Wednesday, April 23, 2008

I'm just full of thoughts going in all directions today. Yesterday a patient "coded" during treatment. We did CPR and sent her via rescue squad to the local hospital, but she didn't make it. She had just been talking and joking with her nurse (not me) and a couple minutes later she stopped breathing and her heart stopped beating. We don't know what happened, there was no warning, she was only 56 years old. It was very sobering. I run through my mind, what could have been done differently, but the answer is "nothing."

We have gone to chairside computers to keep track of patients' treatments. It makes it impossible for people to "cheat" on the vital sign checks they are supposed to be doing every 30 minutes. The P(atient)C(are)T(echnition)s are still trying to make the nurses do all the catheter pts and there just isn't time for us to do that and all the other things we have to do. It really gets to me lately. I am going to have to start writing people up for these things and I hate to start the battle I think it might bring on. Things were so crazy today that I wasn't able to get hardly any of my paper work done. I think once we all get used to the new system it will straighten out. Anyway, now that I've put this down, I feel a little guilty complaining so much.

The Clinical Manager position has opened up in the York Dialysis Clinic (it's on the same road & about 1/4 mile before the York Ward Bldg). I was thinking of applying for the position, but I need to really think of the pros & cons. I wouldn't have to work on Saturdays, as a rule. I would only HAVE to work 40 hours a week, but it is a salaried position so I wouldn't get overtime no matter how many hours I end up working. It would give me some more freedom as far as taking time off, but it would require me to go to seminars and training sessions at times that are out of town and last for several days. I know most of the people who work there already, so I know I can work with them. However they're getting ready to open a nocturnal shift that runs from about 6pm to 4am, and if someone calls out, I would be the one to go in (again, with no extra pay). I almost certainly won't take it, but it gives me something to think about for the future.

On the upside, Dad and I are planning on taking a trip the second weekend in May (that's Mother Day weekend). We had originally planned on taking Lisa and the dog also, but Lisa decided she would rather stay home and take care of the dog here. I think she has been talking to some of the people at church and they are offering to come visit her, take her to lunch, etc., while Dad and I are out of town. I had found a motel that would take pets, but Lisa insists she wants to stay here. Anyway, I plan on visiting Grandma first, then travelling down to Dunn for Jon's graduation and to play with Alex and Jack. I will try to remember to get pictures taken so I can share them with you. So enough of my rambling, I feel better already. I will probably do this more often.

My closing thought comes from a talk by Elder David A Bednar from the Nov.2006 "Ensign":
"One of the greatest indicators of our own spiritual maturity is revealed in how we respond to the weaknesses, the inexperience, and the potentially offensive actions of others. A thing, an event, or an expressions may be offensive, but you and I can choose not to be offended-- and to say with Pahoran, 'it mattereth not.'" (see Alma 60:2 & Alma 61:2, 9)

1 comment:

Lauren in GA said...

I am so sorry about the loss of your patient. It is really sad how she was happy and joking and then have her life hanging in the balance and then lost.


I hope you don't have too many problems if you have to write people up.

We love you!