meet my companion of the last couple of days. Without a serious, organized plan, it goes with me everywhere.
In the middle of the night –
But he really shines in the day
One of the nurses who floats has been working here for 30 years. She sticks with the night shift. We talked about the old days when nurses actually had to be able to calculate, pick the correct combination of tubing and chambers, then set the whole thing up and count drips. Medication compatibility was a key area of knowledge. Mixing, diluting and drawing up meds was routine. Now the pharmacy sends just about everything up ready to hang. Instead of calculating how many drops/min from the micro chamber the electronic unit is programed with solution, desired rate and which channel for which solution. If you don’t have enough control boxes, you keep adding them to the side.
Now, for the non-medical types this may be ho-hum. But for those of us who always worried about getting things exactly right and avoiding medication errors, the mechanics and safety measures can be built in. More time to spend with patients (really, the VA is on an electric bar code. Rather than write – I took vitals and they were – you scan the patients ID band. Scan your own as the person doing them and the vitals go in electronically as well.
May they not have a power failure.
Otherwise, various medical, nursing, pharmacy, and volunteer types stopped through. I’m keeping quiet, both that pesky tumor is aching and I’m running a fever again. I think I am going to put the games, knitting and email aside and just curl up with an audio book. I don’t have an infection, so this is how I know the immunotherapy (which I will probably just call chemo from here on in) is starting to take effect. Of note, this med doesn’t cause hair loss….