Thanksgiving menu

Oh, how I love Thanksgiving. I’m switching it up a bit this year – changing out some of the dishes that I grew up with but my family isn’t thrilled with. Here goes:

  • Turkey & gravy – a la mom. Don’t mess with the process.
  • Stuffing – Pepperidge Farm herb stuffing, some cooked in the bird, remainder warmed in the oven.
  • Cranberry-pear sauce, but instead of water I use 2/3 c. orange juice and 1/3 c. bourbon.
  • Corn casserole – according to my kids, this is why we have Thanksgiving.
  • Southern style green beans – this is a new one this year, but I substitute bacon for the sausage. We usually do green bean casserole for Thanksgiving, but I’m the only one who eats it. So this year I’m doing regular, heart-healthy, fresh green beans slathered in bacon grease.
  • Mashed potatoes – Not even gonna lie. I don’t have a recipe. I use red potatoes, skinned, boiled, and then mashed with salt & pepper, milk, sour cream, garlic, a little parmesan cheese, and sometimes cream cheese for that extra creaminess. I just keep adding and mashing till it looks right.
  • And the piece de resistance, Derby Pie. Or, chocolate bourbon pecan pie. Possibly with vanilla ice cream.

Thankfully, there will be plenty of people to partake of the feast – everything in moderation, right?


Why I won’t shop Zulily again

In October I made a purchase at Zulily of several items of clothing. 5, in fact. Of the 5, only one fit the description provided on the product page. Now, anyone who shops Zulily knows that it has the longest order fulfillment time of virtually any retailer online. So when it took 3 weeks for my order to arrive, I wasn’t surprised.

What did surprise me is Continue reading

One more week of Med-surg

nurse-call-button-took-longLast month I was offered the position of my dreams – a NICU position at a Level III NICU. This particular hospital delivers more babies than any other hospital in the US. 120 beds in the NICU alone.

As of today, I have one week left in med-surg  at my (most awesome) magnet hospital, before moving on. I want to soak it all in, invest in my colleagues, and hopefully stamp everything I’ve learned in med-surg permanently into my brain.  Continue reading

Welcome to Med-surg

Three night shifts in a row. Included patients / situations:

  • 1 colitis, 3 small bowel obstructions, 1 lap-appy, 1 active C-diff
  • 2 pneumonias, 1 lung cancer (mets in the liver and pancreas)
  • 1 cellulitis, 1 MRSA
  • 1 whipple
  • 1 new onset Afib with RVR
  • 1 code blue, 2 code sepsis, 1 patient sent to the unit, and another received from the unit

Never a dull moment. #alwayslearning

ABGs are my nemesis

Oi vey. In nursing school ABGs and acid/base balance drove me nuts. This weekend my charge nurse rightly commented that ABGs are the calculus of nursing, and as we were discussing it my former preceptor came to join in, noting that she’d never really understood ABGs. Big surprise, right? So on this particular evening my patient was headed in a downward spiral, Continue reading

ATTN new nurses: Trust your gut.

New admit from the ED. COPD, CHF, CAD, history of AMI, stroke. Admitted for shortness of breath. When she arrives on the floor shortly after midnight she’s alert. Conversant. We go through all the new admit tasks and I get her settled. She has potassium replacement running, and an empty bag of magnesium she’s already gotten. And the doctor’s orders for LR @75 an hour are in place. She’s exhausted so I tiptoe out and let her sleep. When I go back to reassess her an hour later (note: always do reassessments on your new admits!) she’s moaning now and then. Lethargic. Continue reading


An uneventful shift is always the best kind of shift. But what really stinks is when the events wait until shift change to happen. Know what I mean? New patient. Admitted around midnight. Fell asleep just after admission and slept through shift report. The techs did their vitals while we were doing report, and my new patient had a blood sugar of 35. Continue reading