A Few Lessons Learned this Week

A Few Lessons Learned this Week

It was an interesting week for this newbie float pool nurse. Here are the primary lessons learned this week:

1. Saving hundreds of dollars by replacing cable with Netflix will be partially cancelled out by Mr. DisorderlyCNA watching the show My Cat From Hell and deciding that our well-behaved Russian Blue needed an 8′ cat tree (costing more than I used to gross in a week as a CNA). Oh well, the cat’s happy.

2. If you run piperacillin-tazobactam (running at 12.5 mL/hr) as a primary line and “Y” the patient’s maintenance fluids into said ABX line, you are a bad, bad person. No, I didn’t do this, but I was the lucky nurse who got to completely re-route this disaster someone left for me. I guess my infusion skills can always benefit from practice, but , seriously!!! Zosyn run at a very slow rate and NOT piggybacked into some NS set to run at 21 mL/hr leaves you with air in your line, which is miserably difficult to clear (and will definitely wake up your poor, sleeping patient).

3.  Not used to working with psych patients?  Well, reflective communication and therapeutic silence are your best bets!  Otherwise known as stall, stall, stall until someone who usually works with the patient shows up and saves your bacon!

4. People with health conditions should/must wear medic alert tags or bracelets. There really is no excuse, and, in an emergency, even the most composed person can miss an important detail when giving a history to the medics.  Don’t settle for the cheapie kind that let you put a label or labels with the person’s condition on the tag, go ahead and get an engraved one like this.

5. When making a new muffin recipe for the first time, bake just five (one in each corner of your muffin pan and one in the center) to gauge the success of the recipe and/or make adjustments before using the vast majority of your batter and having to to start over.  Waste not, want not!

So, with that, here is a lovely recipe for Orange (ahem, Grapefruit) Glazed Poppyseed Muffins!  (Adapted from this recipe.)

Cook’s notes:

1. This recipe could be lightened substantially by going halvesies with the oil and some applesauce. These are not for the faint of heart, and one muffin goes a long way.  Probably could reduce the sugar to 1.75 cups and be just fine, as well.

2. Do not, do not, do not underbake these babies! Or you will wind up with your muffins doing a Jim Breuer imitation (early career).

3.  No orange juice?  Raid Mr. DisorderlyCNA’s secret stash of ruby-red grapefruit juice!  Or apple juice would work, I suppose.

4. A colored dishtowel makes a lovely backdrop for a photo of your baked goodies. Thank you, Costco!

INGREDIENTS:

Muffins:
3 eggs
2 1/2 cups white sugar
1 1/8 cups vegetable oil (or half oil, half applesauce for a lighter muffin)
1 1/2 cups milk (you can actually skip this if you don’t want it – I forgot to add this and the muffins were still bomb!)
1 1/2 teaspoons salt
1 1/2 teaspoons baking powder
1 1/2 tablespoons poppy seeds
1 1/2 teaspoons vanilla extract
1 1/2 teaspoons almond extract
3 cups all-purpose flour
Glaze:
3/4 cup white sugar
1/4 cup orange juice
1/2 teaspoon vanilla extract
1/2 teaspoon almond extract
2 teaspoons butter, melted
DIRECTIONS:
1. Beat together the eggs, 2 1/2 cups white sugar and vegetable oil (and/or applesauce if using). Add in milk (or not!), salt, baking powder, poppy seeds, vanilla, almond flavoring, and flour. Mix well.
2. Bake in paper lined muffin cups filled 3/4 full at 350 degrees F (175 degrees C) do not adjust temperature if using a convection oven for 20-25 minutes. The tops should be browned and a toothpick inserted in the center should come out clean.
3. Remove muffins as soon as you can while still warm/hot and cool to just warm before dunking tops into glaze. Turn right side up and cool on a cookie rack (with a cookie sheet under it or you’ll have a hella fun mess to clean up).
4. To Make Glaze: In a saucepan over low heat, combine 3/4 cup sugar, orange juice, 1/2 teaspoon vanilla, 1/2 teaspoon almond flavoring and 2 teaspoons melted butter. Warm in pan until the sugar is dissolved. Dunk muffin tops into glaze when cooled to room temperature. (Omit the glaze altogether if you don’t like the mess, but you’ll have to live with yourself for being such a chicken!)
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2 thoughts on “A Few Lessons Learned this Week

  1. Oh my hell! I thought you were just doing crazy ramblings when you referred to this blog. Did not know you actually were writing it. So about a few years to late, good job. Bahahaha

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