stuff down):

"You. Need. Sex."

Then, under his breath, I'm fairly certain he called me a whore.

Hey, I won't argue with the first point. I don't know if he thinks I'm taking out my frustration on him, if I'm doing it all to attract the handsome security guards, if it's some sort of power thing -- who knows.

I just... ugh. This job. These people. I think I've had ONE day I can truly say went fairly well and I got out on time.

In months.

On top of it all, I had a shitty tech who can't be bothered to do her fucking job, and management does nothing about it -- we get the standard line, "Well, ultimately, it's the nurse's responsibility to [insert task/function here]." Like no one gives a fuck that we're doing everyone's job.

Other than that, I've been sick lately. I went to the ER 5 times between 9/2 and 10/15(ish) for severe abdominal pain, nausea and vomiting, and everytime I walked out with a different diagnosis. In the process, they found a endometrial polyp, which is more commonly found in women over the ages of 30-40. My GYN recommended I have a D&C, but, I got some recommendations at work for a different doc that deals strictly with GYN-related surgery, and is actually like an in-vetro practice. It's something that, if not done carefully, could result in scarring, or not getting the whole thing and having to have subsequent procedures, and all of that could also effect my fertility. I already missed a lot of work dealing with the gastritis thing, so it's going to be something I have to try to squeeze in and schedule creatively.

I'm just so over everything. This job. People.

To make up for all of the complaining, I will say that I do truly love the nurses on my floor. There's really not a single nurse who isn't willing to help if it's needed, and that's really valuable as a new(er) nurse. Particularly when all through nursing school, they keep repeating the whole "Nurses eat their young" theory.
hmd: actor: js/le: omgnowai

(no subject)

I got a package yesterday.

And then comes that moment when you remember you totally half-asleep-ordered (the second cousin of drunk dialing; or the nerdier version for those with Amazon Prime) DVDs, including:

- Parks & Rec Season 1 (it gained momentum in season 2, but it's no slouch in season 1; even though I'm becoming very annoyed it's not being released in blu-ray)
- Seasons 1, 2, and 3 (BLU-RAY!) of Deadliest Catch

Annnd, IDK, there could be more coming. I could look at my recent orders, but I'm kind of enjoying this mystery as it unfolds.
sn: dan: is cooler than you

(no subject)

- I went to see Scream 4 with my sister, melding of our childhoods and whatnot. It was okay; I wasn't expecting much, and, most importantly, it ended up being free. The center of the screen was yellow, unrelentingly yellow. We went to the manager at the end (and my sister had mentioned it to someone during the movie, so we weren't total jackasses waiting til the end of the movie to complain) and he says, "Yeah, I know, I watched it the other day. No idea why it's yellow." Um, okay, thanks for the free passes and all, but -- if you KNOW it's fucked up, why keep showing it like nothing's wrong? Whatever. F-R-E-E.

- It was nice out today, so I washed my car. IDEK why I bother, because I spent probably an hour or so on it, and it ends up looking streaky. I dried it off, but there were still areas where it looked like I missed something. Still looks better than it did, but also still annoying. Collapse )

- TV. House is depressing... and if I read something TPTB have said, sometimes infuriating. As rockcandy83 pointed out, I am BLESSED with the OMG!MASTERS ep on my birthday; as I re-pointed out, at least it'll most likely be a CFB promo for my birthday? I woke up late (way late) last Monday for work, and as such, never set up my computer to tape 7x18; somehow, I lived. My House depression has led to new shows, namely: The Good Wife. I caught an episode a few weeks ago when I came home from work and my parents were watching it. So, I did something completely unorthodox for me -- I actually watched. I watched current s2 episodes without seeing s1. Rectified that by buying the first season on DVD; I finished is last night. Now I've got to watch all of the s2 episodes I did not watch. Really love it, though. Josh Charles as Cliff Will Gardner is like Dan Rydell in another, more lawyerly life. Alicia, Kalinda, Diane... plenty of kick-ass female characters to enjoy. Do want.

Parks & Recreation continues to be my Happy Place. There's no way to not be giddy after watching that show. Nurse Jackie, I'm kind of getting tired of Jackie basically lying and getting out of things all the time. I'm also watching The Borgias, which is great, but -- why does everyone have an English accent, even if they're Spanish or Italian? This is how I felt about The Tudors, too. My dad told me, "It's television?" and I reject that logic.

- Tumblr. I has one: getwhatyouneed. I made the account before "Bombshells" aired; it has taken me exactly this long to tweak it and such. Might even start posting things, hopefully on a faster timetable. Hit me with yours so I can follow you like a creeper.
hmd: cuddy: strut

(no subject)

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How many inaccuracies, opinions expressed as facts, ASSumptions, and examples of magical thinking (or, for the more advanced, conspiracy theories) can you spot? Bonus points awarded, as usual, for the truly astounding offensiveness. I want to give everyone a chance to play, so I held off on deconstructing it myself right off the bat.

On a related note, just before the last House ep came on, I wrote up a pre-ep post-ep review -- I think I came pretty close to nailing it, y/n?

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hmd: cuddy: compose yourself

orientation (with a side of TMI)

Orientation is ongoing. I'm very tired, and it's mostly just sitting and listening to long, dry, boring lectures. Up at 5am, home around 4-5:30pm. Tonight I had some homework to do and I cannot stress enough how obnoxious med calc is. Not like riding a bike.

Yesterday was awesome, as I got hit with a fun little stomach virus that sentenced me to the bathroom for most of the afternoon duration of the orientation. I came home and basically went to sleep until 7, woke up for a couple of hours, and went back to bed; was still a little sick this morning, but after popping some pills, was okay for today. I'm also due for my period, so today I've battling stomach cramps and nausea as well as a very real craving for some chocolate and ice cream (seriously, I got ice cream last night but couldn't even eat it). AND IT'S BEEN RAINING FOREVER.

There's a girl I went to school with who's also starting the same time as me, same unit, only she's night shift (actually, I've now met 3 people on the same unit, but all of them are nights). Still nice to know someone going in. I'll meet with my nurse manager tomorrow afternoon and, hopefully, get a schedule (and perhaps meet my preceptor? I don't really know).

Tomorrow will be somewhat torturous, I suspect, because, on top of Thursdays already being a busy TV night, the Bruce Darkness documentary airs on HBO, but I'm probably going to forgo watching so I'll be able to wake up and stay awake for Friday.

Fortunately Friday only goes to 12:30. Guys, I've barely even opened my laptop this week, and while this delights my mother, it's very sad for me. Hope to resume and catch up this weekend!

(Seriously, only just now do I need to plug my laptop in to charge -- since Monday. This is so sad.)

Oh, also. My GPS is totally fucking with me. As usual.
le: crazy

(no subject)






I submitted a post with a link to a new promo that went up on the FOX site. It was relatively flaily.

THEN I checked my laptop, where I'd been recording Fox out of sheer obsessiveness, and, DUDE.


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hmd: cuddy: nine

(no subject)

Whoooa, two updates in one day, three in two days? Freakish.

I need input, though. HR called me to tell me they can offer me day shift (7a-7:30p) if I'd prefer that. Obvious pro is normal sleeping pattern; cons: it'd pay a little less (like $5500 annual, so not as much as I thought, taking into consideration the middle shift differential), might be busier. There's probably more pros/cons to look at, but those are the most basic.

I don't know, the business factor might be the biggest selling point of the night shift, but while I definitely consider myself a night owl, I'm not stellar when it comes to daytime napping, never have been. There'd be at least 4 days I probably would barely see my family, I'd be on the opposite schedule of everyone else, and having to adjust for my off time may be a challenge (at least initially).

Any experience with working nights? Thoughts?

Here, I'll make this post sexier: