Archives: March 2008

One more license, this one for going fast

by Emily
Published on: March 28, 2008
Categories: crzegrl.net
Comments: 8 Comments

It isn’t quite a license, but rather an endorsement.

This weekend I will be completing the requirements for my Michigan motorcycle endorsement. I will be taking my written exam on Monday.

What the hell is this flight nurse, who worked in Orthopaedic Trauma, thinking?

Yeah, well, I like to go fast, so screw you guys.

Go ahead, talk to me about the gruesome motorcycle accidents you have been called out on. Tell me about the major trauma, and life changing injuries.

Guess what, I skydive too.

And I am scared to death of both. That is what makes them fun.

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Ducati Monster 696

So, what is on my birthday wishlist? The new Ducati Monster 696. This baby is just damn sexy.

Oh, and just in case? Could I get one of these as well???

Head Dair

Actually, I want an airbag for my pelvis too. Just sayin’.

The day my life was threatened

by Emily
Published on: March 27, 2008
Categories: crzegrl.net
Comments: 15 Comments

Nurses are subjected to assault and battery every day by patients. 

Hospitals cover it up. 

Nurses are told they cannot press charges after being threatened, punched, kicked and sometimes straight beaten.

Today, a nurse was MURDERED in the ICU he worked at.  Shot dead along with two other people.

Every day I go to work, I expose myself to the most violent people imaginable.  I run the risk of contracting countless numbers of diseases that will kill me.  I am insulted, cussed at, screamed at, and all the while am expected to maintain my professionalism.  The following incident took away some of my mid-west innocence, even after working the street in some of the worst places in Los Angeles. 

———————————-

She called me down the hallway, wanting to talk to me in private.  Her nephew had been shot in a drive-by two nights before.  He was 17, and the single bullet which severed his spinal cord halfway down his back changed his life in an instant.  The irony of the situation?  The bullet was meant for the brother he borrowed the car he was driving from.

The entire family was strangely happy.  His girlfriends were doting on him.  “Ace” and his family were ignoring the truth.  He would never walk again.

I too doted on him.  He seemed to be a good kid, and I wanted to make sure he was comfortable, but it was very apparent that no one was facing the truth.

“You will be able to walk again man!  You just need to be right with god.”

I inwardly cringed, becoming more and more concerned.  If discharge began on admission, I was already behind.  He had no other injuries and was headed straight to rehab from the ICU.

During a break in visiting hours, after kicking everyone out of the room, I pulled a chair up to the head of his bed.

“Ace, I think we should talk.”

“Yeah? What’s up?”

This was NOT the conversation I wanted to be having with a 17 year old. 

“You doing okay with all of this?”

He quickly looked from my face to the ceiling. 

“Yeah, I am.”

I could tell I was losing him.

“Do you understand how badly you are hurt?” 

He looked me in the eye, and oh so quitely said, “Yeah, but I am not ready to talk about it yet.”

My hand went to his shoulder and gave it a squeeze.

“Ok, but when you are, you let us know, ok?  I want to make sure we are doing everything we can for you.”

I asked him if he needed anything right then and left the room, respecting his wishes, knowing that he did understand, neither of us having to say the words.  Somehow I felt that this kid was going to be okay.

Imagine my surprise when his furious, short, very fat aunt, who had been all smiles to me just a few hours before, threated to kill me. 

Just like that.  In the hallway of the hospital.

“If you EVER tell my nephew he isn’t gonna walk again we will kill you!”

I had no idea that was what was what waiting for me when I followed her down the hall ‘someplace more private.’ 

It suddenly dawned on me.

I was a white nurse, caring for a black 17 year old kid, in the worst part of Philadelphia.  He was shot in a drive-by, his brother was a known gang member.  The family was looking for someone to blame.  An avenue for their anger.

I was it.

I don’t remember any more of the conversation, just that woman’s anger, and for the first time in my life, being afraid. 

The conversation was short, and as I turned the corner, back to the the nurse’s station, all eyes were on me.  They had heard the raised voices, but not the words.  The manager and security were immediately called.  I had an escort out to my car in the parking lot that night.  The security guys meant well, but what were they going to do other than get shot too?  They didn’t have a gun.  They would have simply been two more victims.

—————-

For the record?  I am a gun advocate.  I have my concealed carry permit.  Unfortunately, hospitals are one of those ‘sacred’ areas in which guns are not allowed.  I know someone will correct me if that is an incorrect statement, but every hospital I have worked at has ‘immediate termination’ in their hospital rules if you are caught carrying.  Sounds like colleges and universities does it not? 

Please don’t think I would be packing heat for a shift.  But hire someone who can.  Back up nurses when they are threatened, assaulted and injured by patients.  Don’t make them the victim twice. 

Why is it ok for nurses to take this kind of violence? 

My thoughts are on the families of the victims in Georgia. 

Today’s View—WTF?

by Emily
Published on: March 27, 2008
Categories: crzegrl.net
Comments: No Comments

Today's View---WTF?

Today’s View—WTF?,
originally uploaded by crzegrl15.

No, this IS NOT the same photo I posted of the snow from a few months
ago! They are forcasting 2-4″ for tonight. Yes, 27 March. Geesh!

Flu One, crzegrl Zero

by Emily
Published on: March 25, 2008
Categories: crzegrl.net
Comments: 5 Comments

Flu One, crzegrl Zero

Flu One, crzegrl Zero,
originally uploaded by crzegrl15.

I gave in. MeeMa had to bring me crackers, chicken noodle soup, and
powerade. My dogs, Lucy and Stevie, have kept me company, helping me
eat crackers in bed.

*sigh*

Guess I am not invincable after all.

Oh, and J9—-took my ibuprofen.

Typical Monday—Not for this Flight Nurse

by Emily
Published on: March 24, 2008
Categories: crzegrl.net
Comments: 5 Comments

Today I hung up the lab coat of the Nurse Practitioner and replaced it with the tactical vest of the Flight Nurse. I don’t wear multiple hats, I wear multiple helmets!

It was a busy weekend in the emergency room where I work as a nurse practitioner. Although this series of shifts was awesome (yes I even loved taking care of the sniffles) it was great to be back the in the helicopter instead of watching it take off and land from the door way of the ER as I was doing when I took these photos:

Img 0667
Survival Flight coming for patient

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Aero Med coming for another
patient the next day

Monday is never typical for us. The morning began with a transport in which we met the ambulance at the landing zone. While we were waiting, a car parked in the parking lot across the street. It gave us the opportunity for a PR moment. In reality, it was the chance to show our helicopter off to an adorable four year old boy named Zachary.

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Brad showing Zachary and his Dad
the “bus drivers seat”

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Not sure who was doing the teaching!

 

After our first transport and some lunch, we were launched on the first of two trauma calls. This was a scene flight in which we made the news. Here are the photos I took on the way to evaluate our patient who was in the back of the ambulance. I was actually in the ambulance taking care of the patient when the video posted was taken.

Multiple injuries in car/school bus crash
Posted: March 24, 2008 03:45 PM
Updated: March 24, 2008 10:01 PM
By Patrick Center and Emily Zangaro

Img 0709
Our LZ was right in the
middle of the street

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The bus made it easy to
recognize where we were needed

Img 0711
Amazing the amount of impact
a bus can take

 

This could have been so much worse than it really was. The kids on the bus were reportedly all okay.

Nate and I took this photo from the roof between flights. Although our job is serious, we do our best to laugh as much as we can. It was another good day to be me.

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Emily and Nate
nurse and doctor

 

Our third transport was an inter-facility trauma call. Another motor vehicle collision and another patient who needed the skill and care of a trauma center. I love trauma season. Although we are still waiting for trauma’s “Opening Day” it is beginning.

Tomorrow? Another day shift and our very anticipated Corporate Meeting.

Coffee Please?

NP vs PA, what is the difference?

by Emily
Published on: March 22, 2008
Categories: crzegrl.net
Comments: 11 Comments

What is the difference between a PA (physician’s assistant) and a NP (nurse practitioner)?

I get this question A LOT. Surprisingly enough, it is not just from those outside of the healthcare realm, it comes from my peers as well.

As I was looking for some sassy graphic to go with a post about my first few days in my role as an emergency room NP, I came across this link comparing not just NPs, PAs, but Physicians as well. Although I think a lot could be added to it, I wanted to get it posted here so I didn’t lose the link.

As I need to get in the shower for my 3rd shift at my new job (wooHoo!), I will leave it at this, and throw a gigantic “you are it!” to anyone that has better links. Every time I say I am going to look something up, or post something later it doesn’t happen…..so I won’t say it!

Anyone have any vitamin C? Don’t think hand washing is gonna keep me from catching what my pathetic immune system has been exposed to this week.

crzegrl.net mentioned at NurseConnect.com

by Emily
Published on: March 18, 2008
Categories: crzegrl.net
Tags:
Comments: No Comments

Nurseconnect-1

While catching up, I realized I forgot to post about being mentioned in the post, “being mentioned” at NurseConnect, a website for the nursing community. From their site:

NurseConnect is an online nursing community and networking site for nurses and other healthcare professionals interested in advancing their education, careers and personal lives by sharing experiences and knowledge with others. NurseConnect is owned and operated by AMN Healthcare, Inc.

Although I am not great about keeping up in participating on all of the nursing sites I am a member of, this is one of the better ones. If you haven’t already, go check it out! I’m also adding a link to NurseConnect on my blogroll.

Lucid—a traumamateur’s adventures in search & rescue & beyond

by Emily
Published on: March 17, 2008
Categories: crzegrl.net
Comments: 3 Comments

Have a lot of things I have been meaning to do, and one is to blogroll Lauren’s blog “Lucid.”

She is an EMT who is young and driven. My kind of chick. Will be watching her career with great interest.

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Lauren, hope you don’t care, but I borrowed the photo off your blog. I just love it!

New Nursing Student Site! RN2Be.com

by Emily
Published on: March 17, 2008
Categories: crzegrl.net
Tags:
Comments: 1 Comment

Rn2Ban-2

Was given the heads-up on a brand new website geared toward nursing students. The great thing about RN2BE.COM is it is BRAND NEW with only 10 members thus far. Why is that such a good thing? It presents the opportunity for growth and participation in creating something. This doesn’t happen every day.

Thanks to crazyrn2be for the heads up and for stalking my blog!!!!!

The Check is in the Mail

by Emily
Published on: March 17, 2008
Categories: crzegrl.net
Comments: 1 Comment

Images-1-3

Yes, the check is indeed in the mail.

As are my federal and state tax forms, my CCRN audit paperwork, my RN and NP license renewals, and my DEA license renewal. I’ve also sent out my new hire tax forms and finished my paperwork for new hire billing for my NP job.

WHEW!

Oh yeah, for all of you who I would rather be corresponding with? I am working on emails today.

The life of a crazy flight nurse is never boring.

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The postings on this site are my own views and do not represent, or are they intended to represent the US Army Reserves, Spectrum Health or Aero Med's views, positions, strategies or opinions. The opinions herein are for informational purposes only. All posts, comments and stories are written with strict adherence to HIPAA and permission, either written or verbal, has been granted for all posts, etc which include my co-workers and friends.

Information is not meant to diagnose or treat any medical condition and is not a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified medical health professional with any questions regarding your medical condition. Don't ignore medical advice because of something you may read here.

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