MGS RADAR

Mine is in the glove compartment! This egg has spent most of the summer inside my car. As I just discovered it is in there since I decided to throw it in while touring from one place to another during last month’s relocation.

Good thing that I remembered to blogpost this, but once again forgot to take it out^^. I’ll give it another week at the most! It’s certainly not driving back to Schwalmtal, once the internship in Munich is over.

I wonder whether it’s boiled after the close-to-40 degrees Celcius days? After all the Deutsche Bahn recently managed to heat up its trains to 70 degrees. Imagine how practical that is! No need to use the restaurant car, just carry some raw eggs with you! Brilliant!

1. Humbly stolen from http://en.wikipedia.org/wiki/Twelve-step_program [↩]
2. Ever been addicted to the Youtube Sidebars or constantly searching or stalking people at Facebook, Fuck Heroine, this is the new drug [↩]
3. According to Google , I’m an landscape Architect , much like Art Vandeley http://www.youtube.com/watch?v=_T35QhLx_KI [↩]
4. After reading this religious bullshit for curing a serious addiction, it’s the first time in my life I feel sorry for these spiritual morons [↩]

Stephan gives a couple of good reasons for the limited posts over the last couple of months. Many of these points are also true for me. As you can see below it was not only this website that has been neglected for a while.

In fact the 1080 days of studies are a major reason for my recent quiteness. There would be certainly much to write about happenings in such an exciting city as Munich, but an evil Bachelor Thesis kept me hostage for months. Now, with my first post as Bachelor of Business Administration, I can finally cheer: Freedom has been regained! Communication strategies have been sufficiently assessed, the Thesis hastely written, but successfully defended.

This will be celebrated by wearing a toga and throwing hats high up into the air this Thursday in Venlo. The Dutch guys surprised once again with some tech savyness: The graduation ceremony will be broadcasted live online from 3:00pm on the 8th July.Watch it here and let me know if you could spot which pixels were supposed to be me.

And if I won’t spent too much time in the “Biergarten”, then I might write every know and then again

Well, to begin the story I need a fucking laser pointer! I’m a training officer and I also have many presentations in my nursing school and a laser pointer + a portable usb presenter with next page function is the best thing on earth for the lazy presenter! Well I borrowed a RED laser pointer from a friend of mine and tested it. It sucked on daylight. It really sucked especially on a bright backround. And I tend to use bright and light backrounds!

Then I took a look in the internet and there it is, a GREEN Laser pointer. I found this video:

I was impressed and took a look on the website which stated for the given laserpointer

Caution! This laserpointer is not suitable for presentations! It produces a high energy beam with 200mw. It will burn presentation walls in seconds and poses a danger to persons in reach (1500m) of the laserpointer. Be aware of reflections since exposure even for seconds to the bare eye can cause permanent danger. Do not use in zones of frequent aviation - It will distract aviation personnel !

Then I found the following video of a FREE to purchase laserpointer from the internet with 600mw

Well, why do you need this? I don’t know so I started to search and I found the following uses for this

• Watching the stars and pointing several pictures with it (Don’t know shit about stars, but who says I can’t learn this?)
• Scaring away birds and bird swarms (Nice in case I have the problem)
• Popping balloons (Could be fun)
• Lighting cigarettes and matches (Not interesting to me, but it could be!)
• Emergency Signaling (Yeah, just burn the eye of the helicopter pilot or potentional rescuer)
• Burn CD cases (I have enough of them ready to puncture)
• Attachment to guns (Don’t own one, but times getting tough)
• Burn the eyes of your enemy (Potential!)
• Architectural use on high rise buildings (Brings out the ART VANDELY in me)

EXPLANATION ABOUT ART VANDELEY

So anyway I NEED THIS so……..I ordered it and I ordered a real one for presentations!

Next thing in line, if you really need to do things fixed, the movie great tourino teaches you some things but not everything about fixing things. A guy needs to fix things, or he needs to know guys who can fix but anyway if you fix it yourself IT’d be much cheaper.

First thing you need is MULTITOOL, in detail the SWISSTOOL CLASSIC

Thx to NutnFancy for this great review

This tool is really heavy BUT I got several things fixed with it alone

• Cut down a fence in my garden because I catched with the fucking wire.
• Breaking into my own safe because I was too lazy to get the key
• Fix my girlfriends door which was kind of open-door
• Fix my license plate which was on his way to get lost
• Cut several things
• Cut NAILS which I couldn’t pull out

Second thing you need is WD 40!

Why? Because it fixes, is cleans and its getting things done. The best use was as I was kickboarding with my girlfiend during rain. We sprayed the wheels to have no rain around the wheels which is not a good time doing that (they will get stuck). Also very useful if screws are not easy to turn and well, it won’t do many harm if you spray it to something!
Third Thing:

A GOOD, SHARP and QUALITATIVE Knife

Well, I don’t have such a knife but you know what I mean!It’ll scare away the bum from the block and it serves many purposes since you cut many things.

My nursing training is coming to an end, it’s almost unrealistic to me because I can remember the first day in nursing school, the first patient I washed, my first room I got for myself, the first patient that died in my care (though, very late in my whole career), my first CPR, my first emergency suction, my first intubation assisting, my first intravenous line, my first intramuscular injection.

In the first year I knew nothing, I thought I knew something but I didn’ knew shit

In the second year, I thought I knew everything but everything was “limited” to a small ammount of patients

In the third year, I have so much knowledge and doesn’t really know how to put it into action, frankly I feel like in my first year where I didn’t knew shit!
People are telling me, after you get your R.N. title the whole training starts from the beginning, limited to a one month frame.

People outside the hospital see me as a kind of medical expert, in the Fire Department they think of me as some kind of medical hero who knows everything. How many times I have been asked “Do you know what that could be?”and the only thing I could say was a list of probable diagnoses.

I’m applying for intensive care nursing jobs, and it’s quite unusual because the general public of nurses think you have spent some time on the regular floor to earn yourself some credibility then you can transfer to intensive care.

I want to take a shortcut, some people advice me not to do it , some of my mentors say do it, what do you have to lose?

If I think of myself a few months from now on and I see myself on the regular floor with 30-40 patients, I’m a little bit afraid. I’m not sure if I can handle this “good” which means according to my standards. I have high standards to myself, but I don’t tell anybody about them because I think development and skill starts in your own mindset, deep inside yourself you should be your worst and strictest critic, but you don’t have to tell anybody about it!

If I think of myself a few months from now on and I see myself on the Intensive Care Unit or in the Anaestesiology Nursing Department which is in some aspects more demanding, I KNOW that I can handle it.

It’s a little bit crazy, around monitors, suction tubes, intubated and sedated patients on a thin line between life and dead with thoausands of infusion pumps and solutions…I feel comfortable !

A CPR-Emergency is the worst nightmare for any nurse working on the floor, if a code blue is coming in they sweat blood and they have a natural tendency to “hate” it. Even though it sounds a little bit strange and weird, during a CPR or code blue I’m in my business. I’m still a little bit shaking during CPR’s BUT in fact everytime I take an act, I feel comfortable and “like” doing it. Sometimes it’s just crap, sometimes the humanity is fucked up but I like it.

I can watch a patient’s monitor for hours. I get hypnotized by watching the curves, the ECG , the blood pressure which raises everytime I touch the patient. I can watch the pressure - meters on the breathing - apparatus for hours, adjust the monitors, listen to the patients breathing. I like calculating the fluids, I like working with medications, drawing up syringes - Nursing the numbers and having a challenge.
I’m far away from knowing everything for working on the floor, but I won’t be good at it. On the floor I’m only average because the surroundings only allow me to do “average” work. And I don’t like average work, I want to give my best and I think from all the wards and all the patients I worked with that THIS is my place at least for the next 2 years!

I really don’t care about the money, beginners salary is so fucking bad, I could get more money at McDonalds (I think , don’t know) and my plan of reducing my hours is not worth the money. At an university clinic I’d get 1966,00 € which is around 1400 - 1300€ taxated salary. Around 15000 € per year left for me. There is a plus for nightshifts , weekends and public-holiday working, but in my paying level it’s ridiculous. Nursing is nothing that will get me rich…

I don’t know how I can bring this to a boss-friendly level and sell it to them, but this is my idea!

A 12 year old male patient presents in the Emergency Department with acute abdominal pain in the whole abdominal region. The pain started around 8:00 at the same day of presentation in school, has no specific details and can’t be relieved by positional change.

Pt. states, that he ate a sandwich at school, then cornflakes at home and rice in the evening and ate 2 cheeseburgers despite abdominal pain plus slight discomfort or nausea.

At the time of presentation (around 23:00)  he denies any kind of nausea.

Abdominal exam shows no pain to pressure , visible and papable meteorism (air in the stomach and intestines) no masses. Auscultation indictates elevated peristaltic movement.

The father of the patient insists on clincial admission due to “things” he read in the magazines
The pt. is asked why he decided to ate these “heavy” things due to abdominal pain, pt. states he just was hungry and “forgot about the pain….
Diagnostics:
Physical Exam and Assessment of patient

Nursing:
Pain relieving positional change

Therapy:
Pt. recieves one tablet of Simeticon

Sometimes I just think, that mytime is wasted despite the fact that I can’t change it!

Today I finished my last day on an internal medicine ward. Five Weeks of hard work behind me and I must say I was bored, really bored.

Everyday I sense the scent of pampers diapers, shit,wet wipes and Baby cream before I even enter the ward, I see the patient bells ringing and the moaning of sick patients who spent the night on the floor because they are completely desoriented. I enter the kitchen, where the night shift handover is going on, I see the tired and meaningless faces of my co-workers, facing a massive army of highly dependend and very sick patients, some of them nearer to death than life. They are all tired, many of them went into sickness because they are so burned out and came back just to end up in a frustrating circle of a endless flow of patients. No moment to step back, if a bed is empty it’s filled within a shift and if you sent a sick one home, you are partly afraid of the unknown patient coming in.

With coincidence, a very fit patient will see a nurse on the morning round, on breakfast, on lunch and maybe two times in between to measure some things or do some necessary things.

A few ammount of patients is going home “healed” or “better” from there. Most of them are just stable, some of them are unstable, they come back in 24 hours because some nursing home is under-staffed and give their patients some laxatives to sent them to hospital because of diarrhea. They know for sure, that they are gone for at least 3-5 days, maybe 50. One less patient to deal with.
One patient was (and currently is) on this ward for 150 days. He was admitted because of unkown decrease of general condition, then he had a heart attack, then he had a pneumonia, then he refused to eat. He is a little bit desoriented, but he does his job very well. He is still in hospital because…yeah nobody really knows the reason!

The work is not quite enjoying, but one thing I learnt is that your co-workers can improve something, if you are part of the team. But I wasn’t even if I thought I was.

I refused to be a part of a team which left me alone and didn’t help me. I refused to be part of the team which isn’t really a team because they are backbiting each other.

I know really good teamwork, I had it in our project and I loved it it was such a great experience. I know the difference. But in this case, I said fuck about the team let’s focus on my patients and they improved very well , but they were to sick to tell me that they took some enjoyment out of it and felt “cared”.

But it’s the last time I worked on a ward like this, it’s the last time I was “forced” the next time I choose what I do.