travel | JParadisi RN's Blog

Here in the Pacific Northwest, Summer’s brilliant, white light has toned down to a golden hue, announcing that Fall is waiting in the wings. I’m not ready for summer to end, so David and I are outdoors as much as possible.

On Saturday, we visited one of Oregon’s several wine regions, as our exploration of the state’s Pinot Noir continues. As far as wine tasting goes, I’m surprised to find I like playing the field. I’m not ready to commit to a case of any particular wine just now.

We tried a wonderful Blanc de Blanc, a white wine, paired with a Pasta Salad with Melon, Pancetta, and Ricotta Salata. We enjoyed it so much, I made it for Sunday’s dinner, although I left out the pancetta, instead seasoning with an artisan smoked salt to compliment the melon, and substituted shaved parmesan for the ricotta salata, forgoing a trip to the grocery store. I paired the salad with a chilled Chardonnay. See what I mean about not being ready to commitment to a case of a single wine?

Besides touring around Oregon, enjoying the last remnant of summer, JParadisi RN is also flitting around the Internet in places other than this blog:

My post this week for TheONC discusses how improved oncology care often provides good quality of life often up to a day before death. This sometimes causes confusion for the patient and their family about when to stop treatment or enter hospice, despite completing POLSTS and Advanced Directives.
Dr. Dean at Million Nurse Blog hosts The Best in Nurse Blogs Habit Changing Edition. I am always grateful to be included. Check out the other great nurse blogs after you read Cheap, Fast, or Good.
Have I mentioned how much I appreciate Dr. Dean at The Millionaire Nurse Blog? Oh yeah, I did, in that last paragraph. Well, I’m not the only nurse who does. His wife, Cil Burke is a nurse, and writes posts for the blog too. She curated the Best in Nurse Blogs: Passion and Business Edition two weeks ago, graciously including my post, My Weekend in Portland: What If You Can’t Drink the Water? Welcome to the Nurse Blogosphere, Cil!

Last week I was on vacation, the centerpiece being a small family reunion of sorts at the

The View is Clear From Here.

home of my mother and stepfather. My sister and her husband flew in for the weekend from out of state. They booked a flight on one of those new airlines offering cheap tickets with a la carte prices, charging you for every little thing beyond a seat on the plane. My sister joked that even the seats were cheap: they did not recline. Passengers sat in full upright position the entire flight.

On Sunday afternoon, we dropped them off at the airport.

An hour later, my sister calls saying their flight is delayed two hours. Soon it was delayed two more. This went on for six hours. Finally they were told their plane was delayed due to mechanical problems in Las Vegas. The passengers asked for the flight to be cancelled, and their money refunded so they could make other arrangements. They were told the flight would never be cancelled. Flights were only cancelled due to weather conditions, not for the lack of a jet. They were not allowed to leave the security area. They were not provided with dinner vouchers. Glasses of wine cost $15.

Sky Law had been declared.

What, you ask, is Sky Law? It’s a reference from the TV show 30 Rock, spoken by Matt Damon playing Airline Pilot Carol:

“Sky law, it’s when I turn on the fasten seat belt light and nobody’s allowed to talk until I get ten minutes of silence. I made it up, but people are stupid.”

Eventually my sister and her husband made it home, but not until 2 am the next day. Between the food tab, and missed time at work, any savings from the inexpensive airline tickets was forfeit.

You can get it cheap, or you can get it good.

After vacation, I returned to work to find my coworkers complaining about how another department’s lagging is causing treatment delays, appointments to overlap, and general dissatisfaction among the nurses, and patients. These complaints from nurses and patients seem sucked up into the Bermuda Triangle of hospital administration.

You can get it fast, or you can get it good.

The airline industry has been cutting back services and raising their prices for a while now. Pop up airlines offer lower prices at the expense of customer service: fewer flights, possibly less crew. Perhaps it takes longer to access a new plane and flight crew when the unexpected occurs, creating long flight delays.

I suspect the delay in service to our patients may be connected to recent layoffs. Although I’m not aware they directly affected this department, layoffs mean that those of us remaining with jobs that impact patient care are doing more work with fewer resources. It takes longer to provide services when a department is unexpectedly short staffed, or hospital census rises unexpectedly.

Once again health care imitates the airline industry. You can get it cheap, or you can get it fast. It’s still possible to get it good, but you can’t have all three.