perspective??

Hola!!  My two loyal readers.  Como Esta?  That's about it for my Spanish, more or less anyways.  I took a whole year of it in College, but you or I would never know that.  Anyhooo, I should be out running right now, buuuut.......I'm blogging instead.*sheepish grin*  It has been like Seattle here the last 16hrs.  Big time storm moved in last nite and soaked us.  Right now the rain has abated for a bit, perfect time to try and squeeze in a slightly dryish run. 

Tho, school starts late for the HS, so I will definitely avoid that traffic if I can.  Either that or get run over by some parent that seems to think they are in the Indy 500 and hug the bike lanes or lets just say drive into the bike lanes, don't stop for traffic lites or said runner in crosswalk(s).  You would think I would be more leery of the teens driving, but believe me the parents are the worst offenders in the a.m.s and the afternoons.

Had a most awesome week of work last week.  Can you get the sarcastic vibe here or what?  I had to play patty-cake with not only Dr. Eeyeore, but with his band of merry-makers that don't like to make any rash decisions in regards to patient care.  What I mean by rash is that, lets just say I had a pateint who was > 90yrs old, came in for respiratory distress, CHF and the like.  Full blown MI to boot with an EF of maybe 30%.  Oh, and originally was a full code, but family made her a DNR.  Thank God for favors is what I'm thinking.  Welp, instead of the docs talking to her and her fam about comfort care, Dr. Eeyeore and team decide that it was too soon to talk with family about "that" type of care.  Even tho the patient was fighting all care every step of the way.  She is already on BIPAP (with an agonal breathing pattern mind you), which pretty much forces 02 into her and it is a big gawdy mask that must be gawd awful uncomfortable.  She is feisty this little patient of mine and puts up a good "I don't want this shit or care" tude on/off thru my entire shift.  I have to tell ya, I was so frustrated by the docs and the situation they were putting my patient in, that I felt like burning my RN license and going into another line of work.  Maybe dog walking, pet sitting, coaching (just teezin Brian), ya know, something alot less stressful.  Long story short is that I have a hop work days, so I come back and have this same patient again 2 days later.  I can't believe she is still with us, like in "living" with us.  Same shit different day beginning with the docs.  Soooo, I decide to talk with the family about comfort care.  They are receptive.  I then tell the docs, and request that an order for comfort care be placed.  One member of the team decided we can start a morphine drip, but lets not make her too comfortable until Hospice comes into talk with the family.  Like WTF?  I get that Hospice order in like hotcakes.  All I have to say, is that I got the right thing done for my little patient of mine by the middle of shift.  We made her comfortable, family came in and went out.  She finally made her peace with this world and is onto the next.

I'm still pissy with these docs.  Unfortunately this is what care is all about more often than not.  Tho I wouldn't call it care after awhile, it's more like torture...........but that's just one nurse's opinion here.