Author: smalltobigweb

The exorcist

Last night was my 1st night out on the unit and it went really well, such a big change from the flow of the nicu. Despite the major differences I really enjoyed it and the kind of pace it it. Things were going great, we had the typical belly painers, headaches with high BP, groin abscess, MVAs, rectal bleeding, etc. Then at 0530 EMS brings this guy in, septic, with shortness of breath, fever, and vomiting. He puked once while EMS is bringing him in and then after we get him on bipap, it was like the scene in the exorcism. Projectile vomit across the room. It was so bad we were gowned and masked to clean this guy up. I forgot how terrible adult smells are and I don’t do vomit well. Looks like I’m going to have to get used to it. 

So after spending over an hr in that room we finally get out to the desk to do whatever charting we can right before day shift gets here, and this or comes out to the desk with the typical “get me the person in charge, not the charge nurse, I want the head supervisor, etc. I’ve been back here an hr and nobody is doing anything for me, yadayadayada.” Now, you have to understand that there was only one other nurse in our zone and she had 4 pts she was working on, and we had another pt that showed up at the same time as Mr. Exorcism that we had done nothing on, so I didn’t have a while lot of sympathy for someone who was complaining about neck pain or.some such thing that she had come to the ER last week for. Sorry bout ya, but we are not your primary doctor so you are going to have to wait while we take care of our septic pt since this is the EMERGENCY room.

We will see what night 2 has in store for us 🙂


Final day of hospital orientation

I officially survived hospital orientation. Thursday we did the dysrhythmia test, which I passed with flying colors (thankfully, considering we only see about 3 rhythms in the NICU), and then we had to or ice we know basic nursing skills like IV insertion and foleys (which is humorous to me since I do these skills on babies which is 9 million times harder than the giant plastic mannequins). After completing these, I got to go home and I didn’t have to go in on Friday because I completed all my healthstreams. 🙂 I love short work weeks.

My first night on the unit is going to be Sunday night. I’m excited and nervous 😀


So today was my first experience with Epic. I’m not singing it’s praises just yet as I still have to play with it A LOT more before I’m comfortable with it. I’m used to working with Meditech (yes I know it is a terrible system, but when you work with it for 6 yrs you get comfortable and fast with it so it isn’t too bad) and CPN (centricity perinatal) which I actually really liked and it was super user friendly. All that to say, Epic is a big change and I know I will come to love it eventually. Can I just say that I love doing computer training with only one other person and the person leading the class is the unit educator so we were done with training by 2pm!

I finally got my orientation schedule for the unit and I get 6 WEEKS!!!!! I was originally told it was only going to be 4 weeks which made me a little nervous since I haven’t touched a grown up patient in almost 5 yrs  0_0

My first shift is on Sunday and I am so ready to get out there and start learning things 🙂

Day 2

When you get to orientation and they tell you to start working on healthstream assignments, and you think “maybe this won’t be too bad.” Then you open it up and see you have 923813491234712047123471923471294710239471744656134923499 hrs of healthstreams to complete


*also I promise not to post memes in every blog post, but do be prepared to see a lot of them bc they represent my inner sarcastic voice 🙂

My hot dates for the next few months

Since it’s been about 4 1/2 years since I’ve so much as looked at an adult patient, I’m having to do a lot of studying and reviewing of big people nursing. I forgot how much I loath studying. I’m definitely more of a hands on learner. Oh well. For those wanting to know what books and resources I’m using, here ya go


Emergency nursing made incredibly easy

Sheehy’s manual of emergency care

Mark Boswell’s YouTube videos and I just ordered his books

ECG Interpretation made incredibly easy

ECG workout: exercises in arrhythmia interpretation 

CEN practice questions

CEN review book
Ok peeps, back to the books I go

T-3 Days

In 3 days I start on my new adventure in to the ER. My last day in the NICU was a little less than 2 weeks ago and it is a very surreal feeling. I’m thinking I may pick up some agency shifts to keep my toe in the NICU world (I really do love NICU nursing). I purchased my scrubs (yay for changing scrub colors), so I am ready to tackle hospital orientation week starting on Monday. Every time I go through a hospital orientation I swear I’m never going to get a new job so that I don’t have to go through hospital orientation again. Here’s hoping this orientation is less painful than the previous orientations I’ve done.