I was supposed to go to the city tonight to see my friend David's cabaret show, but I am too exhausted. I took a Benadryl last night around 10pm to clear up my sinuses and help me sleep, and woke up at 7am this morning. That was cool, except that I hit the snooze and fell back asleep until 8.30am. I didn't have to be at the hospital until 9.30am so I wasn't too stressed, I just didn't have the time to take a shower. So I went and picked up my clinical assignment, came home, showered, and took a nap until noon. Went to school for our clinical pre-conference at 1pm, and was all prepared to caffeinate myself for Sociology, when the professor said he was "tired of teaching" and was going to show a movie instead. I took that opportunity, along with a handful of other classmates, to leave. Came home and went right back to sleep.
When I woke up from my nap, I was just too tired to go to the city. So here I am.
Maybe I'm anemic. I should start taking my vitamins again.
Tired. Tired tired tired.
I just want to curl up with the kittens and sleep. Just in time for this cold spell, I've taken the air conditioner out of the window and put the flannel sheets that Dad gave me for Christmas last year on the bed. Very snuggly.
Last night they needed someone to float to the 3rd floor B side, and I volunteered. I love working with Joyce, and I love that there were only six patients, no foleys, no complete cares, no pains in the neck. It was a beautifully quiet night, which is just what I needed.
Let me tell you how upset I am at the outcome of last night's game.
As they say in Take Me Out, "What will we do 'til Spring?"
Vermont will have to wait for another weekend, sleep was more important than driving. Instead of going north yesterday, we drove out to Lambertsville/New Hope to wander around. And it was good - while we could have spent zillions of dollars, we actually only came home with three or four things (one of which was cookies, so that doesn't count). It was a gorgeous day, perfect for walking around.
Today's beautiful, too - and the plan is to take the air conditioners out of the windows finally.
Or perhaps, I will come home from clinical just after noon, take a nap "for an hour," and wake up at 6pm instead.
Perhaps I will go tomorrow.
I am so tired, after two 16+ hour days at the hospital. Between clinical and work... whew. Tomorrow's Friday, and only a half-day of clinical, too. I have the weekend off, so I'm going to drive up to Burlington, VT, for some much needed R&R.
I think I am in love with Aaron Boone.
I keep feeling like I'm about to fall over and fall asleep. Now I can understand it when I'm in the middle of nutrition class, but not when I'm sitting here reading and caffeinated. Weird. Best thing about nursing school is the self-diagnosis bit, I'm sure I could come up with a hundred diseases that I'm undoubtedly suffering from.
I know coveting material possessions is so, so wrong, but I am in love with the Charleston chair-and-a-half from the Pottery Barn. I have admired it ever since I first fell into its cushion(s) several years ago. The only obstacle, really, is that it costs just over $1000. For a chair. But I want it. When I move to my big empty house in VT, it will be mine. Oh yes, it will be mine.
Ooh, they have a bed frame I want, too.
I've found the hospital I want to work at when I am done with my time here. I don't want to jinx anything tho, so I'm not mentioning it here just yet.
Super busy with work and watching the World Series (both at the same time, luckily most of my patients are either Yankees fans or too gorked out to care). Roseann reminded me tonight that we have a nutrition quiz tomorrow afternoon, so I need to review my notes tomorrow at lunch.
Not much else new.
Michael wrote the funniest bit about straight men meeting straight women in gay bars. Too right.
I wish we could have a sunny, beautiful day when I'm off. Today - no class and no work - it's rainy and cold. I slept all day, literally, don't know why. I wasn't out too late, only had a drink and a half at Riffy's, but when I looked at the clock today, it was after 3pm. I got up, had some lunch, and went right back to bed. I fell asleep in the middle of reading the new Time Out, and when I looked at the clock again it was after 7pm. What a waste of a day.
Oh man, I really did not think the Yankees were going to win, but how excited am I! I stayed at work until the end of the game (eleven innings - wow!), which made me late for meeting Lori for drinks, but oh so happy. How too cool! I have two words for you: Aaron Boone!
Anyway... for clinical today, I was in the cardiac cath lab. It was really interesting to watch, but I think if I worked there fulltime, I'd get bored. I much prefer Med/Surg, where it's always something new. I can't wait to get to the ER part of our classes (next fall), because I think that's where I'll fit in the most.
The "check engine" light - it is it the bane of my existence. Mom said that a rear brake light is out, so maybe that's what it is. I'll take a look tomorrow and see if I can replace the bulb so I don't need to take it to the car place. I made an appointment anyway.
So I guess we go to Game Seven of the ALCS tomorrow. I have to work, so I'd better find some fellow Yankees fans among my patients so I can watch. I'm so disappointed that the Marlins beat the Cubs in the NLCS. I've had a grudge against Florida teams ever since Tampa Bay was the first team to beat the Yankees this season. That, and I love Chicago - I have a few good friends there and the city is beautiful. I was really hoping that the Cubs would go to the World Series.
Go Yankees. I'm so happy that most of my patients tonight are Yankees fans, so I was able to catch bits and pieces of the game with them. I worked on 3B tonight, which is always a nice change, because instead of ten patients who can't care for themselves, we had eight patients who were more than happy to take care of themselves. Loved it. Got a lot of studying done.
I'm also having a nice, light school week. We had no classes Monday, class today, no clinical tomorrow - just Sociology at 2pm, clinical on Thurs, and no clinical on Friday, it was cancelled. So I actually get to sleep in tomorrow and Friday.
OK, the Yankees have to get their shit together. The ALCS is tied at two games apiece, so there're at least two more games to go. I got to watch the end of the game tonight, as it was a slow night at work. Not only was it slow, but it was me and Nina on the B side - there's usually only one aide there. With the two of us, we were done so much more efficiently with everything.
So, Wicked wasn't all I was expecting. Kristen and Idina (and of course, Norbert) were fabulous, and the set and costumes were great, but I was disappointed in the book and score. Too many songs seemed to stop the show in its tracks, and I guess I just thought it would be darker, ala Sweeney. I stuck around the city tonight to see Avenue Q, too, as I hadn't seen it since it was down at the Vineyard. Love this show, just love it. And I never name drop, but my friend Jeff wrote it. I'm so happy for him and his writing partner, Bobby - the show is fantastic and they deserve a long and healthy run.
Today's game in Boston was rained out, which - considering how heated yesterday's game was - is probably for the best. Let folks cool off. It's been rescheduled for tomorrow, so I'll have to hope it's a quiet night at work so I can find time to watch.
To use my new favorite words, all last night I was diaphoretic and febrile. Look it up.
So because of that (night sweats plus fever = no sleep), I didn't go to clinical. I'm going to have to make up a day at the end of the semester. I went back to bed until 1.30pm and then went to work, where it seemed that every single patient wanted the bedpan at the same time. At least when it's busy, the time flies by. When there's nothing to do, I just watch the clock.
Grandma's down for a few days, and yesterday we had Joan and Charlie over for dinner. That's always fun, and this time we made our "colonial dinner" with recipes we picked up in Williamsburg this summer. I'm a huge fan of the peanut soup and the carrots with maple-tangerine sauce. Oh and the apple upside-down cake with fresh whipped cream. I was so full that I fell asleep on the couch right after the Yankees game (we won, yay, tomorrow is Roger Clemens vs. Pedro Martinez, I have to set the VCR to tape the game).
I have to get up at the crack of dawn again tomorrow, because I'm driving down to Browns Mills (no idea where that is) for a student nurses mini-convention. I have to be there at 9am, which means I should leave at 7.30am, to account for the probability of getting lost.
So I guess that means it's time for sleep. The kittens are already curled up in bed waiting for me.
I worked yesterday, and got floated down to the main ER - my first time. I can't work there fulltime now because I'm not certified to do blood and EKG's, but even so, I was super busy. Thirty patients or so in the ER, 15 in holding, and the waiting room was full all night. They must've been giving out gifts in Triage or something - "come to the ER and get a free pair of socks" or something. Anyway, I got to see chainsaw-vs-arm, hockey-puck-vs-head, gas-fire-vs-hand and all sorts of sprains, strains and abdominal pains. Loved it. Janice, the other PCA (who I love, she's unflappable and a great teacher) and I didn't get a break all night, and I didn't get home until after midnight.
I went to see Dr. C. yesterday between clinical prep and work, because I have this weird rash that I thought was hives and he thinks is bug bites. I can't remember walking around any bug-infested area, and since it's only on my lower legs, it's strange. But he gave me some Allegra for non-drowsy antihistamine action, and a corticosteroid cream for the bites. I hope it clears up, it itches like crazy.
Clinical today - and tomorrow, too - and then I'm working tomorrow night.
The Yankees lost the first game in the series, and won tonight, so we're tied at 1-1.
I thought the Cubs/Marlins game last night would never end. It was the kind of game I like to watch - so close you never know how it's going to go. The Marlins won 9-8 in the 11th inning (I, however, am rooting for the Cubs, because of my anti-Florida-baseball stance, and because I love Chicago). Tonight's the first NY-Boston ALCS game, so I'll be glued to that. This series will be more exciting than the actual World Series, I'll wager. Can't wait.
They should schedule all of our classes in the afternoon. I feel like I'm dozing through the morning lectures, but after lunch, I wake right up. Definitely not a morning person.
I love my boss - Pam switched my weekends for me, so I can actually make all of the NJNS meetings. Very cool.
I've been updating the NJNS site with convention info, so I've been writing 2004 on everything. It doesn't seem like it's that close to a new year. We found out yesterday that the state pays for the entire board to go to the national convention in Nashville. I can't wait - Phoenix was a lot of fun, and this year, with more students from our school on the board, it'll be a great trip. Today I'm doing some troubleshooting and updating on the forms we need for the state convention.
My wrist is feeling a lot better - ice and rest helped. I need to call Employee Health this week to follow up.
What else... the 100th Anniversary luncheon and open house yesterday were fun. Danielle and I sold over $700 of raffle tickets for the gift baskets we had. And I think we raised another $1000 in the 50/50 raffle. I was so tired when I got home that I fell right asleep for a nap.
Oh, and go Yankees. I think my friend Sue is more excited - she's in Chicago and the Cubs haven't won in the postseason since 1908, the year - as she pointed out - that Ethel Merman was born.
Aside: don't write your obituary when you're depressed and seeing a shrink.
later on 10/4/03
I am typing this very slowly, as I had a work-related accident tonight. Agitated, confused patient vs. my wrist. The patient won, and I'm all wrapped in an ACE bandage. I left work early (with the supervisor's blessing) because it hurt too much to move, and there was no way I could do my job with one arm useless. I'm going to put ice on it again and hopefully it'll feel better tomorrow.
Good lord, I haven't had a moment to sit down and think all week.
I worked 16 hour days yesterday and Thursday - clinical in the mornings and then 3-11 at the hospital. I was going to be off today, but I need the money so I volunteered to work 3-11 today, too.
Last night was just crazy - it was me and Bill as the only aides for the entire 2nd floor, both divisions. So we each had 24 patients, which is just too much. To add to that, one of the patients I was watching on the B side (the smaller unit, mostly geriatric patients) wasn't breathing well, so I checked his pulse ox (the percentage of how much O2 is in your blood, 100% is ideal), and it was 69 on room air. If it's under 90, we worry. So I called in G., the nurse, and we put his oxygen canula back on (he had kept pulling it out, very agitated/confused patient). She had me page Respiratory and the house doctor stat, and they came up to evaluate the patient. Dr. S., the house doctor, said we were going to intubate the patient.
Of course, this is when the patient's family showed up to visit. I was asked to explain what we were going to do, and they gave consent and waited outside the room.
Now, I've never seen an intubation that wasn't part of a code. Usually things are so frantic and rushed, but this time was different, and I got to learn a lot about how things really happen. The respiratory therapist explained what he was doing, step by step, and showed me the equipment they use. And things were just really calm - when the supervisor asked me to get the crash cart, where we keep the intubation tray, I didn't have to run down the hallway like a maniac. We didn't have to immediately clear out the room and call a code.
After administering a sedative to calm the patient down, the intubation went smoothly. The ventilator got hooked up, and we let the family come back in (after explaining that the patient couldn't talk, would be sedated, and had this tube down his throat). The supervisor got a bed up in ICU, and we transferred the patient upstairs.
And it's not like you can choose when you're going to go downhill, but all of this happened right about when I was supposed to be doing vital signs on my 24 patients. I asked Bill if he'd mind finishing up my side of the floor, because G. wanted me on the B side to help organize things with the intubation.
So that was last night... it put everyone behind, and I didn't get a rest all night. Whew. But it was truly a learning experience.
Thursday was much less hectic. And clinicals were fine - I got to do a bunch of dressing changes and some injections, and we've learned about charting and documentation.
So now I'm off to eat breakfast and go back to work. It's a rainy Saturday today, so I don't mind being inside at work.
Tomorrow is the nursing school's 100th anniversary celebration. I'm working on it - there's an open house at 9am and a luncheon at 1pm. And after that's over, I can sleep all evening tomorrow!
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