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thenightisland · 7 years

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you know the drill:

this is becoming like its own series but idk how else to explain this awful year i don’t even feeling like properly linking so here’s just the URLs of the other ones in the series: 1. http://thenightisland.tumblr.com/post/161087786689/explanationsupdates-under-the-cutmore-i 2. http://thenightisland.tumblr.com/post/161920216354/additional-updatesexplanations-under-the-cut 3. http://thenightisland.tumblr.com/post/163767959805/updates-under-the-cutmore-post-one-post-two-on 4. http://thenightisland.tumblr.com/post/164398486219/on-the-fourth-edition-of-what-the-fuck-is

one of the assessors got jumped a while back. she was just walking past a pt in the main assessment dept and he jumped up, punched her in the back of the head, took her to the ground and beat the fuck out of her. she was out for weeks and weeks and had broken facial bones. i can’t believe she didn’t quit.

our nurse executive quit though. not like, went prn or gave two weeks notice, like just straight up was like I’M DONE and walked out which honestly is the closest i’ve ever come to respecting him.

while having more psychologically unstable pts isn’t new, having more medically unstable pts has been a problem lately. like our crash cart is not like a medical hospital’s crash cart it’s like. an ambu bag some iv supplies and a stethoscope no lifesaving medications. when a pt has a medical issue we send them out to a medical hospital because obv we don’t have the resources to treat complex medical issues where we work. which didn’t used to be an issue because you’d used to see maybe two medical codes a year on my unit. we’ve had /ten/ since my last update post /just on my shift/. two of which weren’t even “pt is going downhill fast” codes they were “pt has no heartbeat and isn’t breathing” like we had to fucking bring two people back from the goddamn dead /within ten minutes of each other/. we’re all like we’re psych nurses man if we wanted to do this shit we’d work er. [and the er we’re required to send these pts to is awful like they sent us back a guy who had almost died twice in three days who had an /untreated brain tumor/ bc obv he’s totally fine]. or we’ve been doing mash unit style medicine like the suicidal kid with partial thickness burns all over his chest and neck that literally no one was doing anything about. we were debriding burns with a mixture of different PO IM and SQ drugs to achieve the same effect as IV morphine because debriding is extremely painful but not doing it will just make things worse and no one else seemed to care so we just fucking did it. like we’ve done so much medical nursing lately. like the one with the uncontrolled severe seizures that led to the medical hospital labeling her first break schizophrenia despite no family history of mental illness but /five different medical issues that all cause psychosis/. or the one they let on the unit despite being on the do not readmit who has untreated hiv that he actively tries to give to other people and /active tuberculosis/. or the one with the aneurysm. or the one with severe CHF. and on and on and on. and remember: we’re not the most medically unstable unit in the hospital because we have a 40 bed /geriatric psych unit/ so you can imagine the kind of pts /they’re/ getting. on the plus side, all of our ten odd codes lived.

my personal life is still a goddamn mess, of course, but that’s a given. don’t even know where to begin with all that. and i can’t talk about a lot of it which makes it that much more fun.

i had an entire crisis about the odyssey [which tbh is still kind of going on even after /weeks/] because i’m getting so cagey in memphis because i fucking hate this town. and i just got back from new orleans which is the closest thing i have to an ithaca at the moment and it killed me to come back to this fucking city.

i’m also really paranoid right now because after i come back from vacations, something terrible always happens and i’m not exaggerating it’s like clockwork to the point that the bad things have all happened between friday and sunday after i’ve returned from my vacation, each time, without fail. well that would be this weekend so i am just waiting to see what great horrors await me this goddamn time. [last time, it was the whole coworker killed in vehicular homicide thing]. but i guess paranoia isn’t the right word. you’re only paranoid if you’re wrong, and my life has already set the precedent. so i guess anxious is the better word.

the anxiety is increased given that my mother has been out of work all week because they’ve had trouble regulating her blood sugar and so she’s been really sick and even said so herself she’ll probably end up in the er over the weekend because she doesn’t think she can make it till her next doc appt because she’s miserable, and she’s already been in the er once when this weird shit started happening a month or so ago so the Vacation Curse has me even more concerned than usual, which is saying something.

there’s a new psych doc working now and everyone is really unsettled by him and we’re pretty sure he’s a genuine psychopath like completely without exaggeration and he’s already done a lot of really creepy things to/with staff members and one nurse said in passing “i’ve known a lot of doctors like him he’ll end up fucking a pt at some point” which we initially left to hyperbole but he’s been doing shit like transporting female pts to other units without the staff’s consent in his own car which is like all kinds of not allowed, and the way he talks to some of the staff is just downright rapey honestly. and so we had a rough case this summer who, through the combined efforts of my squad, we got her from a diagnosis of intellectual disability with schizophrenia, nonverbal, self harming all the time, history of physical and sexual abuse, constantly in restraints and on a 1:1 obs level to a new diagnosis of autism spec with ptsd because her “hallucinations” were /flashbacks/ and she ended up very social and verbose and like fucking read william blake for fun and had a great sense of humor and was off all special observations and had a transfer to another facility pending so she could get more 1:1 long term therapy, and the creepy doctor was covering her case while her actual doc was out of town and he rode all the way to the other hospital with her which is another thing you do not do, and we found out from a coworker that she is now a /2:1/ [two staff members within arm’s reach 24/7], self harming again, in full shutdown/meltdown mode, and nonverbal. and it was such a rapid deterioration that all of us lost sleep over the possibility that this creepy doctor might have done something because even after she was at the other hospital and therefore no longer our pt, /he kept going to see her/. which fucked us up a lot because we were the ones who worked so hard for so long with her. like even the thought of it.

recently had 25th birthday so naturally had a crisis about that because i’d always said my goal was to be out of memphis by 25 and yet here we are.

another of our fave pts, esp one of /my/ fave pts, died out of literally nowhere. the day before my birthday. so that was great.

also felt really surreal to see the news about the convictions in the holly bobo case, which i found out about when one of my coworkers was reading the news on his phone during a lull one night i forgot that to him and everyone else it’s a national news story [hell it even has its own wikpedia page] but to me it’s just /holly/ because she was /in the class above me in our nursing program/. my first semester in college i remember seeing her face on missing posters on every building on campus. so it was really a weird moment of dissociation for me. glad the motherfucker was found guilty on all charges, obv.

the tech of mine who got his skull slammed into the floor, the one who’s been out with what can only be called severe psychological trauma, is supposed to be coming back the third week in october. which i just. i mean i’m glad because he’s one of our best guys, but i’m also like /why the fuck would he come back/ because he could be a fucking english professor again. motherfucker spent part of his youth growing up in italy and montreal, lived on the west coast for years, /was/ a college professor, did time as a script doctor in LA, and was a fucking thriller novelist who just gone girled himself for whatever reason and ended up working with us. there’s literally a reddit thread asking if anyone knows what happened to him and i want to be like don’t worry it’s fine he works with me. but so we’re like why would you come back to this place after what happened to you when you have so many other options available to you????? what are you running from that makes you so desperate to keep centering your life around a locked acute psych ward???? why did you gone girl yourself to begin with??? like he was screwed up enough there for a while that he wasn’t even answering his calls or texts and our boss had to send the police to do welfare checks on him because he lives alone so it’s like man why not go back to the life you had before and /get away from all of this/ it’s not like my situation where i’d rather be living a different life but have never done so, he already has the foundation because he’s already lived a different life he has an in that i don’t have and i can’t for the life of me figure out why he thinks working as an acute pysch tech is the better option.

but i mean. we /do/ call our unit the hotel california for a reason.

#karen's adventures in trying to sort her life out #this got longer than i intended whoops

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