#er scribe

So I’ve barely been posting over the past seven months because life got crazy busy! But it’s August and fall semester starts tomorrow so I’m BACK ON MY BULLSHIT AYY

Here’s what I’m taking this semester:

1. Anatomy and physiology 1 w/ lab

2. Developmental psych

3. Microbiology w/ lab

I decided to change my major to nursing! I still eventually want to become a mid-level practitioner, but I’m slightly altering the way I want to go about it.

I started working as a medical scribe in an ER at my local hospital! It’s definitely the best job I’ve had so far and I learn so much more than I thought I would. Message me if you’re interested in a similar position and want more information/advice. I would highly recommend scribing for pre-med students or anyone interested in working in the medical field without any experience!

Today, I encountered two new medical conditions- Moyamoya and Noonan Syndrome

Moyamoya- a rare and progressive cerebral disorder caused by blocked arteries in the basal ganglia (voluntary motor control, procedural learning, and eye movement) -occurs primarily in children -symptoms included CVA, muscle weakness and paralysis, and seizures -Fun Fact: moyamoya is japanese for “puff of smoke”

Source:https://www.ninds.nih.gov/Disorders/All-Disorders/Moyamoya-Disease-Information-Page

Noonan Syndrome (aka Familial Turners Syndrome)- genetic (autosomal dominant) disorder that is defined by unusual facial features, short stature, and bleeding disorders -pt tend to have some form of congenital heart disease and may develop CA later on -Fun Fact: condition affects Ras/Mapk pathway which is important in cell growth and differentiation

Being in Texas, Ebola is short of a hot topic.We even had a false alarm about x2 days ago. It hit the local news and social media and it was a complete PR disaster. Long story short we basically had a frequent flyer (ER visit wise) drug seeker who shared a drink with a person who had recently traveled from Africa. I still speculate this pt just saw 24 hr straight of Fox News and maybe flipped to the National Geographic channel a few times during commercials to come up with this story. After it was all said in done, isolation, testing and closing of ER, the pt still had the nerve to still ask for something for pain.What they will do for candy (aka pain medication)...

Even before the false alarm, I started asking providers, mid-levels and nurses what would they do if they found out we had a potential Ebola positive pt. Surprisingly enough we don't have as many bleeding hearts (no pun intended) as you think in the ER. With the exception of the nurse with husband or kid. A majority said they would leave. 

I previously said in my first post they knew what they were getting into. Do they really? Is the juice worth the squeeze. All of a sudden that RN money starting too look like dishwasher money when facing Ebola. 

It's always interesting to see how two different ER operate related to staff. The major difference between the two ER I scribe for is pt flow. I mean we could get into the specific from high acuity to fast track pt, but generally speaking the pt flow at ER A is x4 times greater than the ER B. So much so, I wouldn't be able to blog like I'm right now at ER B. 

What I get a kick out the most is when ER B nurses flip out when they get x3 new pt in a row needing to be triage. How perception is reality. I enjoy chiming in how at ER A they get x6 plus pt in a row without breaking a sweat. I guess you could say I'm a little more bias towards ER A, I work for my paycheck over there. I have a better relationship with the staff over there. Nurses get paid well- in comparison to a dishwasher. I mean they knew what the job entailed what it would consist of. Please don't get mad when you have to earn your money. Be glad you have a job that can get you out of the dirt. Some people don't know anything...but dirt. 

I appreciate my job. I have kids. I have responsibilities. It not where I want to be, but its a start.