Saturday, October 26, 2013

Staff Meeting - the reason I'm on Prilosec

Can I just say how much I HATE staff meeting. Maybe "hate" is not the right word.... ummm detest, loathe, abhor. I have never yet come out of a staff meeting feeling like management thinks any of us are competent. It is two hours of either a new process that is going to make my life hard, new paperwork that is going to make my life hard, new device we are not really going to get trained on but expected to use - which makes my life hard, or why aren't you guys doing anything right????? All this by management that is not even remotely clinical.

So we are trying to up our satisfaction score. Apparantly reimburesement is tied to this - thank you Obama. There is a desperate attempt to make every single patient happy. The underlying problem is that I am an RT. I don't do one single thing that isn't uncomfortable or downright painful. I suck snot out of your lungs, I shove tubes up your nose, I stick needles in your arm, I make you cough and deep breath with an abdominial incision.

So I listen to the staff meeting spiels - the first speaker is a complete idiot I have absolutely no respect for so I blow that one off. The second was interesting and although I don't agree with their basic premise I do think that okay I probably could work a little harder at a pleasant deamanor, calling people by "Mr. or Ms." etc.

First patient of the day. I am set. I have worked thouroghly on my attitude. I am going to help this gentleman today. I am going to get high scores. I am going to go out of my way to be pleasant. He tells me to "fuck off".

Looks like our remiburesement is going to suck.

Saturday, August 13, 2011

600 pounds of lovin! No kidding 300+ kilos. I have never seen a human this wide. Her neck is bigger than my butt. (And that is saying something!)

I am standing in the room as the dietician goes over her diet. Nice little dietician says ,"Is there any foods you dislike that we should not bring you?" I am thinking "does she look like there is anything Orca doesn't eat ?" And Orca pipes up "I don't eat celery - it's a personal choice."

The laugh through my nose came out as a snort. The only food known to man that takes more calories to digest than there are in eat and that's the one she WON'T eat !

Saturday, May 7, 2011

you know it's a bad day when....

your first report is...
"40ish female came into the ED with OD, lying naked on a stretcher, pulled a bottle of pills from her VAGINA and proceeded to take them all."......

....so is this diagnosis called a vaginal OD?

Wednesday, March 30, 2011

Ah another day at Mercy Medical. (Yeah that's a made up name). Had the nicest little old lady. She's dying. She knows it. I was trying to pamper her. Got her a warm blankie, some juice, did her treatment. I was leaving and told her thank you very much. She looked at me and said "Be good to yourself today." Now I don't know why she said that but it did make me think. Am I good to myself? Do I take care of myself? Hmmmm. Probably not as much as I ought. So I am going to go buy chocolate. :)

Tuesday, October 26, 2010

57 Female. 3rd admission. Positive for opiates, barbituates, and benzoids. Doc can't figure out wahy she isn't waking up and insists on a head CT, and MRI, carotid artery studies, CT angio to rule out pe, and DVT studies. I ask him - um could it be the opiates barbituates and benzoids? Since she was in here a month ago - same problem. He patiently explains that she has an infiltrate in her right lower lung. Uh-huh - could she maybe have aspirated??????????
Well - he says it COULD be a PE so we have to rule it out.

Family is asking doc if this is stoke? Bleed? Infection? Why does this keep happening to mama and why can't we figure out what is wrong?

I want to scream "BECAUSE MAMA IS A BIG TIME FREAKIN' DRUGGIE AND YOUR DOC IS A JACKASS !!!!!!!!!!!!!!!!!!!!!!!!



Really really glad I am in a different unit today.

Tuesday, June 8, 2010

Make SURE the versed is still on board!

So my buddy (an RN) is not real tolerant of drug od's. After dealing with the same stupid chick THREE times he has had enough. She comes out of her od stupor and ...of course... is a belligerant, foul mouthed little freak.

After f'ing him this and calling him an f'ing bastard he had enough and puts down her meds and begins to walk out of the room. She yells at him, "you just don't care do you?" That was the final blow. He turns around, looks at her, and clamly says "You're right. I don't care. I think we should have let you die." Turns back around and exits the room.

Dammit the versed had worn off and she remembered

every

single

word.



I gave him some advice after he met with his manager and the HR department.

Dude no matter what - you can't tell them what you really think.

Monday, December 1, 2008

management - got to love 'em ... or laugh at 'em

So about nine months ago we were told two things in staff meeting.

#1 Everybody is working mandatory overtime and we are not paying as much for it as we used too

and

#2 oh, and here is a survey the corporation would like you to fill out concerning our management style.

Now you would think they would separate these two things by, say, a month or two. But our management does not necessarily see the connection of things. Needles to say our department came in rock bottom of the whole damn corporation. Rock bottom.

Einsteins that they are decided the problem was that we, as therapists, didn't feel recognized enough. So how to solve this? Of course! Send out another survey.

Low and behold in my box this morning is the survey. The very first question is something like "what does recognition look like to you?"
I put down, "a really big banner, a 14 and1/2 inch trophy, confetti, and possibly a parade."

Hope it puts an end to idiot surveys. Yeah - I know - wishful thinking.