When your âtooth painâ ends up being a STEMI...
when your âshortness of breathâ turns out to be a stroke...
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When your âtooth painâ ends up being a STEMI...
when your âshortness of breathâ turns out to be a stroke...

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Dear America, I have gratefully and proudly been an Emergency Department and Trauma Travel Nurse for the past 4 years. I have held your love
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Dear America,
I have gratefully and proudly been an Emergency Department and Trauma Travel Nurse for the past 4 years. I have held your love oneâs hands as they have passed. I have laughed with you when you came in for the boo-boos and the âhold my beer and watch thisâ mess-ups. I have put my blood, sweat, and tears into working as efficiently and effectively as I can to make sure your wait out in the triage room is not as long as it already is. Someone dies, and I do my 30 seconds of silence next to them. Within minutes I am in another patientâs room smiling and holding my composure as if the last few minutes havenât been difficult.
People donât come into the ER because they feel great and sunshine is coming out their butts. If you come into the ER, itâs because you ARE in pain and think you are in distress. But emergent distress to us, is a lack of oxygen, lack of circulation, organs injured, or potential loss of life and limb. Doesnât mean we donât believe your pain, but pain doesnât kill you. We know in the ER that your emergency feels more important than the personâs emergency next to you. But what you need to know America, is that in the ER you donât ever want to be first. First means you have a chance of not walking out of those double doors. First means that your family may not see you again.
I look around and I can see my co-workers running just as fast as I am. All of them with the same intention; continuously asking who needs help or another thing they can do, in order to help see you, America, faster. But I am struggling, America. I am struggling with the pace that I run at, and the difficulty of coming to work and continuing to smile when I walk into your room and you are already mad at me. Your wait was an hour before you got to your room? So you take this aggression out on me as I am diligently collecting your blood and determined to find out why you came in as you expect top-rate smiling customer service. You are hungry. You are thirsty. You now have a CAT scan ordered and are additionally mad at me for telling you not to eat or drink. I continue running room to room, with you still frustrated with me, America. Frustrated that you had to wait on your blood work. Frustrated you had to wait on the CAT scan report. Frustrated you are still hungry. Frustrated the doctor hasnât been back in. Frustrated you didnât get a warm blanket immediately after asking the first time. And frustrated that your trip to the Emergency Department hasnât ran as quickly as a McDonaldâs drive-thru.
What you didnât see during your wait is the ambulances coming in back-to-back. The lady next to your room in respiratory distress requiring a team to stabilize her. The radiologist having 27 reports ahead of yours with a delay if another trauma patient comes in. Even the patients not breathing or heartâs not beating still do not receive full-report scans or blood work faster than yours. They get stabilized and their tests get bumped up the line before everyone. But the results take just as long as your tests.
But our chaos doesnât stop. Not in the full five hours that youâve been visiting. Not because itâs 0300, and you thought this would be the best time to get in-and-out. Our staffing is cut in half at night and sometimes to a third. Not because itâs the hospitalâs problem of inadequate staffing, but because it shouldnât be staffing at 100% capacity through the night, health-care workers need rest too.Grandma needs help to the restroom. Little Johnny just had a seizure. Uncle Tom has kidney, liver, and heart failure in addition to his diabetes, COPD, and 10 other diagnosisâ. Pregnant Sarah continues to vaginally bleed. And the nurse taking care of all of these people is getting heat from the doctor about the laboratory not running a blood specimen yet. As the nurse sits down to chart Little Johnnyâs seizure while calling the lab, a pass-by family member starkly comments, âlook, they are just sitting thereâ. Our jobs dilemmas are not like a computer malfunctioning. In fact, we can still operate really well if our charting systems go down. We train for it. But YOU AS PATIENTS are not computers. Youâre humans, and our every quick critically-thinking decision can mean life or death to a person. Itâs a heavy weight to carry at times. And sometimes we donât make a lightning speed plans of care when you donât present so black-and-white. We donât give you a medication âjust becauseâ or withhold âjust becauseâ. And for the love of God, I do not know if you will be admitted without your tests back.
We donât do this job for the praise because we donât get it. We donât do this for the insane vacation or money benefits because itâs not insane. If we werenât passionate about our specific positions then trust me, we would have never made it through school. When you come into our establishment with a lot of non-emergencies while treating us impolitely or ignorantly, it is wearing down our passion to want to help you. It is just as frustrating as your really, really, really, bad days at work. Just because you are in lack of control in the Emergency Department does not mean you can take it out on us that are here trying to HELP YOU. And so I ask you America, if youâre going to visit me and donât have the best story or YouTube video to back up the cuss words coming out of your mouth from the pain, then you need to be nice.
And so I leave you,
The exhausted Emergency Nurse
Jennifer Grooms, BSN-RN
Emergency Dept / Trauma Adult & Pediatric Travel Nurse
Supplemental Healthcare
PTSD
On my off nights when I canât fall asleep.. I occasionally.. no frequently.. remember the patients that I cared for the night before around the same time... and canât stop thinking about them...
3am: Did I send that kid home too early? Should I have asked for more tests to be done on him? Why did the doc sign off early? Why did he have to spike a 103 fever? but he was under 4 blankets..... đđŞ
5am: Did I mix the levo correctly? Why are her pressures dropping? Where is the infection? Did I document enough? Why was her neighbor so upset about tylenol?!? đ
then I get knots in my stomach and have to watch the great british baking show to fall asleep....
This guy comes in to the ER with chest pain and you wonât believe what happens
Full cardiac workup plus full PMH and PSH. Trop and 2hr trop negative. EKGs show NSR. Turns out they have an inherited disorder that predisposes them to develop blood clots. They take Coumadin, or rather theyâre supposed to take it. The significant other rats them out and says the patient stopped taking it.
So naturally they get a CT scan and guess what? Go ahead. Youâll never guess.
The scan reveals a dissected aortic aneurysm. DISSECTED. AORTIC. ANEURYSM.
Oh. But it gets better. Name two things that donât go well together. Here, Iâll help: dissected aortic aneurysm and Coumadin. Yeah. Bad. Not good. But remember, this patient stopped taking their Coumadin.
I know what youâre thinking: how is this patient living if their aorta dissected? A clot. This patient had a massive clot sitting at the dissected section of the aorta, preventing them from bleeding out.
And they wanted to go home and follow up with their cardiologist on Monday. To which I repliedâŚ
We donât have cardio-thoracic coverage, so we ended up transferring this patient. But, damn, what a hell of a case.
âŚIâm speechless. đ¤
đŽ we had a pts AAA burst in the ED đ

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Random work thoughts
1) My lack of desire to eat before, during, and after work can be quite alarming. I lost 10 lbs since starting this job...
2) I forgot how much all ethnicities...love botox
3) My lack of care for poo, pee, and blood... on me... also quite alarming. I should probably care more, but most days you donât have time to care or be upset. gogogo!
4) People have been really sick this past week - and not with the flu. I think Iâve only gotten one case of the flu so far this season.
5) I love how soft my blanket is.
the umbrella academy; the seven âď¸
Itâs crazy that theyâre making gifs of jmin now.....
Caricatures of the Spectre of Influenza
So I put off getting my flu shot in 2018âŚ
Yâknow, I ainât around these parts too much anymore (Yahoo can go huff a dong), but I just wanted to tell yâall my tale of the 2018/2019 holiday seasonâŚ
December 17-20: Got the flu (later confirmed to be one of the strains protected by this seasonâs vaccine). Felt shite, took cold meds, still felt shite but not so much that I could justify not starting the Q1 spreadsheets at work.
Dec 21: Knew the crackles in my lungs were pneumonia. Couldnât keep my blood oxygen above 90%. Went to the ER that night. They wanted to send me home. I said âI know something is wrong, I would be very uncomfortable going home.â They managed to find a bed in the hospital, said âfine, weâll give you observation until tomorrow.â
Dec 22: Decompensated quickly. Parents apparently came up north, though I donât remember seeing them before I woke up again. Couldnât get aortic O2 saturation above 65% so I ended up intubated.
Late Dec 22-Early Dec 30: Completely unconscious, with the first two days on paralytics so that the ventilator did 100% of my breathing. The 36 hours on either side of my sedation are completely blank in my memory.
At some point my secondary infection (which was never discerned, though extensive testing for bacteria and fungi was done) caused me to become critically ill, and there were preparations made to fly my to Mayo for ECMO. Thankfully, the high-dosage steroid treatment they gave me when I started getting worse helped, and I began improving slowly.
Dec 31: I start to see the world again. My first âmemoriesâ are strange delusions brought on by the anesthetics. I thought I had been in a coma for 6 years, and that I was in Cleveland. Why the fuck would I be in CLEVELAND?
I remember seeing the news, something about New Yearâs Eve. I fell back asleep, into Seroquel dreams.
Jan 1: My memories start genuinely coming back. I discovered I was too weak to extend my arm fully, and too shaky to eat Jell-O. The Jell-O DID get delightfully wobbly, though.
Jan 2: Little Ravenâs Birthday. Finally get out of ICU. Moved up to the general wards. Still canât breathe easily. Food is vile-tasting. Can barely eat. Choke down a lemon bar and cry about how much better Brendanâs were and how much I miss my brother and how I refuse to make my parents go through that again.
Jan 3: Manage my first wobbly steps with a walker. The floor hurts my knees and feet. The blood in my eyes is finally being cleared by my body.
Jan 3-5: Slow improvement. Slow for an otherwise-healthy young adult, at least. It feels like forever. My dad and I watched an unbearable amount of cross-country ski qualifying races for the Olympic teams. Thereâs a terrifying night-vision cam in my hospital room, which wouldnât bother me if it didnât have a creepy smiley face.
Jan 5-9: Transitional care, getting physical and occupational therapy. I finally got home to my apartment (and cat!) that afternoon. I spent the next week regaining my strength and seeing specialists to try and find out why I got so sick. Consensus so far is âflu sucks and youâre unlucky?â Iâm hoping to have better answers next month at my secondary follow-ups.
I aged my husband and parents about a decade during my hospital stay. I missed a month of work and am still fixing problems that arose with the backlog.
My Christmas dinner was a 10% dextrose solution, since I was still paralyzed and couldnât have anything down my NG tube yet. New Yearâs Eve drinks? âGIVE ME SOME FUCKING WATER!â - but not being able to have any, because I was still overloaded with fluid due to the standard protocol to prevent hypoperfusion when someone goes into septic shock.
Just to make it clear: I would not have survived without the tens of thousands of hours of training and practice that my medical team devoted their lives to acquiring. I would not have survived without the millions of hours of research and trials that allowed the machines that kept me monitored, cooled when my fever continued to spike, and breathing in a life-sustaining way when my lungs werenât able to exchange gasses.
I am a fat bitch, but I am physically active, eat fairly decently, and donât smoke or drink excessively. I am not someone who âshouldâ be threatened by deadly complications due to influenza-caused pneumonia. Yet I was.Â
And YOU could be, too. Get yer flu shot, if you can. If you canât, yell at others until they do.
Itâs not too late in the season, trust me. People still die in March. People like you.
whoa. what an intense series of events â iâm glad you made it through!
thanks for sharing
On the Past Few Months...
This post originally started as "On Staying Up..." in preparation for my first night shift tomorrow night and was supposed to include multiple life reflecting posts.. but I'm tired.. and I probably won't make it till 5 and will have to take 2 stints of mini naps. oh well.
Today's Routine: Church at 9a, Coffee at 2p, Dinner at 6p, Failed attempt to nap at 7p, Gym at 9p, Laundry at 10p, Writing at 11p...6 more hours to go.
Anyone have any good methods of staying up? I would rather not drown myself in TV or dramas. So here's a shot at writing. Now to catch up on 10 months of my life since my "half year of nursing" post.
"On the past few months..."
read more...
I know the lyrics are horrible.. but I love this beat. can someone make a christian rap to this beat? :D #bringnickitoJesus

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This is woke
wow if only girls had thought of that
If I die from cutting someone off on the freeeay but I was singing praise songs while doing it... will I still go to heaven? đ¤đđ
I admit. my driving got 500000% worse since I started commuting to LA
The Gospel According to Jesus
âGod does not call His people to a ministry of inquisition. Now is not the time to rip the tares out. Our mission is not a political or military crusade, and this is not a time of judgment. Moreover, we are not called to dole out retribution. We are sent out rather to be ambassadors for Christ, emissaries of His mercy and grace. We are not here by accident. We are planted by the Lord, in the world. We should never try to escape that. We are not told to sequester ourselves in a monastery or escape with other believers into a holy commune. We are to stay where we are planted and bear fruit. We might even have a positive effect on the tares.Â
Here, of course, is where the symbolism breaks down. Real tares cannot become wheat, but a son of the Evil One can be transformed into a child of the kingdom. That is the whole point of salvation. In Ephesians 2 Paul wrote, âWe . . . were by nature children of wrath, even as the restâ (v. 3). Salvation gives us a new nature and turns us from âsons of disobedienceâ (v. 2) into members of Godâs household (v. 19), from tares into wheat. âWe are His workmanship,â Paul wrote in verse 10 of that same chapter. And we are âcreated in Christ Jesus for good works, which God prepared that we should walk in them.âÂ
In the spiritual sense, all wheat begins as tares. We are not to root out the tares or demand that they live by the spiritual principles of the kingdom. It is futile trying to make tares produce good harvest. Without a divine rebirth, a tare will never be wheat. Grooming a weed to look like wheat will not make it produce good grain. In Matthew 7: 6, during the Sermon on the Mount, Jesus said, âDo not throw your pearls before swine.âÂ
In other words, do not take kingdom principles and try to enforce them on a society that lives outside the kingdom. Christians are not to condemn the world or force external reform upon it, though we must preach against its sins. We are commanded to teach the gospel (cf. Matt. 28: 19 â 20) and live as examples of righteousness. But we are not Godâs executioners.â
John MacArthur
Necessary truth needed in my life right now...
Also great books that Iâm reading through/read.
- The Holiness of God by RC Sproul
- The Peacemaker by Ken Sande
- Casket Empty Carol Kaminski
-Â Instruments in the Redeemer's Hands: People in Need of Change Helping People in Need of Change by Paul Tripp
so far all A+. Thankful to have people to force me to read books with them :)
sometimes I start gigglelaughing while texting and my mom gets excited thinking iâm texting a boy and giggling in love...
but actually itâs my nurse friends telling me their new poop story of the day...
#truth #poopoverboys
(side note: why do tumblr gifs seem to be limited to kpop or something sexual...) so hereâs a rapmon gifâ¤ď¸ with a life changing quote â¤ď¸ #RMtruths #usedtohatehisengrish #buthateturnedtolove #ajummahfan
When your patient pulls their IV out and throws it across the room and you walk in to find them calmly laying there covered in blood
100% regretting that cold brew and earl grey latte before a work day....as I stare at the ceiling at 12AM...
Also this gif has happened to me one too many times with patients on a heparin drip... and old confused grandpas that find a way to disconnect their IV in a way that opens up the tube and vein...bloody massacre indeed. but that also means I placed some kickA** IVs with fantastic blood return đ Also had one patient that kept on biting off his IV... lol

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had some greys anatomy shiz go down at work today - medical not romance.
to be continued... after dinner ... and decompression...
On My Half Year...
I've been meaning to write something after hitting my 6 months, but I kept on pushing it off and now it's my 7th month of working. Time flies. I don't know how much I have honestly reflected on (in regards to work) over the past 7 months. Life has been busy in general.. with everyday life problems, family problems, the whirlwind of Kate getting married, and the 2 other weddings before and after.. and the 2 more to come. These are all blessings in the midst of chaos and struggles right? At least I have a family to stress over, friends to reconcile with, small group members to confess to, friends who have found their "true love." But all of that for another time - I'll focus on work here for now. So here we go.
Warning. It's long.
keep reading