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 A lot has been going on at work. Our old boss Kathy didn't give 2 fucks about night shift, so even though at the time she left, night shift had lost 7 or 8 nurses, she never hired anyone for us, saying that we were well staffed. And now we have all these people out on maternity leave and medical leave, and more will go out on leave soon. Almost every night I am off, I get a call and/or text asking me to work extra. One week I worked an extra 8 hours on a night off and then another night, came in 2 hours early for a shift. It's exhausting. Supposedly new people have been hired, but most are new grads, so they still have 12+ weeks of orientation to go through.

One reason I haven't posted much lately is that last month, we had a maternal death while I was working. We haven't lost a mom on my floor in 8 or 9 years, so it was very shocking. Yes, we have babies die, but it's something that is known ahead of time usually, due to defects or being very early.

The woman was an antepartum (someone who is pregnant and being monitored closely), 35 weeks pregnant with twins, there to be monitored for hypertension (high blood pressures). She was set to go home that day.

It happened around 12:15am or so. One or both babies came off the monitor, so the nurse, Arlene, went to go in the patient's room and adjust  the tocometers. The mom was on the floor, unresponsive; no heart beat, not breathing. A code was called, everyone rushed up to our floor from the rest of the hospital. Apparently, an ER doctor took over the code, and was so set on bringing the mom back (I believe that she was immediately dead). The L&D supervisor, Alaina, was trying to get him to stop so they could do a c-section in the room and get the babies out. He didn't listen. Finally, they took her to our OR and coded her throughout the section. From the time the mom was found, to the time the babies were out was 20 minutes. Twenty minutes without oxygen, so then both babies were being coded. They coded mom fro 3 hours. At one point she went into DIC, meaning the clotting factors in her blood were used up. Finally, they let her go. The family got there about the time the county coroner did, so the coroner waited an hour for the family to say goodbye.

The room this woman had been in was across the hallway from our nurses' station, so we saw the whole thing up until they took her to the OR. It was very traumatic for all of us there. And the whole family was out in the hallway crying.

The doctors thought maybe she had had an amniotic fluid embolism, but wouldn't know for sure until the autopsy came back.

Later that day, the twins were sent out to another hospital to go on cooling measures for neuro protection. I believe they went to Children's Hospital LA and then later to Cottage. They are still alive, but may have deficits from lack of oxygen.

Turns out the mom had a large clot in her pelvis, and something knocked it loose. It was good that it happened in the hospital, instead of happening at hope. Her man is in jail, so her children probably would have found her and the twins dead in the morning. She had a 16 year old set of twins and a 9 year old.
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The Alamo FireI took this yesterday afternoon from the gas station that is down the street from my house

 Last night, from the twitter of the county fire pio

These two I took this morning from my house

Today, from twitter

Last night, taken by a coworker from the 3rd floor of the hospital

The Whittier Fire, from a tower for a local news station

Fire Season

Jul. 8th, 2017 10:01 pm
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 So Thursday afternoon through this morning, my county was under a red flag warning, which means a warning that forest fires are likely with the weather conditions, basically, low humidity, high temperatures, and wind. 

Of course multiple fires started. Thursday afternoon, the Alamo Fire started, north east of me, just off Highway 166. It's moved south and is now directly east of me, 10 miles east of the 101, and I live about a block west of the 101. This morning it was 6000 acres and now it's 20000 acres and only 10% contained. Air tankers have been flying over my house for 2 days now. I imagine firefighter will do everything they can to prevent the fire from getting close to the 101 but I am low key panicking and I am tempted to pack some things and drive myself and my cat to my parents' house. 

The Tower Fire started yesterday from a burning care on the 101, on Cuesta Grade. Only 70 or so acres burned, and it's now 100% contained. 

Today the Whittier Fire started near Lake Cachuma, also caused by a burning car, I heard. On the 6pm news, that fire was 5400 acres and 0% contained. 

I was watching the US vs Panama game on TV when an evacuation alert flashed on the TV. For the whole fucking county, which freaked me out. What a big oops; the online evacuation alert was for the areas around Lake Cachuma. 

I feel bad for my friend Simone. There was a fire by Cachuma last year, and her dad lives near the lake and refused to evacuate. Luckily, he was fine. Now he doesn't have a phone so she doesn't know if he evacuated or not or if he is okay.

Air quality is shit so I have been inside all day with all the windows closed. 

Hopefully, the fire near me is more contained by the time I go to work on Tuesday, because I don't know how comfortable I will be leaving my cat home alone. 


Jun. 16th, 2017 11:28 pm
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So week 4 is nearly finished of my 1st BSN class, out of 5 weeks. It's been rough. 

We had a paper due the end of week 2. We were supposed to write about the difference in competencies between ADN (associate degree in nursing) vs BSN (baccalaureate in science of nursing) nurses, and provide a situation in which a BSN nurse excelled with a patient and the sun shone out of the asshole of the BSN nurse. The thing is both ADN and BSN nurses are RN. THEY ARE THE SAME THING. There are no policies, as least at my hospital, that say "oh only BSN nurses can do this." Needless to say, I got an F on the paper. Yeah. I got 31.56 points out of 200. Which took me from an A down to the depths of having an F in the class.

Cue much stressing out. 

Some of the women in my group also received Fs, but because of formatting and grammer and their reference page. 

At the end of week 3, our group project was due. Luckily, we got 198.5 out of 200 points, so I now have 70% in the class! Which is still an F. Ugh. I wish I was joking. I need 72% for a D and 76% for a C. All I am shooting for is a C. 

There is another 200 point paper due Sunday, and an 80 point paper due the last day of class, the 25th, as well as next week's discussion board questions. I really have no idea if I will pass this class or not. 

And if I do not, do I try again or quit before I owe too much money in loans?
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 This is week 2 of class 1 of my BSN- and I am still not in the flow of things and over it and procrastinating. I am totally not into having a group project for an online class either. Ugh

Shit Shows

May. 24th, 2017 01:46 am
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 The Sunday night shift turned into a complete shit show.

I started with a gyn patient (gynecology; she'd had a hysterectomy), and a couplet, a mother baby pair, we'll call then Couplet A. The gyn pt was fine, it was the third night I had taken care of her. The mom of couplet was a post op day 1 c-section. She was getting antibiotics for an infection (she had had a temperature after the section of 37.9*C or about 100.2*F I think). Baby was a shitty eater, he was super sleepy and wasn't doing well at breastfeeding. He didn't even do well at formula feeding. At most I got him to take 5ml (1/6oz). He was on phototherapy for jaundice, in the high risk zone (high intermediate and high risk bilirubin level babies go on phototherapy). Phototherapy can be dehydrating, so it's important for the baby to get nutrition.

Around 8:30pm, I got Couplet B. The mom had had surgery to remove a cyst on the right nipple and the left nipple was inverted, so she didn't even want to try breastfeeding. That baby also was a shitty eater. He took 1ml around 9pm, and another around 6am. His mom and I tried multiuple times during the night to get him to take more. He just played around with the nipple and then got gaggy. Well. He clearly swallowed a shit ton of amniotic fluid; they suctioned 14ml of fluid out of him after the delivery. I think he still had fluid in him making him gaggy. In addition to that, his breathing at birth was so bad they almost took him to NICU. I think they should have; it was fast and very shallow.

Around midnight, mom of Couplet A got another temperature of 37.9*C, and had no plain tylenol, so I had to give her 2 tablets of norco 10/325 to give her enough tylenol. It brought her temperature down to 37.1*C at least.

At 3:30, I was told I was going to get Couplet C, a mom who was post hemorrhage and also post mag (magnesium to treat pre-eclampsia).

She actually didn't come until 5:15am, thank goodness. She had been on mag 24 hours from the delivery, and her blood pressures had been good, however, she had a headache, which is not a good thing with pre-eclampsia, but no stomach pain and or blurred vision, and her reflexes were fine. And baby was fine as well.

However, she had lost 400ml of blood during delivery, and then another 350ml after delivery, and then some during the day, so her total blood loss was 970ml.

Around that time I got the results of Couplet A baby's bilirubin draw from 3am. Another high risk result, and it had gone way up. Our policy is if a baby has 2 high risk results, they should go to NICU for triple phototherapy, if the hospitalist pediatrician agrees. So I call the on call hospitalist ped... and his phone was off, went straight to voice mail, which is apparently a common thing. I was running around, so I got Halie to feed that baby, and she got him to take 20ml, miracle of miracles.

Then I had to take staples out of my gyn patient, because that particular doctor likes staples out at the crack of dawn. However he was already there check on her and decided to have her shower before the staples were taken out. Fine with me.

Finally my supervisor got ahold of the hospitalist ped and the baby from Couplet A went to NICU. Then a doctor pops up from nowhere and checked on Couplet C mom, fresh off mag and a hemorrhage, and decided she could go home.

So I am giving all this info during report to Lauren, the day nurse, when Lab calls with a critical hemoglobin level from the mom of Couplet A. Ugh.

So then I asked later, and it was a shit show for her as well. Couplet A mom had to receive 3 units of blood, and Couplet C mom had an epidural headache, so they had to do some procedure for that. At least Couplet A baby stayed in NICU. But then she discharged the gyn patient and got a fresh c-section. Man, I felt bad. It was just a shitty assignment.
burning_moon117: (Default)
 First of all, I should start with Mother's Day.

My parents decided to do a BBQ on Mother's Day that was part for Mother's Day and part for my dad's birthday. I figured my Aunt Terra would be sad this year since my cousin is married to a guy in the Air Force and they are out in Texas right now, so I got her a pretty good Mother's Day gift: quite a few bath things from Bath & Body Works. I also got my mom bath things from there. After we BBQ'd and ate, I passed out the Mother's Day gift and my dad's birthday gift.

My aunt looked down at the bag I gave her, before she opened it, and said, "How'd you know my mail box was empty??" As in, my cousin didn't send her anything for Mother's Day, didn't even call of text her. My aunt was almost in tears. Needless to say, I was very glad I got her something more than a card.

My Statistics and Sociology classes were done Thursday. I didn't have time to celebrate, since I worked all weekend, and then my first BSN class started yesterday! But I am excited, because work-wise, I am off from Friday to Wednesday, with a 4 hour work class on Tuesday. A whole weekend off, and a holiday weekend at that!

I plan to go eat Thai food with Alyse and Halie on Friday, and we'll possibly also go to Solvang for all the delicious baked goods there. My parents and I might BBQ again Monday, so I will have Saturday and Sunday to do whatever, relax a bit, plus do some classwork.
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I feel like I have so much to do.
  • today is my dad's birthday
  • I work Friday and Saturday
  • Sunday is Mother's Day
  • I can get extra credit for my Sociology final (which is an essay) if I turn it in Monday by 1pm; have not started yet
  • take home test for Statistics is due Tuesday
  • welcome call to Grand Canyon University is Wednesday
  • Sociology final is due by 1pm Thursday
  • Statistics homework is due Thursday by 2pm (online)
  • Statistics final is Thursday at 2pm
  • I work next Friday, Saturday, and Sunday
  • I start my bachelor's program Monday May 22nd
I am so exhausted. I have no caffeinated beverages in my house. It's !:30am and I am so hungry.
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I didn't get my hopes up for Doctor Who (I'm just not a fan of where Steven Moffat has taken it), but actually it wasn't bad. I like Bill so far.

I am not that into the newest Doctor Who spinoff though, Class. It's  basically the Sarah Jane Adventures without Sarah Jane.

I haven't yet gotten time to watch the newest season of Call the Midwife, or the new shows The White Princess or Mary Kills People. Saving Hope has been excellent though. I love Charlie, currently dislike Alex. And I still have the season finale of The Expanse to watch.

My DVR is 63% full. Hopefully after my current classes end May 18th, I will have more time to watch TV? Though it seems like I am starting my bachelor's degree May 22nd, so who knows. At least those classes will be all online.

Burned Out

Apr. 10th, 2017 01:14 pm
burning_moon117: (Default)
Lately I feel as though I am doing a millions things at once. I am working full time nights, and I was being oriented to shift lead; now I actually can shift lead. I am taking a semester long statistics class in person, as well as an 8 week online sociology class. Plus there are shows and movies I'd like to watch and books I would like to read. About 75% of my DVR is full and I am behind on The Expanse and Call The Midwife. And I still haven't watched the latest season of Sherlock (I'm afraid that I will be disapointed).


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