Author: Kathleen

  • just another manic monday

    By now you should probably know that I’m a nurse, right? I mean it says so right there in my header. And you may or may not know that I’m an oncology nurse, which means I take care of cancer patients. There are some types of chemotherapy that can only be given in the hospital, and that’s a big part of what we do. We also have a lot of people come in because of dangerously low blood counts, or complications thereof (i.e. infection) because that is a major side effect of chemotherapy. I give a lot of transfusions.

    Almost everyone hates Mondays, and I’m no different. I really hate Mondays at work. Since a lot of our patients are just coming in to get chemo, they come in during the week and then they’re out by the weekend. That means when Monday rolls around, we get slammed with admissions and orders. And the bad thing is that our staffing is determined by the number of patients that we actually have on the floor during the previous shift, not by how many patients we’re expecting.

    All that to say that Mondays are crazy.

    Every day when I first get to work, I write out a report sheet on the patients I’m assigned to that day. We lovingly refer to this as our “brain”. This is mine from today, right after I wrote it at around 6:45 a.m.:

    nurse's brain
    Names intentionally removed. Anyone heard of HIPAA?

    And this is the same piece of paper at the end of the day:

    nurse's brain

    One patient is crossed out and another one added because about an hour into the shift a patient decided that he didn’t like the nurse he had, so I traded with her. And of course right when I was getting things under control I got an admission. I had run out of room on my paper so I added another column myself on the back:

    IMG_0064

    Some things I did today:

    • Platelet transfusion
    • Blood transfusion
    • Assist with bone marrow aspiration and biopsy (a procedure that still gives me the shivers because of the way you can hear the giant needle grinding into the bone)
    • Draw blood
    • Admit a patient
    • Normal assessments and medications, oral and IV
    • Waitress (or at least I felt like it)

    In the scheme of things, this Monday wasn’t all that bad. One of my mentor’s expressions is, “I can deal with anything for 8 hours.” I knew I only had an 8-hour shift to work today, and then I’d be home free with a day off tomorrow.

    Of course, then I go back for 12 hours on Wednesday. I wonder if the saying still applies?

  • Fifteen Hours Down, One To Go

    I had every intention of writing something captivating today, but instead I’m working a surprise 16-hour shift. I’m still sick (barely, annoyingly), experiencing other body pains, and half of today was spent with The Student. I have a bit longer to go in this never-ending day, so I decided to take a break and give you this:

    Flickr Exercise of the Soul

    The rules: Type your answer to each question into Flickr search. Using only the first page, pick an image. Copy and paste the urls into Mosaic Maker. The result: ONE SOUL.

    mosaic

    1. What is your first name? KATHLEEN (This is a picture of a place in Ireland that I’ve been. My name is Irish.)
    2. What is your favorite food? CEREAL
    3. What high school did you go to? MAYDE CREEK HIGH SCHOOL (And I was actually in marching band, so this photo kind of works.)
    4. What is your favorite color? SAGE GREEN (For the moment.)
    5. Who is your celebrity crush? DEREK WEBB
    6. What is your favorite drink? ICE WATER
    7. What is your dream vacation? KAUAI
    8. What is your favorite dessert? BLUE BELL DUTCH CHOCOLATE
    9. What do you want to do when you grow up? PRACTITIONER OF NURSING
    10. Who/what do you love most in life? HUSBAND (Who wishes more than anything for a pet monkey.)
    11. Choose one word that describes you? CALM
    12. What is your Flickr name? KAPACHINO (Look, another monkey! Apparently this is the “kapachino monkey” that I didn’t know existed.)

    ***

    I’m off work tomorrow, I have no plans, and after this eternal day it is going to be phenomenally amazing. I hope your Friday is just a portion as fantastic as mine.

  • On My New Schedule, Student Nurses, and My Work Wish List

    This week starts a new phase in my work life, one where I have three whole days off a week. Hence the reason why I am lounging around in my bed at this moment even though I had the weekend off. (I am also lounging around in my bed because I’m still not feeling great. The congestion just WON’T GO AWAY.) Yesterday I worked my first 12-hour shift. Well, not my first 12-hour shift EVER. I did them when I was in school, and I’ve done them for overtime. This was just my first 12-hour shift in my new schedule.

    I think I am going to love it. First of all, once I’m already there it’s so much easier just to stay. I loved being able to finish up tasks that I normally wouldn’t have been able to do, and pass my patients off to the next nurse with a clean slate. It was also amazing how once 3 p.m. came and went, the unit got so much quieter. I am convinced that day shift is the craziest, no matter what anyone says. We have the most admissions and discharges, the most doctor’s orders to carry out, and the most tests to send patients to. But that’s beside the point. The point is that I’m already wishing I did three 12-hour shifts a week instead of two 12’s and two 8’s. This extra day off is bliss.

    Moving on to my next subject: student nurses. I was one not very long ago. And when I was one, I vowed that when I became a nurse I would be extra nice to the students and try to help them whenever possible. However, I anticipated that I wouldn’t be working with students for years. But here I am, 15 months into being a nurse, and I have already worked with (counting them up now) FIVE student nurses. Methodist is a teaching hospital so we get them all the time. And I understand not wanting to overburden the more seasoned nurses on our unit with students all the time, because we have a lot of young nurses on our floor. I also know that it is a huge compliment that they continually ask me to precept these students.

    But really, I don’t think I’m qualified. Most of the time I can get through the day with a student without them realizing that. I try to be as nice and helpful as possible, but last week I had a student that just about did me in. It took 20 minutes just to write down the morning lab results. I’ve never been asked so many questions before in my life. And whenever I didn’t have a complete answer for her she looked at me as if I was stupid. Not to mention the amount of times my career flashed before my eyes thinking she was going to report me for not doing things exactly the way they teach you in school. (Confession: I don’t check my patient’s armband every single time I give medication. Also, sometimes I leave it at the bedside for them to take when they’re ready. Does this make me a bad person? I hope not.)

    So the student was extremely needy and judgmental, but don’t get the idea that she was a know-it-all. On the contrary, occasionally I wondered how she made it to her second semester. I can’t tell you how many times I had to explain to her how to calculate infusion rates.

    Me: So if I have a 50 cc bag, and I want it to go in over half an hour, how many cc’s per hour does it need to go?

    Her: blank stare.

    Me: OK. If I have a 50 cc bag, and I want it to go in over ONE HOUR, how many cc’s per hour is that?

    Her: …50?

    Me: YES. So if I want it to go in over HALF that time I just need to DOUBLE the infusion rate. Does that make sense?

    Her: Yes…

    Me: So what would it be?

    Her: blank stare.

    I thought I was going to snap at one point. Anyway, despite all of this, it seems that the student actually LIKED me. So lucky me, I will get to be with her again 1-2 times a week this entire semester. Yay!

    Finally, let’s address my ever-expanding wish list. I’ve already shared my biking wants, now it’s time for my nursing-related wants.

    Cherokee-Workwear-Logo1

    1. Cherokee Workwear scrubs. After informal surveys, extensive online research, and acute observation I have decided that this is the brand of scrubs that fit the best. I would like at least three pairs of Caribbean blue and two pairs of other colors.

    sock
    2. New socks to wear to work because mine are all wearing out. I want some that are ankle high and are either black or have cute stripes or designs.

    pens

    3. Multi-colored pens. Black and red are essential, blue and green are helpful. It’s so much nicer to have all the colors in one pen.

    Pocket_Instrument_Holder565

    4. A little pocket organizer. No matter how dorky it looks, I’d like to try it out. I think it’d be good to have a place to store my scissors, pen light, and other random supplies without them getting all jumbled up.

    I don’t know if any of this was interesting to anyone who isn’t a nurse themselves or in my family, but there you have it anyway. Hope you are all enjoying your week, and now I’m going to go attempt to salvage this day off.

  • #7. Do A Bike Race: Tour de Pink Recap!

    tourdepink

    This morning I rode in my first ever biking event. It was a lot of fun and I definitely want to do more like it.

    Whenever I thought about it yesterday, I got nervous. Mainly just because I had never done this type of race before so I was afraid of not being prepared and not knowing where to go or what to do. It wasn’t timed or competitive, so I wasn’t worried about doing well. And since this was my first time, I chose to go the shortest distance, 12 miles, which is less than I routinely ride so I knew it would be easy.

    My wonderful husband came with me because I didn’t know anyone else, but he was NOT happy when I told him that we needed to leave the house by 5:30 a.m. He grumbled and grumbled, but when it was actually time for me to wake him up he didn’t complain at all and was very sweet.

    DSCF2378
    A little nervous!

    So we drove the 45 minutes to the race site and parked. It was still dark, and I had no idea where to pick up my registration packet. Fortunately it wasn’t hard to find; we just followed the music. The packet contained a t-shirt, water bottle, magnet, pen, and information about breast cancer and other racing events. I put my biking shoes on, visited the bathroom one last time, then got into place. David was able to hang out with me at the starting line right up until the end!

    DSCF2385
    Waiting around for the race to start.

    DSCF2389
    Bye David, see you when I get back!

    DSCF2390
    Off into the crowd…

    As for the course itself, we first had to navigate out of the college campus that we started on. After that we were on a rough road, going fairly slowly. I was getting a little frustrated until someone passed me and I realized that it was OK for me to pass the people in front of me whenever I wanted to, as long as I was safe. After that I started passing a bunch of people. Most of the course was flat, smooth highway with very little traffic. The back half had some rolling hills but they were still fairly easy. I saw one pit stop where a lot of people pulled off the road, but I kept going. If I had been riding a longer distance I probably would have stopped, but I didn’t think it was necessary.

    Toward the end I had the road pretty much to myself. When I made the turn for the last mile there wasn’t another biker in sight. When I coasted through the finish line the volunteers were all just sitting around, but when they saw me they all started cheering. It was kind of embarrassing and cool at the same time. I immediately saw David and rode up to him. He said, “You’re the first one finished! You won the Tour de Pink!” I kept telling him that it wasn’t a race, that all the serious cyclists were probably going much longer distances, but he kept saying, “You won!” It was so cute. :)

    DSCF2391
    Me and my man after the race!

    We didn’t stick around for the after-race festivities because I realized that if we left right away we could make it to church on time. And we did, although we were both so tired that I don’t think the sermon really sunk in for either of us. I would definitely do this event again, and next time I think I’ll go a longer distance.

    Having participated in this also made my wish list grow. Here are some things that I definitely want to acquire soon:

    bikeseat

    1. A women’s specific seat. Riding on mine makes my bum and my female area go numb ever so quickly. I constantly have to stand up just to relieve the pressure.

    saddlebag

    2. A saddle bag. I need a place to put my phone and my keys when I ride. Right now I just shove my phone in my pants, but it’s not too comfortable.

    repairkit

    3. A flat tire repair kit. I haven’t had one yet, but I want to be prepared when it happens.

    Next up on the race agenda is the Galveston Seawall Crawl 5k on November 7. Gotta start focusing on running again!

  • Car Dreams

    Last Saturday my mom asked to borrow my truck for a couple of hours. I’ve managed to stretch that into five days and counting. I’m not in ANY hurry to get it back. As much affection as I have for Bubba, he’s kind of driving me crazy right now.

    This is what went through my head when I got my mom’s car: Wow this is so awesome, I can just open the door and get in and out! Ooh, power windows! Cruise control! POWER STEERING THAT WORKS! Whoa, better watch my speed, it’s easy to let an automatic get away from me. Such a relief not to have to keep an eye on the temperature gauge. It’s so easy to turn and park!!!

    I’m ready for a new car. I want this:

    prius

    But my truck really isn’t worth much at all, so every month I drive it is a car payment saved.

    Sometimes being frugal really sucks.