Thursday 28 March 2013

A Tribute to the Clicky Pen

In my line of work, “if you didn’t document it, you didn’t do it,” is a true, if somewhat inconvenient phrase.  As such, contrary to popular belief, the pen not, the stethoscope, or alcohol swab, or needle is the nurse’s tool of choice.  I mean, what good is a stethoscope, if you can’t document what you heard with it? You might as well not have one.  Since the pen is such a valuable phenomenon, it is impossible to find one in the hospital without someone claiming you stole it.  As such, I am always on the lookout for pens in other settings.  However, not just any pen will suffice for a nurse. It must be a clicky pen with the tabby thing on the side still attached or it is no good, no good at all. 
You see when one uses a pen as much a nurse does, one becomes quite the pen connoisseur.  While other pens may be just as effective when it comes to actual documentation, they lack certain practicalities that the clicky pen with the tabby thing still attached possesses.  Take for example, the classic blue bic hexagonal pen with the lid.  A stable for any school child, comes in packs of twelve, cheap affordable, simple design and very rugged.  Sounds like an ideal pen for a nurse right?  Wrong.  The bic’s weakness comes in its lid, the lid is forever falling off with day to day activities like changing briefs, calming psychotic patients, rushing to codes, starting IV’s, etc.  And when the lid falls off, the pen falls into the deep recesses of your pocket.  Without fail, even though you used it moments ago, it somehow ends up beneath the alcohol swabs in your pocket, the cheat sheet you use to remember to do everything, the blue caps, the roll of tape and God only knows what else.  Obviously, this happens right before you are in a hurry and desperately need your pen, forcing you to demonstrate to yet another patient how much you can actually store in one scrub pant pocket.  The other downside to the classic bic model pen is that when the cap comes off you run the risk of it exploding, a more common problem for a nurse than you might think.  If this occurs in your pocket, you ruin a whole pair of scrubs.  And let me tell you folks, male version scrubs are hard to come by. 
“Ok,” you may say, “You’ve demonstrated why a capped pen is no good, but what about those twisty pens?  They deserve to be given a fair try don’t you think?” Touché sir, they do deserve to be given a fair shake.  On the surface a twisty pen may carry the same specs as a clicky pen, no cap means they can’t fall into your pocket, and the tip can be safely twisted away saving you the unfortunate risk of yet another pair of scrubs being ruined by exploding pen syndrome.  And, while on the surface this is all true, the twisty pen possesses one fatal flaw.  Its kryptonite, if you will, is in fact, its twisty feature.  Have you ever tried to open a twisty pen with one hand? It’s not easy.  And when your other hand is busy with so many other daunting tasks, a one handed operation is a requirement.  Particularly when, as every good nurse knows, using your mouth for any task is 100% out of the question. 
As I have demonstrated the clicky pen is the pen for any astute nurse, but does any clicky pen do? While there are so many makes and models of the clicky pen out there, I’ve come to appreciate the heftier versions.  You see, in the business of everyday tasks, one often forgets to put ones pen back where one got it from.  This in turn results in one frantically searching for ones pen.  In the larger model this frantic search ends more rapidly allowing one, to shrug off the incident as a mere twitch, or at worst a mild seizure.  With the smaller version, however the dance of the missing pen becomes a more arduous ordeal, and is thus less easily shrugged off.  The tabby thing on the side remaining intact is also an essential component for any nurses pen arsenal, allowing for a quick deposit and with drawl  from ones pocket and also ensuring the pen stays securely where it was left.  All this goes back to the cap pen, a clicky pen with no tabby thing is like a cap pen, it easily falls into the deep recesses of the pocket and is soon lost.  The added benefit of the clicky pen, as anyone who has ever sat next to “that guy” during an exam knows, is stress relief. And stress relief, however a nurse can get it, is essential to surviving the day.  Clicking a pen open and closed numerous times somehow alleviates stress.  It’s science. 
So aspiring nurses to be, people who have a nurse friend who is “impossible to shop for,” or anyone who just wants to appreciate their nurse for their hard work and dedication to the health care system, take a lesson that took me way longer than it should have to learn; when in doubt you can’t go wrong with a large clicky pen with the tabby thing still attached