• Scrubs, Tchotchkes, and Cheesecake

    Beware. Here comes a rant. I blame it on Kim at emergiblog. Her recent post inspired me. I have always disliked cutesy cartoon character scrubs on anyone except pediatric or neonatal nurses. Yes, there is the issue that they give nurses an unprofessional appearance. But more importantly they are loud, unattractive, and quite simply the…

  • The Dehisced Valve

    It was my turn for an admission. A patient was coming from the ER. Shortness of breath, change in mental status, intubated for airway protection. His heart rate had dropped down to the thirties but recovered with a tiny bit of atropine. He had been discharged from the hospital a couple weeks ago after having…

  • As Seen on TV

    When I was in nursing school I remember reading about the Center for Nursing Advocacy and their efforts to improve the portrayal of nurses in the media. At the time I asked, “What’s all the hoopla about?” They were particularly vocal about a movie called “Nurse Betty.” I remembered watching that movie and vaguely enjoying…

  • An Acinetobacter Story; or, Not Such A Good Day After All

    A good MICU stretch is receiving a patient on the ventilator in the morning of day 1 and by day 2 the patient gets extubated and downgraded. That almost happened to me the other day… Day 1: I receive my assignment. Sixty something patient with ARDS. After a lung biopsy, it looks like an interstitial…

  • New Change of Shift is UP!

    Check out the new Change of Shift, posted at Disappearing John, RN. Great work, John! The bad news is that I missed the deadline. Again. The good news is that I moved my computer to a more convenient place in my house AND cancelled my cable TV. What does that mean? Expect more frequent posts,…

  • Strike Breaker?

    Should nurses cover for the housekeeping and food service staff when they go on strike? Our hospital is facing a possible strike by the service workers. In the event of a strike, the hospital is requiring the nursing staff to fill in for the services workers. That means that I am required to sign up…