Whack-o-nutty
Holy nutter.
I haven't worked a lot this month, but when I've been at work, I've typically been getting my ass kicked. For example: I saw only four patients today but I'm as tired as if I'd taken care of four times as many patients. The morning was slow and then the afternoon was quickly taken over with by trauma.
Trauma always gets everyone's blood rushing. Our girl was stable but she was a bitch of a stick. I was trying to place IV's in anywhere I could find a vein but was not having much luck. One of the nurses got one but it didn't draw for shit (we needed it to draw to be able to send off stat labs). Another nurse tried an arterial stick but it was nothing spectacular. I grabbed a 16g needle and found her femoral vein on the first shot. That felt good.
Right after I did that I had to run and sew up a very cute kid's knee. His dad was awesome in keeping him distracted. I had to put in a couple of deep stitches before the surface ones and because of his dad and a beautiful thing called LET.
While all of this was going on, I was managing a kid with hypoplastic left heart (fully repaired) who came in with what sounded to everyone like a TIA. Fucked. Up. Thankfully my favorite cardiologist was on and came over at 6 PM and did an echo and sat down and went over stuff with me. He rawks.
And after all of this, the head trauma attending bitched out the daytime peds ER attending for not calling a trauma consult sooner than he did. The daytime peds attending is known for being incredibly fucking slow and would rather teach than actually, you know, SAVE SOMEONE'S LIFE. It's unfortunate because he's a great doc and is incredibly knowledgeable but there's a reason we're all PALS certified here and it's not just to get the cool laminated pocket card. He was trying to rationalize why he didn't get a trauma consult when she rolled in. The trauma attending reminded him of ER trauma protocols and that under no uncertain terms should a patient involved in a trauma who is intubated at the scene not get a consult. Thank you, Dr. F, for repeating what I was saying in the trauma bay and for doing it less nicely than I was.
I finally made it home around 7:30 tonight. I'm totally failing at going to the gym. I need to get better at making this part of my routine. I keep saying, "Next week will be better" but it never is. I just need to man up and do it and let my husband fucking cook for once.
I've also realized I haven't been writing that much. My creative self is flagging quite a lot and it helps me sleep easier at night. Plus, when I can inspire someone I admire, it helps to stoke the fires.
Moment of Burrito:
I haven't worked a lot this month, but when I've been at work, I've typically been getting my ass kicked. For example: I saw only four patients today but I'm as tired as if I'd taken care of four times as many patients. The morning was slow and then the afternoon was quickly taken over with by trauma.
Trauma always gets everyone's blood rushing. Our girl was stable but she was a bitch of a stick. I was trying to place IV's in anywhere I could find a vein but was not having much luck. One of the nurses got one but it didn't draw for shit (we needed it to draw to be able to send off stat labs). Another nurse tried an arterial stick but it was nothing spectacular. I grabbed a 16g needle and found her femoral vein on the first shot. That felt good.
Right after I did that I had to run and sew up a very cute kid's knee. His dad was awesome in keeping him distracted. I had to put in a couple of deep stitches before the surface ones and because of his dad and a beautiful thing called LET.
While all of this was going on, I was managing a kid with hypoplastic left heart (fully repaired) who came in with what sounded to everyone like a TIA. Fucked. Up. Thankfully my favorite cardiologist was on and came over at 6 PM and did an echo and sat down and went over stuff with me. He rawks.
And after all of this, the head trauma attending bitched out the daytime peds ER attending for not calling a trauma consult sooner than he did. The daytime peds attending is known for being incredibly fucking slow and would rather teach than actually, you know, SAVE SOMEONE'S LIFE. It's unfortunate because he's a great doc and is incredibly knowledgeable but there's a reason we're all PALS certified here and it's not just to get the cool laminated pocket card. He was trying to rationalize why he didn't get a trauma consult when she rolled in. The trauma attending reminded him of ER trauma protocols and that under no uncertain terms should a patient involved in a trauma who is intubated at the scene not get a consult. Thank you, Dr. F, for repeating what I was saying in the trauma bay and for doing it less nicely than I was.
I finally made it home around 7:30 tonight. I'm totally failing at going to the gym. I need to get better at making this part of my routine. I keep saying, "Next week will be better" but it never is. I just need to man up and do it and let my husband fucking cook for once.
I've also realized I haven't been writing that much. My creative self is flagging quite a lot and it helps me sleep easier at night. Plus, when I can inspire someone I admire, it helps to stoke the fires.
Moment of Burrito:
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