All about a city girl gone smalltown. My adventures and misadventures in a place I call home.
Thursday, August 31, 2006
Oh Life ( 2 syllables.....)
So my crazy day starts.....up early for an appointment in town. I'm exhausted as I had little sleep the day before due to me working night shift. Anyhow, attend the meeting. Go home do my house chores, and then off to our basement suite to prime and paint. Trying to get the darn thing rented for middle of next month. Then my man calls me and says lets' go golfing. I don't golf, but it is such a glorious day and the golf course is nestled in a bit of a valley with the mountains for a backdrop. We golf 9 holes. That was enough for me. This is all I remember about yesterday.
We arrived home. Apparently, I cooked us some dinner, I sent out some emails.....I have know recollection of this. The first thing I remember was waking up still with my jacket on wondering what had happened. I freaked....my husband was asleep on the couch, I tried and tried to wake him up...I shook him.....I started to hit him with a pillow....wake up I keep screaming "what happened I say, what happened?" He finally wakes up. Flustered, as to why am I hitting him with a pillow. I am freaking at this time....I have no recollection as to how I got home, what time of day it was nothing. Blank! My head is pounding feels like it is going to explode. Doug calls his parents to come over. I am still hysterical freaked out.....I felt like someone had drugged me. Doug calls the doctor...tells him what is going on. Doctor tells him to take me to ER.
My head feels like someone is playing the drums on it...the nausea and wretching weaken me. The ER is a 40 min drive from house. We arrive they take me right in. My asthma starts to act up they put o2 on me and give me a ventolin treatment. Doctor comes, order a CT scan of my head, chest xray, blood work. All come back normal. He wants to admit me as they don't know why I had the "black out" was it a seizure? was it a TIA not sure. They want me to see a neurologist and have an EEG and maybe MRI, but that is in Victoria a 3 hr drive from me. I opt to come home and be under the care of my husband until such time that an appointment is confirmed. There instruction to go back to ER if anything happens again, and in the meantime, no driving, bath with only minimal water in the tub....and just relax. I am so sleepy. Got to go.....I'll keep you posted. Oh Li fa!
Wednesday, August 30, 2006
Oh to play tourist ......
But yes I did take a wee bit of a break. A dear friend of mine daughter got married on the weekend. That meant a trip to the mainland. Yahoo!!! Well no not really. I don't know about you, but I was brought up that you can't go away and leave your house unteady. So it seems that I am always making sure the laundry is up todate, the bathrooms are cleaned and that the dusting and vaccuming is done. Why do I do this? It seems so futile and adds stress to an already stressful situation which I have created myself. I often get anxious about getting ready to go, did I remember this, did I do that, did I pack my stuff and my hubbies stuff and the gift..blah blah blah..... My hubby thinks I am crazy for doing all the house chores before I leave. But I must tell you when I come home it is nice to come home to a clean house and that I can throw on a load of laundry without there being a pile of it already waiting for me. OH and then there is the garden to water, make sure the dog has enough food and water before the inlaws come over to check up on him. Then the rush to the ferry. Can't book a spot those spots are all taken. What one can we make...it is Friday afternoon...hmmmm....will we make the 5:00 or will it be later? So we end up stopped blocks from the cashier hut for the ferry. I say to my man.....guess we aren't going to make it.....think positive he says.....no we aren't going to make it. Sometimes, I like to play this game with myself. If I tell myself we won't make it and we do...I get pleasantly surprised and if we don't it's like see...I knew we woulnd't make it. I don't know why I do that...I just do. Unbeknown to us they put an extra ferry on. We didn't make the 4:30 but we did make the 5:00, we were one of the last cars on but that was ok. We got on!!
It was warm on Friday and where we ended up parking the car on the ferry was very close to open space and you could look out if you chose to which we did....but I also had the top down on the convertible and just let the sea breeze hit us....it was glorious.
An hour and half later we arrive on the mainland. It is still pleasant out so the roof stays down...driving we go, only to run into traffic. If you have ever driven in Vancouver you know what I mean. On Friday evening one of the major bridges that goes into Vancouer was closed hence diverting the traffic in the direction we were going.....back log!!!! Oh how I love the city....NOT!! We make it to our destination, I am exhausted, the preparation the driving the traffic...I just want to put my feet up and have a glass of wine and chill. My man has other ideas...he wants me to take him out. This is your town he says show me something. Well, I didn't want to....we had a tiff. I went to bed. Upset and didn't sleep well I awoke at 0530, made coffee went out on the patio and looked out at the inlet and the sun rising. It was a beautiful sunrise bright orange, the air was crisp and clean....the mountains looked so majestic.....mmmmm. My man awakes, and he comes joins me....we hug and kiss and make up....nice start.
Later that morning my sister calls and we decide we are going off for a power walk.....the wedding is at 5:30 so gives me lots of time to just chill. It's 2:00 in the afternoon and my hubby asks me if I have seen the grament bag that has his dress clothes in. No I say...is it in the trunk? Nope. OMG!!! forgot it at home....how could that be. So off we go to the shop to try and find him something to wear. We did very well found something in no time. Actually I liked what we got more than what he originally was going to wear. It's time to go. I forgot the address. OMG!! Quick call to my daughter who is also going to the wedding, get the address and off we go. Do you know where u are going is the question, of course I do.....my old stomping grounds...well sort of. I take a wrong turn...it's 5:00....panic.....call my sister.....she redirects me.......I get onto the right road only to discover we have to travel 2 km up a dirt road.....it's 5:25.....thank god the bride is always late. The wedding is outdoors....the sun is still shining...I am sweltering......The ceremony was lovely, the dinner grand, the music and entertainment very enjoyable....it was a nice evening until I thought I would eat a scallop which was on a skewer next to a shirmp....shirmp.....not my friend.....my lips start to itch...and swell.....my man rushes to get my antihistamines and puffer. Yikes. Then someone at the wedding fell. My girls knowing I am a nurse comes looking for me. Can you check her out she asks....Always a nurse....I checked her out....she seemed fine....she pulled her hamstring...told her no high heels and rest it...and no dancing for her tonight. My hubby and I danced...and danced lots...it was nice evening.
The next day I have lunch with my daughters and then rather that wait in the lineup to get the ferry home. I decide to take my man on a tour of the city. So off to the West side we go. Larcarno beach, Jericho.....the water is inviting and the sailboats look so grand. So up to the universtity endownment lands we go....the multi million dollar properties with their views....then off to Stanley Park we go through the park and then head over to the other side of the water and through the British Properties....more multi million dollar homes....and make our way to the ferry. It has been another long day. We get on the 7:00 pm boat. Home by 9:20....put on a load of laundry and off to bed I go.....0500 comes early....I have to work Monday morning.
Thursday, August 24, 2006
My faith in mankind....challenged again
I think that might have happened to my yesterday.
My day starts with answering a callbell even before listening to report. A frail patient in Room 1 asks me for another blanket. "Of course" I come back with a warmed blanket put it up against her shivering body and cover her with the remaining linens. She tells me that feels wonderful and asks me my name and if I going to be her nurse today. I tell her my name and inform her I have just come on shift and I have not yet been given my assignment, that I am just going to listen to report after report her nurse for the day will be in to see her. She settles and off I go.
As I leave her room I wonder what's her story. She looks sweet and gentle, enough, maybe a bit unkept, and frail. Why is she here?
Then comes report. Drug overdose is the admitting diagnosis. Was found passed out in a vehicle and someone called 911 and she was brought into ER with decreased level of consciousness(LOC). IV started, catheter insitu, and put on cardiac monitor, and up to ICU she goes.
Glasgow coma scale (GCS) 7 on admission improving to 12 by 0600 assessment. The report I got is that she has a history of illegal drug abuse along with prescription drug abuse and apparently was in ER 4 days ago, and put in 4 point leather restraints. Not a good report and I say to myself, what am I going to be faced with today.
As I was heading towards her room she calls again. I say to her, "well lucky you I am your RN today" We have a pleasant enough chat while I am assessing her. But all the while I am thinking....are you telling me the truth....how much of what u are telling me is fabrication...what really happened last evening. During this time her GP arrives, and assesses her as well. The GP and I leave the room. He tells me that is was not an intentional OD but rather a situation of all of her medication being on board and that she needs to stay so he can sort them all out and figure out which ones will work best for her. Sounds like a plan to me.
She calls again, and into her room I go. "So I get to go home and let my cat in" Yes, the doctor has given you a supervised pass to take care of personal business and that you must return by 1400 hrs. Of course she responds.
My antenna goes up and my gut starts to tell me there is something just not right here.....I ask her about how she manages her medications at home. She tells me she uses a dossett and that she pre-pours a weeks worth and then throws the bottles around the room so she won't take extra. Hmmmmmmm......antenna up higher now, doesn't sound like normal behaviour to me. So I ask her, if you take today's dose in the morning and in the afternoon u go to your dossett and see that there are no pills in the dossett for today are you convince you have taken your meds. No, I take more was the answer. Hmmmmmmmmmmmm....... On her previous admission she was positive for all kinds of drugs, so I ask her straight out...do you use street drugs? NO was the response I don't drink either.....hmmmmmmm. I was working at trying to build a trusting relationship with the patient, so that she would feel comfortable enough to come back from her pass. The time comes for her pass. There is no one there to pick her up...she says she has to go downstairs that they will meet her in front. I am not confident that this is the case. But I can't hold her, I have her sign the daypass form and say...."See you at 2:00"
My colleagues all say she won't be back. No I say....she will come back...I told her 1400 hrs. It's 1350 and no sign of her. Then the call. It's her. She says she can't get a ride back until 1800hrs. Hmmmmmmmmmm.....I make the shift supervisor aware. We decide to give her until 1900, shift change. If she doesn't come back she's lost her bed. I make her GP aware. She'll be back I say to myself. My colleagues are joking with me now.. asking me what planet I am from. It's 1820 get a call from her GP asks if she had returned. No. It's 1840, call from GP he tells me he has contacted her and that she will be in within the 1/2 hr....she had to arrange a ride. HMMMMMMMMMMM ....heard that one this morning. It's 1900 my shift ends. She has not returned.
I so wanted to prove them all wrong. I wanted to prove myself wrong. This pre-conceived notion that she could not be trustworthy, that she would not follow the plan, that she would not return. I wanted to believe she would come back. Even though I was being fed this notion that she would noncompliance.
Naive? Maybe....I just wanted to have faith in her.....I wanted to believe what she said .....but that notion given to me in the morning that I should take what she said with a grain of salt reared it's head. Could I have done something different?
Tuesday, August 22, 2006
A sad day...........
But back to my now deceased colleague. It appears he was heading home on his motorcycle and travelling to fast and lost control of his bike and went head on into the guardrail and died instantly. He was only wearing one of those "beanie" helmets. Those helmets have been banned everywhere in Canada except BC. Personally I don't think any helmet would have saved him in this case.
How tragic, he was so young, in his early 30's. His poor family. I saw the picture in the paper today and of course the paper makes it clear it was his fault. They don't put a face to the name, they don't care that he has a family. The fact that they are moarninig his loss today. Just that it was such an inconvience to the morning commuters.
I have choosen to use Purple as my colour for this post as in some cultures it represents mourning. So out of respect, purple it is.
Rest in peace my friend. And now you can soar with the eagles. God bless.
Monday, August 21, 2006
Proud mom and her girls.......

We had a grand weekend!!! Very blessed and fortunate that I am able to spend time with my girls...and that they actually like spending time with me. You know what I mean...that stage they go through when they think their parents are the last people on earth they would want to be caught dead with. Guess I should consider myself fortunate that they even want to spend time with me. Anyhow, my girls tell me they think I am ok. Wish they thought that I was hip or cool or something like that. But then maybe even using those terms dates me and just demonstates how unhip and cool I really am.:) Oh but I try. They make sure I stay in touch with the current fashion trends...what you mean I can't wear my jammies and ball cap to the local store? Oh they cringe when they hear I have done that.....maybe I will just keep that one to myslef . Oh the joys of parenthood. I get to be the nerd all over again.....and who says life can't repeat itself?
The graduate.......

Introducing.....my Candice......she did it...she made it through high school. I tell you there were some moments when I thought she would never get there....Grade 10 was the worst....oh that transition year. Then came grade 11 she kinda got an idea of what she wanted to do with her future and started to apply herself. She graduated with honors. Yeah!!!! These are some of the proofs she had done for her grad pics....I go the big one in the bottom right corner...have it in a huge print.....she has the most amazing eyes.......the sparkle is just who she is....proud mom...what can I say.
Roisin with little Mindy

That's my Roisin with Mindy the Yorkie.....Roisin loves to dress the dog up.....she finally got her own Yorkie and spoils her rotten. She named her "Tifa" Roisin tells me she thinks Tifa might be pregnant. She wanted to breed her dog but with a pure bred. Instead she tells me she thinks it got pregnant by the chihuahua that was visiting while her dog Tifa was in heat. I asked her what she was thinking having a male dog over while her dog was in heat. She tells me she was watching them closely but when she left the room and left the supervision to her big sis, things went array. I don't even know what you would call a dog like that.....Yorkie/chow or Chayorkie? They will be some strange looking dogs. I'll keep you posted.
Sunday, August 20, 2006
Survived the birthday and right back at the work thing.....dang
Next day we got up and at it early.....off for a trail hike(aka power walk through some wooded trails), and then seaside for pics and relaxation. Later in the day took the girls for a real hike up to some falls and then past them through the shrubs and beyond to another set of falls....very isolated and tranquil. Little bit of whining re the scratches and cuts from the branches....my girls are so very city. They are athletic and workout regularly but they just don't seem to get the concept that I live in the country and the Doulce and Cabana don't really need to come on the hike with us nor does Channel or Bebe and the likes.
Anyhow, I had to take them to the ferry this afternoon and rush back home get changed and off to work for nights tonight. When I got home there was a message from work wondering if I was still coming in....."of course...why" when I returned their call....oh just a lot of sick calls was the response. Well I get here...and guess what....I am the only one here....but then there is only one patient....that is just unheard of.....what? Did they close the emergency doors? Nope was the answer, guess people just aren't getting sick ,and alot of the surgeons are on holidays so no big surgeries are happening and with all the nice weather folks are just staying away.....sounds good to me. Well the night is young and you never know what could happen.
I have been reading some great blogs lately....wow people are so creative and have been blessed with the gift of creative writing. I read a blog by OncRN she was regaling us with her observation of an oncology doctor she works with....oh it was priceless.....if you get the chance check out her blog..... So I started thinking to myself, What makes a good blog? I know what I like, but what draws people to blogs and what keeps them going back to certain blogs....is it the content of the blog?....is it the writing? Is it the blog itself and it's layout? Are people looking for controversy? What about specific topics...like Alzheimer's or Diabetes? I really would love to know what it is that draws people to blogs and blogging. Anyhow, enough about that....my thought process seems a little disjointed this evening and the gray mater is just not up to snuff, so I should leave it at that.....cheers all....and happy blogging....
Thursday, August 17, 2006
Happy Birthday to me............
Wednesday, August 16, 2006
Nurse and Doctor and their interaction
So here is something that upset me the other day at work with an interaction I had with a doctor.
I was tending to my patients and along comes the doctor to do her rounds. This doctor is covering for the regular GP. The doctor went in to do her assessment on the patient and came out, I was able to give the doctor my observations of the patient over the past 22 hrs I had spent with the patient. I mentioned that I felt it was not cardiac pain but rather muscle/skeletal and that our current medication regime we were using for her was inadequate. At that point a patient called and I had to leave. By the time I got back from tending to the patient's need the doctor had left and had left some orders. I processed those orders as always and told the patient that the doctor had changed her pain medication and that I was just waiting for the medication to come from pharmacy. Time passed and no medication. I contacted the pharmacist, she told me she didn't' get the order so send it again, I do. The pharmacist calls me back and says that we don't carry the medication the doctor order and that they do an "autosubstitute" I said that the patient was already on that medication and the doctor specifically wanted the medication she had ordered. The pharmacists tells me I have to call the doctor and see what else she would like. At this point one of my colleagues over hears this conversation and tells me that she told the doctor that we had that medication on formulary, and that she forgot to tell me that she had spoken to the doctor. Great I say to myself. The doctor is going to be pleased with this one. So I call the doctors office only to get an answering machine. Getting frustrated here. I call the doctor's cell, the doctor answers I tell her what happened. She was mad at me. I apologized as I had not realized that she was given that information from the other nurse in the morning. The doctor was abrupt said she was busy and said she would call me back. She called back, she was mad, said she only had 10 mins. left in the clinic that she had been there for 4 hrs and wanted to go into town to shop. I said "are you not on call for Dr. So and So's patients" " yes" she said, but that she didn't want to be disturbed while she was shopping. Oh how lovely for you I think to myself, you are on call but don't want to be disturbed while you are shopping. If I need something for the patients I am going to call you whether you are shopping or not. If you don't want to be on call then you shouldn't be on call. Anyhow, as I said she calls back. Then it is a matter of getting someone in pharmacy to talk to her. I call pharmacy overhead to get them to call me while I have the doctor on hold. The pharmacist calls gives me a number that she can be reached at. I dial the number to connect the doctor. Oooops the pharmacist calls me back to tell me she gave me the wrong number. I say to late I already transferred doctor grumpy to that number and that she will have to call the doctor herself.
Oh my goodness. You know I was just trying to do my job and to be a patient advocate. It took me a couple of hours to get that all straightened out and it did get straightens out in the end. You know that is only one of the things I have to deal with in a 12 hr. shift.
Here's another one. We get this patient unexpectedly to the unit. The doors fly open and in comes the recovery nurse with the a doctor pushing the patient....the doctor gives the bed one last good push through the door and leaves. The recovery nurse is so upset. She says you are not going to believe what just transpired. Apparently, this patient we got was a post op hip but went into rapid atrial fibrillation post op. The anesthesiologist wants to treat the rhythm and stabilize the patient before he sends the patient to ICU. The surgeon and the anesthesiologist get into a pissing match because the surgeon wanted to do the trauma patient in emergency department and they needed to get rid of the post op hip. Well tempers flew, thank goodness the patient was sedated and extremely hard of hearing as this went on all around the patient. Oh how unprofessional is that. Normally what would have happened the patient would have been connected to a monitor for transport and everything that goes along with it but in this case nothing like that happened. She came with the doctor she didn't even have time to get the patients records to relay information to the ICU nurse. It was awful. The nurse was caught in the middle of the doctors pissing match and the patients needs as far as I am concerned were ignored. Anyhow, we got the patient settled, the internist came and gave us orders and things worked out for the patient in the end.
That same evening we get the trauma, accompanied this time with a doctor as the patient is on a ventilator. Lots of complications. This patient was still bleeding. Very low hemoglobin needed blood. Low BP, tachycardic and in pain. He needs to be medicate, and given volume and monitor chest for fld overload. The nurse try as she might can't get a hold of the surgeon. So call the internist on call to get orders. No such luck. The internist won't see the patient even though he is on call because he was not consulted. So try as she might she can't get a hold of the surgeon. So what does she do, she gives the patient volume, medicates him and , listens and hopes for the best and that the doctor if she ever hears from him won't be mad that she took those actions. She was able to stabilize the patient. She didn't hear back from the doctor for almost 4 hrs. He had fallen asleep, didn't hear his pager and his cell was in his car. Wow!!! If the surgeon wasn't so pig headed and rushed out of the department as quickly as he did, he could have consulted the internist oncall who could have tended to this patient and the surgeon could have had his sleep.
As nurses in the ICU we work as a team. If one of our colleagues needs help we are there for them and do whatever we can, as we see it is all about what is best for the patient. I just don't know why the surgeons and the GP's and the internist can't communicate it would make our lives so much easier and that of the patients.
Oh just another day in the life an RN......hope you all have a good one ...cheers......
Monday, August 14, 2006
A site that is an extention of me
http://www.qualicumlife2.blogspot.com/
5 Reasons.......
5 reasons I'm the _________.
5 reasons to wear _______
5 reasons to _________.
5 reasons to brush _________.
5 reasons to take __________.
5 Reasons I'm the Chief cook and bottle washer:
1. I am a neat freak
2. I work funny hours so can be there when others can't
3. I enjoy cooking but baking more
4. I enjoy doing laundry
5. Just because I am
5 Reasons to wear my sports bra:
1. Keeps the girls in place
2. Makes them look perkier than they are
3. Keep the girls in place
4. I can wear my tank top if I wear it
5. Keeps the girls in place
5 Reasons to Brush my teeth:
1. To keep them pearly white
2. So I can keep them ....
3. So I won't suffer from halotosis
4. Because it feels good
5. I like the taste of my toothpaste
5Reasons to take a break:
1. So I don't get so grumpy
2. So I can appreciate what I have just done before I take on another task
3. Just so I can put my feet up and have my hubby rub them
4. So I can spend some time with my hubby
5. Because I should