Work is not fun sometimes....

Whew. I'm glad it's over and I don't have to go back for another week.

I DON'T like it when I'm overwhelmed... and for me, it usually takes quite a bit. But last night did it.
OK, so Friday night I went in and looked at the staffing and out of the 5 of us overnight folks, I DIDN'T KNOW THREE!!! I know I was out sick for two weekends, but sheesh!! The good part is that the three I didn't know are strong and I had nothing at all to worry about. But, even with them being strong, it's still a lot of stress when it comes to things that they don't know about... all three aren't even from Hawaii, so they don't really have the "local" climate down.... let alone all the crazy weird things we do here that I've never done other places (like transferring everyone and their dogs to other facilities because we have no psych, OB, Peds, cath lab, thoracic, Kaiser, dialysis etc etc etc beds!!!!). But, Friday night was OK.... just normal stressful.

So I go in last night.... there's regular staff scheduled, even though we have two new grads FRESH off orientation.... one was only there till 11 so OK.... no problem
PROBLEM 1: One person calls out sick. I was told... you are getting an agency nurse that's been here before. OK. No problem. WRONG: Yes, she'd been there before, BUT she was an ICU agency nurse who had only been there for ICU HOLDS!!! Not for ER patients... very different ballgame. She was very willing to work and learn, but I still was stressing.
PROBLEM 2: One of our regular staff nurses was apparently having some kind of TIA in that she had no sense of getting anything done herself and was driving me and one of our techs nuts... I mean at one point she was just walking around in circles (literally!!) looking for a pedi cath kit... of course people are moving crap around at the drop of a hat and not POSTING it...... but still... use some critical thinking skills and go friggin look before you bother me with stupid stuff!!!
PROBLEM 3: not a major problem, but we had a doc who has only been here a few times... locums and not used to the system very well. God love her... she's wonderful to the nurses and patients but just needs a little extra TLC.
PROBLEM 4: 47 YO guy comes in sudden arrest at home. THIS HIT TOO CLOSE TO HOME. Dave's 44!!! Usually adults don't bother me too much, but this one did..... and the wailing grieving spouse almost did me in.
PROBLEM 5: Moe.... god love her too but sometimes she drives me nuts. She can be a saving grace as a supervisor, but sometimes.... grrr. Nothing blatant, but just driving us nuts (No eating... nevermind that my poor doc didn't get to pee for 8 hours!!!)
PROBLEM 6: Med error never caught on the day shift when they did chart reviews.... GRR.
PROBLEM 7: New medication dispensing system that no one knows how to use and then, I go to do count in the morning and the narc count is off in the old system... BAD off.... I call pharmacy and they are less than helpful... but finally it comes down to "why are you using that anyway?? You should NOT be using that!!" They apparently (allegedly) sent a notice to the supervisors and managers to that effect, but that was never passed along to us. You'd think that might be IMPORTANT!

So, if you are still reading...... whew. Sorry. I can't blame anyone if you aren't reading... what a painful rant!!!

I don't want to go back.

Good news is: I have an interview on Thursday for Columbia Regional for the ER/ICU manager job AND I've been playing phone/email tag with Boone Hospital Center about another interview. YEAH! I can't wait :) :) :)


OTHER GOOD STUFF: MSS had a cyber crop yesterday with GREAT GREAT Challenges that I managed to get 5 layouts done before going to work. Great thing is that Lora extended the deadline to midnight tonight before they are due!!! LOVE THIS BIG TIME!!!!! I don't get a lot of time on the weekend..... this is SO GREAT! I'll post some LO's in a little while. I need to do a couple more, but I want to go get adhesive (of course I ran out on Friday, used two way glue for all my LO's yesterday!!!!) So, I NEED TO GO TO WAL MART!!!! 4 hours left in the challenge..... I don't know if I'm gonna get anything done :(

Oh well.... done with the ranting and raving. feel better :)