It was the last week of my training on the cardiac special care unit, and I couldn't find my notebook. I had bought it new and compiled all my training materials in it - the cheat sheet on arrhythmias, the laminated guide on preps for heart caths and stress tests, the cardiac drug classes, how many seconds were in mm square on a cardiac strip. My "brain" was gone.
I looked everywhere. I looked on all the counters, in the locker room, in the lounge, in all the filing cabinets. Then I asked every nurse on the floor if they'd seen it..."no," "no," "no." I felt a suspicious air. Surely nobody stole it. Would they hide it from me? I went home last Friday discouraged because Monday I would be on my own, and without my "brain." What if I got a heart cath patient - would I remember everything I had to do to get them ready?
On Monday morning at 6:30 am, I opened my locker to take my white shoes out and put my lunch bag in, and there was my notebook! It had a note on the front, "I found it!" and it was signed by one of my preceptors. Later, she told me that another nurse had hidden it behind the big filing cabinet in the Case management office. She'd thought and thought, and then remembered that a certain nurse had hidden another nurse's notebook there once and had bragged about it. So she looked, and there it was! She assured me that it wasn't malicious; that this same nurse had hidden something of someone else's in a patient's room and left it there for a long time. She wouldn't tell me who had hidden my notebook or who the other victims were.
On Thanksgiving, I was working with the only other nurse I know to keep a notebook. In fact she had inspired me to start mine. I was trying to figure out an arrhythmia. I mentioned that my brain was in my locker. She asked why I didn't have it with me, and I said, "Because I'm afraid I'll forget to put it away, and it might get hidden again." WELL, the questions began, and that started her on a firey war path. I then worried that I had broken trust with my preceptor and wondered what I had started.
But wait a minute...what *I* had started?! No. This person who likes hiding important belongings of other peoples' started it.
This week for 2 days I had a patient who had chest pain continually as an "8" on a 1-10 scale, with "10" being worst. He drank half the soda in the refrigerator. We were out of regular Ginger Ale and Caffeine Free Coke today because of him. Yesterday right after shift change, the aide coming on duty said she'd run into him outside. He wanted a cigarette, so she gave him one of hers, and told him to come back up; that he was not supposed to be outside while he was on a cardiac monitor. He showed up. His pain was still an "8." He wanted morphine, but I told him he had to do the 3 nitro's first. So we did that, and in between nitroglycerine tabets and blood pressures, we talked about his life. He kept asking me personal questions, and I kept redirecting the conversation. Afterwards, he wanted to go out and get some fresh air. His pain went to a "7."He wanted the morphine before he went, and I told him that after 3 nitro's and morphine, he'd need to stay in bed for at least a couple of hours. He asked me if he could have the morphine when he got back then. And could he have another soda?
The day after Thanksgiving, he had a stress test. It was negative, and he went home. I could write a whole lot more about other patients, but this week, he and my notebook took the cake. Or the pie.
