Books that I need to finish reading before March 2014? Nah, I can’t possibly do that but I will really try.

Books that I need to finish reading before March 2014? Nah, I can’t possibly do that but I will really try.

These are the people I went to school with and now they are the same bunch that I work with. FYI, we are and will be the best ICU nurses you will ever meet in the metropolis.

These are the people I went to school with and now they are the same bunch that I work with. FYI, we are and will be the best ICU nurses you will ever meet in the metropolis.

Nursing

  • Sa sulod sa jeep, naay Nursing student nga nag sige ug kulitog sa iyang ilong.
  • Hilabtanon na tiguwang: Day, unsay gikuha nimo?
  • Estudyante: Nursing.
  • Hilabtanon na tiguwang: Aw! Abi nakog kugmo.

First time in scrubs. I really don’t understand why we are not allowed to wear scrubs in the ICU. That’s the policy and I don’t have a choice but to follow. But yesterday, I didn’t have a choice. My uniform was all wet and dirty from the rain, so I borrowed some scrubs from the CCU. Good thing, they still have some extra suits. Everyone in the unit were so jealous that they actually wanted their uniforms to get all dirty just to have an excuse to wear scrubs. Haha.

That moment when the Nephrology Fellow is both an arrogant bastard and at the same time STUPID.

That moment when the Nephrology Fellow is both an arrogant bastard and at the same time STUPID.

Just another bad day at work.

I almost drowned my patient because of all the blood products I was transfusing. He has a case of Acute Myelocytic Leukemia and was on the verge of an Acute Kidney Injury. I only drained 7 mL of urine my entire shift. After transfusing 2 units of Fresh Frozen Plasma, I immediately transfused another unit of PRBC because I was so concerned with his hemoglobin which was only 7.8. I forgot that he was not producing any urine. I was only focused on escalating his hemoglobin to at least 10. Nothing bad happened to the patient. Thank God. He only had fine crackles bilaterally which wasn’t present at the start of my shift. Nothing that a good suctioning can’t fix. Hehe. I was also worried when he started desaturating to as low as 86%. I transferred the pulse oximeter sensor to his ear and immediately sats went up to as high as 93%. His usual sats was between 90-91%. Thank God, again! :)

The shift ended with a surprise in the urobag. It was 150 mL worth of amber colored urine. Yey. At least his kidney is trying its best to eliminate the excess fluid I have been giving him. I hope he recovers fast. Even with his AML. :)

You’re a nurse?!? That’s cool, I wanted to do that when I was a kid. How much do you make?

EXPECTATIONS:

REALITY:

I remembered taking Nursing Practice 5 with a full bladder and was begging the floor director to let me go to the bathroom. I was shaking because I couldn’t hold it in anymore. I had just answered item #20 and I couldn’t think straight because of what I was feeling. Haha. God is always good because even if I saw the hesitation in his face, he still permitted me to go the comfort room. Thanks to Him and him, I got a pretty good rating on my boards. 

I remembered taking Nursing Practice 5 with a full bladder and was begging the floor director to let me go to the bathroom. I was shaking because I couldn’t hold it in anymore. I had just answered item #20 and I couldn’t think straight because of what I was feeling. Haha. God is always good because even if I saw the hesitation in his face, he still permitted me to go the comfort room. Thanks to Him and him, I got a pretty good rating on my boards. 

That awkward moment when a patient tells you that she has difficulty breathing.

But when you assess her objectively:

(1) Normal respiratory rate; (2) Accessory muscles unused; (3) Clear breath sounds; (4) Normal VTE; (5) Normal Pressure Limitations; (6) No desaturation (7) She looked pretty comfortable with current vent settings.

And I’m like:

That crappy moment when you have 3 pages worth of orders at the end of your shift.

Why did you have to wait until the end of my shift to order all those crap for my patient, Ms. Resident? How am I supposed to go home on time? No worries. Just be cool. :)