Wednesday, April 14, 2010


Why do people have to be mean? I work with a person who, for the past 1 1/2 years has had a snarfy attitude toward me. I have no idea what her problem is so I recently asked a few people if they felt the same vibe as I did. I found out that the person has a shitty life, shitty husband, and isn't happy. I say leave that crap at home, I'm sorry you are unhappy but you don't have to act bitchy toward the rest of us. It makes working with you difficult.


Saturday, April 10, 2010


So I just took and passed the exam. Why did I do that? Do I get paid more?...No. Does it mean I'm a better nurse than someone who does not have those letters behind his or her name?...No, probably not. I did it because I'm a psychotic, anal-retentive, perfectionistic freak-a-zoid.

The End.

Medical Students Revisited

I should just write a blog dedicated to you. You all drive us nuts.

So you do realize you are supposed to be learning, right? We are your teachers. Please do not argue with me when I tell you that nitroPASTE Q5 mins PO is an inappropriate order and then tell me to "take it up with your supervising resident". Listen to me. I can teach you too. I have been around the block a few times. Telling me that will get me to completely ignore you, and you will miss out on all that learning because I will totally bypass you and deal with the resident, who happens to be my friend, and you will feel stupid. I'd rather you have a learning experience than feel stupid.

Like I told you..."You think of them as orders, we think of them as suggestions", and if it doesn't make sense we either change the order or ignore it. If I decide to ignore it I'd prefer you be open and approachable so you can LEARN, but if you aren't it's your loss. You'll miss out on all that teaching.


Monday, March 1, 2010

Open Letter to a Newly Diagnosed Diabetic

Dear sir, I hope you survive. I haven't seen anyone as sick as you in a long long time and I do not believe I have ever seen anyone with so many drips as you had yesterday. You were so unstable after coding twice and barely hanging on that we were afraid to turn or move you from the gurney to the bed.

I am sorry you and your family were blindsighted by this horrible disease and I hope you get a chance to speak to them again, heck, I hope you made it through the night. You did nothing wrong, BIG D got you and wreaked havoc on your body.

It was sad when your wife was watching us resuscitate you. I wanted to hug her and talk to her but I was a little busy. I hope someone did that for her. She was so nice.

Good luck, sir, I hope you wake up before your birthday next week.



Sunday, February 28, 2010

Open Letter to Day Cares

When a two year old child in your charge falls off the playset, is unable to walk, and has obvious swelling to his thigh it is probably best to call 911 rather than have him try to take a nap. After you call 911, notify his parents and let the professionals deal with moving and transporting him.

Do you realize his daddy drove him to us in the backseat of the car with a freaking BROKEN FEMUR? Do you realize how difficult it was to get him out of the car and onto the gurney? He screamed the entire time. Do you realize I had to hold traction on his poor little leg the entire time we transported him from the parking lot into the trauma bay?

Paramedics are just a phone call away. They would have stabilized his leg, they would have made him comfortable for the bumpy ride to the hospital, they would not have suggested you try to get him to take a nap.

Thank you.

Oh, and for your information - Children's Protective Services have been notified. The type of fracture he had was not consistent with your story, and the delay in care he experienced was not appropriate, you dumb asses.

Saturday, February 27, 2010

Open Letter to Medical Students

My first post is dedicated to the medical students of the world.

Thank you for deciding to go into medicine. I wish you well. Let's get a few things straight before you start. I am sorry your senior resident did not warn you about ER nurses, we are not like floor nurses, we are not like peri-operative nurses. We expect you to get your own supplies and clean up your own messes. That is why when you ask me to get you a size 6.5 pair of sterile gloves I look at you like you have an alien growing out of your head. They are in the supply room, get them yourself. and no, I will not be setting up your procedure tray or helping you with your sterile technique. Get one of your little friends or your senior resident to help you. I'm busy. Oh and one more thing, if you fail to clean up after yourself please expect a call from me to return to the ER. When you get here the entire ER staff including the attending physicians will be the ones looking at you like you have an alien growing out of your head.

Just one more little thing - when we are in the middle of intubating an unstable patient it is very inappropriate for you to walk into the room and tell me that a patient down the hall needs to pee. I will look at you like you have an alien growing out of your head (AGAIN!) and tell you to hand him his urinal.