So I’ve been north of the wall 12 weeks now — aside from my September wedding/hockey weekend hiatus. Reflecting on it all —  I can’t believe it!  Now as I come into my final week’ish here before driving home, I am experiencing alot of downtime. Term assignments are for the most part all in and I have only 2 shifts left in the ER. Despite the gorgeous sunrise picture I posted above, the weather has been more miserable then motivating to get outside. So I am starting to feel a little anxious, especially with all the holiday planning and talk between friends and online. With anxiety comes a lack of motivation for the things I know I need to do, like wash the dishes and go through the piles of paper I have been holding onto all term. Alas- I still have a week.

Because I am spending a great deal of time either in front of my kindle, laptop or TV I downloaded an app to remind me to drink water and get up and move — and to that I am challenging myself to complete 300 kettle bell swings per day. To be exact, a set of 50 every time my phone rings off at the 90 minute mark. My fitness has been inconsistent, to say the least. And I’ve noticed doing these during the day has encouraged me to stretch out and wind- down with yoga after dinner. Despite this, I feel tired all the time. My sleeping has still been off, the sunrise pics are the result of being wide awake way before the sun.


Since I last posted. The only really interesting thing I did was complete 12 hours of ACLS training. I will brag one more time about this hospital putting the education of its staff first and being an RPN and technically it is not within our scope of practice (changing) to push medications we can attend and be certified for ACLS but we don’t get paid for the time.

And what is ACLS you ask? Well it is Advanced Cardiac Life Support. If you think of your CPR training that is considered Basic Life Support, so this takes it further including medications given depending on the cardiac rhythm and more in-depth ventilation. Really cool part of this training was that it was lead by an advanced care flight paramedic, so all the scenarios we worked through related to some of his actual cases. Yes- there was scenarios and role playing with the Sim man. This programmable mannequin can be given vital signs, heart rhythms, pulses, and chest sounds. What that means to the learner, is that we have to figure out “Kaitlin’s” condition before she experiences cardiac arrest, and when she does we each lead the code.

Luckily- this course was attended by mostly ACLS newbies and a family physician who does not practice these principals often, so we as a group worked through the scenarios well together. Oh yeah– then there was an exam after. But I passed! And now I’m certified for the next two years!

BTW- if anyone has any really good learning resources to distinguish heart blocks, I could use more practice — Thanks!

Speaking of flight paramedics — anyone watch the Rick Mercer Report?

Well today’s post is short and sweet. But I guess that’s downtime for ya.

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One thought on “Downtime

  1. I highly recommend “Rapid Interpretation of EKGs” by Dale Dubin MD. It’s like EKGs for dummies, but it’s what the medical students use. Dr. Fernandez, saw my copy and told me he used it in medical school.


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