MGS RADAR

Ped’s rotation, I’ve been assigned to a pediatric ward with 18 beds and all pediatric aspects including some interdisciplinary beds (pediatric trauma/orthopedic surgery)

Due to the summer vacation in my part of germany, not many children get sick. The admission-rate is far low, the ammount of work you have to do is enjoyable small and everybody says, it is the last time you get so much time for your patients.

Todays lateshift statistics

Patients in my direct care: 3/4
Diagnoses:

• 16 year old girl with  suspected commotio cerebri
  (Biggest nursing problems: Beeing herself; Electrolyte inbalance)
• 3 year old boy with suspected commotio –> subarachnoidal bleeding –> commotio
  (Biggest nursing problems: Stabilizing the patient, monitoring the patient
• 9 year old,heavily disabled child with pneumonia suffering seizures
  (Biggest nursing problems: Handling perfusors and infusion-pumps without getting the I.V. blocked)
• 14 year old girl with abdominal pain –> suspected appendicitis –> ovarial cyst
  (Biggest nursing problems: Communicate with the patient, Pain management

Punctual at 13:30 the new patients arrived from one to each other, which wasn’t good for our staff settings. Our pediatric clinic is half shut down and there is only one pediatrician in the lateshift. The chief of pediatrics is usualy avaiable but far to busy for doing things the intern has to handle.

Commotio cerebri, which was the main actor starring in our todays shift is a diagnose you have to handle very carefully! It is nothing popular among nurses because the patient needs to be monitored frequently (hour per hour, in acute care every 15minutes with complete monitoring and pupil check which is very unpleasant during night) and the patient does not like this. The problem with commotio is its quickness, if symptomes of a brain-bleeding occur, they occur very quick and hump over each other. If you see a dilated pupil or a pupil difference, the other symptoms like speech problems or neurologic symptoms are in a quick reach. I personally saw a pupil difference twice only, and in one case it was hard to see. Today was the third time and I felt the child factor. If you see a lovely 3 year old boy with pupil difference, you react different than on adults. I cannot explain this, because it was a mistery for me and it still is.

The boy needed and emergency MRI and CCT, which revealed nothing special, the next tryout was meningitis, the following lumbar puncture was scene of agony and misery because he was something different than cooperative. The final diagnosis is still not given, and maybe it wont be given anyday.

My ICU like doing was interupted by my other patient, which is highly depenent and seriosly ill.The perfusors and infusion pumps need to be monitored frequently and this patient was particular bitchy about I.V. lines (Which are very hard to get on children, I learned this very hard) because if they were not blocked with heparine they got clotted in minutes, which is something you need to avoid if you know how hard it is to get a needle in this patient.

The next hard rule of pedi-nursing is: You always got two patients..the child and the mother/father which are more agitated and more full of problems. Children are a product of their parents ability to teach and guide, children are not responsible for their parental-induced faults, but they got many years to deal with it so they become not such a bunch of idiots like their parents…a mission many will not archieve.

After 5pm the whole workflow was gone…everything done

Last week the digital camera of my step-father disappeared…the camera did cost 300€ and it was a gift from all of us to him. He really liked the camera and it was finally something he did enjoy…taking pictures as memories. But last week it disappeared from nowhere.

We all did a raid in the house and we didn’t found the camera…nowhere it was just gone. My parents want to go on holiday next week and also want to do some pictures, which they can do because I will give them my camera but the thing is gone.

After some investiations and conclusions it was obvious that the first subject was a…well I don’t know “friend” of my mother..she is called Maria and I never liked her, which I showed as usual. She has a little, filthy dog which is annoying but my mother is used to pay attention to that dog while she is at work.

During the last months there were three actions against her…

She first was involved in a shoplifting, she got caught with a vest under her jacket and was catched by the store detective. There was CCTV footage of her and the electronic thief protection system rang alarm, finally she admitted that she forgot to put the jacket out…

The second one was the same, she was caught by store detective in a pet store for stealing a toy for her little filthy shitdog…

The third one was also the same, she tried stealing something from a decoration store of which the owner is her “friend”. She confronted her on the phone that an expensive thing is missing and that she was the only one in the shop. She said “Yeah it fell into my bag, I will give you the money someday”

My mother told me, that she witnessed several acts of stealing and shoplifting. She also stole a small decoration thing from the table of my mother and then she opened the pocket and it fell out…she is the most stupid thief I ever witnessed.

Now the hardest thing comes…she is a registered nurse…she worked in the disabled people care home I was used to work before. She was fired from there, they told me the name of her and told me, that she was caught on stealing from a patient there. As I saw her and she told me her name I was…well confused and told her that I heard the name before. She was very hectic after this. I called a contact of mine today who works in the home and find out more about here, the information will come next week.

She is now employed as an ambulatory care nurse at 400€ base, but she does more than that. She is at old and disabled peoples home and has access to their homes 24/7. She knows basicly everything about the patients and their daily routine…she knows her advantage and some people are to troubled with their own to pay attention to their goods.

If I had taken advantage out of any chance I had in my nursing career on stealing from patients and getting away with it, I would have many € on my bank account. The biggest purse I had in my hand was 15000€ heavy and the poor little grandma wasn’t even able to recall how many money she had with her. It was all of her saved money, we took it away from her, counted the money with four eyes and locked it away.

Now this silly cunt did a very stupid act…she did the following statements

1.”I found my brand new camera yesterday… after three months and the pictures are beatiful.”
2. “You know what, in case you look for such important things you always find them in some boxes lying around!”
3. “Did you search the pockets of your sons girlfriend? She looks suspicious to me!”

I fucking hate her…now that everything points towards her I feel true hate. I’m not the honest person on earth, I did some silly acts…but my job requires absolute TRUSTWORTHY from me, and not just in my job in my daily life. People in my care trust me with their life, people in my care trust me with their deepest family problems and I keep them all confident. How many times I walk around in open places and see a patient that I just had with an abscess from using dirty,infected needles for injecting heroine…I don’t greet them openly because this is a break of my secret rule. They know me, they blink with their eyes once and it is barely noticeable. But they trust me, and it will be a silly time if they don’t trust me.

Patients cannot help themselves and they can’t fight a battle against a nurse which they won’t lose. We have the absolute advantage over them, but we NEVER take out any effort about this. I hate nurses like her, who put a lot of shit on our job, it is a single case but it puts a mass load of shit on our job ethics. I think she steals from patients and I think that she does this without any sign of regret or sorry.

Trust me, she has found an enemy…

Ein Web-Archiv Eintrag zu MGS-RADAR.DE

http://web.archive.org/web/20050526023138/http://mgs-radar.de

Ich gestehe folgende Fehler zu dieser vor-Version der Seite zu

1) Unsere Texte waren naiv
2) ” -” schlecht recherchiert
3) ” -” journalistisch absolut unbrauchbar
4) “-” stilistisch aufgesetzt
5) “-” uninteressant
6) “-” pseudo-journalistisch-wertvoll
7) “-” absolut subjektiv

Betrachten wir die jetzige Situation haben wir

a) Kurioserweise viele Besucher, die anscheinend immer etwas von uns lesen
ALLERDINGS NIE KOMMENTARE HINTERLASSEN
b) Treffen die Punkte 1-3 und 5-7 nach wie vor zu
c) Haben wir die journalistische Fassade über den Jordan gejagt

Es ist so als ob man Müll in eine neue, andere und stilvolle Mültonne tut.

Und soll ich euch was sagen? ES FUNKTIONIERT!

Schrottreifes Auto in der Garage stehen welches dummerweise 2 Tage vor Totalschaden vollgetankt wurde?

Wie bekomme ich den Sprit raus?

Eure Eltern werden euch wahrscheinlich sagen..Aquariumschlauch + einmal kräftig saugen + Eimer drunter und schwupps ist der Tank leer.

Das Problem an dieser Sache ist, das a) der Schlauch meistens nicht über den Einfüllstutzen hinaus gehen d.h. man kann saugen wie ein bescheuert und b) die Gase die man einatmet sind nicht nur ekelhaft sondern hochgiftig.

Nächster Versuch war genauso prickelnd, das Auto auf einer Seite aufbocken und versuchen, den Sprit so zu neigen dass er in den Tankstutzen reinläuft…leider nicht funktioniert.

Der dritte Versuch war wahrscheinlich der vom Fachmann, denn darauf bin ich erst später gekommen…mit viel Probieren^^

Schritt 1:
Ablassschraube vom Tank lösen, und schnell oder am besten direkt und einen Eimer möglichst ohne jegliche Wasserreste und den man nich unbedingt mehr zum putzen brauchen will oder kann drunter stellen.

Schritt 1.1:
VERDAMMT , warum ist der Sprit denn schwarz?

Ganz einfach, unter dem Tank befand sich eine Menge Dreck und Schmutz der mit in den Eimer und somit in den Sprit gespühlt wurde, es mußte eine Lösung her.

Schritt 1.2:
Do-it-yourself-Filter einbauen

Man nehme
- Einen abgeschnittenen Flaschenkopf/Hals als Trichterersatz
- Eine gebrauchte Strumpfhose, doppelt genommen darüber gespannt
- in Fresenius-Institut-Testbehältnis zur Analyse der Probe

Den schmutzigen Benzin durch diesen Filter kippen, und das Ergebnis WAR:

Astreiner Super-Benzin!

Schritt 2
Den Sprit filtern und in den Reservekanister einfüllen

Schritt 3:
Tanken!

Lerneinheit “Bei der Transfusionstherapie assistieren” entpüppte sich als ein Armageddon für den gesamten Kurs. Kreuzproben und Antikörper Suchtests, über Kell Faktor und CcD.Ee, Antigen, Antikörper und dann noch Tropfengeschwindigkeit berechnen?

Aber damit andere Lernende dieses Berufes etwas lernen können, hier meine persönlichen Notizen die ich mit in die Praxis nehmen möchte:

1. Immer wenn irgendwas mit Transfusion abgeholt wird oder vorbereitet wird, überprüft man notfalls acht- oder neunfach die Identität des Patienten auf Transportschein, Kreuzprobe und die passende Blutgruppe durch mindestens 2 verschiedene Personen

Wenn ich mir die Liste der Komplikationen bei einer falschen Blutgruppe so ansehe, dann krieg ich leichte Kopfschmerzen insbesondere wenn man an eine Station denkt, auf der Praktikanten qualifizierte Pflegekräfte ersetzen sollen. Dann klingelt es, und ein Praktikant geht auf die Klingel, weiß nichts von Transfusionen und der Patient meldet einen starken Flankenschmerz…der Praktikant schenkt dem nichtsahnend keine große Beachtung und gibt ihm nach kurzer Nachfrage einfach 20 Tropfen Novalgin. Fatale Situation, die tödlich enden könnte!

2. Blutgruppen und die ganze Sache kann man nur visuell verstehen

Wenn man alleine aus den Texten des DRK versucht das Blutgruppensystem krankenpflegegerecht zu verstehen, dann steht man schnell auf den Schlauch. Man sollte sich ALLE Tricks ranholen um das zu verstehen!

3. Die Formel für die Tropfgeschwindigkeit berechnen ist absolut notwendig!

Infusionsmenge in ml/Infusionsdauer in h * 3 = Tropfen pro Min / 60 = Wieviel Tropfen pro sek!

Merken und absolut einhalten

4. Es ist eine absolute Pest (für mich war es jedenfalls so) die Transfusionssysteme luftfrei zu halten und dabei das Blut nicht zu kontaminieren

Tricks: Gibt es nicht viele, nur üben üben üben!

Again some bitter response to my regular topics that I encounter in my daily swell as a Nurse Student and loyal jerk.

The last school-time (4 weeks after my holidays) was a haze, I mean it was really intense and I have to say the kidneys really fuck up even the anatomy and physiology lovers like me. I really had to learn for the test because the anatomy was so fucked up and the kidneys are a bunch of fuckers Beside the fact that I finally did not manage to properly catheterize a male or female without getting unsterile, I just faced the fact again how dangerous it could sometimes be to do something you haven’t really learned yet. Pushing a catheter in an uthetra is far easy, but working completely sterile and having your mind set up for working proper.

The first time I assisted in catheterizing a patient (it was four years ago during my first surgical nursing internship), the nurse screwed up completely and we had a massive ammount of blood flashblack which is a sign for a perforized urethra. The man needed a surcigal reconstruction. This was the lesson for me not to push the catether further into the bladder if you have a resistence.

Also the school time was sick time again. I went sick and had a nasty flu , I even had to take a day off because I was so sick. I hate the flu because it fucks me up completely with back pain and having the feeling of drowning in my own snot. The whole flu thing was an epidemy, maybe a pandemy in my nursing class…from 20 people over 16 got sick and it started with one girl who catched up some multi-resistant bastard virus from a patient in ambulatory care. One day only half of the class attended the day, which was kind of relaxing.

Since I started my job and work with infectious patients on a daily basis, I went aware of my own immortality. I got infected 4 times (two times with a diarrhea-vomiting-combination virus and several times with a nasty flu) from patients and all these diseases were heavy. I don’t think that my immune system is weak, I just started to think that I got exposed to bacterias and other bastards which are part of the elite force.

Back to work in ambulatory care and driving around from patients residencys is kind of…not challening for me. The whole thing is fun though and the patients are nice (most of them) and I appreciate the very good nursing they do with the patients, but I quickly realized that a hospital is a better place for me to be. Same work in a different backround, of course you can take an idea of lessons.

The part of my work that sickens me the most is the lack of energy, the all-the-time tiredness, the lack of sleep, the disturbed sleep pattern and the feeling that you got after you finished your shift. You are just empty and your body feels like you just did a marathon. After the thrilling drive home, you go to bed and cannot sleep because you had very much changes in your shifts. Shit game!?

I look kind of retarded when I start my shift in the morning. I pass the death-hall, go left and then I’m in this shithole of dressing room which is in the most cases cold like a fucking refrigerator. When I’m finished scrubbing, you walk the way to the hall and you listen to the noise the fans outside, the cooling system of the cafeteria and the isolated sounds of elevators and automatic doors. It’s a silence you percept every morning. You enter the ward and the workload begins.
Despite beeing VERY bored at the home nursing care time I have to spend I had a sense of archievement today. I stated in my nursing plan that a female patient with severe contractions was able to stand with aid of kinaestetic movement of a nurse and that she was able to wash herself. An elderly care nurse with 20 years+ experience said that this would be impossible but I said try it out, and I WAS FUCKING RIGHT. The training and my sharp eye in assesment and nursing diagnosis led to the great event that a women was able to wash herself the first time again in two years! These rare events are the reason for doing this!

Today I remembered a time far far away, where Daniel and me were dependend on bicycles and we met in the middle of our ways which was Hostert and we drove around with our bikes and did a lot of shit. Also the time we met in the middle of nothing with some friends and drank cheap alcohol, nothing compared to the ammounts we stuff in ourselves today. I remember where an old colleauge of mine, Padde and me went drunk in Waldniel and we brought up the idea of jumping into the garden of some poor guys and doing a run. We started our ways through the backyards and this quickly became a pursuit. At one fence, Padde jumped against it (it was kinda high ya know?) and the whole thing fell down…the owner saw this from his TV-chair and went fucking mad. Without orientation where we exactly are we rushed over the next way and ran into the industrial zone and rushed into some bush where we stayed the next 20 minutes. We then quickly disappeared into Paddes summerhouse, where his father a high-ranking police officer showed up after some hours. With bruises and some left bushes in our hair we had to tell him, that we had nothing to do with some “backyard-harvesting”

I don’t know exactly what pushed the button back in the days were I was in the 11th grade and did my school-orientation-internship at a hospital, but as I was allowed to stay one day at the Surgical Intensive Care Unit and watch the work done there, I was fascinated. Others feel a great ammount of fear when they see the ventilators, the perfusors, the ECMO’s but I was fascinated. I saw what 1 to 1 nursing really means and the endless possibilities and time you got left for your patient. I really like working on the floor wards and despite beeing very challenging I can’t imagine myself in 10 years….beeing a floor nurse and end in a burnout or back pain hole…I always thrived to Intensive an Anaestetic care and I have very little to zero experience in Intensive and Critical Care but I know that I have the potential, the willingness and the philosophy of doing it. I have seen many others doing it, and when they do it I can make it.

Yesterday I found some “old” pictures from good old times. I remembered how easy going it was and that you didn’t have to worry about some things. School was a fun-place, where learning should but never stood on the top of our priorities. We had fun, we acted stupid like lunatics, we were idiots and together we experienced a lot of things. Even in the Oberstufe and in the Abitur time, it was so funny and “loose”. Nobody really cared as much as he should do, and everybody was doing it at the same time. Today I see it as a privilege simply not going to classes like German with the retard fucknut Hr.Osten, today I just can’t stay away from work if I tend to sleep longer. If anybody had told me in the 8th grade I had to get up at 5 o clock to be at work, I’d laugh at him an and tell him to fuck off. Now I’m the fuck-off!
One day in 9th grade, our class (we were the elite-force of troublemakers, and I really mean it we were tough shit for every bloody-beginner teacher) was re-assigned to a new classroom in the second floor. We entered the room the first time in our life and the chaos started. Some guy named Risch****** set some paddings on the wall on fire with new-years-eve firecrackers and Marc and Mueller threw the trashcans out of the class two stories down. After this the trash in the remaining can was emptied on the floor and the broom was destroyed with much energy. We then went to our class-teacher Dr.Ohlemüller and complained about the status of the room and that the other class didn’t managed to clean it up. What bastards we were….

Some weeks ago I had to put out my physics book from 12/13th grade basic physics course. I had to clear something up for me…it was frightening. I sat 1+2 years (1 year pre-course in 11th grade and 2 years in basic course 12/13th grade) for three hours a week and lets say for 40 weeks per year in this old fashioned physics room which makes up  a number of 360 hours which are 15 complete days in my life and learned nothing but building a small bomb out of a lighter, building a very good paper-plane and “how-to-conceal-that-I’m-just-about-doing-other-homeworks”. Something is and maybe was completely wrong with the school system.

Having or doing something very often is a mechanism of compensation, not having enough or the dicsability of doing something often enough is a reason to compensate⁽¹⁾

1. This is my fucking qoute, I hope nobody steals it without my name written under it! [↩]