Showing posts with label nurses week. Show all posts
Showing posts with label nurses week. Show all posts

Sunday, May 5, 2024

An RN Looks At Forty ... years of service(with apologies and thanks to Jimmy Buffett)

Mother Mother Florence
Never really heard your call

Yet I have walked upon your halls,

Since I was 23 years old

Have I seen it all?

Never say I've seen it all….



capping 

Carried charts for the doctors

Back when people smoked at the desk

Now Epic login takes us to orders

And messages saying no beds in sight

while

In your Kardex you hold the careplans and drug cards from us chumps

It’s now on-line

It’s all on-line…


graduation


Yes, I am an RN

Forty years this year

I’ve been on-call for a third of my life

Only 348 scheduled shifts to go 

Wearing blue scrubs not whites

And no longer a cap

Just annoying masks

Those annoying masks


birthday in the OR -why Sesame Street??


I’ve worked med-surg and OR

DId the ED thing for a while

I’ve recovered so many

I say take a deep breath in my sleep

And GO AHEAD AND PEE

Please, just go pee…


New Years Eve in the ED - sparkling grape juice and urine strainer party hats


IV drips were counted by sight

Pumps replaced dial-a-flow now they alarm

All through the night

Air in Line

Battery low


pandemic, seriously 

Worked every shift

Eight hours, tens, twelves

Breaks rarely taken

Eating between call bells

Buffets left out for who knows how long

But never got sick

Never got sick


don't wear the cap any longer, except once a year to make the newer nurses feel grateful

Mother Mother Florence

I will admit there are days

When my occupational choice should have been 

Patricia Stevens Business School for Girls

But I have learned so much

About people, live and myself

I wouldn’t change a thing

Would not change a thing. 



I honestly never thought I would be a nurse, only to become one so I would have 'something to fall back on' as my Mom use to advise. That being said, I would not be the person I am today, if I hadn't done so. I have seen the best and the worst of people. I have helped welcome babies into the world and fought to keep people in this world and held hands as they have departed it. Along the way, I have worked with some of the most amazing people you could ever hope to care for you, some older and more experienced, some younger and more experienced some new to the profession who actually looked to me for guidance. And I have learned something from each and every one. 
My advice to any nurse - young or old, new or experienced: Never stop learning. Never stop being amazed. And on those days when you just can't even...consider the fact that while it may not be your best day, you might actually be the bright light in someone else's. 

Happy Nurses Week

And if you would like to read more of my occasional  musing about nursing - click here:

Sunday, April 21, 2019

Read 'em and Weep


I am writing this on a beautiful Easter Sunday.
So, I am trying to keep my compassion to the forefront.

It's been awhile since I have written about nursing.
While it's my chosen career, I have always hesitated to flaunt the fact. I was not 'called' to this job, but I have found that, over the years, my love of my fellow nurses has become quite fierce.

And once again, our people need defending.

Let's get the facts first:
Washington State has a bill in their senate which would mandate uninterrupted meal and rest periods for nurses.
Senator Maureen Walsh, Republican, gave an argument against this bill stating that in smaller hospitals, the nurses probably play cards for a significant part of their day.

In a way, she wasn't wrong.

From the first day of clinicals, I 'played cards' – those would be the 4x5 file cards on which Care Plans are written. For nursing students, these were a way to learn about each diagnosis, its treatment and then a devised plan of care for each individual patient. We were required to do three of these plans per patient for each clinical day. At first it was only one patient and plan but as our learning advanced it was multiple patients and multiple plans. All needing to be done in the evening before the early morning clinicals, after a day of lectures and study.

I also played 'cards' with those wonderful MedCards. These were smaller 3x5 cards on which were written EVERY medication the above patient was on, the drug's classification, action, side effects and doses.

Today, those plans and medcards are digital.
But so are poker cards so guess I can see how someone might be confused.

Senator Walsh's comment has generated a flurry of memes on social media, all in regards to the Cards nurses play.
We play with CARDizem, NiCARDipine – just two of the CARDiac drugs used to save lives.
My current fav is the black and white of Florence Nightingale dealing black jack circa 1800's...
They are pretty hilarious.
And naturally, someone began complaining asking why, if we were offended, are memes the best way to show it.

It's one of those 'If I don't laugh, I'll cry' situations.

Earlier this week I read a story about a nurse in Louisiana who was attacked by a patient during her job and a week later died, most likely of injuries incurred in that attack.

Does this sound like a person who wants to be known as working in a profession that 'plays cards' for most of the day?

Thankfully, the legal system has determined this a homicide.

I say 'thankfully' as for most of my career we were to look the other way when a patient became physical. The reasoning being, these people are not themselves. And, we are there to help.

But, our world has gotten less reasonable.
And nursing has gotten more and more difficult.
We have gone from 8 hour shifts, covering a 'team' of 8-10 patients with the help of one or two aides, to 10 or 12 hour shifts in a 'primary care' environment of 4 to 6 to 8 patients with only one or two aides on the entire unit.
These patients are sicker, the medications and instrumentation more complicated and the environment more volatile.
And the nursing population is getting older.
We need more people to enter this career.

And how is this going to happen when people like Senator Walsh seems to believe all nurses do is sit around a play cards?

But, now that I think about it, maybe we should adopt her philosophy....

Come one and all, join the ranks of NURSES!
Learn how to start IV's and give medications safely!
Learn how to identify critical cardiac rhythms and treat them before your patient dies!
Learn how to simultaneously care for the guy who just killed a family of four in a drunken car accident, comfort a young woman who has terminal cancer, recover a fresh kidney transplant patient! All while basking in the luxurious spa-like atmosphere of the clean utility room where you quickly grab a granola bar half-way through your 12 hour shift because eating and drinking in patient care areas is not allowed and 'resources' are stretched so that lunch break may not happen.
Find the strength inside yourself to repeat these things daily and still see hope in this world! Because that is the only way its possible to return day after day to a profession that has lost the respect it so well deserves.

Now deal my hand.
I'm ready to place a bet...

My cap. Note the bobby pin rust stain in the center...


(For more of my nursing posts, check out the tab 'It's a Living' at the top of the page.)




Friday, May 6, 2016

For Nurse-Moms Everywhere. Not Nursing Moms - that is something completely different

My kids were screwed from the start.

Their dad is in law enforcement and I am a nurse.



Our dinner conversations sounded like a page from Darwin's Theory of Evolution Playbook:

'Drinking a jar of pickle juice will NOT change the results of a urine drug test.
It WILL make you puke.'
'If the DOG won't eat the ground beef, then you probably shouldn't either.
You will get food poisoning.'
'The palm of your hand DOES NOT go IN FRONT of the nail gun.'

They learned the two pearls of wisdom nurses live by: 
 'If you can YELL then you can breathe.
and
'All bleeding stops eventually...' 
 

I had no idea how much an impression our work discussions made until I raced home from a night shift for a parent-teacher conference. I barely made it onto the tiny 4th grade desk for my arranged time. The teacher laughed. It seems our son had informed her that – and I quote - 'Mom will be on time, unless somebody shows up at change of shift trying to die.'



It was somewhere around this moment that I became dubbed the meanest Nurse-Mom in our house.

But, I make no apologies. In this house, we take ALL the antibiotics – even if they taste like rotten raccoon guts. If the fever is less than 102, I am pretty sure you will live; drink some water and take a nap. Unless there is a BONE sticking out of that wound you are STILL going to school.

You get the idea.



I am going to let you in on something I don't think the kids ever knew.

Even though I appeared less than compassionate, I spent a whole lot of nights jumping to exotic conclusions.

Headache – has to be an inoperable brain tumor.

Joint aches – obviously Guillain-Barre

Nausea and vomiting - inoperable brain tumor.



As a Nurse-Mom, it is impossible to not project all your patient's diagnosis on your family.

It is also impossible to not project the love for you children onto your patients. Which is why I could never take care of children when my kids were little.

And now that they are adults, if one of my patients is within ten years of my kids' ages, I see them lying in that bed.

And I thank God that it is not them.



I know most Moms exhibit a lot of the qualities I have described. But Nurse-Moms are educated to see and react in a particular manner which simultaneously identifies a problem, devises a plan and achieves an outcome. In nursing school we spent hours writing out this process for every imaginable diagnosis.

It's called a Care Plan.

We wrote them on 4x6 note cards and stored them in a recipe file.



And be warned, children, it is only going to get worse.

I have an entire file of plans to address every adult ill you may encounter with a special sub-file for grandchildren.



Because we Nurse-Moms are the meanest moms around.



Obviously these two have some sort of thyroid issue.
Today - May 6th is National Nurses Day, the culmination of National Nurses Week. If you know a nurse, give him or her a hug and let them know YOU know how important and difficult their job is.
Sunday is Mother's Day -Moms come in a variety of sizes and shapes. They may not even be related. But if they spent at least one sleepless night worrying about you  take a minute and give a special person in your life a hug and let them know YOU know it wasn't always easy.
And if you are lucky enough to have a Nurse-Mom, please wash your hands and cover your mouth when you cough, but give them an extra big hug all the same.

If you would like to read more about my life as a nurse - please click on the 'It's a Living' tab at the top of this page.
Now take your vitamin and go for a walk. That fresh air will do wonders. 

Monday, May 4, 2015

Happy Nurses Week 2015!

It is once again National Nurses Week!
Observation begins on May 6th and ends on Florence Nightingale's birthday, May 12th.


In that spirit, this post is dedicated to all those nurses out there. I have worked with so many amazing people over the years. We are all so different yet so much alike.

This is my wish for you..

May you get 'the GOOD' assignment.
May all your pages be answered promptly.
May all your computers work and when they don't may ALL handwriting be legible.
May your lunch break be uninterrupted. With the hot food-hot and the cold food-cold.
And may you have a chair.
May all your supplies be readily available.
May your narc count be correct.
May your plantar fasciatis mysteriously disappear.
May there be no 'unusual' odors and no 'interesting' fluids.
and no unidentifiable stains on your clothes.
May you have low re-admission rates and high satisfaction scores.
May you get an occasional 'please'.

And even though you say it isn't necessary, may you also get an occasional ThankYou. 
Because even though Nursing has been voted the most ethical profession, we all know we're big liars!

Happy Nurses' Week!
My Mom and me. Mom is not a 'professional' nurse, but I hear a lot of her wisdom spewing from my mouth most days. And, while I don't usually wear a flower at work, wouldn't that be AWESOME!
If you want to read more from some of my previous nursing week posts please click on the It's a Living tab at the top of this page!

Wednesday, May 7, 2014

Evidence Based Practice

Evidence Based Practice

Theorem: Alcohol dehydrates people.
                    It is difficult to start IV s on dehydrated people.

Case Study:

The night before a hands-on clinical, the entire class felt it would be a good idea to go out and 'party'. The entire class arrived, sleep deprived and slightly hung-over, to find that clinical was being held in the multi-purpose room of the hospital school.
The lesson – How to start an IV.
The practice dummies – each other.

Results: Theorem proved.
Lessons learned.

Well played Deaconess Sisters.


It's been thirty years....! 
the last time that uniform was white...

Happy Nurses' Week!

Deaconess Hospital School of Nursing Capping 1981

Otter models my cap.

Sunday, May 5, 2013

Common Denominator

I am from Illinois

                 Missouri

                 Kansas

                 Poland.



My favorite meal is burgers and fries

                                 sushi

                                 lamb stew

                                 chili dogs and mountain dew.


I run marathons

       ride on bike trails

      win body building contests.



I own five dogs

         one cat

         several chickens

          llamas.



I perform solo with a guitar

                with a drum corp

                 a mean Karaoke version of Tenacious D.



My favorite beverage is coffee

                                         craft beer

                                         wine

                                         RED BULL!!!




I live for Cardinal Baseball

              Blues Hockey

              Stiletto Heels.



I am single

        engaged

        planning a wedding

        waiting for a new baby        

        raising a houseful of boys.

In my spare time I quilt
                                make jewelry
                                fight fires.


I drive a green Corvette

           a Harley

           a soccer mom van

           a private airplane.



I have a diploma

           an associates degree

           a bachelors degree

           a masters

           nearly a PhD.





What do the people on this list have in common?



Twenty-four hours a day, three hundred sixty five days a year, someone on that list is dressing a wound, treating a pain, monitoring a heartbeat, holding a hand. Every day someone on that list is learning something, teaching something and using their knowledge to help someone make it through another day.



Each person on this list is a Nurse.

And it is those very differences that, when pooled together for eight or ten or twelve hours at a time, make it possible for these people to provide the best care possible, to their patients and to one another.



Where do I, a land locked beach bum, fit on this list? Well, at one time or another over the past twenty nine years, I have worked with each of those people.



Because for the last twenty nine years I have been a Nurse.





Can you see yourself on this list? Do you have what it takes to join it?

Thank heaven we get to work in technicolor now!

And - In case you have some time on your hands check out the new page addition Its a living...