Tag: nursing

  • It’s The Small Stuff

    For the last week I’ve been house- and pet-sitting for a family in our church. Although there were a few good things about staying at their house (it’s closer to the park and ride, they have a really awesome TV, and there was an actual TABLE at which to eat my meals), mostly I just REALLY missed my husband, my dogs, and my bed. The dogs I was watching are approximately 100 pounds each, and neeeeeedy. The first night I was there, they woke me up no less than five times for one reason or another. 

    Anyway, I came back home last night and it was wonderful to sleep in my own amazing bed (which in my family we refer to as the Great White Biscuit), with my own amazing husband, and my own amazing dogs who actually left me alone the entire night. I love to travel, but I also love to come home. It just makes me happy.

    The downside to being away is that I’m out of the food at home that I like to eat. No milk, cereal, or anything to pack for lunch. I made do at breakfast with a couple of frozen waffles and just figured that I’d grab something at the cafeteria for lunch. But when I got to work, we were told that lunch was being provided for us today because we didn’t have a single patient fall for the entire month of March! (Our unit has one of the highest rates of patient falls, so they’re trying everything they can to fix that. Including bribery, apparently.)

    (The ironic thing is that a patient fell last night. So there goes April’s lunch.)

    This free food makes me inordinately happy. I don’t like spending money on cafeteria food; it isn’t bad, but it’s nothing special, either. And I don’t like to leave the unit if I can help it because I like to be available to my patients. So yay! Free lunch!

    Also, someone brought these to work, and they make me happy too:

    tulips
    Beautiful tulips make the conference room much more inviting!

  • The Future Revisited

    When I first went to college, like every kid I was faced with the premature decision of what to do with my life. I was never someone who always knew what I wanted to be when I grew up. I changed my mind a thousand times: from photographer, to singer, to physical therapist, to philosopher, to athletic trainer, to minister. In the end I got a degree that trained me to be a youth pastor, which I didn’t want to be, and another one that trained me how to think but didn’t leave me a lot of (read: ANY) job opportunities. I guess I followed through with it because I enjoyed the classes and the professors, and like most adolescents the future wasn’t something I seriously considered.

    It wasn’t until getting a random job through a friend working in medical records at a cancer clinic that I was faced with the nursing profession. After two months, it hit me that hey! I might like to be a nurse, and you know what? I’d probably be good at it. It would be a place where my analytical mind could safely collide with my ministry background and compassionate nature. This “temporary” job turned into two years of full-time work while attending more classes at night, followed by two years of nursing school, and my parents weren’t paying for it this time. When I graduated last May and passed boards, I felt like I could conquer the world, as long as I could stay out of school for more than a few months.

    Nursing has been everything and nothing like I expected it to be. It’s tough, it’s exhilarating, it’s incredibly draining, it’s incredibly fulfilling. I’m slowly mastering all the skills like I knew I would, but still haven’t quite mastered the feeling of when a patient I’ve grown attached to slips away. I expected the stress and to some extent the politics of the workplace, but I wasn’t prepared to face coworkers who clearly don’t like their jobs and are decidedly lacking in compassion for difficult patients. I just don’t see how anyone can do this for a single day without love, and a feeling of compulsion. As in, I MUST do this, it is what I’m meant for.

    I have a mentor at work, which, by the way, is something I’ve always wanted. She is a 64-year-old woman named Pat who has been a nurse for 41 years. As far as nursing goes, she’s everything I want to be. Not only is she wise, she sees each patient as a person and within a day knows his/her life story. She adopted me and is slowly teaching me everything she knows. I like having her around because she boosts my ego by saying things like, “You are the best new nurse I’ve ever worked with in all my years,” and says it to the doctors and patients, too.

    Over the weekend Pat told me that I need to become a nurse practitioner. I immediately protested: “That’s too much responsibility!”

    “No, not for your level of intelligence. You could be a doctor if you wanted to.”

    “I already have too many student loans!”

    “NP’s make three times the amount you make now, you could take classes online, and Methodist does tuition reimbursement. You can’t stop here, you’re too smart.”

    “But I’m sick of school…”

    My replies became more feeble as the conversation went on. I told her I would think about it, which is more than I would have done for anyone else. She caught me at an opportune time, because in May we do annual employee evaluations. To prepare for that, there are SO many things we have to do (no, really, you have NO idea all of the things we have to do), but one of them is to prepare a list of our goals. So far I had thought of two: become oncology certified, and be a preceptor for new nurses. The preceptor thing was thrust upon me already, so I’m down to one tangible goal. Statements like “be the best nurse I can be” won’t cut it.

    Should I do it? I don’t know. I haven’t really looked into it yet. Eventually I’ll get around to doing the research, followed by the inevitable pro/con list, and then I’ll ignore the list and go whichever way my instinct carries me. I’ve heard a lot of Christians struggle with answering the question “what is God’s will for my life?” But I know what God’s will is. He told us: love God and love others. I can do that no matter what profession I’m in.

    Maybe I’ll work my way up the ranks and become a manager. Maybe I’ll have babies and transfer to a clinic where I don’t have to work weekends. Maybe I’ll get certified in pain management and work at a hospice. Maybe I’ll grit my teeth and stay here, literally getting my hands dirty, and become a mentor to someone else down the line like Pat is to me. Maybe I’ll go back to school and become a nurse practitioner. Whatever I end up doing, I know it’ll be right. And hopefully, I’ll learn to better do God’s will along the way.

  • Grateful

    It’s Friday, hallelujah, and I want to take a moment to say how grateful to God I am for the way this week has gone. The biggest thing is that my husband David maybe, possibly, hopefully, is on the right track to maybe, possibly, hopefully getting his pain under control. The haziness of that statement is reflective of how I usually feel regarding this whole ordeal, but my goodness, things are looking up!

    Yesterday morning when I got to work I was feeling very emotional/irritated/sad for what seemed to me like no reason at all. But I think the reason was that I had to give first-time chemo to a very anxious 22-year-old boy who looks alarmingly like my little brother. It was a very intense chemo, one where the nurse has to stay with the patient for at least two hours monitoring vital signs every 15 minutes. Almost every patient that gets this medication for the first time has some kind of reaction. Add to this the fact that I had never actually GIVEN this particular chemo before, and I was just plain intimidated. I had visions of horrible things happening with me not knowing how to handle them.

    But, thank God, one of my coworkers guided me through the process, and the patient slept through the entire thing without a hint of a reaction. Today I am giving him more chemo, and although it isn’t as intense, it is again going smoothly. This makes me a relieved and grateful girl.

    Today I am also thankful for the fact that I have no plans tonight besides relaxing at home. Also, the prospect of a weekend off with lots of fun plans including a movie with a friend, leading worship for the first time in ages at church, and my sister-in-law’s baby shower. These are the things that are making me smile today.

    Also, that it’s NOT my brother who has cancer, or my husband, or anyone else in my family. But even if it was, God is still good. He’s still taking care of us, his children, which is good news because we really don’t know how to take care of ourselves.

  • The Case of the Missing Patient

    Yesterday, instead of having patients myself, I was supervising two new nurses. They would do most of the work, but I would be there to help out and answer any questions they had. Pretty good deal, I thought.

    The morning was easy enough, even though I had to delay my lunch more than usual so as not to leave my trainees stranded. Right after I ate I started helping to discharge one of our patients. She was a young-ish Asian woman who had brain surgery recently and subsequently has next to NO short-term memory. Her husband was with her, and once they were ready to go I told them that I would send for an escort to take her down to valet parking in a wheelchair. Her husband left to go get the car. 

    After instructing them as such, I went back to the nurse’s station to attend to other duties. Once 5-10 minutes had passed I went to check on her. She was gone – perfect. Transportation must have picked her up, and now we could clean up the room. I had the secretary take her name out of the system. 

    Twenty minutes later her husband showed up on the unit, frantic. “Where’s my wife???” he said, or rather half-yelled. “They were supposed to take her to the valet parking, and I’ve been waiting there and I can’t find her!! She has no memory, she doesn’t know what she’s doing!!” 

    “Sir, she left, and they always take the patients to valet, she must be there!” I tried to calm him unsuccessfully. Truth be told I wasn’t too worried. He stomped back into the elevator, still rambling to himself.

    Five minutes later I got a call from an employee in the lobby asking where the patient’s husband was. “We have her here, and she’s asking all kinds of questions…” the woman’s voice trailed off. I instructed her to send the patient to valet parking, and her husband would meet her there shortly.

    Five more minutes later, and the husband was calling our unit, not only frantic but livid, and no longer half-yelling but full-yelling. Obviously, he still couldn’t find his wife. At this point I didn’t know what to do but go down and look for her myself. So our unit secretary, a willing pharmacy tech, and I all headed downstairs. On the way they asked me what she looks like.

    “Well, she’s a young Asian woman,” I said. “She’s small.”

    “Small? Really? An Asian woman?” the pharmacy tech replies. “Does she have dark hair too?”

    And at that point I was about out of descriptors for this woman. I obviously wouldn’t be a good witness to a crime.

    So the three of us scoured the entire first floor of the hospital as well as the valet parking area with no luck. Although at first it was kind of amusing to think of this little lost Asian amnesiac, after ten minutes of searching we ceased to find humor in the situation. We tried calling patient transport, but they couldn’t find a record of her in their system. I had no idea what was going on. I was on hold with security when the pharmacy tech came up to me.

    “I found her!” she exclaimed. “She had wandered all the way out to the street on her own, where the smokers go. I knew it had to be her when I saw her.” Apparently she had left the unit on her own without waiting for a wheelchair.

    When I got back to my unit I was extremely flustered. I had to explain about five times to different people what had happened. Afterwards I was just ready to go home. I was so exhausted, and I didn’t even really have any patients of my own that day.

  • Mondays

    Working on the Monday after I’ve worked a weekend is always the worst. The only good thing about working weekends is that they are usually a lot more laid back. The bosses aren’t there, patient testing is cut down to a minimum, and there aren’t a million doctors, residents, and other random people swarming the unit. Plus, the people I work with over the weekend are my favorite coworkers.

    But Monday…ugh. It’s my fourth day in a row to work, and we have admissions all over the place. I’m still training a new nurse, which takes a lot of patience. Not to mention we’ve had some really tough patients lately. That sentence doesn’t even begin to describe what I mean. There are times when I think about what a depressing place my unit can be. At the end of the day I am beyond exhausted. It’s a constant struggle for me to continue pouring myself into these needy patients day by day. It drains me, yet it is so gratifying.

    But the other day I was in the middle of helping a patient when out of nowhere she looked at me, smiled, and said, “You sure do love your job, don’t you?” I can’t think of a better compliment. Because I really do – I love my job. And I’m so glad it shows.