Nurse Jobs London

The unit is okay, pretty much. It’s not a hard job; I think I said earlier that it was actually boring a lot of nights. The people I work with are nice, although a lot of them are refugees from units that are not happy places, and some are real burnout cases. The bitching from the regulars can be pretty wearing. Nights are long, much of the time spent just sitting around. And (shhhhhhhh!) sometimes we are painfully overstaffed, which is not the case in the rest of the hospital. I have read more books and spent more time online at work here than anywhere I’ve ever been.

Last night I got a look at the next schedule, and that REALLY pissed me off. My understanding when I signed on was that I’d be working weekends, and hopefully not ALL the holidays. I don’t work Thanksgiving (oh yippee) but I’m down for both Christmas Eve and New Year’s Day night. Not only that, but Christmas Eve is the fourth night in a row for me, and I don’t DO four in a row. Nor does one of the other travelers, who is down for four in a row the following weekend, and she’s pregnant. On top of that, everyone is working one or both of the holidays except for one traveler who for some reason is not scheduled for ANY! Fair? I don’t think so.

And then there’s the living situation. My apartment is actually quite nice, if small. It’s easy to keep clean and there’s plenty of room for me. I hate the driveway and the parking, but I can live with it. However.and it’s a BIG however.there is the matter of my upstairs neighbor. I have never seen her (I assume it’s a her, most of the residents here are travel nurses and female) but I have to HEAR her, and she walks *very* heavily. On top of that, she has a dog. Now, it can’t be that big a dog, because it barks in soprano, but when it runs through the house it sounds like a damn Clydesdale! And when she goes out and comes back, it does that for at least five minutes. Then it sits down and scratches and thumps on the floor for another five minutes. To make matters worse, it desperately needs its nails cut.just imagine a Clydesdale with jingle taps on its shoes. This morning I saw my neighbor come home just ahead of me (at least I assume it was her, looking at where the car parked). Oh goody, I thought, maybe she’ll go to bed! Ah, but it was not to be. Just as I started thinking about crawling between the sheets, she decided to VACUUM HER APARTMENT.the entire place.and the damn dog ran around in circles the whole time. If I ever have to live in another lower unit I will shoot myself.

On the other hand, for once we had interesting times last night. I came in to two patients and one on the way. My partner was one of the regulars, an LPN who’s almost finished with his BSN. We decided he’d take the one coming and I could have the two who were already there. My two didn’t look awfully complicated, as most of our patients don’t, but of course there had to be a curve ball somewhere, and danged if one of them didn’t come up with some lab work that indicated *maybe* she might have a blood clot in her lungs, so off she went for a CT scan. The other had come in with a potassium of 2.4, which is sort of incompatible with life, but she was getting IV and oral potassium and seemed to be doing better. The first one came back from her CT scan, and before too long I got the word that it was negative for blood clots. My partner’s patient came up from ER and he got her settled in. We were notified of another patient to come from an outlying hospital, but an hour later we heard that he’d decided he wasn’t going anywhere but home and had left there AMA (against medical advice). We kicked back for a peaceful night.

So I’m sitting there, minding my own business and doing a job search online, when the monitor starts alarming. I look and it’s my partner’s patient, and she’s alarming bradycardia (slow heart rate) in the 40s. Then her rate goes back up to the 50s.then down again.and keeps going down, 35, 32.I grab the crash cart and he goes tearing in the room and tries to wake her.heart rate is in the 20s but she responds, sort of. “How about some atropine?” He runs to get the drug. Patient is pale and clammy, but she’s responding after a fashion. Heart rate at the lowest I saw on the monitor was 18. Since I’m the RN I get to push the atropine, half a dose at first with no effect, then what the hell, give her the whole thing. And the heart rate starts going up.40s.50s.oh boy, finally a nice happy 74! We breathe a sigh of relief, wrap up the observation, and he goes to chart. Later he told me that the patient and her family had described episodes at home where she got pale and clammy and “felt real weak.” “Wanna bet she buys herself a pacemaker?” he said. Yeah, I bet she does. But I won’t find out, because they just called and put me “on call” for tonight; there’s one patient in the unit and two other nurses on the schedule. I could get called in for another floor, though I hope not. I’m nervous about staffing levels everywhere else.

I REALLY don’t like it here. I’m starting to think about a permanent job somewhere. Maybe not bedside, although I might think about that if the position were just right. Well, we’ll see. I have until the end of January to think about it.