Sunday, March 20, 2011

HALLELUJAH!!!

SOME GENIUS ARRIVED AT MY BLOG...

BY USING THE SEARCH TERMS...

"INEFFICIENCIES PISS ME OFF"

YOU MY DEAR READER, ARE AWESOME.

=]

Saturday, March 19, 2011

What the fuck does my nametag say?

I work at a day spa.

My name tag reads: Easily Amused, Local Day Spa

DEAR PUBLIC, I DO NOT FUCKING WORK FOR THE NEW RESTAURANT NEXT DOOR.

HEAR ME LOUD AND CLEAR:

1. NO, I do not know when the fuck they are opening.

2. NO, they are NOT open.

Oh, you see people in there?

THEY ARE TRAINING.

How do I know that?

I honestly said this today "Because I went and asked them after the first 10 people asked me today if they were open."

3. NO, I do not know what the fuck will be on their menu.

4. NO, I do not fucking know if they have a liquor license.

5. NO, I do not fucking care if the chain stores will lose business.

6. NO, I do not fucking know if their food will be good.

7. To the random ass man that walked in last week, NO, I do not know if it is an expensive franchise.
WHY DON'T YOU CALL THEIR 1-800-FRANCHISEME LINE ON THEIR FRONT DOOR YOU ASSHATE!!

8. To their construction foreman: IF YOU DARE HAMMER OR DRILL ON OUR SHARED WALL ONE MORE FUCKING TIME DURING MY BUSINESS HOURS I WILL DRILL HOLES RIGHT BACK TO YOU, YOU MOTHER F ASSHAT!!!!!

(Lease prohibits construction during neighboring store business hours, but this genius fuck thought since "we didn't look busy" it would be ok. You run your business and I will run mine! No one will declare if we are busy or not but me, and no you may not drill on my shared wall and piss my clients off!!! Seriously it was so loud, I had to walk outside to answer the phone.)

9. I THINK IT IS REALLY FUNNY TO WATCH PEOPLE TRY TO OPEN THEIR LOCKED DOOR!

10. Oh you wonder if they are open?
I ACTUALLY SAID: WELL, WHEN THEIR **OPEN** SIGN IS TURNED ON AND SHINING PRETTY COLORS, I AM CONFIDENT, AT THAT TIME, THEY WILL BE OPEN. BUT AS OF NOW, THEY ARE JUST TRAINING THEIR STAFF.
Oh, do you have a menu?
MY INNER THOUGHTS: WTF!!! GET THE FUCK OUT! NOW!!

JFC people.

Thursday, March 17, 2011

Hey Doc... did ya read the chart?

Reminisce back to my fundamentals nursing semester.

(Allow me to remind you I am a coffee bean grower and my medical expertise ends at the care and cultivation of my coffee beans).

Anyway..

I was caring for a ~70 year old patient. A LOL. (Little old lady).
She had a laundry list of medical problems and an immovable ankle issue.
Also, slightly demented. But sweet little old lady.

There was a big stink in the unit about this little old lady.

She needed to ambulate more, needed more independence in her ADLs (activities of daily living)..
She needed to just show that she has capability to function without total assistance.

Why?

She was a candidate for skilled nursing care but was losing her transfer because of her inability to ambulate. She did not have her walker she tells me.

So.. being the Save The Day nursing student, I set out in pursuit to get my patient her walker. Patient Advocate to Save The Day!

My adventure ended promptly when the nurse I was working with said I should do assess my patient more carefully.

Hmm....?

What's that you say?

I sat alone, read my assessment, and wondered what the hell further could I assess that has to do with this woman and her walker? Neurocheck!

I march back into my LOL's room, and tell her I want to assess her feet.

She is a little puzzled, but says okay.

She has NO sensory or motor movement in her L foot. (or R, I don't remember, irrelevant.)
I continue on... the OTHER foot as no sensory or motor movement.

Well obviously a walker will be of no service to her.

So, I amended my computer charting to include the neurocheck and that she has 0 sensory perception and no motor capability in either lower extremity. I report my findings to my nurse, her findings were congruent as well.

Now let's fast forward to the next day...

The MD is in the room with the patient when I enter to do AM vitals...

"So Mrs. NoMotorCapability, I see you walked to the nurses station all by yourself last night!"
Patient: Yes doctor.
"Great! Looks like you will be discharged soon to skilled nursing!" .. MD quickly scurries out of the room.

Me..."Mrs. NoMotorCapability, yesterday you clearly could not walk because of the condition of your feet, did you feel better last night?
Patient: No...
Me "I heard you tell the doctor "yes" when he asked if you walked to the nurses station, did you?"
Patient: No...
Me "Okay, what made you tell the doctor you did?"
Patient: The doctor said he heard I did walk to the nurses station, so I must have!"
Me "So you did not leave your bed last night?"
Patient: Well no... I can't walk remember?

See, I could have interrupted the doctor while he was in the room, but that whole pecking order thing gets to me with some of the doctors. But now... I had to do something.

I went to the dictation area and found the doc.

Me: Hey Dr. IForgetToAssessMyOwnPatients, I am fairly certain Mrs. NoMotorCapability is not able to walk.

Dr: What?

Me: The patient with ABC diagnosis that you want to transfer to skilled nursing, she can't walk. She has bilateral lower absence
of sensory perception and motor function.

Dr: That isn't right. It's nowhere in her chart!

Me: Have you gotten to reading the nurses assessments?

Dr: I don't read those, I am a doctor, not a nurse, why would I read that?

Me: The night nurse and I both charted that patient had bilateral lower absence of sensory perception and motor function.

Dr: Why isn't that in the patients chart?

Me: I don't know doctor, as a nursing student I do nurses assessments.

Dr: Well we count on the nurses assessments to know what is going on!

Me: Umm... well it's in the assessment? I'm not exactly sure where you are getting with this now, I gave you the information I needed to give you, the patient cannot ambulate even with a walker. I will tell you both of her pedal pulses are +2 (normal), normal (<3 sec) cap refill in both feet, warm to touch. She is adequately perfused, she just appears to have some nerve issues.

Dr: Who are you?

Me: I am the patient's nursing student.

Dr: Did you get that information from the progress notes? Wait, did a Dr. Dipshit send you to mess with me? Where did you get that nursing student uniform from?

Me: No... from my nursing assessment. Wait what? Excuse you? I AM a nursing student. And NO the patient cannot walk. LOOK in school, they go on and on about being a "patient advocate" and I am advocating for her that is cannot walk and is not ready for skilled nursing! She needs help!
You said you heard she walked to the nurses station. Did you know she is also demented? She thought she must have since someone told you they saw her do it! I don't know where you heard this from, does the unit have video surveillance?
I would encourage you to come assess her with me then because my neurocheck determines she cannot walk. Maybe you can teach me something.
And, the progress notes didn't offer much information on this issue.

Dr: What do we do?

Me: SILENTLY THINKING: WHAT THE FUCK!?

Me: Can you just follow me back to her room to reassess her?

Dr: Well I guess I can't finish her chart now.

::goes to room with me::

Findings? She can't feel us touch her feet and can't move them! Dr is still all like WTF? How did this happen?

BECAUSE HE RELIED ON HIS EYEBALLS, DID NOT PHYSICALLY ASSESS HIS OWN PATIENT, CLAIMED TOR RELY ON NURSING ASSESSMENTS WHICH, HAD HE READ, HE WOULD HAVE KNOWN SHE CAN'T WALK!

Was there a med error? No. (thankfully)
Was anyone injured? No. (thankfully)

Upon transfer, it would have been clearly evident that the patient can't walk. How the hell nursing knew about it but medical team didn't? Because there is NO communication!

Nurses talk to MDs when we need orders, clarification or to tell you to get your hiney's down here for something!
MDs talks to nurses when.... they need to find a chart.

Why don't nurses round with MDs? Why isn't there collaborative care? Aren't we all in HEALTH CARE?

I am probably a jaded nursing student, but seriously, doctors: read the nurses notes & assessments. We can learn from each other.

Sunday, March 6, 2011

I Snapped

For lunch, I really wanted kastle burgers.

See where this is going?

Me: I would like the 3 burger meal with a diet coke. Add cheese, NO MUSTARD. Add Mayo please.
Lady: **punches in order very slowly** ... Puts chocolate milk infront of me (I assume for another customer) and then states they have mayo packets.
Me: They usually just put it ON the burgers, but whatever I guess.
Lady: I'll tell them.
(see wasn't that easy?)

I sit down.

(Time elapsed: 20 minutes) now I'm getting angry because I squeezed in this lunch adventure before work and still wanted my Starbucks! What in hell takes 20 MINUTES to make freaking kastle burgers?! And they had 3 tables, and 3 people in line with me.

I am served 3 kastle burgers... with you guessed it! MUSTARD AND NO CHEESE!

Me: umm.. are you sure this isn't for someone else? I asked for no mustard add cheese & mayo..
Lady 2: Oh damnit (yells across room at register lady) You forget to put no mustard add cheese & mayo!
Me: No, she didn't, look here, it says that on my receipt.
Lady 2: alright, we'll get you what you ordered.

Okay, whatever, fuck ups happen.

I get thirsty and realize I didn't get my diet coke, so I walk back up and ask the lady for my diet coke. She said I wanted chocolate milk. I argue with her no, see you even had diet coke on my receipt.

Gets better...

She argues with me that the chocolate milk, that she swears I asked for (nevermind she charged me for a diet coke! and NO milk) WENT BAD b/c it sat out for over 30 minutes and SHE WANTS ME TO PAY FOR IT!

UMMMM.. Negative chief.

After a rather angry stare, she gives me a diet coke and mumbles to herself.

I sit back down, I've now been here for 45 minutes or so.

Lady 2 returns with another tray and places before me.. 3 burgers, no cheese, clean bread but with mustard still on the patties.

I just snapped.

Me: Here is my receipt and credit card, please refund me.
Lady 2: what is the problem?
Me: I ordered what I wanted, and it was not given to me, I honestly have no patience at this point, give me my money back and I will go else where for lunch.
Lady 2: Well we can fix this.
Me: I have been here for almost an hour for 3 mini burgers, french fries and a diet coke. Your cashier argued with me over a drink I never ordered and your kitchen messed up my order twice. And you think I want you to fix this? And to top if off, you only replaced my bread and left mustard on the meat.
Lady 2: Well there is cheese on it like you asked *SHE GRABS THE BREAD, LIFTS IT UP AND THERE IS NO CHEESE!* then hands the food BACK to me!
Me: You call that cheese? There is no cheese? And I especially now want a refund and you put your ungloved hands up in my food!!!!

So I got my refund and we wound up ordering sushi at work, which turned out fine and as planned, as ordered.

Moral of story: if a place is in business to serve food, and they fail to do that correctly... that's a bad business model!!!!!

If I go to pick up dry cleaning and they have coffee brewing, I take a cup and it tastes like shit. Oh well! I went there for dry cleaning, not coffee.

Thursday, March 3, 2011

The Bad Blogger Strikes Again

So whatever, I haven't posted since Dec 15th.

Guess what?? Starbucks pissed me off again!

I knew coming to this location that it would result in a fuck up, inevitably. But they are open till 10 and my fav location is open till 9 and I really have a lot to do (for instance, blog for a moment) and my house is insanely distracting. One day, I want my own office!

Anyway...

Grande Americano Iced, white mocha.
So, because I know these people suck, I asked for the white mocha to mix well and for the water before the ice. Any properly strained Sbux barista should know this, but they suck here. But the coffee is still coffee and Sbux is Sbux. Not really, but fuck you get the point.

Right what: white mocha, espresso, swirl around to blend, add water to line, add ice.

What does this fucker do?

Espresso, white mocha, HOT WATER, ice.

I grab my drink... 5 pathetic melted ice cubes melt before me and the glass is warm. What the fuck. Seriously.

Um.. can you remake this, and not use the hot water?

HE GOES: WELL YOU WANTED THE WHITE MOCHA TO BLEND WELL!

Me: Well, you see, espresso is also piping hot! And had you put the white mocha FIRST then the espresso, it would solve the problem! Did your DM even check to see if you completed the modules?!

He responds: you used to work for Sbux?

Me: yes, now make my $3 drink right. I've been awake since 0500 dealing with pregnant women, screaming babies and I have NOT had coffee yet.

He says: yes mam.

JESUS CHRIST.

Wednesday, December 15, 2010

Bag blogger, bad!

I've been playing hooky!
Because we got digital cable and school is out.

I know, right? Finally decided to get with the 21st century.

---

Registered today for my next two rotations, peds and psyc.
Didn't get the peds spot I wanted but wound up in good hospitals, so the world won't end. One of the rotations for labor/delivery starts at 630am.
NOT. A. MORNING. PERSON. Eeek. This won't be fun. I will have to hide my Starbucks cup somewhere around the unit and intermittenly go sneak snips to STAY ALIVE.

---

Readers can assume my "---" means mini updates with no real coherent rhyme or reason. But things that need to be said. As you were..

---

My favorite Starbucks promoted a newbie to the bar and she made my drink PERFECTLY. Big smiles!! I said it tasted awesome, best in weeks!! She said, "When I was training I asked AwesomeManager who even order this drink and he said one of my favorite customers, so learn to make it right!" I'm a favorite customer! And I always tip, smile and if I need to make a comment, I try to be tactful... unless its that prick at the other location.

Speaking of the other location, the one closer to work... the little fuck the other day started in with me again with the milk questions.
Dude, it's a freaking americano. Not a latte. That means no milk.
He INSISTS on asking me everything and follows with "are you sure?!"
Is an iced americano really that bizarre??

So anyway.. this is what happened the last, and probably last ever, time I go there.

EasilyAmused: I'm curious do people order an americano then ask for milk?

StooopidBarista: Well like ya... they like are cheap asses (YES HE SAID IT) and dont want to pay for the milk so they ask for it at the end of the drink making..

EasilyAmused: Hmm.. well I know I've never done that. I just don't really like milk.

StooopidBarista: People like sometimes too order a quad espresso (translation: 4
shots served up neat) and then go add water in the bathroom. Cheap asses.

EasilyAmused: You know, that's their perogative. I get you are annoyed by it, but at least they are buying your espresso. I'm offended you call those customers cheap asses. They are still a customer. And last I checked, you are in business to make drinks and they are ordering drinks.

StooopidBarista: Well I mean they are like STEALING our water.

EasilyAmused: So the other night when I was studying and ordered a drink, then asked for a glass (not bottle) of water, did you turn around and accuse me of stealing?

StooopidBarista: **awkward stare**

Moral of story: Customer service should never be skimped on! Always treat and love your customers with respect.

Friday, December 3, 2010

Winter break!

Today we took the mid-curricular HESI exam.
The "recommended score" is an 850, and a 900+ is considered best.
I scored an 888!

I'll take my 15 minutes of fame, thank you! Anyone who scores <850>

Even though I didn't get higher than a 900, it still felt amazingly good to earn above the recommended score. This test is supposedly an indicator of our NCLEX-RN success, and with my 888, there is a good chance I will successfully complete the boards - at least up until the material we have learned so far.

And now, I sit here and feel like a bit of a lost soul because I don't have anything to study for.
That's sad. Nerd Alert.

I do need to relax and take a few days off the academics, but I think I will portion part of winter break to study for next semester. I really need to aim for higher than a C.
Here is a big F*CK you to the 7 point scale.

It's good that I feel ansty without having anything to study for, I like to learn. But I also need to learn to chill out!