Tuesday, May 02, 2017

Valve Job


Another moral tale: The Valves of Meth.

He was twenty nine
When he ruined his valve
And had it fixed in our garage,
Now eighteen months later
He did it again
With another
Drug fueled barrage.

He came back to the same old Surgeon
Who offered a second dance,
Declaring, you stupid young punk
After this, you get no third chance,
He is polite and innocent looking
Appearing younger than stated age,
But the drugs
Have ravaged his organs,
He is now at the 99th page.

Clearly, his Mom
Wants the best for her punk,
She thinks he is retrievable
Although he's strung out on junk,
She drove him from one hospital
And brought him to us,
We're the best Cardiac
Says the sign on the bus.

A sad, sorry story
Of a Methamphetamine user,
A slow kind of suicide
For the drug abuser,
Ingesting powerful stuff
Unknown ingredients, the issue,
Whatever strange concoction        
Wrecks your organs and tissue.

What is the likelihood
That he will get clean?
Stop snorting dirt
If you know what I mean,
The odds are not favorable
But we'll repair him just the same,
We taxpayers got it covered
Because billing is the game.

Friday, April 21, 2017

Trust Someone

Trust that my awareness is on my patient's on the job

Who is the first
To get up from their chair,
When alarms are ringing
Anywhere,
This is the one
I can probably trust,
They are listening
Because we must.

To be your Nurse
Means that my awareness,
Should be totally focused
On you, in all fairness,
Because we are here
To attend to your needs,
If my attention wanders
Maybe somebody bleeds.

We are duty driven
And morally inspired,
To perform at our best
Until retired.

Thus....
Turn off your devices
When you come to work,
Check later for updates
Don't be a jerk,
Secretly viewing
When you know you shouldn't,
We could fire you
Don't think that we wouldn't,
You reviewed the policy
On your hire date,
Electronic entertainment
Is tantalizing bait,
That could lead you to
The unemployment line,
When Billy Bob is calling
In room ninety-nine.

Thursday, April 20, 2017

Seatbelt

Pretty much, auto seat belts have been a safety requirement on our American cars since 1966.
Now it is 2017, and if you choose not to wear a seat belt, and drive your car and crash, you are the fault of your injury. Don't try to pin it (to get money) on anybody else. You are the fool.


I didn't wear a seat-belt
Because I'm young and pretty,
Till I rammed that metal pole
Now, I'm one dead kitty.

I didn't wear a seat-belt
Because, what could go wrong?
Now I'm singing soprano
An angel's song.

I didn't wear a seat-belt
Because I was too busy,
Now I'm floating up in the clouds
And feeling kind of dizzy.

I didn't wear a seat-belt
Because it pushed on my breast,
And because of my stupidity
I earned eternal rest.

I didn't wear a seat-belt
Because I'm a good driver,
Now I'm up in heaven
An early arriver.


Monday, April 10, 2017

My (hopeless) Journey


MyJourney is the name of the software application that delivers the bulk of our required yearly hospital education. It is nothing like a journey, it is not a vacation, and we certainly don't get to choose the island. I discovered today, I can do it all in the safety of my home........and they better pay me for it, too.

Oh, I'm such a happy
Old fool,
Lying here
Next to the pool,
Spending the day
On MyJourney,
Wishing instead
I was an attorney.

I could bill for
Hundreds of dollars an hour,
While sipping away
On whiskey sours,
Dreaming of sugarplums
Dancing at the bank,
Instead I'm on MyJourney
In a blitzkrieg tank.

Firing away
At educational objectives,
I don't have much choice
To be very selective,
If I don't show effort
Or participation,
I'll be, persona non grata
At my nursing station.

Friday, April 07, 2017

Another Bungle


Uh, oh, rumor has it another Nursing Bundle is about to be jammed down our throats. I heard one of the ANS crew talking about it last night, and the religious fervor she exhibited while sharing the "good news" (and dismal statistics) had me running to my creative writing space, to contemplate, Nursing Bungle #2.

The Nursing Bungle requires a testament of belief
Give all of the appropriate answers to avoid any grief,
It's not an annual Revival, but they would do it if they could
Gather around the campfire boys, because the bungle is good.

This latest Nursing Bungle contains all the new thinking
Grandiose ideas to keep this ship from sinking,
And with new management in Washington you better hang on to your seat
Next time the Nursing Bungle will be delivered by tweet.

Excitement is high, at the place that I work
Unveiling the new Bungle with a wink and a smirk,
Promising wonderful top-notch Avatar Scores
Whiz-bang H-CAHPS, and C.Diff. s'mores.

Oh, I can hardly wait to travel on My Journey
After 8 hours of study, they'll transport me on a gurney,
Down to Radiology, for the implants in my brain
I'll be a Nursing Bungle Cyborg, with a built-in ball and chain.




Thursday, April 06, 2017

Out of Rhythm


Well, I caught another Rhythm interpretation screw-up and it's a doozy. From what I can see, nobody really cares, but I have fun doing the research and exposing the fraud.
.

Here's my report:

It bothers me
When I do see,
A misinterpreted
EKG,
I can give a pass
To untrained Docs,
Who specialize
In Chicken Pox,
But Cardiac nurses
And their monitor crew,
Should nail every rhythm
In their purview,
Because that is a skill
Required of them,
And when they blow the rhythm
I say, "Ahem"!

How could you call that strip
Atrial Flutter,
When there is a "P"
"T" and "U" wave
You're some kind of nutter,
A rhythm so slow
With a triplicate block,
'Twas not even A. Fib
You got your head in a sock.

Ah, woe is me
And Auntie Em,
Under the watchful eyes
Of the likes of them.




Friday, March 31, 2017

Infusion Pump Apocalypse


From the "New Brilliant Stuff" Department: (jokes and more)

Consider the similarities:
Q: A Creamcicle ice-cream treat and the IV tubing used for hanging a piggyback medication.
A: The Creamsicle........you suck on dairy;
      The IV tubing set is called a Secondary.

Admission Database question:
Q: Have you ever had an infectious disease?
A: No I haven't, but some people say that I have an infectious laugh.

- - - - -

Here is a retirement business (or hobby) that I am considering:
I will have a sideshow / shooting range or even a mobile unit, perhaps a repurposed mobile home. At this location, Nurses will be able to shoot the weapon of their choice (Sig Sauer, Desert Eagle, Mossberg shotgun, you name it) at old, retired IV Pumps. Heck, I'd be more than willing to pay $20 for a chance to do that. Just think of the satisfaction you could have, sending one of those infernal beeping monsters, to it's bloody grave.

Stay tuned for the Infusion Pump Apocalypse!



Incompetent


Incompetent employees exist to make all of the rest of us look really good? Now that, is an interesting theory.

The truth of the matter, is that incompetence should not be rewarded, by allowing that individual to remain in their job. Some folks never improve, and as any industry changes and moves forward, Joe Bob the Incompetent, becomes a dangerous liability. Employers should have a contract clause that states, “JB, if you don’t learn the new stuff that is expected of all employees in your department……...YOU ARE FIRED!

The Headmaster
Turns a blind eye,
Intentionally ignoring
The incompetent guy,
The one who hasn’t kept up
With the changes in Nursing,
Every day that he works
The experts are cursing.

The Assistant boss
Ponders other things instead,
Ignoring the possibility
A patient might be dead,
Under the care of
Incompetent Billie,
Boss holds the thought
Oh, that’s just too silly,
Figuring the other nurses
Will keep an eye on that punk,
But, everyone else
Would like to throw him in a trunk.

Incompetent Billie
Types with a single digit,
If you’re standing nearby
Oh surely, you will fidget,
Watching with frustration
As he searches for each letter,
He skipped typing class in High School
He never gets any better.

Perhaps Billie believed
It’s all rumor and hype,
Someday I won’t be writing
That I will have to type,
So, why should I bother
To learn any new stuff,
Patients are just people
And I know enough.

For eight years now
Billie has restated,
I don’t have enough time
And it’s so complicated,
I can’t take another patient
Because I’m too far behind,
Floundering on the keyboard
He appears to be blind.

Your career in Nursing
Exceeds twenty years,
But watching you work
Doth bring me to tears,
You don’t know jack
And you ask me every day,
“How do I chart this
They didn’t teach me, no way”.
            _  _  _  _

When I ran to the break-room
Stating, “Oh, I think I saw my son”,
I was really going to my locker
To retrieve the loaded gun,
That I keep there for emergencies
And that time has come today,
Goodbye, Billie
Let me assist you, on your way.