So I'm off today- was off
yesterday too. Went to Foot Doctor Who Doesn't Take My Insurance but Is Only Person I'll Let Near My Feet and found out ankle pain is caused by.......who the hell knows. Likely from one of the anywhere between 10-50 times a day I trip/stumble/bump into/almost fall off of/into the environment. I am without a doubt, one of the most
graceful people ever born. Ask anyone who knows me. My patients often ask, after seeing me almost knock something over or slam my hip into the doorknob for the 90th time, "Are you OK?" and I'll reassure them that yes, I'm fine, and you can ask Paul "Saloon" Sanders, one of our regular Protect the Nurses From Harm people and he'll say "yes, she does that all the time. Don't worry."
But back to being off today. I'm so relieved. I love my job, I really do. It's also the only social outlet I have, which I know is deeply
the bold word listed here , but alas, is true. But Monday, Tuesday and Wednesday
sucked the life out of me in a huge way. There were three really problematic patients, and all of them are genuinely ill, which usually gets them a pass, as opposed to those who are just Annoying Asshats NOS (not otherwise specified) and who don't need to be on my unit when there's people who need to be there waiting for beds.
Anyway, these 2 guys (the 3rd guy I just medicated throughout the night, barely giving him a chance to wake up, which considering the night before he'd jumped over the nursing station and started throwing chairs at 5 AM, was OK with all of the staff) are both really, really sick.
Psychotic. One is religiously fixated, a very common delusion, and is convinced that we're all devil worshippers who are doing evil to him and that Christ doesn't want him to take the medication because it makes him sick. Monday it was heart breaking. 7 hours later, my head was throbbing and I was exhausted from trying to get him to stop screaming and cursing and pacing up and down waving his hands wildly, scaring everyone else. So we had to get STAT IM orders. I will admit that sometimes, yes, I kind of enjoy giving shots. Yeah, I know, I'm evil. But if it's haldol 5 mg for someone who's so floridly
psychotic that they're actually touching the walls to feel the voices they're hearing and there's even a chance that the Haldol will knock out the symptoms or let the patient sleep and not be subjected to that misery for a bit, then yeah, I've got no problem. Also the people who've been really nasty and problem causing- inciting chaos on the unit, attacking other patients, screaming and insulting the other patients, I am less than remorseful that I'm the one who gets to jab them 3 times (we can't mix the injections anymore- used to be Haldol 5, Ativan 2 and Cogentin 1 in one needle- no longer)
with one of these . Ideally, in a few days, we'll have gotten enough meds in him for him to come down and stop being so manic and agitated and threatening. But sometimes, and I feel bad admitting this, I desperately want to scream "Just Shut The Fuck Up!" which is a Very Bad Thing.
The other one is a
Cheeky Devil (read 3rd down) who also starts screaming and flailing arms and then on Monday night SPIT IN THE FACE of Tommy "the Thinker" I can't remember his western name now, but he's a wonderful guy, very calm, and very good with the patients, always treating everyone with the utmost respect. So we had to toss him into seclusion, hold him down while I gave him 3 STAT IMs too. It's just deja vu- seclusion room, patient being held down, it's demeaning for them, it's depressing for us, it makes me feel evil and heartless but it's gotta be done. This kid is just dangerous when he's not medicated. You can ask one of the family members who are terrified of him after he tossed furniture and kitchen knives at them.
Added to my ankle pain and the necessitating of the walking stick( which is totally lame- I want a
cool one. Maybe everyone can take up a collection? Mail $5 to my paypal account so I can get the kick ass walking stick? ) and therefore no cute boots, and what I feel is seriously unjustly early PMS unless I'm god forbid pregnant because Merciful Zeus,
who the hell am I to be anyone's mother???!!??, I was just ready to cry by about 7 PM and that usually doesn't happen at Sweet Valley Psych, especially when I'm working with a good crew (which I was) and doing meds in my little Foxglove world (that's where the pic below was taken) where I play my CD's and spray my various
room sprays , so that the room is
heavily scented with something
that makes me happy.. So the med room is like my little world, I've got my music, my lovely scents, a paper towel dispenser to reapply my lipstick in the reflection of, and a window into the chart room so I can chat with my lovely coworkers, Stella "the Bullet" Stevens and Theresa "Hellish Devil" Payne, who are my favorites. Amazing nurses, both of them. But even working with them couldn't take away the suck of these past 3 days. Saturday I'm back. And I'm wearing jeans. But I can't wear cute shoes...
And the Ebay links? The best seller ever.
The Scented Room . Buy stuff, and tell her Shmeeshmak sent you.