Thursday, September 25, 2014

THE NURSE MUPPET SHOW

Who does not love the precious and delightful muppets. Their unique personalities have made us love, laugh, and admire them ever since we were little. And for the most part. We still do.

But have you ever wondered what kind of nurses these muppets would be?
Think about it. 
Let's take that journey and let our imaginations run wild.


                                                                   Kermit The Frog
Oh so sweet Kermit. Every time I think of Kermit, the song Rainbow Connection starts playing inside my head. Kermit’s strength is his ability to be a perfect leader. He is your one and only charge nurse..  He can’t sit idly either. Especially when he knows someone needs him. I can picture him giving his patients their much needed therapeutic communication, Probably, even the nurses in his team. I can hear him humming.. the lovers, the dreamers and me.


 Miss Piggy
She is my most favorite. Miss Piggy is the diva nurse who always looks at herself in the mirror, fixing her hair and looking at the back of her scrub top. Miss Piggy is the nurse who prefer her patients sleeping or resting all the time. That way she has more time for moi and enjoy her cupcake. She cannot be bothered by anything. But, if one of her patients gives her any problem, she won't have any remorse  using her stern voice and tell that patient to Shut the hell up. If only we can do that right? Watch out for those powerful Karate chops. Ai-ya!


                                                        The Swedish Chef
I've never understood a single word the Swedish Chef had ever said.! Too freaking funny. He has no facial expression whatsoever. But every time he talks, it's hilarious. We have worked with one of this characters at some point. His presence in any nursing unit is automatically good for a laugh because the guy just looks funny. I wanna listen while he gives his patient a discharge instruction!

                                                               Beaker
I'm laughing so hard here, Beaker is a nervous ninny! He easily gets flustered! I can picture him running up and down the nursing unit hallway, blabbering away, running into IV poles and dirty linen baskets. Can you imagine him trying to miter the corners of a hospital bed? Better yet, trying to talk to the doc who wrote an order that is a whole page long and hard to transcribe. Thank God for electronic charting. But wait! Picture Beaker trying to lean EPIC, SUNRISE, PYXIS, DEBOLD and starting an IV stick.

                                                        Pepe The King Prawn
Can you hear him introducing himself to his patients. Hello My name is Nurse Pepe. He might appear to be selfish and egotistical. Somehow though, he always does the right thing. And those arms, he can definitely double triple multi task while explaining everything he's doing. 

                                                                   Mahna Mahna
This guy is just the coolest. He is not known for a whole wide variety of characters.  But his one line skit just seem to make all the difference. He just jazzes everything up! I can see him making his patients feel good just by merely saying Mahna mahna.

                                                                The Count
The Count is your know it all nurse. And, he is the nurse to go to if you need to have someone check your dosage calculations! He will make sure you got everything right. The count is the perfect nurse to do the narcotic inventory. - Tweet that.  One...one morphine, Two...two morphine...Twenty five morphines, ha, ha, ha, ha!


                                                         Cookie Monster
I haven't forgotten about the cookie monster. He is the nurse who only has one thing in his mind. Cookies! His insatiable appetite for cookies make him more fun to watch especially if he has to wait for the go signal to devour the cookies. As monstrous and messy he can be, his patience is what makes him very rewarding to watch. I can see a little bit of cookie monster in all of us nurses who wait for the right time to engorge our savory treats during a hectic work day. 

                                                                    Grover
The cute and lovable Grover. He is so much fun to watch during the early days of Sesame Street. The most memorable for me were the times when he was a waiter. He can never get anything right! Yet. he always managed to try his very best to do the right thing. He is the nurse who will try so hard to please his patients and  give them what they want. Even if he really sucked at it. 



                                                                    Animal
Need I say more?

So there you have it! . A few of the muppets who we can relate to. Each nursing unit has one or all of these  characters. The irony of it all, I feel like we nurses are not too far from being like the muppets when we are working on the floors. You feel like you are being directed in all different directions. 

But let's not forget, that no matter what, be as colorful as these muppets are.  Give yourself a pat on the back for making a difference in someone else's life. The same way like these muppets do.

Thanks to my husband. For giving me the idea to write as to what kind of nurses the muppets would be.




Sunday, September 21, 2014

Nurses With Diabetes: 10 Ways On How To Survive A Hectic Work Day


A day in a life of a nurse is overwhelming. I truly believe that the words multi tasking came out from this very dear profession. A twelve-hour shift is not enough to fulfill the assigned tasks and satisfy your heart and soul. Yet, we make the best out of everything making sure everyones needs are met.

In the process, we forget our own needs.

As a type 1 diabetic of 42 years,  I constantly make sure that my blood sugar is normal (or close to normal), In Addition, to withstand the demands of the unit, not only do I monitor my patients blood sugar, I also have to pay attention to mine.
Throughout the years, I have learned ways to cope with the requirements of an insulin dependent diabetic in conjunction with the workflow of a nursing unit.

This is how I do it!

1. Check, check, check that blood sugar. I know its easier said than done! But, I cannot stress it enough that this is the key to better control of diabetes. I always tell my patients, if here is any time of the day you need to check your blood sugar, it's in the morning. Right when you get out of bed. This way you know "where" you're at in the beginning of the day. And this applies to us diabetic nurses too.

2. Eat. If you are taking insulin or medications by mouth, feed that insulin. You have to, There is no other way around it. Eat your breakfast! It's your go to meal of the day. I know, sometimes you just don't really feel like it. But, it will save you a lot of trouble during the long 12 hour shift. If you're counting carbs, great. You know exactly how much you need to bolus. If you are doing the sliding scale, plan for the insulin peaks.

3. Carry a snack in your nursing scrub pockets. Something. For those insulin peaks. A piece of hard candy for fast relief. Chocolate? Why not. Longer duration and great for the psyche. You know what I mean. In extreme emergency and you have nothing on hand, go for the unit pantry. OJ. Stat!

4. Check blood sugar again. Re assess. Take a breather. I do this when its time for the noon accu checks.  Really this would be around 2 - 3 hours after you had your breakfast. A great way to know how you did for breakfast. It will also let you know your status for lunch. If you get one! See what I mean about breakfast?

5. If you get the lunch break. That's awesome. If not, at least you know your blood sugar and can proceed if you need to bolus or eat that chocolate. What the heck, eat it anyway. You'll probably burn it off walking back and forth down the hall, turning your patients, answering your phone and call lights, arguing with pharmacy, talking to family members,,,,,to name a few!

6. I try to eat my snack discreetly during those "quiet" charting moments. Take those little opportunities.

7. If you weren't able to take a lunch break, take that late afternoon break! Time to relax a little bit and take care of yourself. A time to re focus on everything. Or better yet, a bladder break. This is like a "cigarette break" for nurses who do not smoke. If you do, here's your chance.

8. At the end of your shift, when everything is accounted for, hopefully, check your blood sugar before driving home. You do not want to be caught off guard when it comes to hypoglycemia in the middle of you driving, It's a no - no. A big safety issue not only for yourself but for everyone else on the road.

9. Home sweet home. Ahhhh... Isn't that a great feeling?

10. Be thankful for a day that you managed to survive. It's not easy, Not only as a nurse but also for a diabetic. There is just so much. It's different for everyone. But I'm hoping that with what I shared you, can help you out. or at least let you know that you are not alone in your struggles as a nurse with diabetes.

Thanks and be safe.




Saturday, September 20, 2014

BEST OF BOTH WORLDS

Its been almost 3 months since I started my new job as a nurse care coordinator and working from home. I have to say, working from home has its own challenges too.

When you think of flexibility, freedom, and finances.....working from home is a wonderful thing. Yet, I am finding out that you loose a lot of this public interaction and being around other great and not so great personalities.

When I was working in the hospital. I talked about people I work with that really got on my freaking nerves.  Now that I'm away from them,  I'm really enjoying not being around them. But miss the ones who I am fond of.

They say, you cannot have everything. But, why is that? Is it bad that I wish to have the best of both worlds?

Well.... My clinical manager asked me during our meeting if I am still in a happy place with what I'm doing. I was taken aback because you don't hear this too often. I said yes, I'm good and still learning a lot.

She did say that when I'm ready, she can put me in one of the hospital in the area and do a transition of care visit for eligible clients. Like once or twice a week. I was surprised that at an early stage of this job, she is offering me this very timely opportunity.

This just seems too good to be true. What do you think

Favorable circumstances do not come often. I'll do it and see what happens. Like what I said before, I wouldn't know if I don't do it. This has been my mantra when I find myself in a crossroad. It works for me. Every time.

In the meantime, I have been busy reviving my old hobby of painting. I have been enjoying these moments of expressing my point across through a brush, paint and canvas.I painted a lot of landscapes a while back. Now, I am widening my repertoire by adding people or still life in my subjects.

So far, it has been an awesome experience for me.  Its relaxing but tiring at times. There's always an on going decision making process happenong while painting. But in the end, the finish product makes me smile. and that's good enough for me.

Reminds me of the nursing process.

An on going process of steps to get to desirable outcomes

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