Get Rid of the Patient


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My new home: MyStrongMedicine


OK. OK. It sounds worse than it really is. It was a joke made by a colleague in reference to the ‘common’ theme amongst different healthcare settings.

Think about it.

What do the pre-hospital staff want to do? The EMT and Paramedics are there to stabilize the patient, transport the patient to the appropriate facility (usually a hospital) and ‘Get Rid if the Patient’.

What if the patient is an in-patient. It doesn’t matter what acuity setting, Med-Surg, Telemetry, ICU. The staff is there to help mend wounds and facilitate recovery of the patient to either transfer them to an extended care facility (nursing home and/or rehabilitation unit) or possibly home and ‘Get Rid of the Patient’.

So now the patient is at the Rehab/Extended care unit. The staff there is responsible for ensuring the course of treatment assists in returning the patient to there pre-incident status and function. They progress the patient to function as independently as possible to discharge them home and …. ‘Get Rid of the Patient’!

LMAO. Big Grin

Aww. C’mon. It was a lil’ funny, wasn’t it?

Carpe Diem

New Orleans Orders Mandatory Evacuation

 New Orleans orders mandatory evacuation – Yahoo! News

I hope and pray that all who are involved stay safe and take all the necessary and suggested precautions.

I have a close friend whose family suffered severe loss during Katrina, so please take heed.

Take care of yourselves and yours.


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Reality Check

Nothing changes until something moves.

(Or someone)


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My new home: MyStrongMedicine 


Carpe Diem

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I’m a Snacker

Yep, I’ admit it. I’m a snacker.

There was a time in my life when I would snack so bad that I couldn’t stop eating sometimes. We would be watching one of our many favorite TV shows, and I honestly could eat a whole bag of chips in one sitting. It was so subconscious. It was horrible.

That was a major hurdle for me this past year. Learning how to either not snack at all, or to snack more healthy.

I have pretty much eliminated snacking at home. If I do, I grab a yogurt, or some strip-cheese. Every so often I’ll binge on a good pint of ice cream or some cookies, but it’s few and far between.

So now my problem was me snacking at work. I mean in a 12hr shift, nurses exert and use up a CRAP LOAD of energy. And… getting a formal lunch break is unheard of these days with the staffing shortages that have no end in sight. So I of course solved the no lunch problem by eating throughout the day. Yep, snacking.

So I had to figure out how to satisfy my hunger pangs at work, without shoving too much crappy food down my throat. I mean I take a great leap forward with my home habit and then fall 10 steps backward by eating nothing but candy and junk at work.

So I thought I’d share some of the ‘more’ healthy things I eat at work that get me through the day. Now by no means are these things the picture of health. In fact most have a good bit of fat content. But they have a great taste and aren’t as horrible for your body as that Hershey’s Chocolate bar, or a bag of M&M’s. Which I find are so readily available to nurses working in a hospital. Confused

So in no particular order here is what I snack on throughout the day to keep my metabolism in check at work.

IMG00029

Hostess Mini Muffins– great for the on-the-go breakfast snack

  • 15g Fat
  • 32g Carbohydrates
  • 3g Protein

IMG00033

Quaker Oats Oatmeal To Go(sorry for the blurry pic)- also a great breakfast item. I actually eat a lot of these. It’s also a great way of reducing your cholesterol! Winking

  • 4g Fat
  • 44g Carbohydrates
  • 4g Protein

IMG00031

Kellogg’s Special K Bar – this actually surprised me how good they taste

  • 1.5g Fat
  • 18g Carbohydrates
  • 1g Protein

IMG00030

Nature Valley Roasted Peanut Crunch Bar – another surprise on how good these taste

  • 12g Fat
  • 14g Carbohydrates
  • 7g Protein

IMG00035

Cutie Pie Snack Pies– sorry these are just darn good, portable and great tasting. Yep this is the one snack that’s just all around not healthy, but a vice I’m willing to live with. The funny thing is these has less fat than the Peanut Crunch Bar. Blushing

  • 10g Fat
  • 28g Carbohydrates
  • 1g Protein

(Once again, none of these are the epitome of health, but they are also not candy bars!)

Let us keep in mind, the more weight you lose, and the more muscle you gain, the higher your metabolism gets. So your body will burn calories way more efficiently and your hunger pangs will be more frequently. I have trained my body to have a snack or eat a small meal every 2-4hrs these days. So I’m not only keeping my metabolism at a steady level (instead of the roller coastering effect most of us have) but I’m not STORING any of the fat. I burn it up throughout the day due to my frequency and size of my meals. Winking

Even if only one of these items helps, it’s better than nothing at all.

Baby steps folks. Baby steps.

Carpe Diem


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A Calling

I wanted to share this article I received months ago. It’s an article written by Gina Bret, a columnist for the Cleveland Plain Dealer. It describes the response some nurses had when told ‘Patients aren’t always satisfied with how well nurses communicate, according to a recent Medicare survey.’

Here’s what they had to say:

Come walk in our shoes for a 12-hour shift. Come see the joy, the tragedy, the comedy, the 100 ways we are pulled and pushed, then rate my "pleasant greeting," "answers call light in timely fashion," "states name of patient."

Use the bathroom now, because you might not get the chance again until your shift ends. Wear comfortable shoes. Don’t worry if they’re clean. They’ll end up with blood and vomit on them.

We are the patient’s advocate, the doctor’s eyes and ears and everyone’s scapegoat. We can page your doctor, but we can’t make the doctors magically appear. We check your stitches, wipe your blood, drain your pus and empty your bedpan.

Nursing is a tough job, but we’re tougher. We’ve been yelled at by administrators, supervisors and doctors. We’ve been kicked, slapped, punched, spat on and sexually harassed by patients in various states of delirium, mental illness, arrogance and intoxication. We’ve even had chairs and food trays thrown at us.

We work mandatory overtime, weekends and holidays. We eat Thanksgiving and Christmas dinners with co-workers.

We deal with families who ignore visiting hours, bring food to patients on restricted diets and insist on staying the night even though it’s not a private room. We deal with the Florida son who orders us around to show a parent he’s neglected for years that he cares.

We cannot be at your side every waking minute.

We have 10 other patients. We cannot answer five call lights at once. We can’t stop doing CPR on a patient because you ran out of tissues. We are not maids, beauticians or cocktail waitresses. We are professionals with college degrees.

We hate that we can’t spend more bedside time with you. Swearing at us will not make us move faster. Taking better care of your health would help. Quit smoking. Lose weight. Start exercising. Stop drinking.

How do we survive? We ignore the nasty comments, the demanding relatives, the crazy staffing grids. We count to 10 before speaking. We pray every morning for strength and wisdom, patience and empathy. We drive home tired and frustrated, telling ourselves over and over, "I’m not the nurse I want to be, but I’m the best nurse the hospital staffing allows me to be." We fall asleep praying for the ones who won’t survive the night.

There is no finish line, ever. Nursing is demanding and fulfilling, and we can’t imagine doing anything else. Nothing beats washing blood and glass off a car crash survivor, stabilizing a broken neck, saving a diabetic’s leg, keeping a cancer patient in remission. The day we send a patient home we relish the unbelievable resilience of the human body and spirit.

We did not become nurses for the hours, the salary or the glamour of it all. We became nurses to make a difference.

We don’t ask for much. One sincere thank you makes all the thankless hours worth it.

I think this wonderfully sums up A LOT about what we do, what we endure, and how we feel.

Have a great day.

Carpe Diem


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Blinking & Breathing I Can’t Complain

“Blinking & Breathing, I can’t complain”.

I never thought twice about this statement until recently. Whenever someone would ask me, “How are you doin’?”. I would always reply “Blinking & Breathing, I can’t complain”. It was a simple statement I came up with years and years ago to remind myself things are not as bad as they may seem.

We all can get caught up in the business of life. The human condition is tough, and survival of the fittest is no easy task. But that’s the key. Survival.

Nurses are trained to think in extremes. We always tend to think in ‘worst- case scenarios’. We collectively call it critical thinking. This way of thinking prepares us those ‘bad’ moments during our day (I think you can use your imagination on what a nurse considers a bad day, especially when we deal in life and death).

I think we often lose touch with this philosophy in our daily lives. I don’t think we should start viewing our lives as worst-case scenarios, but we should definitely keep things in perspective.

Cherish and treasure all that you have. Time is precious these days, and before you know it you may run out of it!! (time… that is)

If your blinking and breathing… on your own that is!… things just may not be THAT bad.

Carpe Diem


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My new home: MyStrongMedicine 



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How Lazy Are We?

So today was ‘errand’ day, after making a trip to the gym for a quick workout. I had the pleasure of an empty gym.  Dancing

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Sometimes being alone at the gym is so damn peaceful.


So during our ‘errand run’, we of course always end up at Wal-Mart at some point. (Doesn’t everybody?) I once again found evidence as to why we are such an obese nation and why obesity seems to still be a problem in this nation.IMG00014

It may be hard to decipher from this pic (that I took with my phone), but what you see here is more proof of how lazy someone can be. Apparently strolling your shopping cart over the ‘mulched’ median to place the shopping cart in the cart coral takes too much effort. Especially when it’s so much easier to just plant it in the median. Not talking


If you checked out my Kool Kernel post yesterday you hopefully stopped on over to my new blog. It may look vaguely familiar. I transferred all my posts from here over to there for continuity. I mentioned in one of my random bloginess posts, that I missed blogging about nursing. So the creation of this blog will meet my needs. I plan on having it my home base very soon. I will be merging this blog’s theme of being strong, mentally and physically with my nursing musings. I think it will be a good combination.

I will start mirroring my posts here and there to make the transition as seamless as possible. I don’t to lose any of my readers so please, if you follow my blog RSS feed, please add this new one. It will eventually replace To Be A Strong One.

Here is my new blog home : MyStrongMedicine and here is the RSS feed.


Twitter is all a buzz with all our new found nursing and medical personnel twits! It’s something to get used to!

I found a handy-dandy new tool by suggestion of a fellow nurse twitter that makes posting pictures to twitter via my mobile phone easy-peasy! If you’re wanting to post pics that you take on twitter while your on-the-go check out Posterous.

I hope everyone’s weekend was safe and enjoyable.

Carpe Diem

 

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