Showing posts with label nursing. Show all posts
Showing posts with label nursing. 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.)




Wednesday, September 16, 2015

Just Nurses

So.
Yet another celebrity has put her foot in her mouth and peeved off an entire profession.

I couldn't decide if I wanted to let this go.

First a Miss America contestant stands up on stage and gives a monologue about being a nurse as her 'talent' portion of the program.
I didn't see this. I did see the posts on Facebook but didn't bother watching it. Seemed like a whole lot of blah blah – how sweet – blah blah. (I did finally watch this, before writing this essay which is why I am posting the link.)

Next some women on a daytime talk show attack said contestant, questioning her performance of a monologue as an actual talent, questioning her profession as an actual talent, commenting on her 'costume'.
I didn't see this either. In fact, I had no idea what was going on until I got to work this morning and was shown the subsequent Facebook page in support of said profession.(I did finally watch this. Although it wasn't easy, without morning coffee and a gun to my head. Which is why I am NOT posting the link to that site. Outside of the Today show, I have no use for morning talk shows.)

Then I got tagged in numerous posts regarding this incident and suddenly found myself defending the supporters in the midst of a discussion over being overly sensitive and too easily offended.

And last, as expected, the talk show mouths put forth something they called an apology but really sounded more like a slap in the face and an accusation of inability to take a joke.
I DID see this little gem.
And then I spent three hours reading posts on the supportive Facebook page.

Why?
Because I am a nurse.
I am not a nurse who considers her profession a 'talent'. Although I have worked with many nurses who truly could make this claim.
I do know a little bit about writing and performing my work in public. THAT is a real talent and the Miss America candidate should be congratulated for not only giving a unique performance but doing so on a beauty pageant – but we are really a scholarship program – stage.

It seems that the women on The View questioned why the contestant was wearing a 'doctor stethoscope' on her 'costume' and was simply reading emails.
These comments sent the nursing world into a frenzy.

Which is why it was suggested to me that maybe we as a profession was being too sensitive.
Well, world, let me explain.

That 'doctor stethoscope' probably cost the nurse wearing it at least half a 12 hour shift's wages. Stethoscopes are not provided. We have to purchase them and good ones cost a lot of money. We buy good ones because the patient and the doctor are counting on us to really HEAR what is going on in heart, lungs, grafts, bowels. Many times we are the first to hear changes and report our findings to doctors who are trusting us to do just this very thing.

That 'costume' is called scrubs. And guess what – they are usually not provided either. And, shocker, they are not very cheap. We have worked hard to wear those navy blue pajamas. (Some of us worked really hard to wear those white dresses with matching hose and caps!) But in a way, those scrubs are a costume. Because when we put those clothes on we leave behind our families and our friends and for 8-10-12+ hours we do things we never imagined: hold pressure to stop bleeding, insert hoses in orifices that should never have hoses inserted into, compress hearts to make them start beating again. And again.
That 'costume' gives me the strength to NOT cry as I listen to a woman my age lament the fact that she has been told she won't live another year, leaving behind her children, who are the same age as mine. That 'costume' gives me the strength to understand it's out of fear that an irate family member gets in my face and curses me because they do not like the outcome of their loved ones diagnosis.
But shedding that 'costume' does not mean I leave those things behind at the end of my day. Everything I experience in my scrubs becomes another stitch in the fabric of me. Some days those stitches begin to unravel and I wonder if I am just going to fall apart. Yet in the morning I get up and pull my scrubs on and those stitches pull tight for another day.

Miss Colorado, Kelly Johnson, performed a monologue about her experiences as a nurse. Her monologue was not 'emails'. Click here to watch. It was an essay. And my guess is, it was written as part of a professional nurse development program at her place of employment.
What's this?
A professional nurse development program is just what it sounds like. It is a way for nurses to develop themselves as professionals. At my hospital that program requires at least one essay be written a year. The theme of those essays revolves around what the nurse has done to improve a patient's experience through care they have provided. This is only a portion of the program.
I have watched many nurses who participate in this program take real ownership of their careers.

The women on The View touched a nerve by singling out these things in an attempt to be topical and funny.
It backfired.

This is a Facebook page which, in less than 24 hours, has gained over half a million members. Not just nurses, but doctors, EMT, paramedics, respiratory therapists, students and all the other members of the healthcare team.
All in support of nurses.

Which leads me to the folks who suggested that nurses were being too sensitive; that perhaps why is it worse to insult a nurse?

It is not any worse to insult a nurse than to insult a politician or a sports figure or a television talk show host. Taken at face value, the comments made on the View were just silly, poorly crafted attempts to be topical and cutting edge.
Why has the nursing community reacted so strongly?

There is the real question.

I can only speak for myself here.
I did not become a nurse as part of a calling. I became a nurse because I knew it was a dependable job which paid well. There have been many days, especially after 30 years, that I wonder if I had been 'called' then maybe these days would be easier somehow.
I am proud of what I have done as a nurse. But not because I AM a nurse. I am proud of the strength I have found within myself to do things I never thought possible; see things which are un-see-able; connect with people whom I would never have met in any other life. I have learned as much about myself as I have learned about medicine.   
The nursing profession has changed in so many ways, for better and for worse. We have more responsibility than ever before. We care for sicker patients. We work longer hours. We are active participants in meeting the ever more difficult criteria for financial reimbursement to hospitals: keeping readmission rates down, keeping infection rates down, keeping patient satisfaction up.

I feel nurses and the nursing profession are hitting a critical point.
And the women on the View made a fatal error in attacking one of our own.
We have allowed society to make jokes at our expense for years – the nurse on the soap opera who is scheming to catch a doctor, the 'sexy' nurse costumes at Halloween, the vindictive Nurse Diesel and Nurse Ratchet. Not to mention the millions of raunchy 'head nurse' jokes out there.

But we know those things are just in fun because we know that those things are not completely real. Of course there are nurses who marry doctors, there are nurses who are 'sexy', although none of them wear ridiculously short skirts with crinolines, and as tempting as it might be, we do not act vindictively.
And we probably tell way dirtier jokes than the general public can imagine.

But, women of the View, you attacked our realities.

So we are going to post photos of ourselves proudly wearing our stethoscopes. We are going to post silly memes. We are going to dissect every word that has been said. When you need medical care we will provide it to you, reprimand free. Although we may make a joke and ask you how to use our stethoscopes.
And tomorrow we will return to work a little stronger and a little prouder.
Because we are more than just Nurses. 
Thirty years ago

 
and today.

For more thoughts on nursing click HERE or on the It's a Living link above.

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.

Friday, January 31, 2014

Musings on Healthcare, Scrubs and Grey's Anatomy (is that show still on?)

In order to bankroll my lux lifestyle here on the Coast of Illinois, I spend the better part of my time

wearing scrubs. Ah scrubs. Those paper thin drawstring pajamas with pockets. I hate them and blame them for my overall increase in BMI.



Scrubs use to be a hot item. Literally. They were stolen right and left. I remember being so excited (and thirty pounds lighter) when I transferred from the White Uniform from Head to Toe, Including Stockings world of floor nursing to the operating room. I got to wear people clothes to work and then changed into generic, unisex, anemic blue scrubs. I felt as though I was being admitted into an elite society.



Over the years, uniforms have been phased out and replaced by scrubs so colorful that given the right choice of pattern and color, a nurse could blend into the wallpaper. This skill may be acceptable in the animal world but in the world of higher functioning primates it is frowned upon. Plus, with the enormous choice of color, style, price and comfort everyone wears them. Which has become somewhat of a problem. It seems that people actually prefer to be able to tell the difference between a RN, a housekeeper and the visitor who just likes to wear scrubs.



So, to that end, the Big House where I work has 'color-coded' staff. Secretaries wear one color, techs wear another, respiratory therapy yet another. As a nurse, I wear Navy Blue. Thank heaven. When I heard we were being color-coded I had the fear that our color would be Emergency-Glow-in-the-Dark Orange. Navy is a great choice. We all look chic and ten pounds slimmer.



The downside? For the first time in nearly ten years, I have to buy new clothes. My previous job allowed any color or pattern of scrubs. I had an entire 60 gallon Rubbermaid tub of these scrubs for every season and holiday. Not a single one of them was solid Navy. At my current job (nurses are notorious job hoppers) my scrubs were provided. They were, once again, anemic blue unisex.



I spent a month studying the Navy Blue choices in all the scrub catalogs. Everyone in the cataloges are so perky. They wear their stethoscopes tossed jauntily around their necks and in the action shots it looks as though they are jogging on a beach. Weird. When we run into a room its dragging a big red cart with paddles connected to 260joules. Stethoscopes are stuck in ears and no one is smiling.



In the hopes of a more realistic shopping experience, I opted for the Uniform Store conveniently located within the Big House complex. Armed with my holiday gift card (thanks PACU management team!) I wandered in and was promptly greeted $47 Grey's Anatomy scrub tops. Seems a little excessive for a pajama top based on a television show which may or may not still be on television. Oh sure, the fabric was unbelievably soft and stretchy and the pocket placement was...cute. But forty-seven DOLLARS??? Sadly, hospital workers do not get $50,000 dollars per episode. And even more sadly, most of us are not built like television people.



The Grey's Anatomy scrubs run close to three sizes smaller. Which even with the 'stretch' put my generic medium scrub butt into a size XXL.



Like I am ever going to buy ANYTHING in a XXL.



It seems that I have discovered the Commercial Identity Paradigm:



Labeling an item with a Television Show name causes an automatic decrease in size with a corresponding increase in price and a dig at the consumer's self worth.



It's almost like they don't want us 'normal' people to look good. Do the designers really think we look like those people from Grey's Anatomy? Are they saying that only wealthy people are svelte? Is Grey's Anatomy really still one TV???



In the end, I let my vanity and my checkbook do the talking and opted for the much cheaper Frank's Body Parts brand. The fabric is not nearly as soft, the lack of stretch has forced me to maintain my healthy eating plan and the pockets are merely functional. And honestly, no matter what the price point, scrubs are simply drawstring pajamas.



And drawstring pants all but encourage poor health by literally stretching bigger and bigger.



And THAT is the real downfall in our healthcare system. 

Caps, dresses and martinis. Ah...those were the days.
 
Want to read more of my adventures in Nursing? Check out these links:

Beck and Call 

Nurses Week 2013

It's a Living


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...