Mark Your Calendar
Even though we can't be in Baltimore for Christmas, we are coming in December. MAybe I can see some snow after all! Pencil us in for December 15-18. Nothing is planned yet, but I want to see lots of people! That means we'll have to do a lot of group stuff since there just isn't enough time to see everyone. Stay tuned for more details!
Saturday, November 11, 2006
Thursday, November 09, 2006
Ramblings
So I bought this garlic at the grocery store the other day. I couldn't find the regular garlic and wound up with "Elephant Garlic." I wasn't sure what that meant, but hey, garlic is garlic I thought. I pulled it out to put in my pasta sauce and it's freakin' huge! I took a picture of its hugeness but for some reason blogspot does not like my picture and I can not share it with you. Sad. Because it is HUGE. It's almost a small onion. So huge, in fact, I had to cut one clove in half to use next time.
This year will be the first time I make Thanksgiving dinner all by myself. I have to work an evening shift that day so I guess we will eat at 1:00 or so. How big of a turkey do I buy for 3 people? And how early do I have to get up to put it in the oven? And how long does it take to defrost in the refrigerator? I'll have to make a menu so I can do a grocery run soon.
I've noticed at the hospital they have no IV push protocol. Or maybe they have it but keep it hidden because I have seen no one use or talk about it. This is odd for several reasons but I will not go into them. Everything here is IVP. All pt's seem to get narcs and phenergan IVP if they are tolerating po meds or not even nauseous. What's with that??? I pushed metoprolol and labetalol today on unmonitored pt's!!! (RN's on Marburg gasp here.) I nearly freaked out. Nothing is in a minibag. Ever. Except antibiotics. Which I hear they used to push up until very recently. No wonder there are so many addicts!! Phenergan 25 mg? Benadryl 50 mg? Demerol 50mg? Sure. No problem. And another thing. Where are all the supplies? What do you mean I have to order opsite, SCD's, TEDS, and abd pads from central supply? And why can't I get a normal saline bag from the pyxis to piggyback with my antibiotic?? The choice here, you ask? Waste 30 cc of the med (which is a lot if you only have 65cc to begin with) to prime the weird IV tubing or free flow it to the pt. What would you do?
So I bought this garlic at the grocery store the other day. I couldn't find the regular garlic and wound up with "Elephant Garlic." I wasn't sure what that meant, but hey, garlic is garlic I thought. I pulled it out to put in my pasta sauce and it's freakin' huge! I took a picture of its hugeness but for some reason blogspot does not like my picture and I can not share it with you. Sad. Because it is HUGE. It's almost a small onion. So huge, in fact, I had to cut one clove in half to use next time.
This year will be the first time I make Thanksgiving dinner all by myself. I have to work an evening shift that day so I guess we will eat at 1:00 or so. How big of a turkey do I buy for 3 people? And how early do I have to get up to put it in the oven? And how long does it take to defrost in the refrigerator? I'll have to make a menu so I can do a grocery run soon.
I've noticed at the hospital they have no IV push protocol. Or maybe they have it but keep it hidden because I have seen no one use or talk about it. This is odd for several reasons but I will not go into them. Everything here is IVP. All pt's seem to get narcs and phenergan IVP if they are tolerating po meds or not even nauseous. What's with that??? I pushed metoprolol and labetalol today on unmonitored pt's!!! (RN's on Marburg gasp here.) I nearly freaked out. Nothing is in a minibag. Ever. Except antibiotics. Which I hear they used to push up until very recently. No wonder there are so many addicts!! Phenergan 25 mg? Benadryl 50 mg? Demerol 50mg? Sure. No problem. And another thing. Where are all the supplies? What do you mean I have to order opsite, SCD's, TEDS, and abd pads from central supply? And why can't I get a normal saline bag from the pyxis to piggyback with my antibiotic?? The choice here, you ask? Waste 30 cc of the med (which is a lot if you only have 65cc to begin with) to prime the weird IV tubing or free flow it to the pt. What would you do?
Saturday, November 04, 2006
It's Finally Fall!!
It's taken until November for there to be a chill in the air, but it's been worth the wait. Fall is my favorite season. I love watching the leaves change and pulling out the winter sweaters. Going to the pumpkin patch is usually the first event of fall for me. Alas, they have no pumpkin patches in east Texas (or so I am told). I had to console myself with store-bought apples for homemade applesauce. It didn't quite do it, but I'll take what I can get I think. Halloween was a bit of a letdown. We had very few trick-or-treaters. Maybe because we are in the back of the development? Even with the little darlings taking handfuls of candy we had a lot left over. Luckily, I had anticipated this and bought chocolate. Now we don't have so much left.....
I had my first ICU transfer yesterday. It was for hypotension which turned out to be fungal sepsis. It was a bit of a letdown because there was nothing really emergent and that typical adrenaline rush was not there. Not that I want a sick patient, of course!
We are off to Houston today with a list of things to do. We have to go to Ikea to replace a chair that broke and the Asian food store for some more rice. I think we will get dim sum for lunch. I need those little rolls filled with BBQ. I'll have to find out what they are really called!
It's taken until November for there to be a chill in the air, but it's been worth the wait. Fall is my favorite season. I love watching the leaves change and pulling out the winter sweaters. Going to the pumpkin patch is usually the first event of fall for me. Alas, they have no pumpkin patches in east Texas (or so I am told). I had to console myself with store-bought apples for homemade applesauce. It didn't quite do it, but I'll take what I can get I think. Halloween was a bit of a letdown. We had very few trick-or-treaters. Maybe because we are in the back of the development? Even with the little darlings taking handfuls of candy we had a lot left over. Luckily, I had anticipated this and bought chocolate. Now we don't have so much left.....
I had my first ICU transfer yesterday. It was for hypotension which turned out to be fungal sepsis. It was a bit of a letdown because there was nothing really emergent and that typical adrenaline rush was not there. Not that I want a sick patient, of course!
We are off to Houston today with a list of things to do. We have to go to Ikea to replace a chair that broke and the Asian food store for some more rice. I think we will get dim sum for lunch. I need those little rolls filled with BBQ. I'll have to find out what they are really called!
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