Family Practice Clinic
Overseas Military Base
(I work at a Medical Clinic, mostly taking vital signs before the patient is seen by the doctor. Since appointments are scheduled every 20 minutes, it’s important to move fast to ensure the patient gets plenty of time with the doctor. My technique…
My dad was incredibly OC and anxious. When his doc diagnosed high blood pressure, he bought his own measuring kit and would hole up in a room for half an hour, then take a reading to prove he didn’t have high blood pressure. God help anyone who interrupted him.
Fast forward: me getting my annual check-up and my BP is high, doc has me lay on my left side so my BP will read normal.My doctor never talks during blood pressure readings. She is actually paying attention to the reading to make sure it’s accurate. For my mom, to get an accurate reading, sometimes they make her lie down and relax for a few minutes - and shut up - because otherwise she gets a false high reading. This should be on “not always working” because seriously, medicating a false high reading is DANGEROUS.
Why Readings May Be Off
You might be surprised at how easy it is to influence the accuracy of such a seemingly simple tool as the blood pressure monitor. Several factors, such as talking (answering a nurse’s question) or having a full bladder (because you thought you might be asked to give a urine sample), can temporarily change your blood pressure enough to result in false high or low blood pressure numbers. (source)
Here, have a PubMed brief about keeping feet flat on the floor: source.
There is also something known as White Coat Syndrome, where just the act of being in a doctor’s office can raise your blood pressure. My dad has this - he was improperly medicated and had dangerously low BP for a while. The solution is to have one of the automated machines at home, and take it yourself every day at roughly the same time for a couple weeks. Take that trend in with you to your doctor.
This morning, while I was giving report to the day shift nurse taking over my patients, she burst into tears.
She’s going to miss her children’s hockey play offs due to our strictly enforced every other weekend schedules. You work every other weekend, no more, no less, unless you are going to college (I work every weekend because I’m in college). She’s their hockey coach, and inevitably, each year, their last game falls on a day their mother has to work. I’ve come in early for her before.
So I offered to come in on my night off for an hour and a half so she could get to the game. I’m coming in that early because I know she won’t be done charting.
She turned me down until another day RN got involved. I reminded my coworker I only live a mile from the hospital, and it really wasn’t a big sacrifice for me. She finally agreed, and calmed down. We got permission from the charge nurse.
Nurses are one of the largest professions in the world. If you don’t know a nurse, I’m really surprised. Nurses talk a lot about the rewards of nursing. Catching that vital sign, saving lives, providing comfort, but nurses, by nature, are taught to martyr themselves on the altar of nursing.
When I was a new grad, I hated coming to work so much that I would wish I’d get hit by a car on my way to work just to get out of work. One night, while checking medication sheets, I confessed this to some experienced nurses and found out some of them still felt the same way.
In nursing, it is NORMAL to have days where you wake up and just can’t mentally and emotionally face the day at work. I swear, the only other people who can understand this are nurses.
Nursing is emotionally, physically and mentally taxing, and some days you run too low on what you can give emotionally, physically and mentally. That minor back injury you don’t want to report to HR because you don’t want it on your record. Having a patient with constant diarrhea who can’t get out of bed and needs to be physically rolled and cleaned several times an hour. The cold you got from the two-year old someone brought in. The sorrow that comes from supporting someone who has just found out they were dying, holding in your own tears so you could wipe theirs. In one day, all of those patients could be yours.
I don’t know a nurse who hasn’t taken a mental health day. Some do it by requesting more vacation than others. Some do it by calling in sick, but it’s all time off because we are too drained to give anymore.
So if you know a nurse, and that nurse mentions to you that they feel like calling in because they just can’t take it another day, don’t give them a hard time. Especially if you have an 8-5 job with weekends off or some other really great schedule. The 12 hour shifts nurses work mean we miss the entire holiday we work with our families. Night shift nurses have to choose between holiday dinners or sleep. Often, if a nurse chooses to sleep rather than go to the holiday dinner, guilt ensues. Even though I’ve told my mother-in-law repeatedly that every nurse has to work holidays, she makes a point to say how horrible it is my husband has to be alone for a few hours. What about me? Working my ass off while everyone else celebrates?
We work hard. We are intentionally understaffed by our hospitals to improve profit, even if the hospital is a non-profit. We help people at the worst times of their lives, and often have no way to debrief, to get it off our chests. We don’t just bring warm blankets and pills. We are college educated, degreed professionals who are often treated like uneducated, lazy servants. We get sexually harassed by our patients. We get groped, punched, cut, I even know of a nurse on my floor being strangled (she survived).
Nursing can be rewarding. But nursing is a fucking hard job. If you are afraid of healthcare rationing, you should know it is already happening. Nurses are unable to give everyone the care they need, so patients with smaller problems may not get the same level of care. A nurse may be pressed to only give the minimum amount of care to a patient if she has 5 or more very sick patients. If you don’t want healthcare rationing, talk to your local hospitals about their nurse to patient ratios. Talk to your doctors. If you hear of legislation to support nurse to patient ratios, vote for it. Support it.
So if a nurse needs a day off, you support her. If you’re in a position to help like I was this morning, do so. If you are a nurse, go easier on yourself when you think about the things you didn’t finish, or the things you should have said. It’s a 24-hour a day job and you don’t have to do it alone."
I just want to give a shout out to all the medical staff that have to work during the holidays. Thank you for what you do and for caring and comforting those who are ill or hurt during the holidays. Thank you for spending your Christmas by their side and doing your best to keep them healthy.
derek idolizing melissa mccall (◠‿◠✿)
derek going to nursing school bc she’s such an inspiration to him and he wants to help people like she does (◠‿◠✿)
derek having to practice his bedside manner (◠‿◠✿)
derek finishing nursing school and writing a three-page letter to melissa mccall about how much he appreciates all the ways she’s supported him and how awesome she is (◠‿◠✿)
nurse!derek in new balance shoes and scrubs with little bears on them (◠‿◠✿)
nurse!derek telling “stories” about werewolves to kids in the pediatric ward (◠‿◠✿)
nurse!derek getting into fights with people who bad talk nurses because “his hero is a nurse” (◠‿◠✿)
nurse!derek getting called for all the difficult to lift patients and not really minding because he won’t hurt his back doing it (◠‿◠✿)
nurse!derek making all the 2am doctor calls because the doctors are too scared to yell at him (◠‿◠✿)
nurse!derek holding little kids’ hands and subtly taking their pain when they get shots or have bones re-set (◠‿◠✿)
nurse!derek sitting up all night with dying patients (◠‿◠✿)
There’s this one coworker who feels the need to tell me and the other nurses what to do, even though she herself has no medical training, can’t keep the employees she is actually supposed to supervise in check, and also has been caught intentionally falsifying information.
I’m outta here in 10 days, but if I don’t explode on her ass before then it’ll be a fucking miracle.