Yeah!!! Tomorrow I am flying to Boston and will stop over and watch the Oscars with Kate and Leslie!!!! Yeah!!!! Dow will come in on Monday, and we will both fly back to Portland on Tuesday!! Yeah!!
I just worked three long days on the unit. After doing a large work book first, I had a training moment on the PCA system, then I will have a test. One of the charge nurses just failed the test. Ok. PCAs are not through an IV site, but rather, through the subcutaneous route that I referred to earlier, usually in the upper arm.
Patients who are going for procedures such as a ct or xray are sent down in their bed with a porter and a nurse, along with an emergency bag with an ambu bag in it. When patients go to surgery, the nurse goes down with them and into the pre-surgical area. Then when they are ready to leave recovery, the nurse goes back down with the emergency bag, gets report from the recovery nurse, and brings them back up on the floor with the porter.
One clarification about the MRSA situation. Patients are nasally swabbed on admit and a week later in their nose. The patients who were negative initially, then positive later had it in their nose. Not in wounds.
I have seen several frontal/temporal lobectomies.
The weather in London today was fantastic. The sidewalks were crammed with people on the shopping streets. I am starting to look forward to more nice days.
I will see a lot of you in Portland. Cheers until then.
p.s. the elevator in my dorm will be out of order for 14 weeks!!! Let's just hope the plumbing does not go out next!
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